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DATE OF BIRTHRATE ADDRESS CITYSTATEHOME PHONE ZIP OLDSMOBILE PHONEMIC EMERGENCY CONTACTSEXMALEPHONEFEMALERACE PREFERRED LANGUAGE DO YOU NEED AN INTERPRETERPRIMARY PHYSICIAN REFERRING PHYSICIANPHARMACY
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How to fill out date of birth

01
Start by writing the day of the month (e.g. 01, 02, 03, ..., 31)
02
Then write the full name of the month (e.g. January, February, March, ..., December)
03
Finally, write the year using all four digits (e.g. 1990, 2001, 2022)

Who needs date of birth?

01
Date of birth is generally needed by organizations and institutions for verification purposes, such as government agencies, healthcare providers, educational institutions, and employers.
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Date of birth is the specific day, month, and year on which a person was born.
Date of birth is typically required to be filed by individuals for identification and record-keeping purposes.
Date of birth can be filled out by providing the day, month, and year of birth in the designated fields.
The purpose of date of birth is to accurately identify individuals and track their age for various legal, administrative, and personal reasons.
The information to be reported on date of birth includes the day, month, and year of birth.
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