           <div class="col-md-12">
                  <div class="form-group">
                    <label>Address</label>
                    <input type="text" class="form-control" placeholder="Home Address" value="Bld Mihail Kogalniceanu, nr. 8 Bl 1, Sc 1, Ap 09">
                  </div>
                </div>
              </div>
              <div class="row">
                <div class="col-md-4 pr-md-1">
                  <div class="form-group">
                    <label>City</label>
               