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BIRTH DATA FORM:
Name:
Sex:
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Date of Birth:
Day
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Month
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/
Year
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2024
2023
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2021
2020
2019
2018
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2016
2015
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1930
[dd/mm/yy]
Time of Birth:
Hour
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:
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:
Second
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59
dd [hh:mm 24 hour format]
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