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Prénom*

Nom*

Titre* Baron Baronne Chevalier Colonel Comte Comtesse Docteur Prof. Dr Duc Duchesse Gén.Maj.Avi. Général Général-Major His Excellency Dr His Excellency Pr Jonkheer Jonkvrouw Lt.Gén.Avi. Madame Mademoiselle Marquis Marquise Monsieur S.A.S. Prince S.E. Dr. S.E. Madame S.E. Monsieur S.E. Rev. Mgr. Son Excellence Mademoiselle Son Excellence Monsieur Vicomte Vicomtesse Z.E.de Heer Prince Princesse Son Excellence Madame

Sexe* Masculin Féminin

Etat civil* Marié(e) Célibataire Divorcé(e) Veuf(ve) Cohabitant

Langue* Français Néerlandais Anglais

Date de naissance* Janvier Février Mars Avril Mai Juin Juillet Août Septembre Octobre Novembre Décembre 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31, 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924

Nationalité* Belgique France Luxembourg Andorra United Arab Emirates Afghanistan Antigua and Barbuda Anguilla Albania Armenia Netherlands Antilles Angola Asia-Pacific Antarctica Argentina American Samoa Austria Australia Aruba Aland Islands Azerbaijan Bosnia and Herzegovina Barbados Bangladesh Burkina Faso Bulgaria Bahrain Burundi Benin Bermuda Brunei Darussalam Bolivia Brazil Bahamas Bhutan Bouvet Island Botswana Belarus Belize Canada Cocos (Keeling) Islands Democratic Republic of Congo Central African Republic Congo Switzerland Ivory Coast Cook Islands Chile Cameroon China Colombia Costa Rica Serbia and Montenegro Cuba Cape Verde Christmas Island Cyprus Czech Republic Germany Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Western Sahara Eritrea Spain Ethiopia Europe Finland Fiji Falkland Islands (Malvinas) Micronesia Faroe Islands Gabon Great Britain (UK) Grenada Georgia French Guiana Ghana Gibraltar Greenland Gambia Guinea Guadeloupe Equatorial Guinea Greece S. Georgia and S. Sandwich Isls. Guatemala Guam Guinea-Bissau Guyana Hong Kong Heard and McDonald Islands Honduras Croatia (Hrvatska) Haiti Hungary Indonesia Ireland Israel India British Indian Ocean Territory Iraq Iran Iceland Italy Jamaica Jordan Japan Kenya Kyrgyzstan Cambodia Kiribati Comoros Saint Kitts and Nevis Korea (North) Korea (South) Kuwait Cayman Islands Kazakhstan Laos Lebanon Saint Lucia Liechtenstein Sri Lanka Liberia Lesotho Lithuania Latvia Libya Morocco Monaco Moldova Montenegro Madagascar Marshall Islands Macedonia Mali Burma (Myanmar) Mongolia Macau Northern Mariana Islands Martinique Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Malaysia Mozambique Namibia New Caledonia Niger Norfolk Island Nigeria Nicaragua Netherlands Norway Nepal Nauru Neutral Zone Niue New Zealand (Aotearoa) Oman Panama Peru French Polynesia Papua New Guinea Philippines Pakistan Poland St. Pierre and Miquelon Pitcairn Puerto Rico Palestinian Territory, Occupied Portugal Palau Paraguay Qatar Reunion Romania Republic of Serbia Russia Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Sweden Singapore St. Helena Slovenia Svalbard and Jan Mayen Islands Slovak Republic Sierra Leone San Marino Senegal Somalia Suriname Sao Tome and Principe El Salvador Syria Swaziland Turks and Caicos Islands Chad French Southern Territories Togo Thailand Tajikistan Tokelau East Timor Turkmenistan Tunisia Tonga Turkey Trinidad and Tobago Tuvalu Taiwan Tanzania Ukraine Uganda United Kingdom United States Uruguay Uzbekistan Vatican City State (Holy See) Saint Vincent and the Grenadines Venezuela Virgin Islands (British) Virgin Islands (U.S.) Viet Nam Vanuatu Wallis and Futuna Islands Samoa Yemen Mayotte Yugoslavia South Africa Zambia Zimbabwe

