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Check your xls form and make sure that there is no row with missing openmrs_entity_id
Review xls form and make sure that no new person exists without mandatory openmrs attribute mappings (first_name, last_name, gender,birth_date, atleast one patient_identifier)
Encounter mappings encounter_location and encounter_date for form also exist and if form registers multiple entities encounter type for new entities is also specified in repeat group in column openmrs_entity_id.
If none of the above exist contact developers with full stacktrace and the steps to reproduce the problem.

The FormSubmission is submitted to create / register a person in OpenMRS 2nd time.
Any property of person that is supposed to be unique like any of the identifier, entityId has been duplicated
Person is missing any important mapping in xlsform or in Json data being pushed to server like first_name, last_name, gender, birth_date, person_identifier, identifier_type etc.
If an identifier is supposed to be bind to location (this is done when creating identifier type) then missing location in identifier can also lead to this exception
If an identifier was marked as "required" when creating identifier type, it must be specified when creating patient

Check that The entityId in FormSubmission is not already registered in OpenMRS
Check that any identifier value (mapped by openmrs_entity=person_identifier) doesnot exists in OpenMRS
Check your xls form and make sure that there is no row with missing openmrs_entity_id
Check that xlsform has correct mappings of openmrs_entity and openmrs_entity_id for first_name, last_name, gender, birth_date, identifier which are also marked as "required=yes"
Check that your Json pushed to server has location mapped in identifier if a particular identifier is supposed to have associated location
Check that your Json pushed to data has all required identifiers properly specified

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