2 <table class="wrapper dataTable" width="300">
5 <th colspan="2" class="title"><?=_Assure Someone?></th>
10 <td width="125"><?=_Email?>: </td>
11 <td width="125"><input type="text" name="email"></td>
14 <td width="125"><?=_Date of Birth?><br>
15 (<?=_yyyy-mm-dd?>)</td>
16 <td width="125"><?=$DoB?></td>
19 <td colspan="2"><input type="submit" name="search" value="<?=_Next?>"></td>