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<form action="" method="post" id="form3A" style="display: none;">
<div class="row mt-3">
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">Date</label>
<input type="text" name="3adate" id="3adate" class="form-control">
</div>
</div>
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">Page Number</label>
<input type="number" name="3apagenum"id="3apagenum" class="form-control">
</div>
</div>
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">Book Number</label>
<input type="number" name="3abooknum" id="3abooknum" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom Name</label>
<input type="text" name="3agroomname" id="3agroomname" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride Name</label>
<input type="text" name="3abridename" id="3abridename" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom Age</label>
<input type="text" name="3agroomage" id="3agroomage" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride Age</label>
<input type="text" name="3abrideage" id="3abrideage" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom Citizenship</label>
<input type="text" name="3agroomcitizen" id="3agroomcitizen" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride Citizenship</label>
<input type="text" name="3abridecitizen" id="3abridecitizen" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom Civil Status</label>
<input type="text" name="3agroomcivil" id="3agroomcivil" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride Civil Status</label>
<input type="text" name="3abridecivil" id="3abridecivil" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom's Mother</label>
<input type="text" name="3agroommother" id="3agroommother" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride's Mother</label>
<input type="text" name="3abridemother" id="3abridemother" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Groom's Father</label>
<input type="text" name="3agroomfather" id="3agroomfather" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Bride's Father</label>
<input type="text" name="3abridefather" id="3abridefather" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Registry Number</label>
<input type="text" name="3aregistrynum" id="3aregistrynum" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Date of Registration</label>
<input type="text" name="3adatereg" id="3adatereg" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="mb-1">
<label for="simpleinput" class="form-label">Date of Marriage</label>
<input type="text" name="3adatemarriage" id="3adatemarriage" class="form-control">
</div>
</div>
<div class="col-lg-6">
<div class="mb-1">++
<label for="simpleinput" class="form-label">Place of Marriage</label>
<input type="text" name="3aplacemarriage" id="3aplacemarriage" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">Amount Paid</label>
<input type="text" name="3aamountpaid" id="3aamountpaid" class="form-control">
</div>
</div>
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">O.R. Number</label>
<input type="text" name="3aornumber" id="3aornumber" class="form-control">
</div>
</div>
<div class="col-lg-4">
<div class="mb-1">
<label for="simpleinput" class="form-label">Date Paid</label>
<input type="text" name="3adatepaid" id="3adatepaid" class="form-control">
</div>
</div>
</div>
</form>