197.rtf

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{\s5\qc\rtlch\afs32\lang255\ltrch\dbch\afs32\langfe1054\loch\fs32\lang1033\b\sbasedon2\snext5 Title;}
{\s6\sa120\rtlch\lang255\ltrch\dbch\langfe1054\loch\lang255\sbasedon1\snext6 \u3648 ?\u3609 ?\u3639 ?\u3657 ?\u3629 ?\u3588 ?\u3623 ?\u3634 ?\u3617 ?;}
{\s7\sa120\rtlch\lang255\ltrch\dbch\langfe1054\loch\lang255\sbasedon6\snext7 \u3648 ?\u3609 ?\u3639 ?\u3657 ?\u3629 ?\u3627 ?\u3634 ?\u3605 ?\u3634 ?\u3619 ?\u3634 ?\u3591 ?;}
{\s8\sa120\qc\rtlch\lang255\ltrch\dbch\langfe1054\loch\lang255\i\b\sbasedon7\snext8 \u3627 ?\u3633 ?\u3623 ?\u3586 ?\u3657 ?\u3629 ?\u3605 ?\u3634 ?\u3619 ?\u3634 ?\u3591 ?;}
{\s9\sa120\rtlch\lang255\ltrch\dbch\langfe1054\loch\lang255\sbasedon6\snext9 \u3648 ?\u3609 ?\u3639 ?\u3657 ?\u3629 ?\u3627 ?\u3634 ?\u3585 ?\u3619 ?\u3629 ?\u3610 ?;}
{\*\cs11\rtlch\lang255\ltrch\dbch\langfe1054\loch\lang255 RTF_Num 2 1;}
{\*\cs12\cf0\rtlch\af1\afs24\lang255\ltrch\dbch\af1\afs24\langfe255\loch\f1\fs28\lang255 RTF_Num 2 2;}
{\*\cs13\cf0\rtlch\af1\afs24\lang255\ltrch\dbch\af1\afs24\langfe255\loch\f1\fs28\lang255 RTF_Num 2 3;}
{\*\cs14\cf0\rtlch\af1\afs24\lang255\ltrch\dbch\af1\afs24\langfe255\loch\f1\fs28\lang255 RTF_Num 2 4;}
{\*\cs15\cf0\rtlch\af1\afs24\lang255\ltrch\dbch\af1\afs24\langfe255\loch\f1\fs28\lang255 RTF_Num 2 5;}
{\*\cs16\cf0\rtlch\af1\afs24\lang255\ltrch\dbch\af1\afs24\langfe255\loch\f1\fs28\lang255 RTF_Num 2 6;}
{\*\cs17\cf0\rtlch\af1\afs24\lang255\ltrch\dbch\af1\afs24\langfe255\loch\f1\fs28\lang255 RTF_Num 2 7;}
{\*\cs18\cf0\rtlch\af1\afs24\lang255\ltrch\dbch\af1\afs24\langfe255\loch\f1\fs28\lang255 RTF_Num 2 8;}
{\*\cs19\cf0\rtlch\af1\afs24\lang255\ltrch\dbch\af1\afs24\langfe255\loch\f1\fs28\lang255 RTF_Num 2 9;}
{\*\cs20\cf0\rtlch\af1\afs24\lang255\ltrch\dbch\af1\afs24\langfe255\loch\f1\fs28\lang255 RTF_Num 2 10;}
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}{\*\listtable{\list\listtemplateid1\listsimple
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{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'01.;}{\levelnumbers\'01;}\lang255\fi-360\li720}
{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'02.;}{\levelnumbers\'01;}\lang255\fi-360\li1080}
{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'03.;}{\levelnumbers\'01;}\lang255\fi-360\li1440}
{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'04.;}{\levelnumbers\'01;}\lang255\fi-360\li1800}
{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'05.;}{\levelnumbers\'01;}\lang255\fi-360\li2160}
{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'06.;}{\levelnumbers\'01;}\lang255\fi-360\li2520}
{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'07.;}{\levelnumbers\'01;}\lang255\fi-360\li2880}
{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'08.;}{\levelnumbers\'01;}\lang255\fi-360\li3240}
