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<!DOCTYPE html> <html> <head> <title>Title of the document</title> </head> <body> <form> <fieldset> <legend>Personal data:</legend> Name: <input type="text"> <br/> <br/> E-mail: <input type="email"> <br/> <br/> Date of birth: <input type="number"> <br/> <br/> Place of birth: <input type="text"> </fieldset> </form> </body> </html>