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TE NA. PERSONAL BACKGROUND 1. Roll of Attorneys Number 2. NAME First Name 2a. Full Maiden Name, if married 5. TAXPAYER S IDENTIFICATION NUMBER (TIN) 7. AGE 8. DATE AND PLACE OF BIRTH 11. ADDRESSES Middle Name Surname 3. SEX 4. CIVIL STATUS Male Single Widowed Female Married Separated 6. CITIZENSHIP Natural-born Naturalized 9. HEIGHT (meters) 10. WEIGHT (kilos) 12. TELEPHONE NUMBERS a. Residence: a. Resi.

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