| Born: 14. November, 1941 (please complete place) |
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| Profession: (please complete) | |
| Married: (please complete time and place) to Pernille Cohrt Jensen |
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| Child with Pernille: Freja | |
| Adress: (please complete) | |
| Phone: (please complete) | |
| Email: (please complete) | |
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