ࡱ> NPMy R\bjbj7{{w0008h|0$N :VV $"$"$"$"$"$"$$')NF$EF$VH$("("("V $(" $("("("V4@ p/v (" $$0$("*4!/("("8*/$`"("F$F$("$/, : Application Form for CE Certification 2014/68/EU (old directive 97/23/EC) Pressure Equipment CE3uh 2014/68/EU(ecN97/23/EC)bSY Applicant data3uNOo`:Name Y T: Company lQS T:Address lQS0W@W: Postal code : Phone T|5u݋: e-mail 5u:  Pressure equipment databSYSpe:Description NT Ty: Type of product NT{|W: CONTROL Forms.CheckBox.1 \s Vessel[hV  CONTROL Forms.CheckBox.1 \s Vessel for unstable gasbň N3z[lSO[hV  CONTROL Forms.CheckBox.1 \s Portable extinguisherO:d_mpkphV  CONTROL Forms.CheckBox.1 \s Breathing bottle|T8Tt  CONTROL Forms.CheckBox.1 \s Steam generator}l  CONTROL Forms.CheckBox.1 \s Piping(d"350!){S  CONTROL Forms.CheckBox.1 \s Piping(350!){S  CONTROL Forms.CheckBox.1 \s Piping for unstable gasb} N3z[lSO{S  CONTROL Forms.CheckBox.1 \s Pressure accessorybSDN  CONTROL Forms.CheckBox.1 \s Safety accessory[hQDN  CONTROL Forms.CheckBox.1 \s Raw materialSPge0Fluid state N(r`: CONTROL Forms.CheckBox.1 \s LiquidmSO  CONTROL Forms.CheckBox.1 \s GaslSOFluid group N(~+R:  CONTROL Forms.CheckBox.1 \s 1~  CONTROL Forms.CheckBox.1 \s 2~ f1~:Nfqfrf'lS gkI{qSi'`AmSON( 2~:N1~NYvAmSON( Pressure(bar)bSYSR: Volume(L) or Nominal diameter(mm) bSY[yb_:PS.V or PS.DNSRT[yvXNybSRT_vXNy: "(2JLTVZ^`fj~iiR=)h925B* CJ mH nHo(phpsH tH,hh$x5B* CJ mH nHphpsH tH/hh5B* CJ mH nHo(phpsH tH/hhS5B* CJ mH nHo(phpsH tH,hhS5B* CJ mH nHphpsH tH/hh925B* CJ mH nHo(phpsH tHh5B* CJ mH phpsH )h5B* CJ mH nHo(phpsH tH$hLhp[5B* CJ mH phpsH   . 0 F ` cPPd$7$8$H$Ifgdn|kd$$Iflp##  t 0644 lap ytnd$Ifgdngd $da$gd    * . 0 4 6 8 ͷiWP8 8.hnh[S5CJOJQJ\^JaJmH sH .hnhp[5CJOJQJ\^JaJmH sH  hnh[S#hnh[S5CJOJQJ^JaJ6hnhBb[5CJOJQJ^JaJmH nHo(sH tH+hnhr.5CJOJQJ^JaJmH sH 6hnhS5CJOJQJ^JaJmH nHo(sH tH+hnhp[5CJOJQJ^JaJmH sH hho()h5B* CJ mH nHo(phpsH tH)h$x5B* CJ mH nHo(phpsH tH 8 : > D F T \ ^ ` b p z 躤slT7#&hnh!15CJOJQJ\^JaJ9hnhBb[5CJOJQJ\^JaJmH nHo(sH tH.hnh5CJOJQJ\^JaJmH sH  hnh[S(hnh[SCJOJQJ^JaJmH sH 6hnhBb[5CJOJQJ^JaJmH nHo(sH tH+hnhp[5CJOJQJ^JaJmH sH  hnh[SCJOJQJ^JaJ9hnhBb[5CJOJQJ\^JaJmH nHo(sH tH.hnh[S5CJOJQJ\^JaJmH sH  ` b taad$7$8$H$Ifgdnkd$$Ifl0p# t0644 lapytn Ҹқ|dGd-2hnh[S5CJOJPJQJ\^JaJmH sH 9hnhBb[5CJOJQJ\^JaJmH nHo(sH tH.hnh[S5CJOJQJ\^JaJmH sH .hnhp[5CJOJQJ\^JaJmH sH  hnh!19hnhBb[5CJOJQJ\^JaJmH nHo(sH tH2hnhp[5CJOJPJQJ\^JaJmH sH 2hnh!15CJOJPJQJ\^JaJmH sH &hnh!16CJOJQJ]^JaJ taad$7$8$H$Ifgdnkdv$$Ifl0p# t0644 lapytn   $ , 0 ҵꮚeS>&.hnhBb[5CJOJQJ^JaJnHo(tH(h925CJOJQJ^JaJnHo(tH#hnhr.5CJOJQJ^JaJ6hnhS5CJOJQJ^JaJmH nHo(sH tH0h925CJOJQJ^JaJmH nHo(sH tH&hh5OJQJ\^JmH sH  hnh[S9hnhBb[5CJOJQJ\^JaJmH nHo(sH tH.hnh[S5CJOJQJ\^JaJmH sH *hnh[S5CJOJPJQJ\^JaJ 4 tfXd$Ifgdnd7$8$H$gd$xkd;$$Ifl0p# t0644 lapytn0 2 4 6 V Z ^ ` j p ҸmX;m#.hnh]9v5CJOJQJ\^JaJmH sH 9hnhBb[5CJOJQJ\^JaJmH nHo(sH tH(h925CJOJQJ\^JaJmH sH .hnh]9v5CJOJQJ\^JaJmH sH  hnh},;&hnh},;5CJOJQJ\^JaJ.hnh},;5CJOJQJ\^JaJmH sH 3h925CJOJQJ\^JaJmH nHo(sH tH hnh[S&hnh[S5CJOJQJ\^JaJ#hnh[S5CJOJQJ^JaJ 4 6 \ ^ p]d$7$8$H$Ifgdnd$7$8$H$Ifgd92|kd$$Ifl##  t 0644 lap ytn^ `  <taNNNd$7$8$H$Ifgd4d$7$8$H$Ifgdnkd$$Ifl0/ # a t0644 lapyt92   ɮɍoQ;%ɮ+h45CJOJQJ\^JaJnHo(tH+h925CJOJQJ\^JaJnHo(tH:jhdhd5CJOJQJU\^JaJnHtH*:j>hdh5CJOJQJU\]^JaJnHtH@jpZ hdh5CJOJQJUV\]^JaJnHtH4hdhd5CJOJQJ\]^JaJnHo(tH1hdhd5CJOJQJ\]^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH   " d f h qX=X@jnZ hdhd5CJOJQJUV\]^JaJnHtH4hdhd5CJOJQJ\]^JaJnHo(tH1hdhd5CJOJQJ\]^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH+h45CJOJQJ\^JaJnHo(tH7jhdhd5CJOJQJU\^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH@joZ hdhd5CJOJQJUV\]^JaJnHtH     H ưy^y=ư:j hdhd5CJOJQJU\]^JaJnHtH@jmZ hdhd5CJOJQJUV\]^JaJnHtH4hdhd5CJOJQJ\]^JaJnHo(tH1hdhd5CJOJQJ\]^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH+h45CJOJQJ\^JaJnHo(tH7jhdhd5CJOJQJU\^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH