Untitled

<body>
    <div data-role="page" id="home">

        <div data-role="header" data-position="fixed">
            <a href="#home" data-role="button" data-icon="home"></a>
        </div>
        <div data-role="content">
            <div class="content-primary">
                <form id="frm1">
                    <ul data-role="listview">
                        <li data-role="fieldcontain">
                            <label for="Name">name:</label>
                            <input type="text" Name="Name" id="Name" value="" />
                        </li>
                        <li data-role="fieldcontain">
                            <label for="No">no:</label>
                            <input type="text" No="No" id="No" value="" />
                        </li>
                        <li data-role="fieldcontain">
                            <label for="countryName">Country name:</label>
                            <input type="text" countryName="countryName" id="countryName" value="" />
                        </li>
                        <li data-role="fieldcontain">
                            <label for="stateName">State name:</label>
                            <input type="text" stateName="stateName" id="stateName" value="" />
                        </li>
                        <li data-role="fieldcontain">
                            <label for="cityName">City name:</label>
                            <input type="text" cityName="cityName" id="cityName" value="" />
                        </li>

                </form>
            </div>
        </div>
</body>

.ui-body-c { background:#FFFFFF !important; }

.ui-page .ui-header {
    background:#0B0B3B !important;
}
.ui-page .ui-footer {
    background:#0B0B3B !important;
}

.ui-body{
    background-color:#FFF;
}

#Parent .ui-body{

}

.Parent .ui-body{

}