csob-pek-form.html

<form>
  <fieldset>
    <h2>Trvalá adresa</h2>
    
    <div class="form-group row">
      <label class="col-6 col-form-label">
        Trvalá adresa
      </label>
      <div class="col-6">
        <input type="text" readonly class="form-control-plaintext" value="Radlická 55/333">        
      </div>
    </div>
    
    <div class="form-group row">
      <label class="col-6 col-form-label">
        Obec
      </label>
      <div class="col-6">
        <input type="text" readonly class="form-control-plaintext" value="Praha 5, Smíchov"> 
      </div>
    </div>   
    
    <div class="form-group row">
      <label class="col-6 col-form-label">
        PSČ
      </label>
      <div class="col-6">
        <input type="text" readonly class="form-control-plaintext" value="150 00"> 
      </div>
    </div>  
    
    <div class="form-group row">
      <label class="col-6 col-form-label">
        Telefon
      </label>
      <div class="col-6">
        <input type="text" readonly class="form-control-plaintext" value=""> 
      </div>
    </div>      
    
    
 </fieldset>     
  
  <fieldset>
    <h2>Kontaktní adresa</h2>
    
    <div class="form-group row">
      <label class="col-6 col-form-label">
        Trvalá adresa
      </label>
      <div class="col-6">
        <input type="text" class="form-control" value="Poděbradská 555">
      </div>
    </div>
    
    <div class="form-group row">
      <label class="col-6 col-form-label">
        Obec
      </label>
      <div class="col-6">
        <input type="text" class="form-control" value="Praha 9 – Hloubětín"> 
      </div>
    </div>   
    
    <div class="form-group row">
      <label class="col-6 col-form-label">
        PSČ
      </label>
      <div class="col-6">
        <input type="text" class="form-control" value="198 00"> 
      </div>
    </div>  
    
    <div class="form-group row">
      <label class="col-6 col-form-label">
        Telefon
      </label>
      <div class="col-6">
        <input type="text" class="form-control" value="+420758688955"> 
      </div>
    </div>     
    
  </fieldset>
</form>