"Registrasi Input By Name Jumlah Orang"
Bootstrap 3.3.0 Snippet by fairyhunter13

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<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>Registrasi Input By Name Jumlah Orang</legend>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" for="jmlPemulaPutra">Jumlah Kenshi Kelompok Pemula Putra</label>
<div class="col-md-4">
<input id="jmlPemulaPutra" name="jmlPemulaPutra" type="text" placeholder="contoh: 1" class="form-control input-md">
<span class="help-block">*Masukkan jumlah kenshi pemula putra</span>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" for="jmlPemulaPutri">Jumlah Kenshi Kelompok Pemula Putri</label>
<div class="col-md-4">
<input id="jmlPemulaPutri" name="jmlPemulaPutri" type="text" placeholder="contoh: 2" class="form-control input-md">
<span class="help-block">*Masukkan jumlah kenshi pemula putri</span>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" for="jmlRemajaPutra">Jumlah Kenshi Kelompok Remaja Putra</label>
<div class="col-md-4">
<input id="jmlRemajaPutra" name="jmlRemajaPutra" type="text" placeholder="contoh: 2" class="form-control input-md">
<span class="help-block">*Masukkan jumlah kenshi remaja putra</span>
</div>
</div>
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