<div class="signup-form">

  <div class="signup-wrapper">

    <div class="right-block">

      <form>

        <span class="caption">Create An Account</span>

        <div class="form-field">

          <input type="text" placeholder="full name" />

        </div>

        <div class="form-field">

          <input type="email" placeholder="email" />

        </div>

        <div class="form-field">

          <input type="password" placeholder="password" />

        </div>

        <div class="form-field">

          <input type="text" placeholder="country" />

        </div>

      </form>

    </div>

    <div class="left-block">

    </div>

  </div>

</div>