<!DOCTYPE html>
<html>
<head>
<title></title>
</head>
<body>
<form>
<input type="text" name="input1" value="Basic"/>
<input type="text" name="input2" value="Form"/>
<br />
<input type="radio">Administrator</input>
<br />
<input type="radio">Guest</input>
</form>
<textarea></textarea>
</body>
</html>
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