Literal question
<svar a="CA91A408" v="CA91A404">3. Date of birth<br /><div class="i1">Print day, month and year.<br />Example: If this person was born on the 10th of February 1945, enter:<br />If exact date is not known, enter best estimate.<br />Day _ _<br />Month _ _<br />Year 1_ _ _</div><br /></svar></p>
<p><svar a="all" v="CA91A404 CA91A410 CA91A411">5. Legal marital status.<br /><div class="i1">Mark one circle only.<br />[] Legally married (and not separated)<br />[] Legally married and separated<br />[] Divorced<br />[] Widowed<br />[] Never married (single)</div><br /></svar>