H J L ɮɍoS=ɮ+h45CJOJQJ\^JaJnHo(tH7jhdhd5CJOJQJU\^JaJnHtH:j^ hdhd5CJOJQJU\]^JaJnHtH@jlZ hdhd5CJOJQJUV\]^JaJnHtH4hdhd5CJOJQJ\]^JaJnHo(tH1hdhd5CJOJQJ\]^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH     ycE,1hdhd5CJOJQJ\]^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH+hd5CJOJQJ\^JaJnHo(tH+h45CJOJQJ\^JaJnHo(tH+h45CJOJQJ\^JaJnHo(tH7jhdhd5CJOJQJU\^JaJnHtH:j& hdhd5CJOJQJU\]^JaJnHtH@jkZ hdhd5CJOJQJUV\]^JaJnHtH  N P R T V d n v x z ̫q[E[':jhdhd5CJOJQJU\]^JaJnHtH+h45CJOJQJ\^JaJnHo(tH+h45CJOJQJ\^JaJnHo(tH7jhdhd5CJOJQJU\^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH@jjZ hdhd5CJOJQJUV\]^JaJnHtH1hdhd5CJOJQJ\]^JaJnHtH4hdhd5CJOJQJ\]^JaJnHo(tH 46y[B'B4hdhd5CJOJQJ\]^JaJnHo(tH1hdhd5CJOJQJ\]^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH+hu[5CJOJQJ\^JaJnHo(tH+h45CJOJQJ\^JaJnHo(tH7jhdhd5CJOJQJU\^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH@jiZ hdhd5CJOJQJUV\]^JaJnHtH 68:<jlnqX=X@jgZ hdhd5CJOJQJUV\]^JaJnHtH4hdhd5CJOJQJ\]^JaJnHo(tH1hdhd5CJOJQJ\]^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH+hu[5CJOJQJ\^JaJnHo(tH7jhdhd5CJOJQJU\^JaJnHtH:j~hdhd5CJOJQJU\]^JaJnHtH@jhZ hdhd5CJOJQJUV\]^JaJnHtH ư|cHc'@jfZ hdhd5CJOJQJUV\]^JaJnHtH4hdhd5CJOJQJ\]^JaJnHo(tH1hdhd5CJOJQJ\]^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH+hd5CJOJQJ\^JaJnHo(tH+hu[5CJOJQJ\^JaJnHo(tH7jhdhd5CJOJQJU\^JaJnHtH:jFhdhd5CJOJQJU\]^JaJnHtH :<>^bdfưv^@'1hdhd5CJOJQJ\]^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH.hnh]9v5CJOJQJ\^JaJmH sH 3hu[5CJOJQJ\^JaJmH nHo(sH tH hnh]9v1hu[h]9v5CJOJQJ\^JaJnHo(tH+hu[5CJOJQJ\^JaJnHo(tH7jhdhd5CJOJQJU\^JaJnHtH:jhdhd5CJOJQJU\]^JaJnHtH <>btaNd$7$8$H$Ifgdnd$7$8$H$Ifgdu[kd$$Ifl0/ # a t0644 lapyt92f̫mS5:jhdhd5CJOJQJU\]^JaJnHtH3hu[5CJOJQJ\^JaJmH nHo(sH tH?jhdhd5CJOJQJU\^JaJmH nHsH tH:jhdhd5CJOJQJU\]^JaJnHtH@jeZ hdhd5CJOJQJUV\]^JaJnHtH1hdhd5CJOJQJ\]^JaJnHtH4hdhd5CJOJQJ\]^JaJnHo(tH &.r^W=%.hnh},;5CJOJQJ]^JaJmH HsH H3hu[5CJOJQJ]^JaJmH nHo(sH tH hnh]9v&hnh]9v5CJOJQJ\^JaJ(hu[5CJOJQJ\^JaJmH sH 3hu[5CJOJQJ\^JaJmH nHo(sH tH?jhdhd5CJOJQJU\^JaJmH nHsH tH:jGhdhd5CJOJQJU\]^JaJnHtH@jdZ hdhd5CJOJQJUV\]^JaJnHtH 0taad$7$8$H$Ifgdu[kd$$Ifl0/ # a t0644 lapyt92.024jlnprxz|̴|`@&̴3hu[5CJOJQJ]^JaJmH nHo(sH tH?jhdhd5CJOJQJU]^JaJmH nHsH tH7jhdhd5CJOJQJU]^JaJnHtH=jcZ hdhd5CJOJQJUV]^JaJnHtH1hdhd5CJOJQJ]^JaJnHo(tH.hdhd5CJOJQJ]^JaJnHtH7jhdhd5CJOJQJU]^JaJnHtH.hnh},;5CJOJQJ]^JaJmH sH   6@BDĤqjR>j$3hS5CJOJQJ]^JaJmH nHo(sH tH&hnh},;5CJOJQJ]^JaJ.hnh},;5CJOJQJ]^JaJmH sH  hnh},;1hnh},;5CJOJQJ]^JaJnHo(tH3hu[5CJOJQJ]^JaJmH nHo(sH tH?jhdhd5CJOJQJU]^JaJmH nHsH tH7jhdhd5CJOJQJU]^JaJnHtH=jbZ hdhd5CJOJQJUV]^JaJnHtH @Btaad$7$8$H$IfgdnkdH $$Ifl0/ # a t0644 lapyt92BDtaad$7$8$H$Ifgdnkd $$Ifl0/ # a t0644 lapyt92T.T4Tѹ||`YW|?.hnhm5CJOJQJ]^JaJmH sH U hnhS6hnhS5CJOJQJ]^JaJmH nHsH tH3hS5CJOJQJ]^JaJmH nHo(sH tH hnh},;6hnh},;5CJOJQJ]^JaJmH nHsH tH.hnh},;5CJOJQJ]^JaJmH sH &hnh},;5CJOJQJ]^JaJ3h5CJOJQJ]^JaJmH nHo(sH tH taad$7$8$H$Ifgdnkd!$$Ifl0/ # a t0644 lapyt92DTxWtaad$7$8$H$IfgdnkdQ"$$Ifl0/ # a t0644 lapyt92Assessment module3uċ0O!j_:  CONTROL Forms.CheckBox.1 \s A,  CONTROL Forms.CheckBox.1 \s A2,  CONTROL Forms.CheckBox.1 \s D1,  CONTROL Forms.CheckBox.1 \s  E1,  CONTROL Forms.CheckBox.1 \s H,  CONTROL Forms.CheckBox.1 \s  H1,  CONTROL Forms.CheckBox.1 \s G,  CONTROL Forms.CheckBox.1 \s B+D,  CONTROL Forms.CheckBox.1 \s B+E,  CONTROL Forms.CheckBox.1 \s B+F,  CONTROL Forms.CheckBox.1 \s B+C2Other requirements vQNBlTraning of certification /f&Tb/gW CONTROL Forms.CheckBox.1 Yes / CONTROL Forms.CheckBox.1 No Which aspectswQSO[vTebOthers vQN Timeline ehExpected start date g_U\ve:Expected completion date gg[b[8heg:  Date: Place: Signature:      INCLUDEPICTURE "cid:image001.png@01D191F1.B21C25B0" \* MERGEFORMAT  'khKm-N_ Room 709 of Fortune 108 Plaza, No.1839 Qixin RD., Minhang Dist., Shanghai 201101, P. R. China Tel +86 21 60913286 Fax +86 21 