Show data using database to block format on frontend (using MySQL database)

Hello, I have create a bank account opening form using php and MySQL. I want the output show to the client is like bank account opening form view, the data of each form field must be shown in block. Eg, the customer name is abc xyz then the data will be shown inside the block like |a|b|c| |x|y|z| this format. I will upload the sample form data for reference.