Guidance
HB Bulletin G9/2013: Benefit inspired NINo application request form (DCI1)
Updated 8 January 2018
Download CSV 216 KB
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| {\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fdbminor\f31505\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;} |
| {\fhiminor\f31506\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri;}{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f41\fbidi \froman\fcharset238\fprq2 Times New Roman CE;} |
| {\f42\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\f44\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\f45\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\f46\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);} |
| {\f47\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\f48\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\f49\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\f51\fbidi \fswiss\fcharset238\fprq2 Arial CE;} |
| {\f52\fbidi \fswiss\fcharset204\fprq2 Arial Cyr;}{\f54\fbidi \fswiss\fcharset161\fprq2 Arial Greek;}{\f55\fbidi \fswiss\fcharset162\fprq2 Arial Tur;}{\f56\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew);} |
| {\f57\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic);}{\f58\fbidi \fswiss\fcharset186\fprq2 Arial Baltic;}{\f59\fbidi \fswiss\fcharset163\fprq2 Arial (Vietnamese);}{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE;} |
| {\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;} |
| {\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;} |
| {\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;} |
| {\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);} |
| {\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);} |
| {\fhimajor\f31528\fbidi \fswiss\fcharset238\fprq2 Calibri Light CE;}{\fhimajor\f31529\fbidi \fswiss\fcharset204\fprq2 Calibri Light Cyr;}{\fhimajor\f31531\fbidi \fswiss\fcharset161\fprq2 Calibri Light Greek;} |
| {\fhimajor\f31532\fbidi \fswiss\fcharset162\fprq2 Calibri Light Tur;}{\fhimajor\f31535\fbidi \fswiss\fcharset186\fprq2 Calibri Light Baltic;}{\fhimajor\f31536\fbidi \fswiss\fcharset163\fprq2 Calibri Light (Vietnamese);} |
| {\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;} |
| {\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);} |
| {\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE;} |
| {\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;} |
| {\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;} |
| {\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;} |
| {\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);} |
| {\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);} |
| {\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;} |
| {\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE;} |
| {\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;} |
| {\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;} |
| {\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0; |
| \red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;\red51\green51\blue51;\red255\green255\blue255;} |
| {\*\defchp \fs22 }{\*\defpap \ql \li0\ri0\sa160\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 }\noqfpromote {\stylesheet{\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 |
| \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \snext0 \sqformat \spriority0 \styrsid15945449 Normal;}{\*\cs10 \additive \ssemihidden Default Paragraph Font;}{\* |
| \ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang2057\langfe2057\cgrid\langnp2057\langfenp2057 \snext11 \ssemihidden \sunhideused Normal Table;}{\*\ts15\tsrowd\trbrdrt |
| \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv |
| \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang2144 \ltrch\fcs0 \fs20\lang2057\langfe2057\cgrid\langnp2057\langfenp2057 \sbasedon11 \snext15 \styrsid15945449 Table Grid;}{ |
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| \ltrch\fcs0 \f1\fs24\lang2057\langfe1033\langnp2057\langfenp1033 \sbasedon10 \slink19 \slocked \styrsid15945449 List Bullet Indent Char;}{\s19\ql \fi-357\li1037\ri0\widctlpar\jclisttab\tx927\wrapdefault{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec } |
| \aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin1037\itap0 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext19 \slink18 \styrsid15945449 List Bullet Indent;}{ |
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| \mintLim0\mnaryLim1}{\info{\title (eDCI1 ) Benefit Inspired NINo Application Request}{\author 89744409}{\operator Andy Jenkins}{\creatim\yr2017\mo11\dy21\hr14\min9}{\revtim\yr2017\mo11\dy21\hr14\min9}{\version2}{\edmins1}{\nofpages2}{\nofwords391} |
| {\nofchars2230}{\*\company DWP}{\nofcharsws2616} |
| {\vern57437}{\*\passwordhash 0200000078000000180000000e800000a08601004000000010000000280000006800000000000000dae74d9658a0abc182b9433785bae4addc63bf7a0c59e04c1ed78a9283038e5a34019536b875306f8d6317b0c7ed9157303bb70194a08bb9cd49373bccb299c63a7355a012b3773985d4aaad37ea867d |
| }}{\*\userprops {\propname _NewReviewCycle}\proptype30{\staticval }{\propname _AdHocReviewCycleID}\proptype3{\staticval -351670015}{\propname _EmailSubject}\proptype30{\staticval General Information Bulletin G9/2013}{\propname _AuthorEmail}\proptype30 |
| {\staticval KATH.MURPHY@DWP.GSI.GOV.UK}{\propname _AuthorEmailDisplayName}\proptype30{\staticval Murphy Kath DWP OPS CCSD HOUSING DELIVERY}{\propname _ReviewingToolsShownOnce}\proptype30{\staticval }}{\*\xmlnstbl {\xmlns1 http://schemas.microsoft.com/offi |
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| \jexpand\viewkind1\viewscale100\pgbrdrhead\pgbrdrfoot\splytwnine\ftnlytwnine\htmautsp\nolnhtadjtbl\useltbaln\alntblind\lytcalctblwd\lyttblrtgr\lnbrkrule\rsidroot5382689 \fet0{\*\wgrffmtfilter 013f}\ilfomacatclnup0{\*\ftnsep \ltrpar \pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16589339 \chftnsep |
| \par }}{\*\ftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \insrsid16589339 \chftnsepc |
| \par }}{\*\aftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \insrsid16589339 \chftnsep |
| \par }}{\*\aftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \insrsid16589339 \chftnsepc |
| \par }}\ltrpar \sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\footerr \ltrpar \pard\plain \ltrpar\s16\ql \li0\ri0\widctlpar |
| \tqc\tx4153\tqr\tx8306\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15231135 |
| {\*\xmlopen\xmlns2{\factoidname stockticker}}DCI}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid9185330 {\*\xmlclose}1 08}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15231135 /13 (LA) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15231135\charrsid9268122 |
| \par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}} |
| {\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8 |
| \pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\ltrrow\trowd \irow0\irowband0\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \clcbpat17\cltxlrtb\clftsWidth3\clwWidth236\clcbpatraw17 \cellx-391\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat17\cltxlrtb\clftsWidth3\clwWidth9228\clcbpatraw17 \cellx8837 |
| \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \clcbpat17\cltxlrtb\clftsWidth3\clwWidth236\clcbpatraw17 \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 |