60913286  HYPERLINK "mailto:info@" info@sho-cert.com www.sho-cert.com  Version 1.0  18-01-2016 Page  PAGE \* MERGEFORMAT 1 of 1 FORM 01 4TBTDTFTHT~TTTTTTTɰiP:!1jhk$-5CJOJQJU]^JaJnHtH+hS5CJOJQJ]^JaJnHo(tH1j#hk$-5CJOJQJU]^JaJnHtH7jaZ hk$-5CJOJQJUV]^JaJnHtH+hwZ5CJOJQJ]^JaJnHo(tH(hwZ5CJOJQJ]^JaJnHtH1jhwZ5CJOJQJU]^JaJnHtH1hnhC5CJOJQJ]^JaJnHo(tH9hnhBb[5CJOJQJ]^JaJmH nHo(sH tH TTTTTTTTTTUU빠qU=$=1hk$-hk$-5CJOJQJ]^JaJnHo(tH.hk$-hk$-5CJOJQJ]^JaJnHtH7jhk$-hk$-5CJOJQJU]^JaJnHtH+hS5CJOJQJ]^JaJnHo(tH1jhk$-5CJOJQJU]^JaJnHtH1j$hd5CJOJQJU]^JaJnHtH7j`Z hd5CJOJQJUV]^JaJnHtH+hk$-5CJOJQJ]^JaJnHo(tH(hk$-5CJOJQJ]^JaJnHtH UUUUU U"U$UZU\U^U`UbUlUĨzzazB&7j`(hk$-hk$-5CJOJQJU]^JaJnHtH=j^Z hk$-hk$-5CJOJQJUV]^JaJnHtH1hk$-hk$-5CJOJQJ]^JaJnHo(tH.hk$-hk$-5CJOJQJ]^JaJnHtH+hS5CJOJQJ]^JaJnHo(tH7jhk$-hk$-5CJOJQJU]^JaJnHtH7j&hk$-hd5CJOJQJU]^JaJnHtH=j_Z hk$-hd5CJOJQJUV]^JaJnHtH lUnUpUUUUUUUUUUUUUUUVVV:VV@VBVHVJVLVVVVVVVVVVVʱpT;p1j/hk$-5CJOJQJU]^JaJnHtH7jZZ hk$-5CJOJQJUV]^JaJnHtH+hk$-5CJOJQJ]^JaJnHo(tH(hk$-5CJOJQJ]^JaJnHtH+hS5CJOJQJ]^JaJnHo(tH1jhk$-5CJOJQJU]^JaJnHtH1j-hk$-5CJOJQJU]^JaJnHtH7j[Z hk$-5CJOJQJUV]^JaJnHtHVVVVVVVWWW W"W,W.W0WfWhWʱpT;p1j3hk$-5CJOJQJU]^JaJnHtH7jXZ hk$-5CJOJQJUV]^JaJnHtH+hk$-5CJOJQJ]^JaJnHo(tH(hk$-5CJOJQJ]^JaJnHtH+hS5CJOJQJ]^JaJnHo(tH1jhk$-5CJOJQJU]^JaJnHtH1jH1hk$-5CJOJQJU]^JaJnHtH7jYZ hk$-5CJOJQJUV]^JaJnHtHhWjWlWnWvWxWzWWWWWWWʱ{aHA,(hS5CJOJQJ]^JaJnHtH hnh[S1hnh[S5CJOJQJ]^JaJnHo(tH3hS5CJOJQJ]^JaJmH nHo(sH tH hnhC1hnhC5CJOJQJ]^JaJnHo(tH+hS5CJOJQJ]^JaJnHo(tH1jhk$-5CJOJQJU]^JaJnHtH1j4hk$-5CJOJQJU]^JaJnHtH7jWZ hk$-5CJOJQJUV]^JaJnHtH xWzWWt^$d$7$8$H$Ifa$gdnkd6$$Ifl0/ # a t0644 lapyt92WWxXXubd$7$8$H$IfgdS $7$8$H$IfgdS|kdW7$$Ifl##  t 0644 lap ytnWW&X(X*X,X6X8XlXnXpXrXvXxXXXX㙉x`J2.hnhS5CJOJQJ]^JaJmH sH +hS5CJOJQJ]^JaJnHo(tH.hzhS5CJOJQJ]^JaJnHtH hS5CJOJQJ]^JaJj9hd5B* CJUphp%jVZ hd5B* CJUVphp&hhS5CJOJQJ]^JaJj7hS5B* CJUphp%j_Z hS5B* CJUVphphS5B* CJphpjhS5B* CJUphpXXXyd$7$8$H$Ifgdnskd;$$Ifl## t0644 lap ytSXXXXXXXXXXYYw\U<#1hnhm5CJOJQJ]^JaJmHnHu1hnh475CJOJQJ]^JaJmHnHu hnhm5hnhm5CJOJQJ]^JaJmHnHtHu8hnh5CJOJQJ]^JaJmHnHo(tHu1hnh475CJOJQJ]^JaJmHnHu)hih56CJOJQJ]^JaJ9hnhS5CJOJQJ]^JaJmH nHo(sH tH3hS5CJOJQJ]^JaJmH nHo(sH tH hnhS XXXX~h$d$7$8$H$Ifa$gdnd7$8$H$gd$xskd<$$Ifl## t0644 lap ytSXXYbYlld$7$8$H$Ifgdnkd<$$Ifl##  t 0644 l` ap ytnYYY,Y@YJYLY\Y^Y`YbYdYfYnYʱ{`YD,.hh\T6CJOJQJ]^JaJmH sH )hih56CJOJQJ]^JaJ hnhn5hnhm5CJOJQJ]^JaJmHnHtHu8hnhL5CJOJQJ]^JaJmHnHo(tHu1hnh5CJOJQJ]^JaJmHnHu1hnh475CJOJQJ]^JaJmHnHu1hnhm5CJOJQJ]^JaJmHnHu8hnh5CJOJQJ]^JaJmHnHo(tHu bYdYfYYYYYaSE;9; dgd$xd7$8$H$gdLd7$8$H$gd$xkdi=$$Ifl0#  t0644 l` apytnnYrYtYxYYYYYYYYYYYYYYYYDZFZHZJZLZи舠wokokokokc_cJc?hnhwZnHtH(j*>hnhwZUmHnHsH tHuhwZjhwZUh-jh-U hmh~QCJOJQJ^JaJ.hh)6CJOJQJ]^JaJmH sH .hh\T6CJOJQJ]^JaJmH sH .hh6CJOJQJ]^JaJmH sH .hhC`6CJOJQJ]^JaJmH sH .hh`6CJOJQJ]^JaJmH sH YYYYYYLZ^Z`ZbZZ ["[$[&[[[$d$Ifa$gdnd$Ifgdn dgd$xLZ\Z^ZbZ[ [ [&[v[x[[[[[[[[[[[[\ \\\"\$\,\.\6\:\ĹĥěIJzbzbzbMbMb)h.dhwZB* CJ OJQJ^JaJ ph%.hwZB* CJ OJQJ^JaJ nHo(ph%tH#hwZB* CJ OJQJ^JaJ ph%hwZhKhwZnHtHhnhwZCJo(jhnhwZCJU hnhwZjhnhwZUhnhwZCJhnhwZCJnHtH hnhwZ5B* nHphptH'hnhwZ5B* CJnHo(phptH[[[[\\\\{ylyy^d7$8$H$gdL $ p##a$gdr dgdKykd$$IflFj # Z t6    44 lapytn:\<\j\l\n\p\x\|\\\\\\\ъqXTP? hmh~QCJOJQJ^JaJh-hwZ1h.dhwZB* CJ OJQJ^JaJ nHph%tH1hwZ5B* CJ OJQJ^JaJ nHo(ph%tH,h.dhwZ5B* CJ OJQJ^JaJ ph%.hwZB* CJ OJQJ^JaJ nHo(ph%tH.hB* CJ OJQJ^JaJ mHnHph%u)h.dhwZB* CJ OJQJ^JaJ ph%2jh.dhwZB* CJ OJQJU^JaJ ph% 5 01h:pK. A!"#y$% $$If!vh#v#:V l  t 06,5#/ p ytn$$If!vh#v:V l t06,5/ / / pytn$$If!vh#v:V l t06,5/ / / pytn$$If!vh#v:V l t06,5/ / pytn$$If!vh#v#:V l  t 06,5#p ytn$$If!vh#v #va:V l t06,5 5apyt92Dd b  c $A? ?3"`?2̀`ے;v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~?@ABCDFGHIJKLOSjRTVUWXY[Z\^]_`acbdfeghilkmonqpsrtvuwxy{z|~}Root Entry F p/Q@Data EWordDocument7ObjectPool.`p/ p/_1522050416@ҋB ``p/`p/PRINTCompObj tObjInfo !%'()*+,-./01248:;<=>?