Literal question
<svar a="all" v="NO75A434">14. Infirmities:<br /><div class="i1">[] Mentally ill (including the insane, the melancholy, idiots, the silly, the retarded and suchlike)<br />[] Deaf and dumb<br />[] Blind (Blind is enumerated anyone without ambulatory vision)</div><br /><br />15. Detailed description on infirmity<br /><div class="i1">[] If mentally ill since birth<br />[] If mentally ill after the completed fourth year of age</div><br /></svar>