<fieldset>
    <legend>{REMOVE_LEGEND}</legend>
    <p>{REMOVE_TITLE}</p>
    {LIST}
    <p>
        <input type="checkbox" class="checkbox" name="removeConfirmed" id="fid-removeConfirmed" value="1">
        <label for="fid-removeConfirmed">{TEXT_AGREEMENT}</label>
    </p>
</fieldset>