@ABCDEGKMNOPQRSTUVWXZ^`abcdefghijkmqstuvwxyz{|}~r ~#  - !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qOCXNAME contentsD_1522050415 @ҋB ``p/`p/PRINTCheckBox210$F@x0 @"[SOr ~#  - !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii'CompObj  tObjInfo"OCXNAME #contents$D @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox211$F@x0@"[SOr ~#  - !- !_1522050414@ҋB ``p/`p/PRINT&CompObj3tObjInfo5  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox212$F@x0@"OCXNAME6contents7D_1522050413" @ҋB ``p/`p/PRINT9[SOr ~#  - !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCompObjFtObjInfoHOCXNAMEIcontentsJDCheckBox213$F@x0@"[SOr ~#  - !- !  .#@ ( _1522050412@ҋB ``p/`p/PRINTLCompObj YtObjInfo[iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox214$F@x0@"[SOr ~#  OCXNAME!\contents]D_1522050411($@ҋB ``p/`p/PRINT_- !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox215CompObj#&ltObjInfonOCXNAME%'ocontentspD$F@x0@"[SOr ~#  - !- !  .#@ ( iiiiii_1522050410*@ҋB ``p/`p/PRINTrCompObj),tObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox216$F@x0@"[SOr ~#  - !- !  .#@ OCXNAME+-contentsD_1522050409^0@ҋB ``p/`p/PRINT ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox217$F@x0@"[SOCompObj/2tObjInfoOCXNAME13contentsD_15220504086@ҋB ``p/`&p/PRINTCompObj58tObjInfor ~#  - !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qOCXNAME79contentsD_1522050407@4<@ҋB ``&p/`&p/PRINTCheckBox218$F@x0@"[SOr ~#  - !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii'CompObj;>tObjInfoOCXNAME=?contentsD @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox219$F@x0@"[SOr ~#  - !- !_1522050406B@ҋB ``&p/`&p/PRINTCompObjADtObjInfo  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox220$F@x0@"OCXNAMECEcontentsD_1522050405R:H@ҋB ``&p/`&p/PRINT[SOr ~#  - !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCompObjGJtObjInfoOCXNAMEIKcontentsDCheckBox221$F@x0@"[SOr ~#  - !- !  .#@ ( $_1522050404N@ҋB ``&p/`&p/PRINTCompObjMPtObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox222$F@x0@"[SOr ~#  OCXNAMEOQcontentsD_1522050403XLT@ҋB ``&p/`&p/PRINT    "$%&'()*+,-./15789:;<=>?@ABDHJKLMNOPQRSTUW[]^_`abcdefghjnpqrstuvwxyz{}- !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox223CompObjSVtObjInfoOCXNAMEUWcontentsD$F@x0[SO@"[SOr ~#  - !- !  .#@ ( iiiiii_1522050402Z@ҋB ``&p/`&p/PRINT CompObjY\tObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox224$F@x0@"[SO @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qOCXNAME[]contentsD_1522050401uF`@ҋB ``&p/`&p/CompObjtObjInfo_aOCXNAMEb contents!D_1522050400e@ҋB ``&p/`&p/CheckBox1$F@0@"[SOr ~#  - !- !  .#@ ( PRINT#CompObjdg0tObjInfo2OCXNAMEfh3iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox2$F@x0[SO@"[SOr ~#  - !- !contents4D_1522050399ock@ҋB ``&p/`&p/PRINT6CompObjjmCt  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox21$F@x0yst@"ObjInfoEOCXNAMElnFcontentsGD_1522050398q@ҋB ``&p/`&p/[SOr ~#  - !- !  .#@ ( iiiiiiiiiiiiPRINTICompObjpsVtObjInfoXOCXNAMErtYiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox22$F@x0[SO@"[SOr ~#  - !- !  .#@ ( contentsZD_1522050397iw@ҋB ``&p/`&p/PRINT\CompObjvyitiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox23$F@x0@"[SOr ~#  ObjInfokOCXNAMExzlcontentsmD_1522050396}@ҋB ``&p/`&p/PRINToCompObj||tObjInfo~OCXNAME~- !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox24contentsD_1522050395{@ҋB ``&p/`&p/PRINTCompObjt$F@x0[SO@"[SOr ~#  - !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox25$F@x0@"[SOr ~#  - !- !  .#@ ObjInfoOCXNAMEcontentsD_1522050394@ҋB ``&p/`&p/PRINTCompObjtObjInfoOCXNAME ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox26$F@x0@"[SOcontentsD_1522050393@ҋB ``&p/`&p/PRINTCompObjtr ~#  - !- !  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qObjInfoOCXNAMEcontentsD_1522050392@ҋB ``&p/`&p/CheckBox27$F@x0@"[SOr ~#  - !