chromium/chrome/test/data/autofill/autofill_confirmemail_form.html

<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN">
<!-- Autofill test form to verify both email address fields filled by one
profile selection. -->
<html>
  <head>
    <title>Autofill Confirm Email Form</title>
  </head>
  <body>
    <h3>Autofill Confirm Email Form</h3>
    <form name="testform" method="post" id="testform">
    <p>
      <label for="firstname">First Name:</label> <input type="text" id="NAME_FIRST"><br>
      <label for="email">Email:</label> <input type="text" id="EMAIL_ADDRESS"><br>
      <label for="email">Confirm Email:</label> <input type="text" id="EMAIL_CONFIRM"><br>
      <label for="phone">Phone:</label> <input type="text" id="PHONE_HOME_WHOLE_NUMBER"><br>
      <input type="submit" value="send"> <input type="reset">
    </p>
    </form>
  </body>
</html>