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*Place of birth  | *Place of birth  | ||
*Gender  | *Gender  | ||
*Information about   | *Information about parents   | ||
**Name  | **Name  | ||
**Nationality  | **Nationality  | ||
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**Occupation  | **Occupation  | ||
**Date of marriage  | **Date of marriage  | ||
*Information about informant  | *Information about informant  | ||
**Name  | **Name  | ||
** Relation to baby  | **Relation to baby  | ||
**Nationality  | **Nationality  | ||
**Date of birth  | **Date of birth  | ||