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{| {{STDT|biobox4form bioboxform table}}
!style="width: 20%;| Deathday (D-M-Y):
| <div class="dod-d">{{{field|death day|size=2|input type=combobox|values={{BioboxListOfDates}}|placeholder=DDDay|size=2|existing values only}}}</div>
| <div class="dod-m">{{{field|death month|size=10|input type=combobox|values={{BioboxListOfMonths}}|placeholder=Month|existing values only}}}</div>
| <div class="dod-y">{{{field|death year|input type=combobox|values={{BioboxListOfYears}}|placeholder=YYYY|size=4|existing values only}}}</div>