| \f1\fs28\insrsid15945449\charrsid5706909 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 {\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\f1\fs28\cf8\insrsid4878408 (}{\rtlch\fcs1 |
| \ab\af0\afs28 \ltrch\fcs0 \b\f1\fs28\cf8\insrsid15945449 {\*\xmlopen\xmlns2{\factoidname stockticker}}DCI{\*\xmlclose}1 ) }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\f1\fs28\cf8\insrsid15945449\charrsid13111396 Benefit Inspired NINo Application Request}{ |
| \rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\f1\fs28\cf8\insrsid15945449 }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\f1\fs28\cf8\insrsid15945449\charrsid13111396 \cell }\pard \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow0\irowband0\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \clcbpat17\cltxlrtb\clftsWidth3\clwWidth236\clcbpatraw17 \cellx-391\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat17\cltxlrtb\clftsWidth3\clwWidth9228\clcbpatraw17 \cellx8837 |
| \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \clcbpat17\cltxlrtb\clftsWidth3\clwWidth236\clcbpatraw17 \cellx9073\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 |
| \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell }{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid15945449 |
| \par Entitlement to B}{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid15945449\charrsid4141840 enefit/}{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid15945449 C}{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 |
| \b\f1\fs22\insrsid15945449\charrsid4141840 redit must be established before referral to }{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid15945449 DWP NINo}{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid15945449\charrsid4141840 Centre}{ |
| \rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid15945449 |
| \par |
| \par }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \f1\fs22\insrsid15945449\charrsid4402545 If benefit entitlement has not been established do not refer this form to the }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \f1\fs22\insrsid15945449 DWP}{\rtlch\fcs1 \af0\afs22 |
| \ltrch\fcs0 \f1\fs22\insrsid15945449\charrsid4402545 NINo Centre. }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \f1\fs22\ul\insrsid15945449\charrsid4402545 The NINo Centre does not determine entitlement to benefit}{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 |
| \f1\fs22\insrsid15945449\charrsid4402545 . Retain the form until all appropriate checks and tests have been undertaken and you are satisfied the customer is entitled to benefit. }{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid15945449 |
| \par }{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid15945449\charrsid4141840 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow1\irowband1\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow2\irowband2\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 |
| \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow2\irowband2\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow3\irowband3\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 |
| \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4611\clshdrawnil \cellx4220\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4216\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell Contact Name\cell {\*\bkmkstart Text39}}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\datafield |
| 00000000000000000654657874333900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0{\*\ffname Text39}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid3286206 }}}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Text39}\cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow3\irowband3\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4611\clshdrawnil \cellx4220\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4216\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow4\irowband4\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12271968 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow4\irowband4\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow5\irowband5\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 |
| \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4611\clshdrawnil \cellx4220\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4216\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449\charrsid7892258 Full }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 c}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449\charrsid7892258 ontact }{\rtlch\fcs1 \af1 \ltrch\fcs0 |
| \f1\insrsid15945449 n}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449\charrsid7892258 umber}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid15945449\charrsid7951992 (inc |
| {\*\xmlopen\xmlns2{\factoidname stockticker}}STD{\*\xmlclose} code)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell {\*\bkmkstart Text2}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 {\*\datafield 000000001400000005546578743200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text2}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194 |
| \'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Text2}\cell \cell \cell |
| }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow5\irowband5\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4611\clshdrawnil \cellx4220\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4216\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow6\irowband6\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid10432668 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow6\irowband6\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow7\irowband7\ltrrow\ts15\trgaph108\trrh1644\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4611\clshdrawnil \cellx4220\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4216\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13594498\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid13594498 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid10568784 Full Office Postal}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1192134 Address }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16210379 Inc Postcode}{\rtlch\fcs1 \af1 \ltrch\fcs0 |
| \f1\insrsid13594498 \cell {\*\bkmkstart Text46}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid8202983 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid8202983 {\*\datafield 00000000140000000654657874343600000000000000000000000000} |
| {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text46}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid8202983 {\*\bkmkend Text46}\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid13594498 \cell \cell |
| }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid13594498 \trowd \irow7\irowband7\ltrrow\ts15\trgaph108\trrh1644\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4611\clshdrawnil \cellx4220\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4216\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow8\irowband8\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 |
| \trowd \irow8\irowband8\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow9\irowband9\ltrrow\ts15\trgaph108\trrh316\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4253\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4183\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 Benefit Type}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449\charrsid12271968 \cell {\*\bkmkstart Dropdown1}}{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid16012015 FORMDROPDOWN }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid16012015 {\*\datafield |
