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Explanation:
Let's convert x = 53 to its corresponding z score
z = (x-mu)/sigma
z = (53-65)/4
z = -12/4
z = -3
This indicates we're 3 standard deviations below the mean.
Recall that the Empirical Rule states that roughly 99.7% of the data items in a normal distribution are within 3 standard deviations of the mean. That leaves 100% - 99.7% = 0.3% outside this range. This small percentage is the combined percentage in both tails. Take half of this to find the amount in the left tail only.
(0.3%)/2 = 0.15%
This then converts to 0.0015 when we move the decimal point 2 spots to the left.