<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend class="text-center">Register</legend> <!-- Full Name:--> <div class="form-group"> <label class="col-md-4 control-label" for="username">Full Name:</label> <div class="col-md-4"> <input id="username" name="username" type="text" placeholder="Name" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="username">Username:</label> <div class="col-md-4"> <input id="username" name="username" type="text" placeholder="Username" class="form-control input-md" required=""> </div> </div> <!-- Password input--> <div class="form-group"> <label class="col-md-4 control-label" for="password">Password:</label> <div class="col-md-4"> <input id="password" name="password" type="password" placeholder="Password" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="email">E-Mail</label> <div class="col-md-4"> <input id="email" name="email" type="text" placeholder="E-Mail" class="form-control input-md" required=""> </div> </div> <!-- Password input--> <div class="form-group"> <label class="col-md-4 control-label" for="passwordแนื">ยืนยันรหัสผ่าน</label> <div class="col-md-4"> <input id="passwordแนื" name="passwordแนื" type="password" placeholder="ยืนยันรหัสผ่าน" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="namำ">ชื่อ-สกุล</label> <div class="col-md-4"> <input id="namำ" name="namำ" type="text" placeholder="ชื่อ-สกุล" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="tel">โทรศัพท์</label> <div class="col-md-4"> <input id="tel" name="tel" type="text" placeholder="โทรศัพท์" class="form-control input-md" required=""> </div> </div> <!-- Button Drop Down --> <div class="form-group"> <label class="col-md-4 control-label" for="gred">เพศ</label> <div class="col-md-4"> <div class="input-group"> <input id="gred" name="gred" class="form-control" placeholder="เพศ" type="text" required=""> <div class="input-group-btn"> <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"> เลือกเพส <span class="caret"></span> </button> <ul class="dropdown-menu pull-right"> <li><a href="#">ชาย</a></li> <li><a href="#">หญิง</a></li> </ul> </div> </div> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="birth">วันกิด</label> <div class="col-md-4"> <input id="birth" name="birth" type="text" placeholder="วันเกิด" class="form-control input-md" required=""> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="address">ที่อยู่</label> <div class="col-md-4"> <textarea class="form-control" id="address" name="address">ที่อยู่</textarea> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="regis"></label> <div class="col-md-4"> <button id="regis" name="regis" class="btn btn-success">สมัครสมาชิก</button> </div> </div> </fieldset> </form>