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Form no. 02712 CNDC-TCH Rev. 2/2016 the Chickasaw Nation. Tribal and Commercial Health. 1921 Stone cipher Boulevard / Ada, OK 74820 / (580) 272-2704 / Fax (580) 272-1277
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What is birth date?
Birth date is the date on which a person was born.
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Parents or legal guardians are required to file the birth date of their child.
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Birth date can be filled out by providing the day, month, and year of the individual's birth.
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The birth date is used to establish a person's age and identity.
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The information reported on a birth date includes the individual's full name, date of birth, place of birth, and parent's names.
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