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Your Emergency Contact Details  
  Contact Person's Name Mr Nigel Redford
  Relationship Father
  Contact Person's Address 44 The Elms
Epsom
Surrey
ABC123
United Kingdom
  Contact Person's Tel. No. 1 01234 678900
  Contact Person's Tel. No. 2 01234 678900
  Contact Person's E-Mail 1 Nigel@hotmail.com
  Contact Person's E-Mail 2 Niger@yahoo.com