changes.mady.by.user Former user
Saved on Mar 10, 2016
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Sexo <input name="campo5" type="text" maxlength="100" />
<input id=group84 type=checkbox value=84 name=group> masculino <input id=group78 type=checkbox value=78 name=group> femenino <input id=group67 type=checkbox value=67 name=group> no responder
Provincia: <input name="campo8" type="text" maxlength="100" />
Año de nacimiento <input name="campo6" type="text" maxlength="100" />