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0517c46241
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@ -27,21 +27,27 @@
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<h5 class="mb-3 text-secondary small text-uppercase fw-bold"><?= _("Paramètres d'inclusion") ?></h5>
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<h5 class="mb-3 text-secondary small text-uppercase fw-bold"><?= _("Paramètres d'inclusion") ?></h5>
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<div class="mb-3">
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<div class="mb-3">
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<label class="form-label small fw-bold text-uppercase"><?= _("Avenant") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("Avenant") ?><span class="required-star">*</span>
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</label>
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<select class="form-select form-select-sm shadow-sm border-primary" id="idAvenant" name="idAvenant" required autofocus onChange="changer_avenant_incorporation_beneficiaire();">
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<select class="form-select form-select-sm shadow-sm border-primary" id="idAvenant" name="idAvenant" required autofocus onChange="changer_avenant_incorporation_beneficiaire();">
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<?php liste_options($avenant,""); ?>
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<?php liste_options($avenant,""); ?>
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</select>
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</select>
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</div>
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</div>
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<div class="mb-3">
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<div class="mb-3">
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<label class="form-label small fw-bold text-uppercase"><?= _("Date d'Entrée") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("Date d'Entrée") ?><span class="required-star">*</span>
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</label>
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<div id="div_date_avenant">
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<div id="div_date_avenant">
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<input class="form-control form-control-sm datepicker" type="text" id="dateEntree" name="dateEntree" value="<?= dateLang($_SESSION['dateAvenant_C'], $_SESSION['lang']) ?>" required onChange="prorater_prime_beneficiaire();">
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<input class="form-control form-control-sm datepicker" type="text" id="dateEntree" name="dateEntree" value="<?= dateLang($_SESSION['dateAvenant_C'], $_SESSION['lang']) ?>" required onChange="prorater_prime_beneficiaire();">
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</div>
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</div>
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</div>
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</div>
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<div class="mb-3">
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<div class="mb-3">
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<label class="form-label small fw-bold text-uppercase"><?= _("Option de Prorata") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("Option de Prorata") ?><span class="required-star">*</span>
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</label>
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<select class="form-select form-select-sm" id="prorata" name="prorata" required onChange="prorater_prime_beneficiaire();">
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<select class="form-select form-select-sm" id="prorata" name="prorata" required onChange="prorater_prime_beneficiaire();">
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<?php liste_options($ouinonprorata,"1",true); ?>
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<?php liste_options($ouinonprorata,"1",true); ?>
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</select>
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</select>
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@ -53,24 +59,32 @@
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<div class="row g-2 mb-3">
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<div class="row g-2 mb-3">
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<div class="col-md-5">
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<div class="col-md-5">
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<label class="form-label small fw-bold text-uppercase"><?= _("Nom") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("Nom") ?><span class="required-star">*</span>
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</label>
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<input class="form-control form-control-sm fw-bold shadow-sm" type="text" id="nomBeneficiaire" name="nomBeneficiaire" value="<?= $adherent['nom'] ?>" required style="text-transform: uppercase;">
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<input class="form-control form-control-sm fw-bold shadow-sm" type="text" id="nomBeneficiaire" name="nomBeneficiaire" value="<?= $adherent['nom'] ?>" required style="text-transform: uppercase;">
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</div>
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</div>
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<div class="col-md-7">
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<div class="col-md-7">
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<label class="form-label small fw-bold text-uppercase"><?= _("Prénoms") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("Prénoms") ?><span class="required-star">*</span>
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</label>
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<input class="form-control form-control-sm shadow-sm" type="text" id="prenomsBeneficiaire" name="prenomsBeneficiaire" required>
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<input class="form-control form-control-sm shadow-sm" type="text" id="prenomsBeneficiaire" name="prenomsBeneficiaire" required>
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</div>
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</div>
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</div>
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</div>
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<div class="row g-2 mb-3">
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<div class="row g-2 mb-3">
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<div class="col-md-6">
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<div class="col-md-6">
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<label class="form-label small fw-bold text-uppercase"><?= _("Lien Parenté") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("Lien Parenté") ?><span class="required-star">*</span>
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</label>
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<select class="form-select form-select-sm" id="codeLienParente" name="codeLienParente" required onChange="filtrergenreconjoint();">
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<select class="form-select form-select-sm" id="codeLienParente" name="codeLienParente" required onChange="filtrergenreconjoint();">
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<?php liste_options($lienparente,""); ?>
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<?php liste_options($lienparente,""); ?>
