sure, here's the updated version:
<div style="font-family:courier;background-color:orange;color:black;padding:3px;">
<b>
NAME........................MOVE...WS....BS.....S......T.....W.....A.....LD....SV
</b>
</div>
<div>
<input type="text" name="attr_character_name" />
<input type="number" name="attr_movement" value="0" />
<input type="number" name="attr_weaponskill" value="0" />
<input type="number" name="attr_ballisticskill" value="0" />
<input type="number" name="attr_strength" value="0" />
<input type="number" name="attr_toughness" value="0" />
<input type="number" name="attr_wounds" value="0" />
<input type="number" name="attr_attacks" value="0" />
<input type="number" name="attr_leadership" value="0" />
<input type="number" name="attr_save" value="0" />
</div>
<br>
<div style="font-family:courier;background-color:orange;color:black;padding:3px;">
<b>
WEAPON.....................RANGE..TYPE..........................S.....AP.....D...ABILITIES
</b>
</div>
<div>
<fieldset class="repeating_attacks">
<input type="text" name="attr_attackname" />
<input type="number" name="attr_attackrange" value="0" />
<select name="attr_attacktype" class="attacktype">
<option value="Assault">Assault</option>
<option value="Grenade">Grenade</option>
<option value="Heavy">Heavy</option>
<option value="Pistol">Pistol</option>
<option value="Rapid Fire">Rapid Fire</option>
<option value="Melee">Melee</option>
<input type="number" name="attr_attackstrength" value="0" />
<input type="number" name="attr_attackap" value="0" />
<input type="number" name="attr_damage" value="0" />
<input type="text" name="attr_attackability" />
</fieldset>
</div>
<br>
<div style="font-family:courier;background-color:orange;color:black;padding:3px;">
<b>
ABILITY.....................EFFECT
</b>
</div>
<div>
<fieldset class="repeating_abilities">
<input type="text" name="attr_abilityname" />
<input type="text" name="attr_abilityeffect" />
</fieldset>
</div>
<br>
<div style="font-family:courier;background-color:orange;color:black;padding:3px;">
<b>
SPECIALISM
</b>
</div>
<div>
<fieldset class="repeating_specialism">
<input type="text" name="attr_specialismname" />
<input type="text" name="attr_specialismeffect" />
</fieldset>
</div>
<br>
<div style="font-family:courier;background-color:orange;color:black;padding:3px;">
<b>
DEMEANOR
</b>
</div>
<div>
<fieldset class="repeating_demeanor">
<input type="text" name="attr_demeanorname" />
<input type="text" name="attr_demeanoreffect" />
</fieldset>
</div>
<br>
<div style="font-family:courier;background-color:orange;color:black;padding:3px;">
<b>
EXPERIENCE
</b>
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<b>
| FLESH WOUNDS
</b>
<input type="checkbox">
<input type="checkbox">
<input type="checkbox">
<b>
| CONVALESCENCE
</b>
<input type="checkbox">
<b>
| NEW RECRUIT
</b>
<input type="checkbox">
</div>