form

<form class="form-horizontal" method="post" action="alamatnya">
        <fieldset>
          <div class="control-group">
            <label class="control-label" for="input01">Nama</label>
            <div class="controls">
              <input type="text" class="input-xlarge" id="input01" name="nama">
            </div>
          </div>
            <div class="control-group">
            <label class="control-label" for="input01">No.tlp</label>
            <div class="controls">
              <input type="text" class="input-xlarge" id="input01" name="notlp" value="">
            </div>
          </div>

          <div class="control-group">
            <label class="control-label" for="select01">Grup</label>
            <div class="controls">
              <select id="select01" name="grup">
                  <option value="0">---= Silahkan pilih  =---</option>
                  <option value="">Pilihan satu</option>
                  <option value="">Pilihan satu</option>
                  <option value="">Pilihan satu</option>
              </select>
            </div>
          </div>

          <div class="form-actions">
            <button type="submit" class="btn btn-primary" onclick="return confirm('Apakah anda yakin sudah memasukan data dengan benar...?')">Save</button>
            <input type="button" class="btn btn-danger" value="Cancel" onclick="location.href='<?php echo $this->uri->baseUri;?>phonebook'" />
          </div>
        </fieldset>
      </form>