<!-- Begin Body --> 
<form  role="form" id="tin_form" class="form-horizontal">
<div class="container-fluid" style="padding-top:120px; height:auto">
	<div class="row"><br/></div> 
	<div class="row">
		<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12"> 
			<fieldset> 
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="company"><small>Name of Company</small></label>
					<div class="col-md-7"><input  type="text" id="company" placeholder="Name of Company" value="" class="form-control text-left" name="company"></div>
				</div>
				<div class="form-group">
					<label class="col-md-5 control-label text-right" for="category"><small>Category</small></label>
					<div class="col-md-7">
						<select class="form-control" name="category" id="category">
							<option value="">- Select Type -</option>
							<option value="contractor">Contractor</option>
							<option value="broker">Broker</option>
							<option value="others">Others</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 left">
					<label class="col-md-5 control-label left text-left" for="tin_no"><small>TIN Number</small></label>
					<div class="col-md-7"><input type="text" id="tin_no" placeholder="TIN Number" value="" class="form-control text-left" name="tin_no" onkeypress="return isNumberKey(event)"></div>
				</div>
				  
			</fieldset>
		</div>
	</div>
	<div class="row"><br/></div>
</div>
</form>