| 66800000000000000944726f70646f776e310000000000000000000000000047000400040000000a000800160026003c000d506c656173652053656c6563740f486f7573696e672042656e6566697415436f756e63696c2054617820526564756374696f6e0a484220616e6420435452} |
| {\*\formfield{\fftype2\ffres25\fftypetxt0\ffhaslistbox{\*\ffname Dropdown1}\ffdefres0{\*\ffl Please Select}{\*\ffl Housing Benefit}{\*\ffl Council Tax Reduction}{\*\ffl HB and CTR}}}}}{\fldrslt }}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Dropdown1}\cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow9\irowband9\ltrrow |
| \ts15\trgaph108\trrh316\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4253\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4183\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow10\irowband10\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 |
| \trowd \irow10\irowband10\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow11\irowband11\lastrow \ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid13377437\charrsid15152597 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid13377437\charrsid12601143 \trowd \irow11\irowband11\lastrow \ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15945449 { |
| \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15945449 |
| \par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 |
| \f1\fs16\insrsid15945449\charrsid15152597 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 \trowd \irow0\irowband0\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8827\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073 |
| \pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid15945449 \cell }{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid15945449\charrsid15152597 NINo Applicant details}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 |
| \f1\fs20\insrsid15945449\charrsid15152597 (completed by benefit teams) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow1\irowband1\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth8827\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073 |
| \row \ltrrow}\trowd \irow2\irowband2\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid8812420 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid8812420 |
| \trowd \irow2\irowband2\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow3\irowband3\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 |
| \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clNoWrap\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clNoWrap\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221 |
| \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clNoWrap\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clNoWrap\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clNoWrap\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 Surname\cell {\*\bkmkstart Text6}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\datafield |
| 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20} |
| }}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Text6}\cell \cell \cell }\pard\plain \ltrpar |
| \ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \trowd \irow3\irowband3\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clNoWrap\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clNoWrap\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221 |
| \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clNoWrap\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clNoWrap\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clNoWrap\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow |
| }\trowd \irow4\irowband4\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 |
| \trowd \irow4\irowband4\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow5\irowband5\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 |
| \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 Other Names\cell {\*\bkmkstart Text7}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 |
| {\*\datafield 000000001400000005546578743700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text7}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20\u8194 |
| \'20\u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Text7}\cell \cell \cell }\pard\plain \ltrpar |
| \ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \trowd \irow5\irowband5\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow6\irowband6\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 |
| \trowd \irow6\irowband6\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow7\irowband7\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 |
| \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 Date of Birth\cell {\*\bkmkstart Text42}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 |
| {\*\datafield 00000000140000000654657874343200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text42}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20 |
| \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Text42}\cell \cell \cell }\pard\plain \ltrpar |
| \ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \trowd \irow7\irowband7\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow8\irowband8\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 |
| \trowd \irow8\irowband8\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow9\irowband9\ltrrow\ts15\trgaph108\trrh1575\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 Address (including postcode)\cell {\*\bkmkstart Text47}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid9185330 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid9185330 {\*\datafield 00000000140000000654657874343700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text47}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20 |
| \u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Text47}\cell \cell \cell |
| }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow9\irowband9\ltrrow\ts15\trgaph108\trrh1575\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow10\irowband10\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 |
| \trowd \irow10\irowband10\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow11\irowband11\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 |
| \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 Contact Number (inc {\*\xmlopen\xmlns2{\factoidname stockticker}}STD{\*\xmlclose} code) \cell {\*\bkmkstart Text10}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\datafield 00000000140000000654657874313000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text10}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 {\*\bkmkend Text10}\cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow11\irowband11\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr |
| \brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row |
| \ltrrow}\trowd \irow12\irowband12\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 |
| \trowd \irow12\irowband12\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow13\irowband13\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl |
| \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 Mobile Number \cell {\*\bkmkstart Text43}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 |
