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How to create multi-column fields in SharePoint form page?

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When adding a new item to the SharePoint list, the form should look like this:

The first one is a column with a single text field. The second one is a column with 3 single text fields. The third one is a column with 2 choice fields, that both have choices 1,2,3,4,5.

How to develop such a form on SharePoint?


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