<form class="card">
	<div class="card-body">
		<h3 class="card-title">Edit Profile</h3>

		<div class="row">
			<div class="col-md-5">
				<div class="form-group">
					<label class="form-label">Company</label>
					<input type="text" class="form-control" disabled="" placeholder="Company" value="Creative Code Inc.">
				</div>
			</div>
			<div class="col-sm-6 col-md-3">
				<div class="form-group">
					<label class="form-label">Username</label>
					<input type="text" class="form-control" placeholder="Username" value="michael23">
				</div>
			</div>
			<div class="col-sm-6 col-md-4">
				<div class="form-group">
					<label class="form-label">Email address</label>
					<input type="email" class="form-control" placeholder="Email">
				</div>
			</div>
			<div class="col-sm-6 col-md-6">
				<div class="form-group">
					<label class="form-label">First Name</label>
					<input type="text" class="form-control" placeholder="Company" value="Chet">
				</div>
			</div>
			<div class="col-sm-6 col-md-6">
				<div class="form-group">
					<label class="form-label">Last Name</label>
					<input type="text" class="form-control" placeholder="Last Name" value="Faker">
				</div>
			</div>
			<div class="col-md-12">
				<div class="form-group">
					<label class="form-label">Address</label>
					<input type="text" class="form-control" placeholder="Home Address" value="Melbourne, Australia">
				</div>
			</div>
			<div class="col-sm-6 col-md-4">
				<div class="form-group">
					<label class="form-label">City</label>
					<input type="text" class="form-control" placeholder="City" value="Melbourne">
				</div>
			</div>
			<div class="col-sm-6 col-md-3">
				<div class="form-group">
					<label class="form-label">Postal Code</label>
					<input type="number" class="form-control" placeholder="ZIP Code">
				</div>
			</div>
			<div class="col-md-5">
				<div class="form-group">
					<label class="form-label">Country</label>
					<select class="form-control custom-select">
						<option value="">Germany</option>
					</select>
				</div>
			</div>
			<div class="col-md-12">
				<div class="form-group mb-0">
					<label class="form-label">About Me</label>
					<textarea rows="5" class="form-control" placeholder="Here can be your description" value="Mike">Oh so, your weak rhyme
You doubt I'll bother, reading into it
I'll probably won't, left to my own devices
But that's the difference in our opinions.</textarea>
				</div>
			</div>
		</div>
	</div>
	<div class="card-footer text-right">
		<button type="submit" class="btn btn-primary">Update Profile</button>
	</div>
</form>