                                                     </div>
                                                            <div class="item form-group">
                                                                <label class="col-form-label col-md-3 col-sm-3 label-align" for="last-name">City <span class="required">*</span>
                                                                </label>
                                                                <div class="col-md-6 col-sm-6 ">
               