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<!DOCTYPE html> <html> <head> <title>Titre du document</title> <style> div { margin-bottom: 10px; } label { display: inline-block; width: 120px; } </style> </head> <body> <form> <fieldset style="background:#e1eff2;"> <legend style="padding:20px 0; font-size:20px;">Informations personnelles:</legend> <div><label>Nom:</label><input type="text"></div> <div><label> Email:</label><input type="text"></div> <div><label>Date de naissance:</label><input type="text"></div> <div><label>Lieu de naissance:</label><input type="text"></div> </fieldset> </form> </body> </html>