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  1. Record information.
    Name
    Mr T Telly
    Departure
    Destination
  1. Departure
    x xxxx xxxx
    Destination
    xxx xxxxxxxxx xxx xxxxxxxxx
  2. Birth
    xxx xxxx xxxxxx
    Civil
    x xxxx xxxx
  3. Departure
    x xxxx xxxx
    Destination
    xxxxxxx xxxxxx xxxxx xxxxxxxxx