5 <th colspan="2" class="title"><?=_Verify Someone?></th>
10 <td><?=_Email?>: </td>
11 <td><input class="form-control" type="text" name="email" required></td>
14 <td><?=_Date of Birth?><br>
15 (<?=_yyyy-mm-dd?>)</td>
19 <td colspan="2"><input class="btn btn-primary" type="submit" name="search" value="<?=_Next?>"></td>