<div class="row">
<div class="col-md-6" "col-sm-12">
<label>Business Owner*
  [text* text-809]</label>
</div>
<div class="col-md-6" "col-sm-12">
<label>Business Name*
     [text* text-810]</label>
</div>
<div class="col-md-6" "col-sm-12">
<label>GSTIN*
[text* gstnum]  </label>
</div>
<div class="col-md-6" "col-sm-12">
<label>PAN*
     [text* text-811]</label>
</div>
<div class="col-md-6" "col-sm-12">
<label>Brand Associated With*
     [text* text-812]</label>
</div>
<div class= "col-md-6" "col-sm-12">
<label>Contact Number*
    [number* number-867]</label>
</div>
<div class="col-md-6" "col-sm-12">
<label>Email*
    [email* your-email] </label>
</div>
<div class="col-md-6" "col-sm-12">
<label>Website
   [url url-878] </label>
</div>
<div class="col-md-6" "col-sm-12">
<label>Address
    [text address] </label>
</div>
<div class="col-md-6" "col-sm-12">
<label>Year of Establishment
  [number number-869]</label>
</div>
</div>
<p class="dsubmit"><label>
[submit "SUBMIT"]</label></p>