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Pays* Belgique France Luxembourg Andorra United Arab Emirates Afghanistan Antigua and Barbuda Anguilla Albania Armenia Netherlands Antilles Angola Asia-Pacific Antarctica Argentina American Samoa Austria Australia Aruba Aland Islands Azerbaijan Bosnia and Herzegovina Barbados Bangladesh Burkina Faso Bulgaria Bahrain Burundi Benin Bermuda Brunei Darussalam Bolivia Brazil Bahamas Bhutan Bouvet Island Botswana Belarus Belize Canada Cocos (Keeling) Islands Democratic Republic of Congo Central African Republic Congo Switzerland Ivory Coast Cook Islands Chile Cameroon China Colombia Costa Rica Serbia and Montenegro Cuba Cape Verde Christmas Island Cyprus Czech Republic Germany Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Western Sahara Eritrea Spain Ethiopia Europe Finland Fiji Falkland Islands (Malvinas) Micronesia Faroe Islands Gabon Great Britain (UK) Grenada Georgia French Guiana Ghana Gibraltar Greenland Gambia Guinea Guadeloupe Equatorial Guinea Greece S. Georgia and S. Sandwich Isls. Guatemala Guam Guinea-Bissau Guyana Hong Kong Heard and McDonald Islands Honduras Croatia (Hrvatska) Haiti Hungary Indonesia Ireland Israel India British Indian Ocean Territory Iraq Iran Iceland Italy Jamaica Jordan Japan Kenya Kyrgyzstan Cambodia Kiribati Comoros Saint Kitts and Nevis Korea (North) Korea (South) Kuwait Cayman Islands Kazakhstan Laos Lebanon Saint Lucia Liechtenstein Sri Lanka Liberia Lesotho Lithuania Latvia Libya Morocco Monaco Moldova Montenegro Madagascar Marshall Islands Macedonia Mali Burma (Myanmar) Mongolia Macau Northern Mariana Islands Martinique Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Malaysia Mozambique Namibia New Caledonia Niger Norfolk Island Nigeria Nicaragua Netherlands Norway Nepal Nauru Neutral Zone Niue New Zealand (Aotearoa) Oman Panama Peru French Polynesia Papua New Guinea Philippines Pakistan Poland St. Pierre and Miquelon Pitcairn Puerto Rico Palestinian Territory, Occupied Portugal Palau Paraguay Qatar Reunion Romania Republic of Serbia Russia Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Sweden Singapore St. Helena Slovenia Svalbard and Jan Mayen Islands Slovak Republic Sierra Leone San Marino Senegal Somalia Suriname Sao Tome and Principe El Salvador Syria Swaziland Turks and Caicos Islands Chad French Southern Territories Togo Thailand Tajikistan Tokelau East Timor Turkmenistan Tunisia Tonga Turkey Trinidad and Tobago Tuvalu Taiwan Tanzania Ukraine Uganda United Kingdom United States Uruguay Uzbekistan Vatican City State (Holy See) Saint Vincent and the Grenadines Venezuela Virgin Islands (British) Virgin Islands (U.S.) Viet Nam Vanuatu Wallis and Futuna Islands Samoa Yemen Mayotte Yugoslavia South Africa Zambia Zimbabwe

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Pays Belgique France Luxembourg Andorra United Arab Emirates Afghanistan Antigua and Barbuda Anguilla Albania Armenia Netherlands Antilles Angola Asia-Pacific Antarctica Argentina American Samoa Austria Australia Aruba Aland Islands Azerbaijan Bosnia and Herzegovina Barbados Bangladesh Burkina Faso Bulgaria Bahrain Burundi Benin Bermuda Brunei Darussalam Bolivia Brazil Bahamas Bhutan Bouvet Island Botswana Belarus Belize Canada Cocos (Keeling) Islands Democratic Republic of Congo Central African Republic Congo Switzerland Ivory Coast Cook Islands Chile Cameroon China Colombia Costa Rica Serbia and Montenegro Cuba Cape Verde Christmas Island Cyprus Czech Republic Germany Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Western Sahara Eritrea Spain Ethiopia Europe Finland Fiji Falkland Islands (Malvinas) Micronesia Faroe Islands Gabon Great Britain (UK) Grenada Georgia French Guiana Ghana Gibraltar Greenland Gambia Guinea Guadeloupe Equatorial Guinea Greece S. Georgia and S. Sandwich Isls. Guatemala Guam Guinea-Bissau Guyana Hong Kong Heard and McDonald Islands Honduras Croatia (Hrvatska) Haiti Hungary Indonesia Ireland Israel India British Indian Ocean Territory Iraq Iran Iceland Italy Jamaica Jordan Japan Kenya Kyrgyzstan Cambodia Kiribati Comoros Saint Kitts and Nevis Korea (North) Korea (South) Kuwait Cayman Islands Kazakhstan Laos Lebanon Saint Lucia Liechtenstein Sri Lanka Liberia Lesotho Lithuania Latvia Libya Morocco Monaco Moldova Montenegro Madagascar Marshall Islands Macedonia Mali Burma (Myanmar) Mongolia Macau Northern Mariana Islands Martinique Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Malaysia Mozambique Namibia New Caledonia Niger Norfolk Island Nigeria Nicaragua Netherlands Norway Nepal Nauru Neutral Zone Niue New Zealand (Aotearoa) Oman Panama Peru French Polynesia Papua New Guinea Philippines Pakistan Poland St. Pierre and Miquelon Pitcairn Puerto Rico Palestinian Territory, Occupied Portugal Palau Paraguay Qatar Reunion Romania Republic of Serbia Russia Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Sweden Singapore St. Helena Slovenia Svalbard and Jan Mayen Islands Slovak Republic Sierra Leone San Marino Senegal Somalia Suriname Sao Tome and Principe El Salvador Syria Swaziland Turks and Caicos Islands Chad French Southern Territories Togo Thailand Tajikistan Tokelau East Timor Turkmenistan Tunisia Tonga Turkey Trinidad and Tobago Tuvalu Taiwan Tanzania Ukraine Uganda United Kingdom United States Uruguay Uzbekistan Vatican City State (Holy See) Saint Vincent and the Grenadines Venezuela Virgin Islands (British) Virgin Islands (U.S.) Viet Nam Vanuatu Wallis and Futuna Islands Samoa Yemen Mayotte Yugoslavia South Africa Zambia Zimbabwe

