{$pagetitle}

{BEGIN top_block}

{$pagetitlelabel personal_details add}

{END top_block} {BEGIN above-grid_block}

{BEGIN message_block}

{BEGIN back_button} {END back_button} {BEGIN view_page_button} {END view_page_button} {BEGIN edit_page_button} {END edit_page_button}

{END message_block}

{END above-grid_block} {BEGIN grid_block} {BEGIN cellblock_grid_c3} {END cellblock_grid_c3}

{BEGIN birth_day_fieldblock}

{BEGIN birth_day_label}{$label personal_details birth_day }{END birth_day_label}

{$birth_day_editcontrol}

{END birth_day_fieldblock} {BEGIN sex_fieldblock}

{BEGIN sex_label}{$label personal_details sex }{END sex_label}

{$sex_editcontrol}

{END sex_fieldblock} {BEGIN age_fieldblock}

{BEGIN age_label}{$label personal_details age }{END age_label}

{$age_editcontrol}

{END age_fieldblock} {BEGIN birth_certificate_no_fieldblock}

{BEGIN birth_certificate_no_label}{$label personal_details birth_certificate_no }{END birth_certificate_no_label}

{$birth_certificate_no_editcontrol}

{END birth_certificate_no_fieldblock} {BEGIN the_death_fieldblock}

{BEGIN the_death_label}{$label personal_details the_death }{END the_death_label}

{$the_death_editcontrol}

{END the_death_fieldblock} {BEGIN death_certificate_no_fieldblock}

{BEGIN death_certificate_no_label}{$label personal_details death_certificate_no }{END death_certificate_no_label}

{$death_certificate_no_editcontrol}

{END death_certificate_no_fieldblock} {BEGIN single_or_married_fieldblock}

{BEGIN single_or_married_label}{$label personal_details single_or_married }{END single_or_married_label}

{$single_or_married_editcontrol}

{END single_or_married_fieldblock} {BEGIN marriage_date_fieldblock}

{BEGIN marriage_date_label}{$label personal_details marriage_date }{END marriage_date_label}

{$marriage_date_editcontrol}

{END marriage_date_fieldblock} {BEGIN marriage_certificate_no_fieldblock}

{BEGIN marriage_certificate_no_label}{$label personal_details marriage_certificate_no }{END marriage_certificate_no_label}

{$marriage_certificate_no_editcontrol}

{END marriage_certificate_no_fieldblock} {BEGIN notes_fieldblock}

{BEGIN notes_label}{$label personal_details notes }{END notes_label}

{$notes_editcontrol}

{END notes_fieldblock} {BEGIN ad_by_fieldblock}

{BEGIN ad_by_label}{$label personal_details ad_by }{END ad_by_label}

{$ad_by_editcontrol}

{END ad_by_fieldblock} {BEGIN nic_fieldblock}

{BEGIN nic_label}{$label personal_details nic }{END nic_label}

{$nic_editcontrol}

{END nic_fieldblock}

{END grid_block} {BEGIN below-grid_block}

{mlang_message SAVE} {BEGIN back_button} {mlang_message BACK_TO_LIST} {END back_button} {BEGIN cancel_button} {mlang_message CANCEL} {END cancel_button}

{END below-grid_block}