To supply additional demographic identification
| Position | Element | Name | Type | Min/Max | Repeat | |
|---|---|---|---|---|---|---|
| 1 | 127  | Reference Identification | Opt | Alphanumeric | 1/80 | AtMax 1 | 
| 2 | 156  | State or Province Code | Opt | ID | 2/2 | AtMax 1 | 
| 3 | 127  | Reference Identification | Rel | Alphanumeric | 1/80 | AtMax 1 | 
| 4 | 156  | State or Province Code | Rel | ID | 2/2 | AtMax 1 | 
| 5 | 1268  | Applicant Type Code | Opt | ID | 1/1 | AtMax 1 | 
| 6 | 83  | Code For Licensing, Certification, Registration, or Accreditation Agency | Rel | ID | 1/2 | AtMax 1 | 
| 7 | 26  | Country Code | Rel | ID | 2/3 | AtMax 1 | 
| 8 | 819  | Language Code | Opt | ID | 2/3 | AtMax 1 | 
| 9 | 546  | Status Code | Opt | ID | 2/2 | AtMax 1 | 
| 10 | 19  | City Name | Opt | Alphanumeric | 2/30 | AtMax 1 | 
| 11 | 397  | Color | Opt | Alphanumeric | 1/10 | AtMax 1 | 
| 12 | 397  | Color | Opt | Alphanumeric | 1/10 | AtMax 1 | 
| 13 | 90  | Measurement Unit Qualifier | Rel | ID | 1/1 | AtMax 1 | 
| 14 | 65  | Height | Rel | Decimal | 1/8 | AtMax 1 | 
| 15 | 188  | Weight Unit Code | Rel | ID | 1/1 | AtMax 1 | 
| 16 | 81  | Weight | Rel | Decimal | 1/10 | AtMax 1 | 
| 17 | 352  | Description | Opt | Alphanumeric | 1/80 | AtMax 1 | 
| 18 | 26  | Country Code | Opt | ID | 2/3 | AtMax 1 |