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</select>
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</select>
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</div>
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</div>
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<div class="col-md-6">
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<div class="col-md-6">
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<label class="form-label small fw-bold text-uppercase"><?= _("Genre") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("Genre") ?><span class="required-star">*</span>
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</label>
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<select class="form-select form-select-sm" id="sexe" name="sexe" required>
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<select class="form-select form-select-sm" id="sexe" name="sexe" required>
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<?php liste_options($sexe,""); ?>
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<?php liste_options($sexe,""); ?>
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</select>
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</select>
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@ -79,7 +93,9 @@
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<div class="row g-2 mb-3">
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<div class="row g-2 mb-3">
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<div class="col-md-6">
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<div class="col-md-6">
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<label class="form-label small fw-bold text-uppercase"><?= _("Date de Naissance") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("Date de Naissance") ?><span class="required-star">*</span>
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</label>
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<input class="form-control form-control-sm datepicker" type="text" id="dateNaissance" name="dateNaissance" required onchange="controle_age($('#dateNaissance').datepicker('getDate'), $('#codeLienParente').val())">
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<input class="form-control form-control-sm datepicker" type="text" id="dateNaissance" name="dateNaissance" required onchange="controle_age($('#dateNaissance').datepicker('getDate'), $('#codeLienParente').val())">
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</div>
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</div>
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<div class="col-md-6">
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<div class="col-md-6">
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<div class="card col-md-12">
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<div class="card col-md-12">
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<div class="row g-3">
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<div class="row g-3">
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<div class="col-md-3">
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<div class="col-md-3">
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<label class="form-label small fw-bold text-uppercase"><?= _("Nature Pièce") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("Nature Pièce") ?><span class="required-star">*</span>
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</label>
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<select class="form-select form-select-sm" id="codeNaturePiece" name="codeNaturePiece" required onChange="javascript:controler_piece_beneficiaire();">
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<select class="form-select form-select-sm" id="codeNaturePiece" name="codeNaturePiece" required onChange="javascript:controler_piece_beneficiaire();">
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<?php liste_options($naturepiece,""); ?>
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<?php liste_options($naturepiece,""); ?>
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</select>
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</select>
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</div>
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</div>
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<div class="col-md-3">
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<div class="col-md-3">
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<label class="form-label small fw-bold text-uppercase"><?= _("N° Pièce") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("N° Pièce") ?><span class="required-star">*</span>
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</label>
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<input class="form-control form-control-sm" type="text" id="numeroPiece" name="numeroPiece" onblur="javascript:controler_piece_beneficiaire();" required autocomplete="off">
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<input class="form-control form-control-sm" type="text" id="numeroPiece" name="numeroPiece" onblur="javascript:controler_piece_beneficiaire();" required autocomplete="off">
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<div id="div_controle_piece" class="mt-1 small"></div>
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<div id="div_controle_piece" class="mt-1 small"></div>
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</div>
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</div>
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<div class="col-md-3">
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<div class="col-md-3">
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<label class="form-label small fw-bold text-uppercase"><?= _("Groupe Sanguin") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<?= _("Groupe Sanguin") ?><span class="required-star">*</span>
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</label>
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<select class="form-select form-select-sm" id="codeGroupeSanguin" name="codeGroupeSanguin" required>
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<select class="form-select form-select-sm" id="codeGroupeSanguin" name="codeGroupeSanguin" required>
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<?php liste_options($groupesanguin,""); ?>
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<?php liste_options($groupesanguin,""); ?>
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</select>
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</select>
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</div>
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</div>
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<div class="col-md-3">
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<div class="col-md-3">
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<label class="form-label small fw-bold text-uppercase"><?= _("Téléphone") ?></label>
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<label class="form-label small fw-bold text-uppercase">
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<input class="form-control form-control-sm" type="tel" id="telephonePortable" name="telephonePortable" autocomplete="off">
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<?= _("Portable") ?><span class="required-star">*</span>
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</label>
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<input class="form-control form-control-sm" type="tel" id="telephonePortable" name="telephonePortable" required autocomplete="off">
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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