<!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>