<!DOCTYPE HTML>
<html>
<head>
    <title>Attach file</title>
</head>

<body>
    <table width="450px">
        <tr>
            <td valign="top">
                <label for="attach_file"><b>Attachment *</b></label>
            </td>
            <td valign="top">
                <input type="submit" value="Attach File">
            </td>
            <td valign="top">
                <label for="attach_file">No file selected</label>
            </td>
        </tr>

        <tr>
            <td valign="top">
                <label for="app_name"><b>Application Name *</b></label>
            </td>
            <td valign="top">
                <input  type="text" name="app_name" maxlength="50" size="30">
            </td>
        </tr>

        <tr>
            <td valign="top">
                <label for="desc"><b>Description </b></label>
            </td>
            <td valign="top">
                <textarea  name="desc" maxlength="1000" cols="25" rows="6"></textarea>
            </td>
        </tr>

        <tr>
            <td colspan="4" style="text-align:center">
            <br><br>
                <input type="submit" value="Submit">
            </td>
        </tr>

    </table>

</body>
</html>