<div class="row">
	<div class="col-sm-3">
		<select name="salutation{{ucName}}" class="form-control">
			{{options salutationOptions salutationValue field='salutation'}}
		</select>		
	</div>
	<div class="col-sm-4">	
		<input type="text" class="form-control" name="first{{ucName}}" value="{{firstValue}}" placeholder="{{translate 'First Name'}}">
	</div>
	<div class="col-sm-5">	
		<input type="text" class="form-control" name="last{{ucName}}" value="{{lastValue}}" placeholder="{{translate 'Last Name'}}">
	</div>
</div>
