To provide personal information on an individual
| Position | Element | Name | Type | Min/Max | Repeat | |
|---|---|---|---|---|---|---|
| 1 | 609  | Count | Opt | Number | 1/9 | AtMax 1 | 
| 2 | 1250  | Date Time Period Format Qualifier | Rel | ID | 2/3 | AtMax 1 | 
| 3 | 1251  | Date Time Period | Rel | Alphanumeric | 1/35 | AtMax 1 | 
| 4 | 1068  | Gender Code | Opt | ID | 1/1 | AtMax 1 | 
| 5 | 127  | Reference Identification | Opt | Alphanumeric | 1/80 | AtMax 1 | 
| 6 | 127  | Reference Identification | Opt | Alphanumeric | 1/80 | AtMax 1 | 
| 7 | 156  | State or Province Code | Opt | ID | 2/2 | AtMax 1 | 
| 8 | 1149  | Occupation Code | Opt | ID | 4/6 | AtMax 1 | 
| 9 | 1069  | Individual Relationship Code | Opt | ID | 2/2 | AtMax 1 | 
| 10 | 352  | Description | Opt | Alphanumeric | 1/80 | AtMax 1 | 
| 11 | 352  | Description | Opt | Alphanumeric | 1/80 | AtMax 1 | 
| 12 | 1588  | Political Party Affiliation Code | Opt | ID | 2/2 | AtMax 1 |