Modern Application Form - Copy this Html, Tailwind Component to your project

An intuitive, classy looking, cool yet professional UI which has a form. The accent color is #0011A9. It should be very modern looking and catchy. People should awe at the design. Should follow the Fluent design standards. The header should have the logo and the links. The footer should have the copyright details. The form should contain 7 main entries. 1. Number of accounts a number between 0 and 200. Can be blank. 2. Status four multiselect checkboxes (active, closed, marked for closure and in closure). 3. Legal entity four multilevel checkboxes (ag, pfk, noris, europe). 4. Customer category a dropdown with two options (corporate and private) or just nothing. 5. Balance has a dropdown to select the clause (equal to, greater than, less than) and a numeric field which has two point step. 6. Initiating system a dropdown which selects two options (Gal, Mal) or nothing. 7. Branch code a three digit comma separated numeric input field. And finally a submit button.