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{|style="border:solid 2px #175E17; border-radius:10px; width:300px; margin-left:10px; float:right" | {|style="border:solid 2px #175E17; border-radius:10px; width:300px; margin-left:10px; float:right" | ||
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|colspan="2" style="text-align:center; color:black; background:#1BA11B; border-top-left-radius: 1em; border-top-right-radius: 1em;"| | |colspan="2" height="10px" style="text-align:center; color:black; background:#1BA11B; border-top-left-radius: 1em; border-top-right-radius: 1em;"| | ||
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|colspan="2" style="text-align:center"| | |colspan="2" style="text-align:center"|http://i.imgur.com/iFgLEzu.png | ||
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|style="background:#175E17; text-align:center; width:50%"|'''Date of Birth''' | |style="background:#175E17; text-align:center; width:50%"|'''Date of Birth''' |