<div class="container-fluid">
    <div class="row">
        <div class="col-lg-6 col-lg-offset-3 col-md-6 col-md-offset-3 col-sm-6 col-sm-offset-3">
            <div class="panel panel-default pjAsContainer pjAsAside">
                <div class="panel-heading pjAsHead">
                    <h2 class="pjAsHeadTitle"><?php __('lblForgotPassword'); ?></h2>
                </div>
                <div class="panel-body pjAsAsideServices">
                    <form action="" data-forgot-password-form="1" method="post">
                        <div class="row">
                            <div class="col-lg-3 col-md-3 col-sm-3 col-xs-4">
                                <div class="form-group">
                                    <label class="control-label"><?php __('lblEmail'); ?></label>
                                </div>
                            </div>
                            <div class="col-lg-9 col-md-9 col-sm-9 col-xs-8">
                                <div class="form-group">
                                    <input type="text" name="email" class="form-control">
                                </div>
                            </div>
                        </div>

                        <div class="row">
                            <div class="col-lg-12 col-lg-push-3 col-md-push-3 col-sm-push-3 col-xs-push-4">
                                <p class="text-success hidden" data-forgot-password-success-msg="1">
                                    <?php __('lblForgotPasswordSuccess'); ?>
                                </p>
                                <p class="text-danger hidden" data-forgot-password-error-msg="1">
                                    <?php __('lblForgotPasswordError'); ?>
                                </p>
                                <div class="form-group">
                                    <button type="submit" class="btn btn-default pjAsBtn pjAsBtnPrimary"><?php __('btnSend'); ?></button>
                                    <a href="javascript:;" class="btn btn-link pjAsBtnLink" data-back-to-login="1"><?php __('lblBackToLogin'); ?></a>
                                </div>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div><!-- /.container-fluid -->