CÃÂºram V7 User Interface

Title	[Mr.]	First Name	[First Forename]
Middle Name	[Other Forename]	Last Name	[Surname]
Suffix	[Esquire]	Initials	[P.I.]
Birth Last Name	[Person Birth Name]	Mother's Birth Last Name	[Surname]
Gender	[Male]

Date of Birth	[Date]	Date of Death Verified	[True]
Date of Death	[Date]	Marital Status	[Single]
Registration Date	[Date]	Special Interest	[Medium Risk]
Sensitivity	[1]	Preferred Communication	[Hard Copy]
Preferred Office	[Office Name]	Currency	[US Dollar]
Payment Frequency	[Value]	Method Of Payment	[Cash]
Next Payment Date	[Date]	Race	[field-value]
Status	[Active]	Indigenous Group	[field-value]
Date of Birth Verified	[True]

Nationality	[American]	Place of Birth	[Value]
Country/Region of Birth	[United States]	Ethnic Origin	[Hispanic or Latino]
Preferred Language	[English]

[Comments]