| {\*\datafield 00000000140000000654657874343300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text43}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20 |
| \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Text43}\cell \cell \cell }\pard\plain \ltrpar |
| \ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \trowd \irow13\irowband13\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4215\clshdrawnil \cellx8436\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow14\irowband14\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12601143 |
| \trowd \irow14\irowband14\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow15\irowband15\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 |
| \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1651\clshdrawnil \cellx5872\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2564\clshdrawnil \cellx8436 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell Sex\cell Male {\*\bkmkstart Check1}}{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid10568784 FORMCHECKBOX }{ |
| \rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid10568784 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Check1}\cell Female {\*\bkmkstart Check2}}{\field\flddirty\fldpriv{\*\fldinst { |
| \rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 FORMCHECKBOX }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\datafield 650000001400000006436865636b3200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check2} |
| \ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Check2}\cell \cell \cell }\pard\plain \ltrpar |
| \ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \trowd \irow15\irowband15\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1651\clshdrawnil \cellx5872\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2564\clshdrawnil \cellx8436 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell \cell \cell \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 |
| \trowd \irow16\irowband16\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1651\clshdrawnil \cellx5872\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2564\clshdrawnil \cellx8436 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth401\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow17\irowband17\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv |
| \brdrs\brdrw10 \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 |
| \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 |
| \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid11804270 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid11804270 |
| \trowd \irow17\irowband17\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow18\irowband18\ltrrow\ts15\trgaph108\trrh723\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2384\clshdrawnil \cellx1991\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1077\clshdrawnil \cellx3068\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4328 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2450\clshdrawnil \cellx6778\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx7863\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth972\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb |
| \brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 |
| \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid12850050 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 Entitled to Benefit |
| \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid12850050 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 Yes {\*\bkmkstart Check9}}{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid10568784 FORMCHECKBOX }{ |
| \rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid10568784 {\*\datafield 650000001400000006436865636b3900000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check9}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid12850050 {\*\bkmkend Check9} |
| \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid7413216 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 No {\*\bkmkstart Check10}}{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 |
| \af0 \ltrch\fcs0 \f1\insrsid15945449 FORMCHECKBOX }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\datafield 650000001400000007436865636b313000000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check10}\ffdefres0}} |
| }}{\fldrslt }}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Check10} |
| \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid12850050 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 Partner of Benefit Claimant?}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid12850050 \cell }{\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid15945449 Yes {\*\bkmkstart Check11}}{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 FORMCHECKBOX }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\datafield |
| 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Check11} |
| \par |
| \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid12850050 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 No {\*\bkmkstart Check12}}{\field\flddirty\fldpriv{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 FORMCHECKBOX }{ |
| \rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\datafield 650000001400000007436865636b313200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check12}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Check12} |
| \par |
| \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid12850050 \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid12850050 \trowd \irow18\irowband18\ltrrow\ts15\trgaph108\trrh723\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2384\clshdrawnil \cellx1991\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1077\clshdrawnil \cellx3068\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4328 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2450\clshdrawnil \cellx6778\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth1085\clshdrawnil \cellx7863\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth972\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb |
| \brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow19\irowband19\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 |
| \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 |
| \f1\fs16\insrsid15945449\charrsid12850050 \cell }{\rtlch\fcs1 \ab\af0\afs16 \ltrch\fcs0 \b\f1\fs16\insrsid15945449\charrsid12850050 \cell }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid12850050 \cell }\pard\plain \ltrpar |
| \ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 |
| \f1\fs16\insrsid15945449\charrsid12850050 \trowd \irow19\irowband19\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow20\irowband20\ltrrow\ts15\trgaph108\trrh1397\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 |
| \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449 Additional relevant information: |
| \par {\*\bkmkstart Text11}}{\field{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449 FORMTEXT }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449 {\*\datafield 00000000140000000654657874313100000000000000000000000000} |
| {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text11}}}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid16210379 {\*\bkmkend Text11} |
| \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 |
| \par |
