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<script>

var form = new FormData();
form.append("firstName", "PHILLIP");
form.append("lastName", "ABELL");
form.append("middleName", "G");
form.append("memberId", "6CA1QX6TM98");
form.append("dob", "19550722");
form.append("gender", "M");
form.append("responseType", "JSON");

var settings = {
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};

$.ajax(settings).done(function (response) {
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