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<!DOCTYPE html> <html> <head> <title>Title of the document</title> <style> input { margin: 5px 0; padding: 5px; } </style> </head> <body> <form action="/form/submit" method="get" autocomplete="off"> <div> <input type="text" name="Name" placeholder="First Name" autocomplete="off"> </div> <div> <input type="text" id="lname" name="Surname" placeholder="Last Name" autocomplete="off"> </div> <div> <input type="number" name="Credit card number" placeholder="Credit card number"> </div> <input type="submit" value="Submit"> </form> </body> </html>