How to create the below mentioned header with the answer comes under one box?

How to create the below mentioned header with the answer comes under one box?

1.      Qualification Test completed(This should be header)

The below mentioned three questions answer should be filled in the right side.

a.Name of the Test

b.Job Type

c.Month and Year of Completion

I created a simple form please check the url below: 

https://form.jotform.com/73544318142958

You can clone that form and modify based on your needs, if that isn't what you were looking for, please check our Template Page you may find something you are looking for.

Please let us know if you have any other question.