Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
City Name
String (AN)
Mandatory
2
30
1
Free-form text for city name
02
State or Province Code
Identifier (ID)
Mandatory
2
2
1
Code specifying the Standard State/Province as defined by appropriate
government agency
03
Postal Code
Identifier (ID)
Optional
3
15
1
Code specifying international postal zone code excluding punctuation and blanks
(zip code for United States)
04
Country Code
Identifier (ID)
Optional
2
3
1
Code identifying the country
05
Address Information
String (AN)
Optional
1
55
1
Address information