<!-- Begin Body --> 
<form  role="form" id="buyer_status_folder_pagibig_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-4 control-label text-right" for="bsfp_fullname"><small>Full Name</small></label>
					<div class="col-md-8"><input type="text" id="bsfp_fullname" readonly placeholder="Full Name" value="" class="form-control text-left"></div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsfp_phase"><small>Phase</small></label>
					<div class="col-md-8"><input type="text" id="bsfp_phase" readonly placeholder="Phase" value="" class="form-control text-left"></div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsfp_lot_size"><small>Lot Size</small></label>
					<div class="col-md-8"><input type="text" id="bsfp_lot_size" readonly placeholder="Lot Size" value="" class="form-control text-left"></div>
				</div>
				<div class="form-group" style="height:30px">&nbsp;</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsfp_window"><small>Window</small></label>
					<div class="col-md-8">
					<input type="text" id="bsfp_window" name="bsfp_window" placeholder="" value="" class="form-control text-right" >
					</div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsfp_date_delivered"><small>Date Delivered</small></label>
					<div class="col-md-8">
					<input type="text" id="bsfp_date_delivered" name="bsfp_date_delivered" placeholder="MM/DD/YYYY" value="" class="form-control text-right" style="cursor:disabled" readonly>
					</div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsfp_date_inspection"><small>Date of Inspection</small></label>
					<div class="col-md-8">
						<input type="text" id="bsfp_date_inspection" name="bsfp_date_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-4 control-label text-right" for="bsfp_appraiser"><small>Name of Appraiser</small></label>
					<div class="col-md-8"><input type="text" id="bsfp_appraiser" name="bsfp_appraiser" placeholder="" value="" class="form-control text-left"></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="bsfp_date_reserved"><small>Date Reserved</small></label>
					<div class="col-md-6"><input type="text" id="bsfp_date_reserved" readonly placeholder="Date Reserved" value="" class="form-control text-left"></div>
				</div>
				<div class="form-group">
					<label class="col-md-6 control-label text-right" for="bsfp_block"><small>Block</small></label>
					<div class="col-md-6"><input type="text" id="bsfp_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="bsfp_floor_area"><small>Floor Area</small></label>
					<div class="col-md-6"><input type="text" id="bsfp_floor_area" readonly placeholder="Floor Area" value="" class="form-control text-left"></div>
				</div>
				<div class="form-group" style="height:30px">&nbsp;</div>
				<div class="form-group">
					<label class="col-md-6 control-label text-right" for="bsfp_noa"><small>NOA Date of Released</small></label>
					<div class="col-md-6"><input type="text" id="bsfp_noa" name="bsfp_noa" 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="bsfp_post_approval"><small>For Post Approval</small></label>
					<div class="col-md-6">
						<input type="text" id="bsfp_post_approval" name="bsfp_post_approval" 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="bsfp_takeout"><small>Take-Out Date</small></label>
					<div class="col-md-6">
						<input type="text" id="bsfp_takeout" name="bsfp_takeout" 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="bsfp_hlid"><small>HLID No.</small></label>
					<div class="col-md-6"><input type="text" id="bsfp_hlid" name="bsfp_hlid" maxlength="14" placeholder="HLID No." value="" class="form-control text-left"></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-4 control-label text-right" >&nbsp;</label>
					<div class="col-md-8"><br/><br/></div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsfp_lot"><small>Lot</small></label>
					<div class="col-md-8"><input type="text" id="bsfp_lot" readonly placeholder="Lot" value="" class="form-control text-left"></div>
				</div>
				<div class="form-group" style="height:75px">&nbsp;</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsfp_reason"><small>Remarks / Findings</small></label>
					<div class="col-md-8"><textarea rows="7" class="form-control" id="bsfp_reason" name="bsfp_reason"></textarea></div>
				</div>
			</fieldset>
		</div>
	</div>
</div>
</form>