CÃÂºram V7 User Interface

Reference Number

Last Name

First Name

Date of Birth

Gender

Address Line 1

City

Birth Last Name

Mother's Birth Name

Action		Reference Number	First Name	Last Name	Address Line 1	City	Date of Birth
Mark Prospect as Duplicate	[mapped-image]	[Value]	[First Forename]	[Surname]	[Value]	[Value]	[Date]

Confirm Prospect Person Not Already Registered as Person