Main Applicant Details
Title: {{formData.ma_title}}
Forename(s): {{formData.ma_forename}}
Surname:{{formData.ma_surname}}
Date of Birth: {{formData.ma_dob}}
NHS or NI No.: {{formData.ma_nhs_or_ni_no}}
EHIC PIN Number: {{formData.ma_ehic_pin_number}}
Spouse / Partner Details
Title: {{formData.pa_title}}
Forename(s): {{formData.pa_forename}}
Surname:{{formData.pa_surname}}
Date of Birth: {{formData.pa_dob}}
NHS or NI No.: {{formData.pa_nhs_or_ni_no}}
EHIC PIN Number: {{formData.pa_ehic_pin_number}}
Dependent Child Details
Number of Children: {{formData.ca_number}}
Children No.#: {{$index+1}}
Title: {{formData.ca_title[$index+1]}}
Forename(s): {{formData.ca_forename[$index+1]}}
Surname:{{formData.ca_surname[$index+1]}}
Date of Birth: {{formData.ca_dob_d[$index+1]}}-{{formData.ca_dob_m[$index+1]}}-{{formData.ca_dob_y[$index+1]}}
NHS or NI No.: {{formData.ca_nhs_or_ni_no[$index+1]}}
EHIC PIN Number: {{formData.ca_ehic_pin_number[$index+1]}}
Contact information
Address Line 1: {{formData.addressline1}}
Address Line 2: {{formData.addressline2}}
Town or City: {{formData.city}}
County: {{formData.county}}
Country: {{formData.country}}
UK Postcode: {{formData.postcode}}
Phone Number: {{formData.phone}}
Email: {{formData.email}}
Registration fee: £35.00
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