- !  .#@ ( PRINTCompObjtObjInfoOCXNAMEiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox28$F@x0@"[SOr ~#  - !- !contentsD_1522050391@ҋB ``&p/`&p/PRINTCompObjt  .#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox29$F@x0@"ObjInfoOCXNAMEcontentsD_1522048863@ҋB ``&p/`&p/[SOr d   - !- !  . @ ( iiiiiiiiiPRINTOCXDATA,CompObjtObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `  @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox281$F@p0@"Systemࡱ> OCXNAMEcontentsHOCXPROPS _1522050390@ҋB ``&p/`&p/      !"#$%&'*.0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVXYZ[\]_`abcdeghijlmnoprstuvwxyz{|}Root Entry@ҋB `ЖҌcontentsHCompObjt$F@p0y@"Systems? @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19q|eqǵ+BLX$KXLShared ISAVE::_HrSaveSxviewsh r d   - !- !  . @ ( PRINTOCXDATA(,CompObj)tObjInfo+iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' @ҋB `  @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qCheckBox2111$F@p0[SO@"Systemࡱ> OCXNAME,contents-HOCXPROPS/ 1Table./Root Entry@ҋB `ҌcontentsHCompObjt$F@p0y@"Systemz @ҋB `Microsoft Forms 2.0 ѡEmbedded ObjectForms.CheckBox.19qOh+'0t     -% !"#&'()*+,F/0123456789:;<=>?@ABCDEx 0Dgm>v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~v  @Zf| 3el' -oC~'A3iC$0fsI?p'}mp2ڊ滪bAcELN20㣊5h4@ohR%My^~<~8C`!?$}PH.xR91 '\aiiXA Wy%?0bEgc˲!n!3o+y~Ģۢ'k}SJ!S~qDE C7ڪbNbڋ3Qv <ȁ "5c}\xJ29$Ҙ1p ]'+E; |`ʃ%Dd b   c $A? ?3"`?2 ?$}:C`!?$}PH.xR91 '\aiiXA Wy%?0bEgc˲!n!3o+y~Ģۢ'k}SJ!S~qDE C7ڪbNbڋ3Qv <ȁ "5c}\xJ29$Ҙ1p ]'+E; |`ʃ%$$If!vh#v#:V l t06,5#p ytS$$If!vh#v#:V l t06,5#/ p ytS$$If!vh#v#:V l  t 06,5#/ ` p ytn$$If!vh#v:V l  t06,5` pytnXDd zX<  C AbWc;5`7NWn>CnWc;5`7NPNG  IHDRNsRGB pHYs%%IR$WZIDATx^]xSH)P(ww[؇[J] !ޤ7!m׽93s̜gJד|$PS@OP2? $`P@} @2K&)%{@B:A ׉eLRB:)(IHO(/*!E9C-%|Ue%[DBA:g/i鱩yI 9U."xB_NK;]gkm%y*Jğ02c3GeGg \V^^VuLM4Ԕj_;YcpqXHZ>r2NVZz.v-:ҭP wWxzPLf E'2Vr0 ؾkS#G3 L n})ᗸĭ+C?:Xhg\Sõ[0"1G=_]ֱ.=20umYG{N-9{vE^!&p`6on#%p/"lXKX?:G!zz/p4^˜ѫ-=7ԧ.+IcDWZ\OߞcRn~!obqO^(r7ȕn ]} RY=(yYgd|P'!&wOגeVw7wDKG-" <|X]md<Ƈ԰۾E͢blxb\B ~TeOk幧|&WEϱLI9SOq22T6IdE'<Ͻ{S4IkX}" ׇgK2m~719+qO_A=,>+RX/'Vt$(^)ÄT D/&,?×3")wݻ!J|DamϿ ~a~]$'8.&ůMŠkbKKeƛ䬋9zכ&nMUX裐_f/3rι9Fc!Lt_l1#uuVZN6ޜyEb>q.+>D*Pc4^Gu-UR %2 S4.ulH8ϼy s&ՇR7dKV 񯞆"Norf$씬B)z?c"X5|Pz+p=ZB~mUyԊ3_ Cm]pǐÈtD Vx]F|S+ gj喢>ݨyv~IOv*k*lseis#lat-Mk:cQĝաCS =DTGɆFZJ1-k?!pj^SNuƢ5;FA{l#x C\qT]qd!!ֿǞ;zd('L!zV>]y`Vkkآ'4UJ=(۠ӊG_BSСZ٩0>Ś1IL^RZr}C_}}yGS\شFfP,wr9CC/# Cõohz! iԩ!EK"8[6@jn sB(;ѷmFe/Q+:Jk}֝9kIs󫛏($]{J8: 3P\E`(@mԭ8" eco=THF} 5rZ/FjGFP%? ($c[^/l2wrJIK*t wTiT,E &H)E\,xb^MmgW'GyHYyYLQ*Gٔ+2(A jHq86"0E09RVҮwVQNNexC;fE~yr] {dM$yDZ&T( o'3׽}Oc;'ˉ6^L8B/4 cNm S{Qa$]}Dr\)x[ơ˹RQO#p`j٩/YC+5к"= ;( WO0&+&}NmOPx"0E0e[ 3OWy^>`R2 4l2Vmr9zhE:O^ 9#a%LؗHp-ԓ XD+TNsqn*Wݝ)bx3wd;K} >X1Q.ܣ("PW]< KmdAx- |cZ̻[?c6r"/-٩}"2HhOAo2x.yA UYRJJ~Ej(cnkA5ҦT8&8,9eu!a}r&D%(+#|,V@ssb6$3? [cs8;фzqJC##keaĺ*8߷L0d-)f+7i&9 j.޾˝"`ԧEZҰԮK©GJH̙~ulAY%>`24PsH  0MH.C)Z q[y ɌN Q:XqBI@pjT|5m^MXDY=>=dU. 0R&R6s {̈́>PeM=@VGB8$ jjɔT_Q[DuztAVsvU6GU9Cб=/71b8q((>Nнs\p1,K="˘龾5{sD@kq]7~/ Ags͌Sϩ@#5+;Q*@zIܼ}xS_ESgMS܁_Tb{7L ZZZ #/:QnԤ9:71CWL/3@}oO(=llF?Ӈ˿~JsN쯧$g+xk 2dbꠋaP{Yk( TCY.8 nLI̟#z^5{*=#J8=ޒ2 ?~Q0S ՄpwjuP\6[^Qݽ۪':.z-B@Y]6ѡ8[HQKΦ]TTs|CxK ǜzbQՓ ,֬B܂$}O٤J9SlG}|sB'1iu5gԩ!}4v53#O=;3\ZQ-E Qh{#O*%$n :r[V;pB_nTh::_;.+ӮAE3\X&r;(|JjՈNčQm۸I'_Nm\^kFERz5A]ug#g#EPg)W#zAA88fAA^ e 7Oxd(U|G VAy; 0Iqh3 -8%8 ̥(&UOuRZ|D,([VQƊNp6U4kܢ+Z0ޏXlwVwVVX+B}p]t“:oU>8j_#+"*{~ݷOAܐڮF6a{avUEtPYwFwy\NIׄago3]/G$|"# J5@5%zXHVw(@Y?xucm┘A5_A:^=._w( w,XRQn}\ue^EĨO:1Öuoq IoJ|jV!OUTPFS7,yiH&SR`뛳2?\ϵOSN <`4U[mf:1z5S M56.Өp3V P{+CXVۭ9o8-ForV|;P6:QUQ`WSO*("n#HB8~ץ nEe%CC" ۽%W^o#J{*NC9|71k3EѓΎAy`QI=,9)pP|DRi^jjD]} =\*H)W>џ8-(-l'_'m&4oM4S8YX$vZ\Z>;lû@&(&PGz~tD6%*}%غ M%J|+:P*.+j*9i9ۈ~w4l`ɈpNqozĀG{C?X}IE;7rWcu&CP1=bV>OwMWh"JV'TשtYBC%Af# XG{~^h&ڙ]\_UNY-~ՍHwa"c$,d$5CvkH1(K_ž<2uf[sL- i\$9s e9`iaC/~v T\YVN |@}Gyp%Mx]Vg% jNQN)FJWo{Qi>+.o'.