<form method="post">
<table cellpadding="2">
<tr><th>Emp ID</th><td>123<input name="emp_id" type="hidden" value="123" /></td></tr>
<tr><th>Emp Name</th><td><input maxlength="255" name="emp_name" size="40" type="text" value="Fred Flintstone" /></td></tr>
<tr><th>Emp Division</th><td>ABC&nbsp;<input name="emp_division" size="40" type="radio" value="one" />  DEF&nbsp;<input name="emp_division" size="40" type="radio" value="two" />  GHI&nbsp;<input name="emp_division" size="40" type="radio" value="three" />  JKL&nbsp;<input name="emp_division" size="40" type="radio" value="four" />  MNO&nbsp;<input name="emp_division" size="40" type="radio" value="five" /></td></tr>
<tr><td align="center" colspan="2">
<input id="submit" name="submit" type="submit" value="Submit" />
</td></tr>
</table>
</form>