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size="24" border="0" /></td>												<td><input type="text" name="date_4 " size="24" border="0" /></td>											</tr>											<tr>												<td><input type="text" name="nom_5 " size="24" border="0" /></td>												<td><input type="text" name="prenom_5 " size="24" border="0" /></td>												<td><input type="text" name="date_5 " size="24" border="0" /></td>											</tr>											<tr>												<td><input type="text" name="nom_6 " size="24" border="0" /></td>												<td><input type="text" name="prenom_6 " size="24" border="0" /></td>												<td><input type="text" name="date_6 " size="24" border="0" /></td>											</tr>											<tr>												<td><input type="text" name="nom_7 " size="24" border="0" /></td>												<td><input type="text" name="prenom_7 " size="24" border="0" /></td>												<td><input type="text" name="date_7 " size="24" border="0" /></td>											</tr>											<tr>												<td><input type="text" name="nom_8 " size="24" border="0" /></td>												<td><input type="text" name="prenom_8 " size="24" border="0" /></td>												<td><input type="text" name="date_8 " size="24" border="0" /></td>											</tr>											<tr>												<td><input type="text" name="nom_9 " size="24" border="0" /></td>												<td><input type="text" name="prenom_9 " size="24" border="0" /></td>												<td><input type="text" name="date_9 " size="24" border="0" /></td>											</tr>											<tr>												<td><input type="text" name="nom_10 " size="24" border="0" /></td>												<td><input type="text" name="prenom_10 " size="24" border="0" /></td>												<td><input type="text" name="date_10 " size="24" border="0" /></td>											</tr>											<tr>												<td><input type="text" name="nom_11 " size="24" border="0" /></td>												<td><input type="text" name="prenom_11 " size="24" border="0" /></td>												<td><input type="text" name="date_11 " size="24" border="0" 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