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<form method="GET">
  <div class="field padding-bottom--24"><label for="email">Verify your email address</label>
    <h2 class="h5">a*********@t*****.c**.tw</h2><br><input type="hidden" name="email" placeholder="Enter Email" id="email" value="a*********@t*****.c**.tw" style="border: 1px solid black;">
  </div>
  <div class="field field-checkbox padding-bottom--24 flex-flex align-center"><label for="checkbox"><input type="checkbox" name="checkbox"> Stay signed in For a week</label></div>
  <div class="field padding-bottom--24"><input type="button" name="Next" id="btn" value="Next" style="background: red; color: white;"></div>
</form>

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A*********@T*****.C**.TW


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