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@@ -34,12 +34,17 @@
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<input type="hidden" name="_success" value="/pro/login">
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<input type="hidden" name="_return" value="/">
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- <div class="input-group mb-3">
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- <input type="text" name="name" class="form-control" placeholder="Full Name" required>
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+ <div class="row mb-3">
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+ <div class="col">
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+ <input type="text" name="strangerFirstName" class="form-control" placeholder="First Name" required>
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+ </div>
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+ <div class="col">
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+ <input type="text" name="strangerLastName" class="form-control" placeholder="Last Name" required>
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+ </div>
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</div>
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<div class="input-group mb-3">
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- <input type="date" name="dob" class="form-control" placeholder="Date of Birth" required>
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+ <input type="date" name="strangerDob" class="form-control" placeholder="Date of Birth" required>
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</div>
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</form>
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</div>
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Flavionel