<div class="container" style="padding:15px;">
	<div class="row">
		<div class="col-md-12">
			<input type="text" name="ut1" class="form-control mt10 mmt40 cb h45"  value="" placeholder="Ad Soyad">
		</div>
		<div class="col-md-6">
			<input type="text" name="ut2" class="form-control mt10 mmt5 cb h45"  value="" placeholder="Email">
		</div>
		<div class="col-md-6">
			<input type="text" name="ut4" class="form-control mt10 mmt5 phone cb h45"  value="" placeholder="Gsm" data-plugin-masked-input="" data-input-mask="<?php echo $module["pmask"];?>">
		</div>
	</div>
</div>