<form class="mt-40 mb-40">
  <label for="ad_label">Label</label>
  <input type="text" id="ad_label" placeholder="Label">
  <label for="ad_name">Name</label>
  <input type="text" id="ad_name" placeholder="Name">
  <label for="ad_phone">Phone</label>
  <input type="text" id="ad_phone" placeholder="Phone">
  <label for="ad_address">Address</label>
  <input type="text" id="ad_address" placeholder="Address">
  <div class="grid grid-cols-2 grid-gap grid-no-margin">
    <div>
      <label for="ad_rt">Rt</label>
      <input type="text" id="ad_rt" placeholder="Rt">
    </div>
    <div>
      <label for="ad_rw">Rw</label>
      <input type="text" id="ad_rw" placeholder="Rw">
    </div>
    <div>
      <label for="ad_no">No</label>
      <input type="text" id="ad_no" placeholder="No">
    </div>
    <div>
      <label for="ad_postcode">Post Code</label>
      <input type="text" id="ad_postcode" placeholder="Post Code">
    </div>
  </div>
  <label for="ad_kel">Kel</label>
  <input type="text" id="ad_kel" placeholder="Kel">
  <label for="ad_kec">Kec</label>
  <input type="text" id="ad_kec" placeholder="Kec">
  <label for="ad_city">City</label>
  <input type="text" id="ad_city" placeholder="City">
  <label for="ad_gmap">Gmap</label>
  <input type="text" id="ad_gmap" placeholder="Gmap">
  <label for="ad_remark">Remark</label>
  <input type="text" id="ad_remark" placeholder="Remark">
  <a href="#" id="address_add_button" class="btn btn-primary btn-block fw-700">Save</a>
</form>