<div class="form-group gcore-form-row" id="form-row-53"><label for="name" class="control-label gcore-label-left">Name</label>
<div class="gcore-input gcore-display-table" id="fin-name"><input name="name" id="name" value="" placeholder="" maxlength="" size="" class="validate[&#039;required&#039;] form-control A" title="" style="" data-inputmask="" data-load-state="" data-tooltip="" type="text" /></div></div><div class="form-group gcore-form-row" id="form-row-55"><label for="username" class="control-label gcore-label-left">Username</label>
<div class="gcore-input gcore-display-table" id="fin-username"><input name="username" id="username" value="" placeholder="" maxlength="" size="" class="validate[&#039;required&#039;] form-control A" title="" style="" data-inputmask="" data-load-state="" data-tooltip="" type="text" /></div></div><div class="form-group gcore-form-row" id="form-row-56"><label for="email" class="control-label gcore-label-left">Email</label>
<div class="gcore-input gcore-display-table" id="fin-email"><input name="email" id="email" value="" placeholder="" maxlength="" size="" class="validate[&#039;required&#039;,&#039;email&#039;] form-control A" title="" style="" data-inputmask="" data-load-state="" data-tooltip="" type="text" /></div></div><div class="form-group gcore-form-row" id="form-row-58"><label for="password" class="control-label gcore-label-left">Password</label>
<div class="gcore-input gcore-display-table" id="fin-password"><input name="password" id="password" value="" placeholder="" maxlength="" size="" class="validate[&#039;required&#039;] form-control A" title="" style="" data-load-state="" data-tooltip="" type="password" /></div></div><div class="form-group gcore-form-row" id="form-row-60"><label for="vpassword" class="control-label gcore-label-left">Confirm password</label>
<div class="gcore-input gcore-display-table" id="fin-vpassword"><input name="vpassword" id="vpassword" value="" placeholder="" maxlength="" size="" class="validate[&#039;required&#039;,&#039;confirm:password&#039;] form-control A" title="" style="" data-load-state="" data-tooltip="" type="password" /></div></div><div class="form-group gcore-form-row" id="form-row-61"><div class="gcore-input gcore-display-table" id="fin-button6"><input name="button6" id="button6" type="submit" value="Submit" class="form-control A" style="" data-load-state="" /></div></div>