&lt;form id=&quot;form-app&quot;&gt;
&lt;fieldset&gt;

&lt;!-- Heading --&gt;
&lt;h3 class=&quot;legend&quot;&gt;Expense Tracker&lt;/h3&gt;

&lt;!-- Paragraph Text --&gt;
&lt;p&gt;If you&#039;d like to better manage your expenses fill this form and generate your report.&lt;/p&gt;

&lt;!-- Date --&gt;
&lt;div class=&quot;form-group&quot;&gt;
    &lt;label class=&quot;control-label&quot; for=&quot;date_0&quot;&gt;Date&lt;/label&gt;
    &lt;input type=&quot;date&quot; id=&quot;date_0&quot; name=&quot;date_0&quot; class=&quot;form-control&quot;&gt;
&lt;/div&gt;

&lt;!-- Select List --&gt;
&lt;div class=&quot;form-group&quot;&gt;
    &lt;label class=&quot;control-label&quot; for=&quot;selectlist_0&quot;&gt;Category&lt;/label&gt;
    &lt;select id=&quot;selectlist_0&quot; name=&quot;selectlist_0[]&quot; class=&quot;form-control&quot;&gt;
        &lt;option value=&quot;&quot; disabled=&quot;&quot; selected=&quot;&quot;&gt;-Select-&lt;/option&gt;
        &lt;option value=&quot;Option 1&quot;&gt;Option 1&lt;/option&gt;
        &lt;option value=&quot;Option 2&quot;&gt;Option 2&lt;/option&gt;
        &lt;option value=&quot;Option 3&quot;&gt;Option 3&lt;/option&gt;
    &lt;/select&gt;
&lt;/div&gt;

&lt;!-- Select List --&gt;
&lt;div class=&quot;form-group&quot;&gt;
    &lt;label class=&quot;control-label&quot; for=&quot;selectlist_1&quot;&gt;Subcategory&lt;/label&gt;
    &lt;select id=&quot;selectlist_1&quot; name=&quot;selectlist_1[]&quot; class=&quot;form-control&quot;&gt;
        &lt;option value=&quot;&quot; disabled=&quot;&quot; selected=&quot;&quot;&gt;-Select-&lt;/option&gt;
        &lt;option value=&quot;Option 1&quot;&gt;Option 1&lt;/option&gt;
        &lt;option value=&quot;Option 2&quot;&gt;Option 2&lt;/option&gt;
        &lt;option value=&quot;Option 3&quot;&gt;Option 3&lt;/option&gt;
    &lt;/select&gt;
&lt;/div&gt;

&lt;!-- Text --&gt;
&lt;div class=&quot;form-group&quot;&gt;
    &lt;label class=&quot;control-label&quot; for=&quot;text_0&quot;&gt;Amount&lt;/label&gt;
    &lt;input type=&quot;text&quot; id=&quot;text_0&quot; name=&quot;text_0&quot; class=&quot;form-control&quot;&gt;
&lt;/div&gt;

&lt;!-- Select List --&gt;
&lt;div class=&quot;form-group&quot;&gt;
    &lt;label class=&quot;control-label&quot; for=&quot;selectlist_2&quot;&gt;Payment Method&lt;/label&gt;
    &lt;select id=&quot;selectlist_2&quot; name=&quot;selectlist_2[]&quot; class=&quot;form-control&quot;&gt;
        &lt;option value=&quot;&quot; disabled=&quot;&quot; selected=&quot;&quot;&gt;-Select-&lt;/option&gt;
        &lt;option value=&quot;Cash&quot;&gt;Cash&lt;/option&gt;
        &lt;option value=&quot;Cheque&quot;&gt;Cheque&lt;/option&gt;
        &lt;option value=&quot;Credit Card&quot;&gt;Credit Card&lt;/option&gt;
        &lt;option value=&quot;Debit Card&quot;&gt;Debit Card&lt;/option&gt;
    &lt;/select&gt;
&lt;/div&gt;

&lt;!-- Text Area --&gt;
&lt;div class=&quot;form-group&quot;&gt;
    &lt;label class=&quot;control-label&quot; for=&quot;textarea_0&quot;&gt;Transaction Notes&lt;/label&gt;
    &lt;textarea id=&quot;textarea_0&quot; name=&quot;textarea_0&quot; rows=&quot;3&quot; class=&quot;form-control&quot;&gt;&lt;/textarea&gt;
&lt;/div&gt;

&lt;!-- Radio --&gt;
&lt;div class=&quot;form-group&quot;&gt;
    &lt;label class=&quot;control-label&quot; for=&quot;radio_0&quot;&gt;Type&lt;/label&gt;
    &lt;div class=&quot;radio&quot;&gt;
        &lt;label for=&quot;radio_0_0&quot; class=&quot;radio-inline&quot;&gt;
        &lt;input type=&quot;radio&quot; name=&quot;radio_0&quot; id=&quot;radio_0_0&quot; value=&quot;Personal&quot;&gt; Personal &lt;/label&gt;
    &lt;/div&gt;
    &lt;div class=&quot;radio&quot;&gt;
        &lt;label for=&quot;radio_0_1&quot; class=&quot;radio-inline&quot;&gt;
        &lt;input type=&quot;radio&quot; name=&quot;radio_0&quot; id=&quot;radio_0_1&quot; value=&quot;Bussiness&quot;&gt; Bussiness &lt;/label&gt;
    &lt;/div&gt;
    &lt;span id=&quot;radio_0&quot;&gt;&lt;/span&gt;
&lt;/div&gt;

&lt;!-- Button --&gt;
&lt;div class=&quot;form-action&quot;&gt;
    &lt;input type=&quot;submit&quot; id=&quot;button_0&quot; name=&quot;button_0&quot; class=&quot;btn btn-primary&quot; value=&quot;Submit&quot;&gt;
&lt;/div&gt;

&lt;/fieldset&gt;
&lt;/form&gt;