( W죁/OJ{nhoj+ NcT[V 꾻1K4[WI"wZg^K6oϛoQk;sڮqSCz[#(Tu 88`\[fQ*{EDM؊#|5Eϔ>Wp{8y٫4啼6wj:c6"xVD&'ׯ#J,Ҩ4Yv b0:3Gqv89iK]V5oU4!"@oe1V3,OR@4p{5"-k*!*:<7HuWzAYу|] &T <1M%EyAD?h=p~EMNL,ONP4ob)Fs'y|(-XPm9FUC }GCVJ,lgY SR'a//B52mMM%e(Lwa۷`"<뗭1=A<0nTSG3Mzc"Mye! }/g;ܙsjPO=χY8p|$|s:|TňՁ ~|3icuGP5:` }>QPL`PևhbNuOmǩ>Ek|Wi.%V`=Rbuap& īj/HS+zsqtY#rituw#?dU7Ӷ;7"5uϭ}84B *^qBJסp>B j1{|O 76Ǩ|m6<|zwgkvN*)-c |a8f~SA-W|誡:JjiUv {YdUV+rTs=a3E/σ#XPBxċ1B 4}/PjeEquѵ~G[w+>"|}ߝ~qֱ}o7m!-6oσoPϼWbT1Ŏ@úr0.ޅ,!cL5esDC#Cŏ3ŦULFv{( &CFs/p`»ɾ)-+ׄw13'~#'7]u1{0uV𴗾D>ȵ0ϯHIցj]u.#Y]XԮ:d,)/{};grwZ͜mgc.&+Г_#o#hyΤƠחuql+ⵣvU9X[P.++⭤,;8#XApDgcOmbu,U R q ώMH+F8|JtMULUUUe|jT1wqdu5]S+Xݪ޴̤c#Ҏ0:|0zReKO}9 ;Ȍ@{[MzWĨ3hBл~{Jo׌:|c5b:8Ϲ/zz/;AL?'w/2B~q]l8e=&"OBUY{fnL.ug/}S[ #G6Ni)y%y -6ta`(apX:Jj^[ɐ!Jv u|`޻JPoR s Q?w`!mi7&!JLdn4L0$JYCJ;5k\7$?ޤBB!a٣/1vV~1^݋Nx6w|gҮcg];yJ˂]Rz{C TG9TЊ^ ,g҆RҲKJ4lԕV+, KdT%4 Qwp6l7H`uG{~Dwf,31 v$F.A0Fl| G*Y~֫L>VL#<썛BU($78˶m>CЇLauL $>S3TF=#Ni(bOC˔(1 0,.h'5q.|Xcage}O"o紣!tyPJuG㰨&h6+G4[ȚĒ$dl{e]rdD=S-Q.:AC3\g\I}AՇA(X!@kK+o#o|%Cfkl9dD$7_<ǠQGҞILP/ *$-ՙ?p])Y +d6:q÷1 :B~SwB4ı3nvQ>ՙg$J-<.V ,!i #[G,3 d5FhnCo#8R/JAjOCܢ,(ol/z'T2,=7PS/mcfVg#g|Z^ZvE92ҪJrpTUSST“D@Fi^ NtJ.Tcfx*nRndK(Pg)@ɌQg#V5K)( auPNP@ub%P@= @2K&)%{@B:A ׉eLRB KuV,V $^'Y2I $. HXN,d HX]$zXf$%dH(P'( a:̒IJ(@g©w_$%&;4piV[G'8(Dkiiidž~Jj2d>+ģ|};{Rgx44$8-5T>??峧a! ::FF:vrquURRGm{H0{+;|$']E:VX]MMMNIJBTҫeggvkq^ 7o޾~=^Qk76ڛ[Xr#Ň ut ߿yEj7,[7_|{g11**XD]]6n-ZⶈWPYEʚۈϋ'O^2FF1y7o$'%5qrVUUwtamبqnn !GF|df rE!/?9u ؤ%'+m\ym]}OIS1ulzXVV`Jʳ33_a+x}#zh,U./-)>A}tLOOWU`{%-::b/ߺk?)I f UQSc.bzrR&M9/",7[m=eUU &[eʓZ5fk[4}80޽zoLq@Ғx.\> 7/;e fg+("e~^^VZJb|->} +z`ٱ>^&0 U9ίƦZ,cU//741+2;c6462B]kAZVT={?Tt-+D%eo@}/ݼ IS+,'E5V j`b;y#1gH^ZZ[q4?k~J±0H&6T& 쁽k虘8&5KO'=q%R2 Q\kVTB4g>LmW9 71ulVQ1m߳C.8~Ⱦ];m7qH(+ Ĥe9f܀!CYaj~|OY!ϝ:s&3+[M9h?x0̇Xdfe;:ࡶ/QQId'=ji?fןoDgUafx w#דgg޳-;僅,ٱ/?_zQAQ8/L,o\nkS ;`jh9!^LIMfk_x?TUXw9N޾y#dfV/=:ps V5rJ/^/ڸ{b9uSsޣ(())k;{уf<5a :4qܦebBBW_TQ)Yzt޾ݻT QČp,`*0]ZUe9y@#/d*ݡxXXTva+5|}W,r-bRҲvZ l/lv1!{Tr7:`šPANvԘ5HR*(lYS'SE[OҹM+NQpE 0̭MAP*VM~;ٻc(+"y6$4SҺ;sgpAb[Ck^8}O?²rā B6VֻxtZj*7q:ԓ'ٕ (81qE+8bȈMbPQIiɬDZ?sWo0V܂=(>2LX-ɅT[|tۗ2Rׄ췯_ 7NҐR1?@ꘗ-WىSfiiI 7&ʍ:$qa*80z8.2\g2pgǤ(7#+y9$rݾͪ[0TJ^$V& 'z r&yR\LthǻWޟܽ>H/,'!ki*nX\X4_M̆Z12$V]~N(jٱi,˵_/l/fee mW#kcђTo$ᝑҧ_+ wn [$[nfF&-*1.GOE(VpF2YۨĚշzWPoXԭGOƌ[E]s-Zq=+VcW:zťa˶U6A=DAƍ`n޾sEhÊOqQ{c޹7ncCJ`ϟ>c.oTwxII 3N\SJ ^&JKo>|9q 3 +ʪj0d'CtWe%~4(:['4rĉeE??i:\@5 cOxo~c'L`^"nzze쬮cR4551}౺khm̌tA%07nmV6A8)^t_~`d֪.C_yŋgϟ?sPe_p'555MB¤ISI  5ؽC1Vq^S[r.7'+MF?zĔ4,+++2]P"!ÖC/wMVw$>~}}`ᬣ1$kx`1g~:37j놵E+W[[IS}-;mƦt|qwsF/).)|jc[#bxCté˷\4G]#ХU|u>NQreFYkYqXqMw? ĹK^thP(9HcpVqfA?x$VCpƖ.iiD?]uW€3|)%7_\ES4lO/Ϟ#GYZFtѫZ~{vWTڻc;yM5  ) acwrdu㪨ߋ'ii\9Ztܭ6ܾmʄ&wp+ BQEaͪ"Fc[_RǠz6:B?؜ Vwd ))ÂIt$g]ih@'+c gfaA.7lܸ74xv g/f d ~QfV&VUS$xZY8s*/ԃC/I AZ/m2|eMH}x6Go^ m}C-]}s=c3Cɸ,Xz SË;&o4sDp;bWb"0UTQȟାwc@=8WIS|zCJ0:[R%2妾? "X/dx!fW> bhISR^Aϰó]}3C%CP$y5kcgϖ60;(ymn' p =ϾO5r"&;s[ _~R.MsI終*<&}B,"Vp 6w?]Ep(n\ۈ?WȦMMK/OO(ϜگHJO%lҫX Xpyk/o %9Yk b*Ϝ:9W1& b ;!E2RUy^c;_n87ӵӂ92sHh92Xgp2=|9*ۃ$6[O?fߑ" ͝fߴ۹g GEp?*=qn&_0<lU^w:9 1N4utahX8gvn,[09-Ǝ$ĩZEȭ:bHdf|j-[Oq.ޭM&+,>w欑5iMJZ~;{"sPyԌ;w\t{HPaei!z\V8[ 7̢>9D}t!ވ;5WY?PzX6n|O %nީ^QHuv֍ռe+XX{AxTDEg̋hkp /qC3K}sknkǔ< D} 6 ÓXe$'=P#UA/^1}ge~E#`1ߙwڽa<`_/R'B~iоI3Mm1Dו<o`Ņ]_mHI2A4kf"ou؉,;c"éh}R{\VҚM[:9x7GQIa˙`UZDI=gb~"|9ExA,+#ACpW و)YZY=u/1&<F:8yƳgQD;r6H/gCO GM;v"DW9pM-8GH%GD)5]H}٩bj-$ @7o|2SSJE@[&G)Рg uU*G-QVTU X^zjj~86sOj,I2.yLlfn󾞟(=yl6m '*ITU\@33̏9ĔCD`@ޏ1c!K_{ 9фG9ݗoƆzI\]b7f^Fr\4 @A^NHБ6 !@`eiTOZZZNM#)JV9chjfޣw> \ ~E8í3Kk7ns<蝺tjrY`̴z8!8y͝[6)T{q:FG#m^@D @}$*^_=EЊB,w J|$%qFl<&ȋp {mlf&#bLĩӑD7rtXr0J*S1aYV@ HIb}ƄTjÚh%8{ڭkWalKOOj(NhZZL"Etrv BN;ĥcaDXI Ӝ<GmY߾o穪艓JNEðkf [)dVG)GMYifz445d V60hbf`gB }cbPa 3(~H 5D\H \~Ðn>iӒO &z7=h7ahP(i :jYw`nEH v6^87=ΣXꂼzz12G maDs8`Fx Xd Nf`XX\Z>X2 \D[[>/Cl Inrl +bPFOr*k s¢BCC#(ᚻ$𙑞q!8SAW#bBb2+  H(@%[BB:A ׉eLRB KuV,5C|X-[;{F}wd稩!GD6ׯ #Qd$-jڼyh0Yvu4"Z0J]Ɖ$j<˜"4a313ܵ~G̐?"5,v- ?LC.ys VyʺU+=#Ƙy2 @#0D?