IT Assignment


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                                                ELECTRONIC FORM

NAME:
Click here to enter text.
SEX:
Choose an item.
AGE:
Click here to enter text.
DATE OF BIRTH:
Date / Month / Year
HOME ADRESS:
Click here to enter text.
CURRENT JOB ADRESS:
Click here to enter text.
TEL. NUMBER:
Click here to enter number.
HP NUMBER:
+673 - Click here to enter number.
OFFICE NUMBER:
Click here to enter number.
COUNTRY:
Choose an item.
CITY:
Choose an item.

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