<form method="post">
<table cellpadding="2">
<tr><th style="font-weight:bold"><span class="green">Emp Name</span></th><td><input name="emp_name" type="text" value="Fred Flintstone" /></td><td class="red">Fred Flintstone is a stupid name</td></tr>
<tr><th>Emp Title</th><td><input name="emp_title" type="text" value="CEO" /></td><td> </td></tr>
<tr><th style="font-weight:bold"><span class="green">Emp Birth Dt</span></th><td><input name="emp_birth_dt" type="text" value="20-10-55" /></td><td class="red">People born in October are not accepted here</td></tr>
<tr><td align="center" colspan="3">
<input name="_submit" type="submit" value="Submit" />
</td></tr>
</table>
<input name="emp_id" type="hidden" value="123" />
</form>