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<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<title>Form Autofill Passport Demo Page (combined dates)</title>
</head>
<body>
<h1>Form Autofill Passport Demo Page (combined dates)</h1>
<!-- The issue/expiry dates are captured as a single combined field each
(e.g. an <input type="date"> value) rather than separate month/day/year
parts. -->
<form id="form">
<p><label>name: <input type="text" id="passport-name" name="passport-name" /></label></p>
<p><label>country: <input type="text" id="passport-country" name="passport-country" /></label></p>
<p><label>number: <input type="text" id="passport-number" name="passport-number" /></label></p>
<p><label>date of issue: <input type="text" id="passport-issue-date" name="passport-issue-date" /></label></p>
<p><label>passport expiry date: <input type="text" id="passport-expiry-date" name="passport-expiry-date" /></label></p>
<p>
<input type="submit"/>
<button type="reset">Reset</button>
</p>
</form>
</body>
</html>