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Form 8-329. 2m4l-59425364 <br /> 41, <br /> ex��e tit <br /> (USE TWO LINES WHERE NECESSARY, ALL NAMES TO BE GIVEN IN FULL.) _---- <br /> l DATE SEX as Tovi , COLOR j PLACE OF BIRTH ! FULL NAME OF FATHER <br /> FULL NAME OF CHILD <br /> NO. BIRTH <br /> ete. <br /> ,rc <br /> 7 <br /> f <br /> 41 <br /> • ,C�-•wee.. £ � - -___ <br /> d <br /> ._. <br /> ............ ---------------- <br /> �° _m <br />