"Page_4 True"
Bootstrap 4.1.1 Snippet by Alwx

<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script> <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <!DOCTYPE html> <head> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no"> <meta name="description" content=""> <meta name="author" content=""> <!-- Start: injected by Adguard --> <!-- End: injected by Adguard --> <link rel="icon" href="../../../../favicon.ico"> <title>Narrow Jumbotron Template for Bootstrap</title> <!-- Bootstrap core CSS --> <link href="../../css/editor.css" rel="stylesheet"> <!-- Custom styles for this template --> <link href="narrow-jumbotron.css" rel="stylesheet"> </head> <body style="text-align: center;"><h2 style="text-align: center;">Данные по визе</h2> <!-- /container --> <div class="form-group" style="float: none; opacity: 1; text-align: center;"><label><b>Фамилия</b></label><input type="text" class="form-control" style="text-align: center;"></div><div class="form-group" style="float: none; opacity: 1; text-align: center;"><label><b>Имя</b></label><input type="text" class="form-control" style="text-align: center;"></div><div class="form-group" style="float: none; opacity: 1; text-align: center;"><label><b>Отчество</b></label><input type="text" class="form-control" style="text-align: center;"></div><div class="form-group" style="float: none; opacity: 1; text-align: center;"><label><b>Дата окончания действия визы</b></label><input type="text" class="form-control" style="text-align: center;"></div><div class="form-group" style=""> </div><p style=""><b>Фото визы</b></p><div class="form-group" style=""> <input type="file" class="form-control" text-align:="" center;="" style="text-align: center; float: none;"> </div><div class="form-group" style=""><label><b>Место получения визы </b></label><select class="form-control"><option value="value1">Ереван (Армения)</option><option value="value2">Бангкок (Тайланд)</option><option value="value3">Манила (Филиппины)</option></select></div></body> </html>

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