Date of birth: 15-03-1990, CORRECT, INCORRECT, Address: 45 mort street canberra, CORRECT, INCORRECT, Mobile: 0412 345 678, CORRECT, INCORRECT, Given name: NGUYEN, CORRECT, INCORRECT, Date of birth: 15/03/1990, CORRECT, INCORRECT, Postcode: two six zero one, CORRECT, INCORRECT, Signature: Fatima Al-Hassan, CORRECT, INCORRECT, Country of birth: vietnamese, CORRECT, INCORRECT
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Correct or Incorrect? - Complete a form Rev3
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