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*. Family name *. First names *. Date of birth

VENTER Willem Maartens 4 July 1966

* ******* *******

***** ****** ***** **

Croghan, NY 13327

Tel : 202-***-****

5. E-mail ********@*****.*** 6 Civil status Single

7. Present employer: Self Employed since December 2007

8. Key...