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|}
{|
! Birthday (YD-M-DY):
| <div class="form-ip-year">{{{field|birth_date_year|input type=combobox|values={{BioboxListOfYears}}|placeholder=YYYY|size=4|existing values only}}}</div> - <div class="form-ip-month">{{{field|birth_date_month|size=10|input type=combobox|values={{BioboxListOfMonths}}|placeholder=Month|existing values only}}}</div> - <div class="form-ip-day">{{{field|birth_date_day|size=2|input type=combobox|values={{BioboxListOfDates}}|placeholder=DD|size=2|existing values only}}}</div>
| {{{field|birth_date_month|size=10|input type=combobox|values={{BioboxListOfMonths}}|placeholder=Month|existing values only}}}
| {{{field|birth_date_year|input type=combobox|values={{BioboxListOfYears}}|placeholder=YYYY|size=4|existing values only}}}
|}
<hr>
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