| \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid15040154 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 |
| \trowd \irow20\irowband20\ltrrow\ts15\trgaph108\trrh1397\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow21\irowband21\ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 |
| \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt |
| \clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 |
| \trowd \irow21\irowband21\ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt |
| \clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow22\irowband22\ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl |
| \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4616\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid8682842 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid4878408 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid8682842 \cell \cell |
| }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid8682842 \trowd \irow22\irowband22\ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4616\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow23\irowband23\ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 |
| \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4616\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408\charrsid4878408 Signature }{\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid4878408 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408\charrsid4878408 \cell {\*\bkmkstart Text44}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 |
| {\*\datafield 00000000140000000654657874343400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text44}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20 |
| \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408\charrsid4878408 {\*\bkmkend Text44}\cell }{\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid4878408 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 \trowd \irow23\irowband23\ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr |
| \brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth4612\clshdrawnil \cellx4221\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4616\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow24\irowband24\ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 |
| \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408\charrsid4878408 \cell }{\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid4878408 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 \trowd \irow24\irowband24\ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr |
| \brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow25\irowband25\ltrrow |
| \ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4614\clshdrawnil \cellx4221\clvertalt |
| \clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4614\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 \cell Print name }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408\charrsid4878408 \cell {\*\bkmkstart Text45}}{\field{\*\fldinst {\rtlch\fcs1 |
| \af0 \ltrch\fcs0 \f1\insrsid4878408 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 {\*\datafield 00000000140000000654657874343500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text45}}}}}{\fldrslt {\rtlch\fcs1 |
| \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid4878408\charrsid4878408 {\*\bkmkend Text45}\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 |
| \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 \trowd \irow25\irowband25\ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl |
| \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4614\clshdrawnil \cellx4221\clvertalt |
| \clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4614\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow26\irowband26\lastrow \ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh |
| \brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid4878408 \cell }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid4878408 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4878408 |
| \trowd \irow26\irowband26\lastrow \ltrrow\ts15\trgaph108\trrh208\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9228\clshdrawnil \cellx8837\clvertalt |
| \clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx9073\row }\pard \ltrpar |
| \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15945449 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15945449 |
| \par |
| \par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 |
| \f1\fs16\insrsid15945449\charrsid12850050 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow0\irowband0\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 |
| \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow1\irowband1\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449\charrsid12850050 Completed by N}{\rtlch\fcs1 \ab\af0 |
| \ltrch\fcs0 \b\f1\insrsid15945449 INo }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449\charrsid12850050 C}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449 entre}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449\charrsid12850050 |
| /Allocation Officer\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow1\irowband1\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 |
| \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil |
| \cellx8706\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\row \ltrrow}\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 |
| \f1\fs16\insrsid15945449\charrsid4400928 \cell }{\rtlch\fcs1 \ab\af0\afs16 \ltrch\fcs0 \b\f1\fs16\insrsid15945449\charrsid4400928 \cell }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f1\fs16\insrsid15945449\charrsid4400928 \cell }\pard\plain \ltrpar |
| \ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \trowd \irow2\irowband2\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706\clvertalt\clbrdrt\brdrnone |
| \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow3\irowband3\ltrrow\ts15\trgaph108\trrh611\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5211\clshdrawnil \cellx4820\clvertalc\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth425\clshdrawnil \cellx5245\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth425\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth426\clshdrawnil \cellx6096\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth425\clshdrawnil \cellx6521\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth425\clshdrawnil \cellx6946\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth425\clshdrawnil \cellx7371\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth426\clshdrawnil \cellx7797\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth439\clshdrawnil \cellx8236\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth470\clshdrawnil \cellx8706\clvertalt\clbrdrt\brdrnone \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 |
| \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell }\pard \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13377437\yts15 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 Existing/Allocated National Insurance Number}{\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449\charrsid12850050 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9185330\yts15 {\*\bkmkstart Text48}{\field{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 |
