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| 14:09:21 a.m. CUSTOMER DATA ENTRY FORM 16/25/2007 |
| ------------------------ |
| |
| NAME: _____________ +-----------------------------+ |
| FIRSTNAME: _____________ |NBR ISN PRED-ID COLOUR COLOUR| |
| SEX _____________ |--- --- ------- ------ ------| |
| STREETADR: _____________ | 1 FGC 8797899 RED RED| |
| POSTCODE: _____________ | 2 BRK 4389793 GREEN GREEN| |
| CITY: _____________ | 3 TT0 3495434 PRPLE PRPLE| |
| COUNTRY: _____________ | 4 T00 345345 CHAIR CHAIR| |
| SEX: _____________ | 5 007 3454355 BLU BLU| |
| DOB: _____________ +-----------------------------+ |
| TEL: _____________ |
| TELEX: _____________ POWERED BY: COBOL ON COGS |
| |
| ***DYNAMIC ACCESS*** |
| 0000000: 4153 4349 4928 3729 2020 2020 2020 2020 |
| 0000010: 2020 2020 2042 5344 204d 6973 6365 6c6c |
| 0000020: 616e 656f 7573 2049 6e66 6f72 6d61 7469 |
| 0000030: 6f6e 204d 616e 7561 6c20 2020 2020 2020 |
| 0000040: 2020 2020 2020 4153 4349 4928 3729 0a0a |
| 0000050: 4e08 4e41 0841 4d08 4d45 0845 0a20 2020 |
| 0000060: 2020 6108 6173 0873 6308 6369 0869 6908 |
| |
|Enter-F1---F2---F3---F4---F5---F6---F7---F8---F9---F10---F11---F12---|
| HLP FRWD BCK CLC ETX DC1 DC2 DC3 DC4 BLAH FCKU LoB |
| |
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