Why my jquery doesn't create right form

Why my jquery doesn't create right form

Hi again,

Here is thing i need to clone the form then remove the original form, but hard for me so i created like this 
http://codepen.io/sidaurukfreddy/pen/RWQMKV which i remove then created new one, 

my problem is when users click on it why my create form doesn't working good ? please anyone guide me how to create form like for will be remove it ?

Thanks