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| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Place of Birth''' | | valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Place of Birth''' | ||
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| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Parents' Names/Maiden''' | | valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Parents' Names/Maiden''' | ||
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| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Occupation of Deceased''' | | valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Occupation of Deceased''' | ||
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| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | | | valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | | ||
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