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1. Parent(s)' Name
2. The child's name
3. The child's Date of birth
4. The child's place of birth
5. The child's passport number
6. The Country of Issuance of the child's passport
7. The Date of Issuance of the child's passport
8. The Date of Expiration of the child's passport
9. Destination
10. Departure date
11. Arrival date
12. What is today's date?