| \f1\insrsid8682842\charrsid8682842 FORMTEXT }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid8682842 {\*\datafield 00000100000000000654657874343800000009557070657263617365000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen1 |
| {\*\ffname Text48}{\*\ffformat Uppercase}}}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20}}}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid8682842 {\*\bkmkend Text48}\cell }{\field{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 |
| \f1\insrsid8682842\charrsid9185330 FORMTEXT }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 {\*\datafield 00000100000000000000000009557070657263617365000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen1{\*\ffformat |
| Uppercase}}}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \ab\af0 |
| \ltrch\fcs0 \b\f1\insrsid15945449\charrsid7690026 \cell }{\field{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 FORMTEXT }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 {\*\datafield |
| 00000100000000000000000009557070657263617365000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen1{\*\ffformat Uppercase}}}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20}}}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449\charrsid7690026 \cell }{\field{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 |
| \f1\insrsid8682842\charrsid9185330 FORMTEXT }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 {\*\datafield 00000100000000000000000009557070657263617365000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen1{\*\ffformat |
| Uppercase}}}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \ab\af0 |
| \ltrch\fcs0 \b\f1\insrsid15945449\charrsid7690026 \cell }{\field{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 FORMTEXT }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 {\*\datafield |
| 00000100000000000000000009557070657263617365000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen1{\*\ffformat Uppercase}}}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20}}}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449\charrsid7690026 \cell }{\field{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 |
| \f1\insrsid8682842\charrsid9185330 FORMTEXT }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 {\*\datafield 00000100000000000000000009557070657263617365000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen1{\*\ffformat |
| Uppercase}}}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \ab\af0 |
| \ltrch\fcs0 \b\f1\insrsid15945449\charrsid7690026 \cell }{\field{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 FORMTEXT }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 {\*\datafield |
| 00000100000000000000000009557070657263617365000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen1{\*\ffformat Uppercase}}}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20}}}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449\charrsid7690026 \cell }{\field{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 |
| \f1\insrsid8682842\charrsid9185330 FORMTEXT }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 {\*\datafield 00000100000000000000000009557070657263617365000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen1{\*\ffformat |
| Uppercase}}}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \ab\af0 |
| \ltrch\fcs0 \b\f1\insrsid15945449\charrsid7690026 \cell }{\field{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 FORMTEXT }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\insrsid8682842\charrsid9185330 {\*\datafield |
| 00000100000000000000000009557070657263617365000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen1{\*\ffformat Uppercase}}}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20}}}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449\charrsid7690026 \cell }\pard \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow3\irowband3\ltrrow |
| \ts15\trgaph108\trrh611\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5211\clshdrawnil \cellx4820\clvertalc\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth425\clshdrawnil \cellx5245\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth425\clshdrawnil \cellx5670\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth426\clshdrawnil \cellx6096\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth425\clshdrawnil \cellx6521\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth425\clshdrawnil \cellx6946\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth425\clshdrawnil \cellx7371\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth426\clshdrawnil \cellx7797\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth439\clshdrawnil \cellx8236\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth470\clshdrawnil \cellx8706\clvertalt\clbrdrt\brdrnone \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow4\irowband4\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 |
| \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706\clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 |
| \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f1\insrsid15945449\charrsid12850050 \cell }{\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid15945449 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow4\irowband4\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 |
| \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow5\irowband5\ltrrow |
| \ts15\trgaph108\trrh3815\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell |
| \par NINo Decision}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid13377437 Code: {\*\bkmkstart Text49}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid9185330 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid9185330 {\*\datafield |
| 00000000140000000654657874343900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text49}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194 |
| \'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Text49} |
| \par |
| \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid4400928 Comments or for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 information relating to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449\charrsid4400928 decision as per |
| {\*\xmlopen\xmlns2{\factoidname stockticker}}SNAP{\*\xmlclose} guide}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 |
| \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid4619580 |
| \par {\*\bkmkstart Text50}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid9185330 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid9185330 {\*\datafield 00000000140000000654657874353000000000000000000000000000} |
| {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text50}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect |
| \linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid9185330\charrsid15040154 {\*\bkmkend Text50}\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell |
| }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 |
| \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow5\irowband5\ltrrow\ts15\trgaph108\trrh3815\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706 |
| \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow6\irowband6\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl |
| \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706\clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 |
| \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow6\irowband6\ltrrow |
