<div class="col-md-6 remove_div"><label class="form-label">First Name</label><a href="javascript:void(0)" style="float:right" class="remove2"><i class="fa fa-minus text-danger "></i></a><input type="text" class="form-control" name="first_name" placeholder="Ex. John" value=""></div><div class="col-md-6 remove_div"><label class="form-label">Last Name</label><a href="javascript:void(0)" style="float:right" class="remove2"><i class="fa fa-minus text-danger "></i></a><input type="text" class="form-control" name="last_name" placeholder="Ex. Doe" value=""></div><div class="col-md-6 remove_div"><label class="form-label">DoB</label><a href="javascript:void(0)" style="float:right" class="remove2"><i class="fa fa-minus text-danger "></i></a><input type="number" class="form-control" name="DOB" placeholder="Ex. 12/15/1978" value=""></div>