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1. E.F
1) a child with a face like it has down syndrome.
2) one fugly ass bitch
dude1: "hey did you see that new down syndrome girl in our school?"
dude2: "oh yeah, E.F., right? shes supposed to be 'normal..'"
dude2: "yeah, okay, dude! lets go put her back in the hospital where she belongs!"
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