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Help please Adobe Reader

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I am trying to fill in an application form, the problem is that when I complete the declaration and enter the date the form then enters that date in other boxes automatically. If I delete the date from the boxes where it is not required it deletes the date from the declaration also.

Autofill is off. Is this something I am doing wrong or is it the fault of the person who set up the application form? Hope someone can help please... I am not very technical minded but can follow basic instructions ;) Closing date is 18 Jan so any help would be appreciated.

Thanks
0% credit card £1360 & 0% Car Loan £7500 ~ paid in full JAN 2020 = NOW DEBT FREE 🤗
House sale OCT 2022 = NOW MORTGAGE FREE 🤗
House purchase completed FEB 2023 🥳🍾 Left work. 🤗

Retired at 55 & now living off the equity £10k a year (until pensions start at 60 & 67).

Previous Savings diary https://forums.moneysavingexpert.com/discussion/5597938/get-a-grip/p1

Living off savings diary
https://forums.moneysavingexpert.com/discussion/6429003/escape-to-the-country-living-off-savings/p1

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