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NAME/HOMBRE AGE/DAD 1825 2635 3655 5665 OVER 65 ADDRESS/DIRECTION ZIP CODE/ CONGO POSTAL CAREGIVER NAME/ HOMBRE DE ECUADOR RELATIONSHIP/ RELATION CON EL PATIENTS PHONE/TELEGONY PRIMARY LANGUAGE SPOKEN
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Start by filling out your name (nombre). This should be your full legal name as it appears on official documents.
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Next, enter your age (edad). Make sure to provide your current age as of the date of filling out the form.
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Enter your address (direccion). Include your street name, house or apartment number, city, state, and country.
04
Lastly, provide your zip code (zip). This is a numerical code used to identify a specific geographic region for postal purposes.

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The data fields namenombre, ageedad, addressdireccion, and zip refer to the name, age, address, and zip code information of an individual.
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The information reported on namenombre ageedad addressdireccion zip typically includes the individual's name, age, address, and zip code details.
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