{\*\soutlvl{\listlevel\levelnfc0\leveljc0\levelstartat1\levelfollow2{\leveltext \'02\'09.;}{\levelnumbers\'01;}\lang255\fi-360\li3600}}{\listname RTF_Num 2;}\listid1}
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{\info{\comment StarWriter}{\vern6410}}\deftab720
{\*\pgdsctbl
{\pgdsc0\pgdscuse195\pgwsxn16840\pghsxn11907\marglsxn567\margrsxn567\margtsxn567\margbsxn567\pgdscnxt0 \u3588 ?\u3656 ?\u3634 ?\u3648 ?\u3619 ?\u3636 ?\u3656 ?\u3617 ?\u3605 ?\u3657 ?\u3609 ?;}
{\pgdsc1\pgdscuse195\lndscpsxn\pgwsxn16840\pghsxn11907\marglsxn567\margrsxn567\margtsxn567\margbsxn567\pgdscnxt1 \u3649 ?\u3611 ?\u3621 ?\u3591 ? 1;}}
{\*\pgdscno1}\landscape\paperh11907\paperw16840\margl567\margr567\margt567\margb567\sectd\sbknone\lndscpsxn\pgwsxn16840\pghsxn11907\marglsxn567\margrsxn567\margtsxn567\margbsxn567\ftnbj\ftnstart1\ftnrstcont\ftnnar\aenddoc\aftnrstcont\aftnstart1\aftnnrlc

\pard\plain \absw1053\absh977\pvpara\posy0\phcol\posx6{\*\flymaincnt2\flyvert7136\flyhorz6656\flyanchor0\flycntnt}{{\field\fldpriv{\*\fldinst{\\import prakan.bmp}}{\fldrslt }}}
\pard
\pard\plain \s5\qc\rtlch\afs32\lang255\ltrch\dbch\afs32\langfe1054\loch\fs32\lang1033\b\qr\rtlch\afs40\ltrch\dbch\af3\afs40\loch\f3\fs40\lang1054 {\ltrch\loch\f3 \u3626 ?\u3611 ?\u3626 ?.1-10(\u3626 ?\u3656 ?\u3623 ?\u3609 ?\u3607 ?\u3637 ?\u3656 ? 1)}
\par 
\pard\plain\pard\plain \absw15692\absh1930\pvpara\posy487\phcol\posx19{\*\flymaincnt2\flyvert24096\flyhorz23552\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp29{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp29}\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\loch\f3\lang1033{\ltrch\loch\f3{\b \u3594 ?\u3639 ?\u3656 ?\u3629 ?\u3626 ?\u3606 ?\u3634 ?\u3609 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3629 ?\u3610 ?\u3585 ?\u3634 ?\u3619 ? } ¹ ӡѴ\tab \tab \tab \tab \tab \tab \tab {\b \u3648 ?\u3621 ?\u3586 ?\u3607 ?\u3637 ?\u3656 ?\u3610 ?\u3633 ?\u3597 ?\u3594 ?\u3637 ?}\tab }
\par {\ltrch\loch\f3{\b \u3594 ?\u3639 ?\u3656 ?\u3629 ?\u3626 ?\u3634 ?\u3586 ?\u3634 ?(\u3606 ?\u3657 ?\u3634 ?\u3617 ?\u3637 ?)}\tab          \tab \tab \tab \tab \tab \tab \tab {\b \u3621 ?\u3635 ?\u3604 ?\u3633 ?\u3610 ?\u3607 ?\u3637 ?\u3656 ?\u3626 ?\u3634 ?\u3586 ?\u3634 ?}\tab }
\par {\ltrch\loch\f3{\b \u3607 ?\u3637 ?\u3656 ?\u3605 ?\u3633 ?\u3657 ?\u3591 ?\u3626 ?\u3635 ?\u3609 ?\u3633 ?\u3585 ?\u3591 ?\u3634 ?\u3609 ?\u3651 ?\u3627 ?\u3597 ?\u3656 ?     }{\fs24   ǴѧԵ }\tab \tab \tab \tab \tab \tab {\b \u3629 ?\u3633 ?\u3605 ?\u3619 ?\u3634 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3626 ?\u3617 ?\u3607 ?\u3610 ?\u3619 ?\u3657 ?\u3629 ?\u3618 ?\u3621 ?\u3656 ?\u3632 ?} \tab 5}
\par \pard\plain \absw15692\absh1930\pvpara\posy487\phcol\posx19{\*\flymaincnt2\flyvert24096\flyhorz23552\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp29{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp29}\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \tab \tab          {\fs24 Ҵҧࢹ 觤 ا෾ҹ 10140}}
