25/1995 jir 616. BCG 06/05/1989 gr 617. Hepatitis B 10/21/2003 1.<618. Other Rubella, Measles, Mumps, General medical questions 621. Blood group ond Rhesus facto< (if known): 622. Any past ilness. operations. serious accidents ? none Specify which one(s): 623. Any physical or mental disabilities? no