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Page 1: · Integrated Bar of the Philippines (Rizal Chapter) ... 11. Civil Status Name of Spouse Parents Date of Birth Place of Birth Religion EDUCATIONAL BACKGROUND

Page 2: · Integrated Bar of the Philippines (Rizal Chapter) ... 11. Civil Status Name of Spouse Parents Date of Birth Place of Birth Religion EDUCATIONAL BACKGROUND

Page 3: · Integrated Bar of the Philippines (Rizal Chapter) ... 11. Civil Status Name of Spouse Parents Date of Birth Place of Birth Religion EDUCATIONAL BACKGROUND

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a Page 1-2 berth, France pursues its first playoff game ...Date Of Birth: June 13, 1985 Place Of Birth: Västerås Marital Status: Engaged Name of spouse/part-ner: Sandra Favourite

Name Yr birth Yr dth Spouse - Warren, Carmack the Ozarks/Migration... · Name Yr birth Yr dth Spouse Bedell, David Hudson 1796 1860 Wallis, Marina Belcher, John 1810 0 Forbus, Hannah

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H105.102 REV 0 Initials: BIRTH Birth Certificate PO M and Records/Application_for_a...The fee is waived if the applicant is requesting the certificate for self, spouse or a dependent

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Home - Town of Stratford, CTtownofstratford.com/filestorage/39879/41237/... · GROOM/ SPOUSE (Middle) (Last) AGE NAME SEX (first) BRIDE / SPOUSE (Middle) (Last) AGE ATE OF BIRTH (Mo.,

PATIENT REGISTRATIONc2-preview.prosites.com/169811/wy/docs/Ptformsupdated.pdf · Relationship to lnsured:Q Sef O Spouse C Chitd O Ottrer lnsured Birth Date: lns. Company; Address:

A Guide to RETIREMENT BENEFITS · Field Name Helpful Hints Name This is not a required field. Employee Date of Birth Enter your birth date using the mm/dd/yyyy format. Spouse/Survivor