\par \pard\plain \absw15692\absh1930\pvpara\posy487\phcol\posx19{\*\flymaincnt2\flyvert24096\flyhorz23552\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp29{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp29}\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\loch\lang1033 
\par \pard
\pard\plain \s5\qc\rtlch\afs32\lang255\ltrch\dbch\afs32\langfe1054\loch\fs32\lang1033\b\ql\rtlch\afs40\ltrch\dbch\af3\afs40\loch\f3\fs40 {\ltrch\loch\f3                                         \u3649 ?\u3610 ?\u3610 ?\u3619 ?\u3634 ?\u3618 ?\u3585 ?\u3634 ?\u3619 ?{\lang1054 \u3649 ?\u3626 ?\u3604 ?\u3591 ?\u3585 ?\u3634 ?\u3619 ?}\u3626 ?\u3656 ?\u3591 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3626 ?\u3617 ?\u3607 ?\u3610 ?}
\par \pard\plain \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\loch\lang1033\b 
\par \pard\plain \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\loch\lang1033 
\par \pard\plain \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\dbch\af3\loch\f3\lang1033 
\par 
\par 
\par 
\par \sect\sbknone\cols1\cols2\colno1\colw7498\colsr709\colno2\colw7498{\*\swcolmnblnc}
\trowd\trql\trleft18\clbrdrt\brdrs\brdrw1\brdrcf1\brsp0\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx7498
\pard\intbl\pard\plain \intbl\s4\keepn\qc\rtlch\afs36\lang255\ltrch\dbch\afs36\langfe1054\loch\fs36\lang1033\b\ltrch\dbch\af3\loch\f3 {\ltrch\loch\f3 \u3585 ?\u3634 ?\u3619 ?\u3609 ?\u3635 ?\u3626 ?\u3656 ?\u3591 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3626 ?\u3617 ?\u3607 ?\u3610 ?\u3626 ?\u3635 ?\u3627 ?\u3619 ?\u3633 ?\u3610 ?\u3588 ?\u3656 ?\u3634 ?\u3592 ?\u3657 ?\u3634 ?\u3591 ?\u3648 ?\u3604 ?\u3639 ?\u3629 ?\u3609 ?  {\b0 ¹{\fs28  \u3614 ?.\u3624 ?. 2548}}}
\cell\row\pard \trowd\trql\trleft18\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\cellx4983\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx7498
\pard\intbl\pard\plain \intbl\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \u3619 ?\u3634 ?\u3618 ?\u3585 ?\u3634 ?\u3619 ?}
\cell\pard\plain \intbl\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\rtlch\af3\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \u3592 ?\u3635 ?\u3609 ?\u3623 ?\u3609 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?}
\cell\row\pard \trowd\trql\trleft18\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\cellx4983\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx7498
\pard\intbl\pard\plain \intbl{\listtext\pard\plain \li360\ri0\fi-360\f3\lang1033\f3\fs28\langfe1054\fs28\lang255\langfe1054 1.}\ilvl0 \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\li360\ri0\fi-360\ls0\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3588 ?\u3656 ?\u3634 ?\u3592 ?\u3657 ?\u3634 ?\u3591 ?\u3607 ?\u3633 ?\u3657 ?\u3591 ?\u3626 ?\u3636 ?\u3657 ?\u3609 ?}
