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<head>
  <!-- Copyright (c) 1998-2005 INRIA -->
  <meta name="ROBOTS" content="NONE">
  <!--meta http-equiv="Content-Type" content="text/html; charset=%e"-->
  <title>[*advanced request]</title>
%j</head>
<body%b>

<center><h1><font color=%i>[*advanced request]</font></h1></center>

<form method=POST action="%f">
%h<input type=hidden name=m value=AS_OK>

<h4>[*first name/first names]0</h4>

<table border=1>
<tr align=left>
<td>
<input name=first_name size=40 maxlength=200">
</td>
</tr>
</table>

<h4>[*surname/surnames]0</h4>

<table border=1>
<tr align=left>
<td>
<input name=surname size=40 maxlength=200">
</td>
</tr>
</table>

<h4>[*birth]</h4>
<table border=1>
<tr align=left>
<td>
[*place]
</td>
<td>
<input name=birth_place size=40 maxlength=200">
</td>
</tr>
</table>

<table border=1>
<tr align=left>
<td>[*after]</td>
<td>
[year/month/day]0<input name=birth1_yyyy size=5 maxlength=5>
[year/month/day]1<input name=birth1_mm size=2 maxlength=2>
[year/month/day]2<input name=birth1_dd size=2 maxlength=2>
</td>
</tr>
<tr align=left>
<td>[*before]</td>
<td>
[year/month/day]0<input name=birth2_yyyy size=5 maxlength=5>
[year/month/day]1<input name=birth2_mm size=2 maxlength=2>
[year/month/day]2<input name=birth2_dd size=2 maxlength=2>
</td>
</tr>
</table>

<h4>[*baptism]</h4>
<table border=1>
<tr align=left>
<td>[*place]</td>
<td>
<input name=bapt_place size=40 maxlength=200>
</td>
</tr>
</table>

<table border=1>
<tr align=left>
<td>[*after]</td>
<td>
[year/month/day]0<input name=bapt1_yyyy size=5 maxlength=5>
[year/month/day]1<input name=bapt1_mm size=2 maxlength=2>
[year/month/day]2<input name=bapt1_dd size=2 maxlength=2>
</td>
</tr>
<tr align=left>
<td>[*before]</td>
<td>
[year/month/day]0<input name=bapt2_yyyy size=5 maxlength=5>
[year/month/day]1<input name=bapt2_mm size=2 maxlength=2>
[year/month/day]2<input name=bapt2_dd size=2 maxlength=2>
</td>
</tr>
</table>

<h4>[*death]</h4>

<table border=1>
<tr align=left>
<td>
<select name=death>
<option value=Dead>[*died]
<option value=NotDead>[*alive]
<option value="" selected>-
</select>
</td>
</tr>
</table>

<table border=1>
<tr align=left>
<td>[*place]</td>
<td>
<input name=death_place size=40 maxlength=200>
</td>
</tr>
</table>

<table border=1>
<tr align=left>
<td>[*after]</td>
<td>
[year/month/day]0<input name=death1_yyyy size=5 maxlength=5>
[year/month/day]1<input name=death1_mm size=2 maxlength=2>
[year/month/day]2<input name=death1_dd size=2 maxlength=2>
</td>
</tr>
<tr align=left>
<td>[*before]</td>
<td>
[year/month/day]0<input name=death2_yyyy size=5 maxlength=5>
[year/month/day]1<input name=death2_mm size=2 maxlength=2>
[year/month/day]2<input name=death2_dd size=2 maxlength=2>
</td>
</tr>
</table>

<h4>[*burial]</h4>

<table border=1>
<tr align=left>
<td>
[*place]
</td>
<td>
<input name=burial_place size=40 maxlength=200>
</td>
</tr>
</table>

<table border=1>
<tr align=left>
<td>[*after]</td>
<td>
[year/month/day]0<input name=burial1_yyyy size=5 maxlength=5>
[year/month/day]1<input name=burial1_mm size=2 maxlength=2>
[year/month/day]2<input name=burial1_dd size=2 maxlength=2>
</td>
</tr>
<tr align=left>
<td>[*before]</td>
<td>
[year/month/day]0<input name=burial2_yyyy size=5 maxlength=5>
[year/month/day]1<input name=burial2_mm size=2 maxlength=2>
[year/month/day]2<input name=burial2_dd size=2 maxlength=2>
</td>
</tr>
</table>

<h4>
[*occupation]</h4>

<table border=1>
<tr align=left>
<td>
<input name=occu size=50 maxlength=200>
</td>
</tr>
</table>

<h4>[*sex]</h4>

<input type=radio name=sex value=M>[M/F]0
<input type=radio name=sex value=F>[M/F]1
<input type=radio name=sex value=N checked>-

<h4>[*married]0</h4>

<input type=radio name=married value=Y>[Y/N]0
<input type=radio name=married value=N>[Y/N]1
<input type=radio name=married value=A checked>-

<p>
[*maximum]: <input name=max size=5 value=100 maxlength=5> [person/persons]1
<input type=submit value=Ok>

</form>
