JSFiddle - React, Tailwind, and code Playground
HTML
<div class="form-container">
<div class="field-group">
<label>Nama Penuh</label>
<input placeholder="Nama penuh" class="full">
</div>
<div class="field-group">
<label>Telefon</label>
<input placeholder="Telefon" class="short">
</div>
<div class="field-group">
<label>Email</label>
<input placeholder="Email" class="medium">
</div>
<div class="field-group">
<label>Alamat</label>
<textarea placeholder="Alamat" class="full"></textarea>
</div>
<div class="field-group">
<label>Poskod</label>
<input placeholder="Poskod" class="short">
</div>
<div class="field-group">
<label>Pekan / Bandar / Daerah</label>
<input placeholder="Pekan / Bandar / Daerah" class="medium">
</div>
<div class="field-group">
<label>Negeri</label>
<!-- <input placeholder="Negeri" class="medium"> -->
<select class="medium">
<option>Kuala Lumpur</option>
<option>Selangor</option>
<option>Negeri Sembilan</option>
<option>Melaka</option>
<option>Johor</option>
<option>Perak</option>
<option>Kedah</option>
<option>Pulau Pinang</option>
<option>Perlis</option>
<option>Pahang</option>
<option>Terengganu</option>
<option>Kelantan</option>
<option>Sabah</option>
<option>Sarawak</option>
</select>
</div>
<div class="field-group-button">
<button>Daftar</button>
</div>
</div>
CSS
.form-container { width: 510px; }
.form-container input, .form-container textarea, .form-container select {
box-shadow: inset 1px 2px 5px rgba(0,0,0,0.3);
border: 1px solid #aaa;
height: 30px;
border-radius: 5px;
background-color: #f0f0f0;
-moz-box-sizing: border-box;
box-sizing: border-box;
padding: 5px;
color: #333;
outline: none;
font-size: 14px;
}
.form-container textarea { height: 60px; font-family: Arial; resize: none; }
.form-container .full { width: 500px; }
.form-container .short { width: 200px; }
.form-container .medium { width: 290px; }
.form-container label { display: block; font-size: 14px; color: #333; margin-bottom: 5px; font-weight: bold; }
.form-container .field-group { font-family: Arial; float: left; margin-right: 10px; margin-bottom: 12px; }
.field-group-button { width: 100%; clear: both; }
.form-container button { height: 40px; min-width: 100px; }