\par \pard\plain \intbl{\listtext\pard\plain \li360\ri0\fi-360\f3\lang1033\f3\fs28\langfe1054\fs28\lang255\langfe1054 2.}\ilvl0 \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\li360\ri0\fi-360\ls0\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3626 ?\u3617 ?\u3607 ?\u3610 ?\u3612 ?\u3641 ?\u3657 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3633 ?\u3609 ?\u3605 ?\u3609 ?}
\par \pard\plain \intbl{\listtext\pard\plain \li360\ri0\fi-360\f3\lang1033\f3\fs28\langfe1054\fs28\lang255\langfe1054 3.}\ilvl0 \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\li360\ri0\fi-360\ls0\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3626 ?\u3617 ?\u3607 ?\u3610 ?\u3609 ?\u3634 ?\u3618 ?\u3592 ?\u3657 ?\u3634 ?\u3591 ?}
\par \pard\plain \intbl{\listtext\pard\plain \li360\ri0\fi-360\f3\lang1033\f3\fs28\langfe1054\fs28\lang255\langfe1054 4.}\ilvl0 \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\li360\ri0\fi-360\ls0\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \u3619 ?\u3623 ?\u3617 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3626 ?\u3617 ?\u3607 ?\u3610 ?\u3607 ?\u3637 ?\u3656 ?\u3609 ?\u3635 ?\u3626 ?\u3656 ?\u3591 ?\u3607 ?\u3633 ?\u3657 ?\u3591 ?\u3626 ?\u3636 ?\u3657 ?\u3609 ?}
\cell\pard\plain \intbl\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\qr\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 10,513,058.42 \u3610 ?\u3634 ?\u3607 ?}
\par {\ltrch\loch\f3 140,250 \u3610 ?\u3634 ?\u3607 ?}
\par {\ltrch\loch\f3 115,500 \u3610 ?\u3634 ?\u3607 ?}
\par {\ltrch\loch\f3 744,000 \u3610 ?\u3634 ?\u3607 ?}
\cell\row\pard \trowd\trql\trleft18\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx7498
\pard\intbl\pard\plain \intbl\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 ()}
\cell\row\pard \trowd\trql\trleft18\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\cellx4983\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx7498
\pard\intbl\pard\plain \intbl\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 5.  \u3592 ?\u3635 ?\u3609 ?\u3623 ?\u3609 ?\u3612 ?\u3641 ?\u3657 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3633 ?\u3609 ?\u3605 ?\u3609 ?\u3607 ?\u3637 ?\u3656 ?\u3626 ?\u3656 ?\u3591 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3626 ?\u3617 ?\u3607 ?\u3610 ?}
\cell\pard\plain \intbl\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\qr\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 15 \u3588 ?\u3609 ?}
