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Personal Details

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{@{country.en_short_name}@}
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Enter a valid date here: dd-mm-yyyy
You must be 16 years or older
Male Female Other
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Maastricht Venlo
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Account information

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Summary

First name: {@{formData.first_name}@} Last name: {@{formData.last_name}@} Nationality: {@{ (countries | filter : {'alpha_2_code':formData.nationality})[0].en_short_name }@} Date of Birth: {@{formData.birthday | date:'dd-MM-yyyy'}@} Gender: Male Gender: Female Gender: Other Phone: {@{formData.phone_number}@} Jules Office Location: Maastricht Jules Office Location: Venlo Membership plan: Jules Membership yearly: € 20,-- Membership plan: Jules Membership monthly: € 2,40 Email: {@{formData.email}@}
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  • {@{ error }@}