form-lcw.php

<form role="form">
  <div class="row">
    <div class="col-md-4">
      <legend>Biodata</legend>
      <div class="form-group">
        <label for="inputEmail1">Email</label>
        <input type="email" class="form-control" placeholder="Email">
      </div>
      <div class="form-group">
        <label for="inputPassword1">Nama Tim</label>
        <input type="text" class="form-control" placeholder="Password">
      </div>
      <div class="form-group">
        <label for="inputPassword1">[NIS] + Nama Anggota</label>
        <input type="text" class="form-control" placeholder="[NIS] Nama">
        <input type="text" class="form-control" placeholder="[NIS] Nama">
        <input type="text" class="form-control" placeholder="[NIS] Nama">
        <input type="text" class="form-control" placeholder="[NIS] Nama">
      </div>
      <div class="form-group">
        <label for="inputPassword1">No Telp</label>
        <input type="text" class="form-control" placeholder="No Telp">
      </div>
    </div>
    <div class="col-md-4">
      <legend>Sekolah</legend>
      <div class="form-group">
        <label for="inputEmail1">Asal Sekolah</label>
        <input type="text" class="form-control" placeholder="Asal Sekolah">
      </div>
      <div class="form-group">
        <label for="inputEmail1">Alamat Sekolah</label>
        <input type="text" class="form-control" placeholder="Alamat Sekolah">
      </div>
      <div class="form-group">
        <label for="inputEmail1">No Telp Sekolah</label>
        <input type="text" class="form-control" placeholder="No Telp Sekolah">
      </div>
    </div>
    <div class="col-md-4">
      <legend>Pembimbing</legend>
      <div class="form-group">
        <label for="inputEmail1">NIP Pembimbing</label>
        <input type="text" class="form-control" placeholder="NIP Pembimbing">
      </div>
      <div class="form-group">
        <label for="inputEmail1">Nama Pembimbing</label>
        <input type="text" class="form-control" placeholder="Nama Pembimbing">
      </div>
      <div class="form-group">
        <label for="inputEmail1">No Telp Pembimbing</label>
        <input type="text" class="form-control" placeholder="No Telp Pembimbing">
      </div>
    </div>
    <div class="col-md-8">
      <div class="form-group">
        <div class="col-lg-10">
          <div class="checkbox">
            <label>
              <input type="checkbox"> Saya yakin dan menerima seluruh ketentuan yang berlaku
            </label>
          </div>
        </div>
      </div>
      <div class="form-group">
        <div class="col-lg-10">
          <button type="submit" class="btn btn-default btn-primary">Submit</button>
        </div>
      </div>
    </div>
  </div> <!-- /row -->
</form>