<!-- Begin Body --> 
<form  role="form" id="buyer_status_monitoring_form" class="form-horizontal">
<div class="container-fluid" style="padding-top:120px; height:550px">
	<div class="row"><br/></div>
	<div class="row">
		<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
			<fieldset> 
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="bsm_fullname"><small>Full Name</small></label>
					<div class="col-md-7"><input type="text" id="bsm_fullname" readonly placeholder="Full Name" value="" class="form-control text-left"></div>
				</div>
				
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="bsm_phase"><small>Phase</small></label>
					<div class="col-md-7"><input type="text" id="bsm_phase" readonly placeholder="Phase" value="" class="form-control text-left"></div>
				</div>
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="bsm_lot_size"><small>Lot Size</small></label>
					<div class="col-md-7"><input type="text" id="bsm_lot_size" readonly placeholder="Lot Size" value="" class="form-control text-left"></div>
				</div>
				
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="bsm_orientation_date"><small>Buyer's Orientation Date</small></label>
					<div class="col-md-7">
					<input type="text" id="bsm_orientation_date" name="bsm_orientation_date" placeholder="MM/DD/YYYY" value="" class="form-control text-right datepicker whitebg" style="cursor:pointer" readonly>
					</div>
				</div>
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="bsm_homeowner_orientation"><small>Homeowner's Orientation</small></label>
					<div class="col-md-7"><input type="text" id="bsm_homeowner_orientation" name="bsm_homeowner_orientation" placeholder="MM/DD/YYYY" value="" class="form-control text-right datepicker whitebg" style="cursor:pointer" readonly></div>
				</div>
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="bsm_conducted"><small>Conducted</small></label>
					<div class="col-md-7">
						<select id="bsm_conducted"  name="bsm_conducted" class="form-control select2">
							<option value="SITE">SITE</option>
							<option value="OFFICE">OFFICE</option>
						</select>
					</div>
				</div> 
			</fieldset>
		</div>
		<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
			<fieldset> 
				<div class="form-group">
					<label class="col-md-6 control-label text-right" for="bsm_reservation_date"><small>Reservation Date</small></label>
					<div class="col-md-6">
					<input type="text" id="bsm_reservation_date" name="bsm_reservation_date" placeholder="MM/DD/YYYY" value="" class="form-control text-right"  readonly>
					</div>
				</div>
				
				<div class="form-group">
					<label class="col-md-6 control-label text-right" for="bsm_block"><small>Block</small></label>
					<div class="col-md-6"><input type="text" id="bsm_block" readonly placeholder="Block" value="" class="form-control text-left"></div>
				</div>
				
				<div class="form-group">
					<label class="col-md-6 control-label text-right" for="bsm_floor_area"><small>Floor Area</small></label>
					<div class="col-md-6"><input type="text" id="bsm_floor_area" readonly placeholder="Floor Area" value="" class="form-control text-left"></div>
				</div>
				
				<div class="form-group">
					<label class="col-md-6 control-label text-right" for="bsm_pagibig_takeout_date"><small>Takeout Date</small></label>
					<div class="col-md-6"><input type="text" id="bsm_pagibig_takeout_date" name="bsm_pagibig_takeout_date" placeholder="MM/DD/YYYY" value="" class="form-control text-right" readonly></div>
				</div>
				
				<div class="form-group">
					<label class="col-md-6 control-label text-right" for="bsm_inspection"><small>Inspection</small></label>
					<div class="col-md-6">
						<input type="text" id="bsm_inspection" name="bsm_inspection" placeholder="MM/DD/YYYY" value="" class="form-control text-right datepicker whitebg" style="cursor:pointer" readonly>
					</div>
				</div>
				<div class="form-group">
					<label class="col-md-6 control-label text-right" for="bsm_reinspection"><small>Re-Inspection</small></label>
					<div class="col-md-6">
						<input type="text" id="bsm_reinspection" name="bsm_reinspection" placeholder="MM/DD/YYYY" value="" class="form-control text-right datepicker whitebg" style="cursor:pointer" readonly>
					</div>
				</div>
			</fieldset>
		</div>
		<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
			<fieldset>
				<div class="form-group">
					<div class="col-md-8"><br/><br/></div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsm_lot"><small>Lot</small></label>
					<div class="col-md-8"><input type="text" id="bsm_lot" readonly placeholder="Lot" value="" class="form-control text-left"></div>
				</div>			
				<div class="form-group">
					<div class="col-md-8"><br/><br/></div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsm_letter_sent"><small>Letter Sent (Move-In)</small></label>
					<div class="col-md-8"><input type="text" id="bsm_letter_sent" name="bsm_letter_sent" placeholder="MM/DD/YYYY" value="" class="form-control text-right datepicker whitebg" readonly style="cursor:pointer"></div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsm_house_acceptance"><small>House Acceptance</small></label>
					<div class="col-md-8"><input type="text" id="bsm_house_acceptance" name="bsm_house_acceptance" placeholder="MM/DD/YYYY" value="" class="form-control text-right datepicker whitebg" readonly style="cursor:pointer"></div>
				</div>
 
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsm_pto"><small>PTO</small></label>
					<div class="col-md-8">
						<select name="bsm_pto" id="bsm_pto" class="form-control">
							<option></option>
							<option value="with PTO">with Permit to Occupy</option>
							<option value="Temporary PTO">Temporary</option>
						</select>
					</div>
				</div>  
				
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsm_permit_to_occupy"><small>Permit to Occupy</small></label>
					<div class="col-md-8"><input type="text" id="bsm_permit_to_occupy" name="bsm_permit_to_occupy" placeholder="MM/DD/YYYY" value="" class="form-control text-right datepicker whitebg" readonly style="cursor:pointer"></div>
				</div>  
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsm_permit_to_occupy_number"><small>Permit to Occupy Number</small></label>
					<div class="col-md-8"><input type="text" id="bsm_permit_to_occupy_number" name="bsm_permit_to_occupy_number" placeholder="Permit to Occupy Number" value="" class="form-control text-left"></div>
				</div>  
			</fieldset>
		</div>
	</div>
	 
	  
	  
</div>
</form>