               </div>
                    <div class="form-group">
                      <label for="middle-name" class="control-label col-md-3 col-sm-3 col-xs-12">Middle Name / Initial</label>
                      <div class="col-md-6 col-sm-6 col-xs-12">
                        <input id="middle-name" class="form-control col-md-7 col-xs-12" type="text" name="middle-name">
                      </div>
                    </div>
                    <div class="form-group">
                      <label clas