<!DOCTYPE html>
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
        <title></title>
        <style>
            .form_row{height: 40px;}
            .form_label{display: inline-block;width: 180px;}
            .form_field{display: inline;}
        </style>
    </head>
    <body>
        <form action="employer_id_result.php" method="post">
            <h3>Employer Record</h3>
            <div class="form_row">
                <div class="form_label">Employer No*: </div>
                <div class="form_field"><input type="text" name="employer_no" /></div>
            </div>
            <div class="form_row">
                <div class="form_label">Employer Name*: </div>
                <div class="form_field"><input type="text" name="employer_name" /></div>
            </div>
            <div class="form_row">
                <div class="form_label">Employer Department: </div>
                <div class="form_field"><input type="text" name="employer_dep"  style="width:115px;"/></div>
            </div>
            <div class="form_row">
                <div class="form_label">Employer Position </div>
                <div class="form_field"><input type="text" name="employer_pos"  style="width:115px;"/></div>
            </div>
			<div class="form_row">
                <div class="form_field"><input type="checkbox" name="dev_lock" value="Device Lock" />Device Lock</div>
                <div class="form_field"></div>
			</div>
			<div class="form_row">
                <div class="form_label">Device ID: </div>
                <div class="form_field"><input type="text" name="dev_id"  style="width:115px;"/></div>
            </div>
			<div class="form_row">
                <div class="form_label">*-marked are mandatory</div>
                <div class="form_field"><input type="reset" name="emp_clear" value="Clear" /><input type="submit" name="emp_submit" value="Record" /></div>
            </div>
        </form>
    </body>
</html>