     </div>

            <div class="form-group row mt-10">
                <label for="id_expiration" data-i18n="general.expiration" class="col-md-3 col-form-label">Expiration</label>
                <div class="col-md-9 d-flex">
                    <input data-i18n="[placeholder]general.expiration_help" id="id_expiration" class="form-control" placeholder="Pick an expiration date" />
                    <button class="btn btn-icon btn-light-danger ms-2 d-none" id="id_expiration_clear">
                    