<div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Agentcode</label>
                                                [text* agent_code class:form-control]
                                            </div>
                                        </div>
<div class="col-md-6">
                                            <div class="form-group">
                                                <label>City</label>
                                                [text* agent_city class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>Country</label>
                                               [text* agent_country class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Company Name</label>
                                                [text* agent_companyname class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Logo</label>
                                                [file* file-logo class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>Company Info</label>
                                                [textarea* company-info class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>Address</label>
                                                [textarea* company-adress class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Phone</label>
                                                [text* phone class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Fax</label>
                                                 [text* fax class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Email</label>
                                                [text* your-email class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Website</label>
                                                [text* your-website class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>Contacts</label>
                                                [textarea* contact class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-12">
                                            <span>Add contact as follow - one contact per line:</span>
                                            <span>name: Name, position: position, phone: 1234567, email:
                                                mail@demo.mail</span>
                                        </div>
                                    </div>
                                    <h4>FOB Charges</h4>
                                    <div class="row">
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>Website</label>
                                                [text* company-website class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>FOB Charges File</label>
                                                [file* file-fob]
                                            </div>
                                        </div>
                                    </div>
                                    <h4>Standard Trading Conditions</h4>
                                    <div class="row">
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>Link to Standard Trading Conditions</label>
                                                [text* link-standard class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>STC File</label>
                                                [file* file-stc]
                                            </div>
                                        </div>
                                    </div>
                                    <h4>Further</h4>
                                    <div class="row">
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>Hours of operation</label>
                                                [textarea* hour_of_operation class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Facebook</label>
                                                [text* facebook class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Linkedin</label>
                                                 [text* linkedin class:form-control]
                                            </div>
                                        </div>
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>Remarks</label>
                                                [text* remarks class:form-control]
                                            </div>
                                        </div>
                                    </div>
                                        
                                    <div class="submit-btn">
                                      [submit "Submit"]
                                    </div>