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Pays* Belgique France Luxembourg Andorra United Arab Emirates Afghanistan Antigua and Barbuda Anguilla Albania Armenia Netherlands Antilles Angola Asia-Pacific Antarctica Argentina American Samoa Austria Australia Aruba Aland Islands Azerbaijan Bosnia and Herzegovina Barbados Bangladesh Burkina Faso Bulgaria Bahrain Burundi Benin Bermuda Brunei Darussalam Bolivia Brazil Bahamas Bhutan Bouvet Island Botswana Belarus Belize Canada Cocos (Keeling) Islands Democratic Republic of Congo Central African Republic Congo Switzerland Ivory Coast Cook Islands Chile Cameroon China Colombia Costa Rica Serbia and Montenegro Cuba Cape Verde Christmas Island Cyprus Czech Republic Germany Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Western Sahara Eritrea Spain Ethiopia Europe Finland Fiji Falkland Islands (Malvinas) Micronesia Faroe Islands Gabon Great Britain (UK) Grenada Georgia French Guiana Ghana Gibraltar Greenland Gambia Guinea Guadeloupe Equatorial Guinea Greece S. Georgia and S. Sandwich Isls. Guatemala Guam Guinea-Bissau Guyana Hong Kong Heard and McDonald Islands Honduras Croatia (Hrvatska) Haiti Hungary Indonesia Ireland Israel India British Indian Ocean Territory Iraq Iran Iceland Italy Jamaica Jordan Japan Kenya Kyrgyzstan Cambodia Kiribati Comoros Saint Kitts and Nevis Korea (North) Korea (South) Kuwait Cayman Islands Kazakhstan Laos Lebanon Saint Lucia Liechtenstein Sri Lanka Liberia Lesotho Lithuania Latvia Libya Morocco Monaco Moldova Montenegro Madagascar Marshall Islands Macedonia Mali Burma (Myanmar) Mongolia Macau Northern Mariana Islands Martinique Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Malaysia Mozambique Namibia New Caledonia Niger Norfolk Island Nigeria Nicaragua Netherlands Norway Nepal Nauru Neutral Zone Niue New Zealand (Aotearoa) Oman Panama Peru French Polynesia Papua New Guinea Philippines Pakistan Poland St. Pierre and Miquelon Pitcairn Puerto Rico Palestinian Territory, Occupied Portugal Palau Paraguay Qatar Reunion Romania Republic of Serbia Russia Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Sweden Singapore St. Helena Slovenia Svalbard and Jan Mayen Islands Slovak Republic Sierra Leone San Marino Senegal Somalia Suriname Sao Tome and Principe El Salvador Syria Swaziland Turks and Caicos Islands Chad French Southern Territories Togo Thailand Tajikistan Tokelau East Timor Turkmenistan Tunisia Tonga Turkey Trinidad and Tobago Tuvalu Taiwan Tanzania Ukraine Uganda United Kingdom United States Uruguay Uzbekistan Vatican City State (Holy See) Saint Vincent and the Grenadines Venezuela Virgin Islands (British) Virgin Islands (U.S.) Viet Nam Vanuatu Wallis and Futuna Islands Samoa Yemen Mayotte Yugoslavia South Africa Zambia Zimbabwe

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