{FW:i鰈FE1F9k988q]*Ӧw[ B;phEWIaA-|D޽y <!Cgmg-3>}HD! ՟~ Pu==mrDd$ Bp#! P+ssOutRXAR*,/+7FlT0 ȢOdk911QB=)-ĊIHcOoPx m&1 L΋CCD& 1>1N9L}ǒ9u*8?kvBPMߝtٸmG/fcHAe$ \:R\ZF:+?v0"RL K Q9j ;rG cĎ( "X ڶeŒE JD1u 2a%R"U}8c!>~EsL: ;©6H_^hq:>I.pe6A#Jpd ^SUlDlD (AuZ{$***&a9; @"I+X5+/'xڷw9UEӗҵX4SXs `'܏ٽ .:`IPR'?7<3R-*NԈ@H;v pODWffocyHʏ DE@ov6pTDmCj6m@MM-&Dpԙ_Qzތ k!$\bjj%ְ((~~HOK޻/7l)*,dѮCEW^Erɢp&\ a@ 0ɈF` ߼v5 H$3hpܨ׉tڶo?xH>!(]:W8bʍUfFX\&NB a @,p|5+8:'2AP|=p0=5kވB YaO3]?1Zv͋7exޱQӭg](5]86/:XЙݵH ]P)^qI8kC~cH.׼M{BƍRR6sAxk6nZRVD;fnk{j0)[w]Z:҉h~󏤑Yٚzhe2Kda W\BDJYMhncgרG:N H.' 1bn߸ DUMlhnifm[BeH_*%Zں9m\8{&Yv*Z?xl0?OOKj6t~]T/d)x|R2f*j6oRaE \8_#Be#8d*@; dgx'4I)QܾsRJE Xys[SskFaLl©&4MS+7$xAr! I-^Brz*(FED'$뤡nG𓒪:XY̡29IgW7 -= mhn̂FG.#&ZNY"'/FjbqBduXn`Uq3q1ܲDM5UhjiH_I^ZQ߻bTKqD\iFF=b,$B+记'岐$.`fֶHLiJ HbYk/AX.n.9ǐV8ŢO?FtZi<>g.IAH6qqE.>ZP9'#=?z$3'3 R*2y&MP !_k[^3D%Ht | L s3RJ@9O'ڶj) jr"z4TEp(.\rTyYgjB,[oev@hhyq*K@g2]!J >Zm׵gO#jt15]`t^X x֯niCÆ]?}Eܞ/ܸ7pȰ) /DZ{[Zr(< W{{;dAzzZ9RYe45u0h[ׯcmiȉS̚vRRD1)<96nNV2bǻP(ಀT~̇㫧#]'Φ۔[ 1Hȝt&M" 5uu"5aE(?zaCGi¯ ?XkY9H׋sSAV: 20ώ c_U=}dvmw6`y)^XS6s6ҿ~/޼#$'&2cD&L=򭻷=eu`m4a[FL9 qԷ&#xHf]"W1yO&LJ(^;)4(Ǎ1&d[unH%^g%xzid  e+d"I.s.p@f Mǎi1f,Vб Pۓ[sLg*8>;A1"Tnm? -x.Z۠{ IAI q‚X/,D(T!T6M1Allfq ]C2^I5i'Ch~$oYx_\|wW|W4cG9fᲕ!M{OeZ"իw)3ffe22j!rESx-kB4#^)ɗn?p0륆!'!TC vm?Fdcs Cc}SsYyy'PV3X%XRPa *PAp: 7_,N8 Kz!)^ B \Vn? UUTp2!ZZ_"=b~ VS5!z{ٍѵ7_t! p0 _h(rA] <=?y E}6._+QUH;X~:aL4u88a `(#Iõ x0M!g,#pB<Cr@p;*j7o\Cu*59d;.,Ľ,#WQ9J\ l"T Fd%*Esf}USW5R7| c|ϟwFrDXHH}x%0͙[Q _ꕓ1}?5յaӮ#_cs+q7JK#aҎû:';y cs\y z}z&f*ػ0,[r+Ng9D$ х6  s02 02o  OW!l2ÁC{{T=4,cヌW*+FA|h4mXXZ<*@`~DLoo;BvC HjFFpp,E%XhUD FJB7OP`г϶o\ֳ7!-g߾UI;@auC+ PX`O\d"5[2*Ns,$Z1C hb"ZhT!3C"4E(F*hvjPE+W;SBCUyW33ȰTFe[|L $+g}Gw<Ƙ!榦mYMUSdX\d%pVnӦ 2l#sVZ*▎5[zRs7h2>2b~C~XV? F0 +m064^EY@?eЖ|(;9h#rm ?^YY sD&AXQ; HLxz n< H*~<Tjc,PS\ϙ7@mljFNbiHJ]Q7VUo6RP4.޿ :^f160&$]?__dfDbbWhc#]34j:/ e5={%}#> /CTiݪ'M@D-ã##ὃ$NYBRD|ԙ 3'oLCqVVydž$O{\T2nX9ލ@ iEŤr=s!Uanhܜu#% ,1pe U`LC1rȕ|,_8%phTk`̰V׭&n_.VG&*ƒEӷJ"ö".̈́]0!.VbdgO0f׭W߅7<4486a|7l!xG"}z`| 0* pHdProjectQ(@= l X J< rstdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\Windows\System32\e2.tlb#OLE Automation`ENormalENCrmaQF  * \C X!OfficgOficg!G{2DF8D04C-5BFA-101@B-BDE5gAjAe42ggram Files (x86)\@Common \Microsoft Shared\OFFICE14\MSO.DL L#P 16.0 Ob Li`brary'zMSF@Cs>MSFDHdirq ThisDocument9_VBA_PROJECT~%PROJECTs3@eD452EE1-E08F1A-8-02608C4D0BB4eseFM20L'B @r&/;"1ă} Ã00}#:0ƒ# 50 A3C769856-1F9D-4414@hAB-E3DC798BD1C16Users\Owen\AppData\Local\Temp\Wo`rd8.0c7.xexdd<@".E .`M A"ThisDocumentG Tis"D@lcuen 2` (H1yX",T""+a *\G{000204EF-0000-0000-C000-000000000046}#4.1#B&T`xJN*mKwAaKx$CheckBox29, 12, 0, MSForms, CheckBox$CheckBox28, 11, 1, MSForms, CheckBox$CheckBox27, 10, 2, MSForms, CheckBox#CheckBox26, 9, 3, MSForms, CheckBox#CheckBox25, 8, 4, MSForms, CheckBox#CheckBox24, 7, 5, MSForms, CheckBox#CheckBox23, 6, 6, MSForms, CheckBox#CheckBox22, 5, 7, MSForms, CheckBox#CheckBox21, 4, 8, MSForms, CheckBox"CheckBox2, 3, 9, MSForms, CheckBox#CheckBox1, 2, 10, MSForms, CheckBox%CheckBox281, 1, 11, MSForms, CheckBox&CheckBox2111, 0, 12, MSForms, CheckBox&CheckBox210, 13, 13, MSForms, CheckBox&CheckBox211, 14, 14, MSForms, CheckBox&CheckBox212, 15, 15, MSForms, CheckBox&CheckBox213, 16, 16, MSForms, CheckBox&CheckBox214, 17, 17, MSForms, CheckBox&CheckBox215, 18, 18, MSForms, CheckBox&CheckBox216, 19, 19, MSForms, CheckBox&CheckBox217, 20, 20, MSForms, CheckBox&CheckBox218, 21, 21, MSForms, CheckBox&CheckBox219, 22, 22, MSForms, CheckBox&CheckBox220, 23, 23, MSForms, CheckBox&CheckBox221, 24, 24, MSForms, CheckBox&CheckBox222, 25, 25, MSForms, CheckBox&CheckBox223, 26, 26, MSForms, CheckBox&CheckBox224, 27, 27, MSForms, CheckBoxME PS"SS"s<(<0<8<(1Normal.ThisDocument 0%%*Ix(8@ %*K8p@ %*3@ iv%*M H@ %*OXX@%*Qh(P@gh%*Sx@@S%*UX@p%*W8p@%*Y0 @ %( % %*[  @ %*]X @%*_P @ ``i bx`i f`i h` %%`i *k` H @ *mp P@ %*o  @%*qX @8%*sP@%*u @%*wX%*y8P@x%*{ph0@%*}h@ %*@%*X%*P%*H%*@h /*\R8005*#67"  "  "( 0 "8 @Pxooxoo80Attribute VB_Name = "ThisDocument" Bas1Normal.VGlobal!SpaclFalse CreatablPre declaIdTru BExposeTemplateDeriv$Custom izC1ControlCheckBox29, 12, 0, MSFs, 8147G=@>6, _345, /4t @/r.,/rKrk/>r, .