<form>
  <label for="name">Name: <span class="req">*</span></label>
  <input id="name" name="name" type="text" required />
  <label for="birth">Date of Birth:</label>
  <input id="birth" name="birth" type="date" />
  <label for="origin">How did you find out about us? <span class="req">*</span></label>
  <select id="origin" name="origin" required>
    <option>Google</option>
    <option>Facebook</option>
    <option>Advertisement</option>
  </select>
  <p><span class="req">*</span> - Required field</p>
</form>