<div class="animated fadeIn">
    <div class="row">
        <div class="col-md-12">
            <div class="card">
                <div class="card-header">
                    <i class="fa fa-align-justify"></i>    Edit Study Center Details
                </div>
                <form>
                    <fieldset>
                        <!--<legend>Edit Study Center Details</legend>-->
                        <div class="container">
                            <div class="row">
                                <div class="form-group col-md-4">
                                    <label for="name"> Study Center Code <span class="danger">*</span></label>
                                    <input type="text" class="form-control" id="name" placeholder="Enter Study Center Code" value="000211">
                                </div>
                            </div>
                            <div class="row">
                                <div class="form-group col-md-4">
                                    <label for="name"> Name <span class="danger">*</span></label>
                                    <input type="text" class="form-control" id="name" placeholder="Enter Name">
                                </div>
                                <div class="form-group col-md-4">
                                    <label for="pNumber">Phone Number<span class="danger">*</span></label>
                                    <input type="text" class="form-control" id="pNumber" placeholder="Enter Phone Number">
                                </div>
                                <div class="form-group col-md-4">
                                    <label for="pNumber">Email<span class="danger">*</span></label>
                                    <input type="text" class="form-control" id="email" placeholder="Enter Email">
                                </div>
                            </div>
                            <div class="row">
                                <div class="form-group col-md-4">
                                    <label for="contactPerson">  Contact Person <span class="danger">*</span></label>
                                    <input type="text" class="form-control" id="contactPerson" placeholder="Enter Contact Person">
                                </div>
                                <div class="form-group col-md-4">
                                    <label for="mobile"> Mobile Number</label>
                                    <input type="text" class="form-control" id="mobile" placeholder="Enter Mobile Number">
                                </div>
                                <div class="form-group col-md-4">
                                    <label for="email">Email <span class="danger">*</span></label>
                                    <input type="text" class="form-control" id="email" placeholder="Enter Email">
                                </div>
                            </div>
                            <div class="row">
                                <div class="form-group col-md-4">
                                    <label for="city">City<span class="danger">*</span></label>
                                    <input type="text" class="form-control" id="city" placeholder="Enter City">
                                </div>
                                <div class="form-group col-md-4">
                                    <label for="state">State<span class="danger">*</span></label>
                                    <input type="text" class="form-control" id="state" placeholder="Enter State">
                                </div>
                                <div class="form-group col-md-4">
                                    <label for="pincode">Pin Code<span class="danger">*</span></label>
                                    <input type="text" class="form-control" id="pincode" placeholder="Enter PinCode">
                                </div>
                            </div>
                            <div class="row">
                                <div class="form-group col-md-4">
                                    <label for="premanentAddress">Full Contact Address <span class="danger">*</span></label>
                                    <textarea class="form-control" id="premanentAddress" placeholder="Enter Full Contact Address"></textarea>
                                </div>
                            </div>
                        </div>
                    </fieldset>
                    <div class="card-footer">
                        <button type="submit" class="btn btn-sm btn-primary"><i class="fa fa-dot-circle-o"></i> Submit</button>
                        <button type="reset" class="btn btn-sm btn-danger"><i class="fa fa-ban"></i> Reset</button>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>