                                  <input type="text" class="form-control" name="fname" id="fname" placeholder="First name">
                                    </div>
                                <div class="col-md-6 form-group">
                                    <input type="text" class="form-control" name="lname" id="lname" placeholder="Last name">
                                </div>
                            </div>
                <div class="row">
                    <div class="col-md-12 form