@]1@.16.11 ^e!1a1/a'}`?1`N1OB_1~@O1OO1?P P1` q @2@a@2@9a@2@9a@92` Q2`@92`@92`A9c0 Pr@s Sub6m1_Click() Endqubt3Vw9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA7\VBE7.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.5#0#C:\Program Files\Microsoft Office\Office14\MSWORD.OLB#Microsoft Word 14.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\Windows\System32\stdole2.tlb#OLE Automation*\CNormal*\CNormalX4*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.5#0#C:\Program Files (x86)\Common Files\Microsoft Shared\OFFICE14\MSO.DLL#Microsoft Office 16.0 Object Library*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\Windows\system32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{3C769856-1F9D-4414-BDAB-E3DC798BD1C1}#2.0#0#C:\Users\Owen\AppData\Local\Temp\Word8.0\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M X ThisDocument2a58d4fa28)ThisDocument \wڔYiL,4`C=H3Wordk`VBA`Win16~`Win32`Win64x`Mac`VBA6#`VBA7#`Project-`stdole``Normal`Officeu`MSFormsC` ThisDocument<` _Evaluate` CheckBox13Ȋ` CheckBox12NJ` CheckBox11Ɗ` CheckBox1` CheckBox18͊` CheckBox17̊` CheckBox16ˊ` CheckBox15ʊ` CheckBox14Ɋ`Documentj` CheckBox19Ί` CheckBox111K` CheckBox121p` CheckBox131` CheckBox2111q` CheckBox281` CheckBox2` CheckBox21` CheckBox22` CheckBox23` CheckBox24` CheckBox25` CheckBox26` CheckBox27` CheckBox28` CheckBox29`CheckBox1_Clickl`CheckBox21_Click`Click`CheckBox23_Click` `CheckBox29_Click` CheckBox210` CheckBox211` CheckBox212` CheckBox213` CheckBox214` CheckBox215` CheckBox216` CheckBox217` CheckBox218` CheckBox219` CheckBox220Ⱥ` CheckBox221ɺ` CheckBox222ʺ` CheckBox223˺` CheckBox224̺`` "$&)ID="{45658E66-73FF-4098-A79B-935E6A025849}" Document=ThisDocument/&H00000000 Name="Project" HelpContextID="0" VersionCompatible32="393222000" CMG="7775B791FF91A795A795A795A795" DPB="1B19DB7D7E7E7E7E7E" GC="BFBD7FD987D92ADA2ADAD5" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 &H00000002={000209F2-0000-0000-C000-000000000046};Word8.0;&H00000000 [Workspace] ThisDocument=78, 78, 1030, 501, ThisDocumentThisDocument  FMicrosoft Word 97-2003 ĵ PROJECTwm)CompObjnj 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ OJPJQJ_HmH nHsH tHB`B nI2cke dCJ_HaJmHsHtH^@^ p[h 1$$@&'5B*CJOJPJQJ\^JaJph6_$A`$ ؞k=W[SOBi@B 0nfh*B* OJQJS*Y(^Jo(phL:`: o|}eCJ_HaJmHsHtHbob p[Default 7$8$H$-B*CJOJQJ^J_HaJmHphsHtHNoN p[h 1 W[&{'5B*CJOJPJQJ\^JaJph6_PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vxjm)ʬuWLfdݮ+5_4csj-V?k3rm}gz gs嚋7xwsȈR W*)|jȫKXͫ dXIBF؇bnh ( *'vɗ3KZjz'c*_=}<9ݻw~]8^~_o?xYýg~^G}J0Emh=Ԅ Ξa>s$-, Oɠ=Hp Ua/ UO d*:(.fTU/!9$V[|hrvs-iUt. 6ڪ4Cebs)bMjBekp um,fd$͑{6GUVf~b#Vb@qTTW.ޛd)i@vdq9Y^X7{2%uHx+af6]>f#sm*qqDHehK)@?71oggo`:fղekp£2֌Nj8ǰD CB?81e>nEeU}H]dm1iQ6褣֧ > 8" ..vvvy8 0  H  6f.4TTUlU@BFdfp $BDXvx5SUl68<Z\57;Y[`~79?]_e +-> WWWWWWWWWWWWWWWWWWWWWWWWWWWW QS LdfyCX!Qs Ns -s 0s 3s 6s 9s <s ?s Bs Es Hs Ks s s s  s  s s s s s s s !s $s 's *s T # @H 0(  0(  B S  ?_apq|~')@BFgo$EXy*05Vk:<^_efz{}~8;>? 1GPR#&;  . 1 3 8 < ? Fg8 0&ghyz - : < ? 3]_e|.0Fgl PR$h< ? g1ks9Q}e @MAU C 2 [SM:p[A = 8`&g!'Vd)Yr)r+-k$-92nI24}4h547o9D:#;},;-<@AK~Q]ZT\TWeYwZBb[u[8 \1_.die"l]9vZwAzE|zo|}2u~SPvC`>SRrLLi B8$xkAnr.Cb0:<!)i`[Zh8R!1dKt\$L-`nSDKmM@FgFF@>   TUnknown G.Cx Times New Roman5Symbol3. .Cx Arial5. .[`)TahomaaTimesNewRoman,BoldMS Mincho;([SOSimSunE. Century Gothic;= |8ўSOSimHeiA$BCambria Math 1]D'jDg&4))?!%),.:;>?]}    & 0 2 3 : !6"000 0 0 0000006:>@DZ\^ =@\]^$([{  0 0 000000Y[];[yn9TBQHP  $P$x*!xx OlgaSikorskayaOwen6_p|#<CimPUy,2Vbh 9;]avyL? /?O_oϗߗ /?O _oϘ ߘ/?O_oϙߙ/? O_o Ϛߚ i Z'`IZ'MSWordDocWord.Document.89q