dDOB" >                              <input type="text" class="form-control" name="date" value="" placeholder="DOB" />                              <span class="input-group-addon add-on"> <i class="fa fa-calendar" aria-hidden="true"></i> </span> </div>                          </div>                          <div class="form-group col-md-0">                            <label for="inputChildGENDER" class="col-form-label">Gender</label>                            <br>                            <label class="custom-control custom-radio">                              <input id="Childradio0" name="radio" type="radio" class="custom-control-input">                              <span class="custom-control-indicator"></span> <span class="custom-control-description">Male</span> </label>                            <label class="custom-control custom-radio">                              <input id="Childradio0" name="radio" type="radio" class="custom-control-input">                              <span class="custom-control-indicator"></span> <span class="custom-control-description">Female</span> </label>                          </div>                        </div>                        <div class="form-row">                          <div class="form-group col-md-0">                            <label for="inputChildADD" class="col-form-label">Residential Address</label>                            <textarea class="form-control" id="