<!-- Begin Body --> 
<form  role="form" id="buyer_status_folder_bank_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="bsfb_fullname"><small>Full Name</small></label>
					<div class="col-md-8"><input type="text" id="bsfb_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="bsfb_phase"><small>Phase</small></label>
					<div class="col-md-8"><input type="text" id="bsfb_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="bsfb_lot_size"><small>Lot Size</small></label>
					<div class="col-md-8"><input type="text" id="bsfb_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="bsfb_facility"><small>Facility</small></label>
					<div class="col-md-8">
					<input type="text" id="bsfb_facility" name="bsfb_facility" placeholder="" value="" class="form-control text-right" >
					</div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsfb_date_delivered"><small>Date Delivered</small></label>
					<div class="col-md-8">
					<input type="text" id="bsfb_date_delivered" name="bsfb_date_delivered" 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="bsfb_returned_date"><small>Returned Date</small></label>
					<div class="col-md-8">
						<input type="text" id="bsfb_returned_date" name="bsfb_returned_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-4 control-label text-right" for="bsfb_bank_account_officer"><small>Bank Account Officer</small></label>
					<div class="col-md-8"><input type="text" id="bsfb_bank_account_officer" name="bsfb_bank_account_officer" 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="bsfb_date_reserved"><small>Date Reserved</small></label>
					<div class="col-md-6"><input type="text" id="bsfb_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="bsfb_block"><small>Block</small></label>
					<div class="col-md-6"><input type="text" id="bsfb_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="bsfb_floor_area"><small>Floor Area</small></label>
					<div class="col-md-6"><input type="text" id="bsfb_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="bsfb_log"><small>LOG Date of Released</small></label>
					<div class="col-md-6"><input type="text" id="bsfb_log" name="bsfb_log" 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="bsfb_booking"><small>For Booking</small></label>
					<div class="col-md-6">
						<input type="text" id="bsfb_booking" name="bsfb_booking" 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="bsfb_takeout"><small>Take-Out Date</small></label>
					<div class="col-md-6">
						<input type="text" id="bsfb_takeout" name="bsfb_takeout" 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">
					<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="bsfb_lot"><small>Lot</small></label>
					<div class="col-md-8"><input type="text" id="bsfb_lot" readonly placeholder="Lot" value="" class="form-control text-left"></div>
				</div>
				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsfb_loanable_amount"><small>Loanable Amount</small></label>
					<div class="col-md-8"><input type="text" id="bsfb_loanable_amount" readonly placeholder="Loanable Amount" value="" class="form-control text-left"></div>
				</div>


				<div class="form-group">
					<label class="col-md-4 control-label text-right" for="bsfb_reason"><small>Remarks / Findings</small></label>
					<div class="col-md-8"><textarea rows="7" class="form-control" id="bsfb_reason" name="bsfb_reason"></textarea></div>
				</div>
			</fieldset>
		</div>
	</div>
</div>
</form>