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!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Form Page</title>
</head>
<body>
    <form>
        <!-- Salutation Picker -->
        <label for="salutation">Salutation:</label>
        <select id="salutation" name="salutation">
            <option value="mr">Mr.</option>
            <option value="mrs">Mrs.</option>
            <option value="ms">Ms.</option>
        </select>

        <!-- First Name Field -->
        <label for="firstName">First Name:</label>
        <input type="text" id="firstName" name="firstName" required>

        <!-- Last Name Field -->
        <label for="lastName">Last Name:</label>
        <input type="text" id="lastName" name="lastName" required>

        <!-- Gender Selector -->
        <label>Gender:</label>
        <input type="radio" id="male" name="gender" value="male">
        <label for="male">Male</label>
        <input type="radio" id="female" name="gender" value="female">
        <label for="female">Female</label>

        <!-- Email Field -->
        <label for="email">Email:</label>
        <input type="email" id="email" name="email" required>

        <!-- Date of Birth Picker -->
        <label for="dob">Date of Birth:</label>
        <input type="date" id="dob" name="dob" required>

        <!-- Address Field -->
        <label for="address">Address:</label>
        <textarea id="address" name="address" required></textarea>

        <!-- Submit Button -->
        <input type="submit" value="Submit">
    </form>
</body>
</html>
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