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* 1. Date

Date

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* 2. Please indicate which office you contacted:

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* 3. Please indicate which office/location you attended:

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* 4. Please enter the date of your visit

Date

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* 5. Please indicate the purpose of your visit:

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* 6. Birth Registration - was your appointment within 5 working days of you contacting us?

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* 7. Death Registration - was your appointment within 2 working days of contacting us?

T