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• Fulde navn (Full name) ^*
• Adresse (Adress) ^*
• postnummer (Zip code) ^*
• By (City) ^*
• Mobil tlf. (cell number)
• Fødselsdag (date of birth) ^*

  Fødselsdato SKAL udfyldes og skrives i følgende format: DD-MM.ÅÅÅÅ eks. 24-01-1986