| \ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706\clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow7\irowband7\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb |
| \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4527\clshdrawnil \cellx4136\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4172\clshdrawnil \cellx8308\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth398\clshdrawnil \cellx8706\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid15945449 Date\cell {\*\bkmkstart Text51}}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid9185330 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid9185330 {\*\datafield |
| 00000000140000000654657874353100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text51}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\lang1024\langfe1024\noproof\insrsid8682842 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194 |
| \'20}}}\sectd \ltrsect\linex0\headery709\footery709\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15945449\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 {\*\bkmkend Text51}\cell \cell \cell }\pard\plain \ltrpar |
| \ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \trowd \irow7\irowband7\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4527\clshdrawnil \cellx4136\clvertalt\clbrdrt |
| \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4172\clshdrawnil \cellx8308\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone |
| \cltxlrtb\clftsWidth3\clwWidth398\clshdrawnil \cellx8706\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\row \ltrrow}\trowd \irow8\irowband8\lastrow \ltrrow |
| \ts15\trgaph108\trrh694\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706\clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\pard\plain \ltrpar |
| \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 |
| \f1\insrsid15945449 \cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\insrsid15945449 \trowd \irow8\irowband8\lastrow \ltrrow\ts15\trgaph108\trrh694\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 |
| \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9700\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb |
| \brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth236\clshdrawnil \cellx-391\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth9097\clshdrawnil \cellx8706\clvertalt\clbrdrt |
| \brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth367\clshdrawnil \cellx9073\row }\pard\plain \ltrpar |
| \s19\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15945449 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20\alang1025 |
| \ltrch\fcs0 \fs20\insrsid15945449 |
| \par |
| \par |
| \par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \b\fs20\insrsid15945449\charrsid5990195 Reason: \cell Code: \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow0\irowband0\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Applicant NINo Allocated \cell 1\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow1\irowband1\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Partner NINo Allocated \cell 2\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow2\irowband2\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Applicant NINo Refused no Recourse to Public Funds \cell 3\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow3\irowband3\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Applicant NINo Refused no RTW \cell 4\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow4\irowband4\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Partner NINo Refused Immigration Status Invalid\cell 5\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow5\irowband5\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Applicant NINo Refused ID not established FTA \cell 6\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow6\irowband6\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Applicant NINo Refused ID not established incomplete evidence \cell 7\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow7\irowband7\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Applicant NINo Refused ID not established }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449\charrsid5990195 potential fraud}{ |
| \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 \cell 8\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 \trowd \irow8\irowband8\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr |
| \brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Partner NINo Refused ID not established FTA \cell 9\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow9\irowband9\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Partner NINo Refused ID not established incomplete evidence\cell 10\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow10\irowband10\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Partner NINo Refused ID not established }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449\charrsid5990195 potential fraud}{ |
| \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 \cell 11\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 |
| \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 \trowd \irow11\irowband11\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr |
| \brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Partner NINo Allocated but no Recourse (passported entitlement) \cell 12\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow12\irowband12\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Applicant NINo Allocated but no Recourse (passported entitlement) \cell 13\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow13\irowband13\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
| \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx9120\row \ltrrow}\pard\plain \ltrpar\s19\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15945449\yts15 \rtlch\fcs1 \af0\afs24\alang2144 \ltrch\fcs0 |
| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Applicant NINo traced \cell 14\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow14\irowband14\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
| \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7353\clshdrawnil \cellx6726\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 |
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| \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 Partner NINo traced \cell 15\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1 |
| \widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid15945449 |
| \trowd \irow15\irowband15\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
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| \trowd \irow16\irowband16\ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
| \trftsWidth3\trwWidth9747\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind-519\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl |
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| \trowd \irow17\irowband17\lastrow \ltrrow\ts15\trgaph108\trleft-627\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 |
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| \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Cite;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Code;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Definition;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Keyboard; |
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