\cell\row\pard \pard\plain \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \u3586 ?\u3657 ?\u3634 ?\u3614 ?\u3648 ?\u3592 ?\u3657 ?\u3634 ?\u3586 ?\u3629 ?\u3619 ?\u3633 ?\u3610 ?\u3619 ?\u3629 ?\u3591 ?\u3623 ?\u3656 ?\u3634 ?\u3619 ?\u3634 ?\u3618 ?\u3585 ?\u3634 ?\u3619 ?\u3607 ?\u3637 ?\u3656 ?\u3649 ?\u3592 ?\u3657 ?\u3591 ?\u3652 ?\u3623 ?\u3657 ?\u3648 ?\u3611 ?\u3655 ?\u3609 ?\u3619 ?\u3634 ?\u3618 ?\u3585 ?\u3634 ?\u3619 ?\u3607 ?\u3637 ?\u3606 ?\u3641 ?\u3585 ?\u3605 ?\u3657 ?\u3629 ?\u3591 ?\u3588 ?\u3619 ?\u3610 ?\u3606 ?\u3657 ?\u3623 ?\u3609 ?\u3649 ?\u3621 ?\u3632 ?\u3648 ?\u3611 ?\u3655 ?\u3609 ?\u3592 ?\u3619 ?\u3636 ?\u3591 ?\u3607 ?\u3640 ?\u3585 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3634 ?\u3619 ? }
\par {\ltrch\loch\f3 \u3614 ?\u3619 ?\u3657 ?\u3629 ?\u3617 ?\u3609 ?\u3637 ?\u3657 ?\u3652 ?\u3604 ?\u3657 ?\u3649 ?\u3609 ?\u3610 ?}
\par {\ltrch\loch\f3        \u3619 ?\u3634 ?\u3618 ?\u3621 ?\u3632 ?\u3648 ?\u3629 ?\u3637 ?\u3618 ?\u3604 ?\u3585 ?\u3634 ?\u3619 ?\u3609 ?\u3635 ?\u3626 ?\u3656 ?\u3591 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3626 ?\u3617 ?\u3607 ?\u3610 ?\tab \tab \u3592 ?\u3635 ?\u3609 ?\u3623 ?\u3609 ?\tab _______ \u3649 ?\u3612 ?\u3656 ?\u3609 ? \u3627 ?\u3619 ?\u3639 ?\u3629 ? }
\par {\ltrch\loch\f3        \u3649 ?\u3612 ?\u3656 ?\u3609 ?\u3592 ?\u3634 ?\u3609 ?\u3649 ?\u3617 ?\u3656 ?\u3648 ?\u3627 ?\u3621 ?\u3655 ?\u3585 ? \tab \tab \tab \u3592 ?\u3635 ?\u3609 ?\u3623 ?\u3609 ?    _______ \u3649 ?\u3612 ?\u3656 ?\u3609 ?}
\par 
\pard\plain\absw1170\absh1170\pvpara\posy178\phcol\posx624{\*\flymaincnt2\flyvert43520\flyhorz52736\flyanchor0\flycntnt}{{\field\fldpriv{\*\fldinst{\\import PR041_rtf_m7b667a9c.jpg}}{\fldrslt }}}
\pard
\pard\plain \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\loch\lang1033 {\ltrch\loch\f1 \tab \tab \tab {\f3 \u3621 ?\u3591 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ?  ___________________________ \u3609 ?\u3634 ?\u3618 ?\u3592 ?\u3657 ?\u3634 ?\u3591 ?/ \u3612 ?\u3641 ?\u3657 ?\u3619 ?\u3633 ?\u3610 ?\u3617 ?\u3629 ?\u3610 ?\u3629 ?\u3635 ?\u3609 ?\u3634 ?\u3592 ?\tab }}
\par \pard\plain \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \tab \tab \tab           (__________________________)}
\par {\ltrch\loch\f3 \tab \tab \tab \u3605 ?\u3635 ?\u3649 ?\u3627 ?\u3609 ?\u3656 ?\u3591 ? ____________________________________________}
\par {\ltrch\loch\f3 \tab \tab \tab \u3618 ?\u3639 ?\u3656 ?\u3609 ?\u3649 ?\u3610 ?\u3610 ?\u3623 ?\u3633 ?\u3609 ?\u3607 ?\u3637 ?\u3656 ? ____ \u3648 ?\u3604 ?\u3639 ?\u3629 ?\u3609 ? ___________________\u3614 ?.\u3624 ?. ________\tab }
\par 
\par 
\par \trowd\trql\trleft993\clbrdrt\brdrs\brdrw1\brdrcf1\brsp0\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx7499
\pard\intbl\pard\plain \intbl\s3\keepn\rtlch\afs36\lang255\ltrch\dbch\afs36\langfe1054\loch\fs36\lang1033\b\qc\ltrch\dbch\af3\loch\f3 {\ltrch\loch\f3 \u3626 ?\u3635 ?\u3627 ?\u3619 ?\u3633 ?\u3610 ?\u3648 ?\u3592 ?\u3657 ?\u3634 ?\u3627 ?\u3609 ?\u3657 ?\u3634 ?\u3607 ?\u3637 ?\u3656 ?\u3626 ?\u3635 ?\u3609 ?\u3633 ?\u3585 ?\u3591 ?\u3634 ?\u3609 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3633 ?\u3609 ?\u3626 ?\u3633 ?\u3591 ?\u3588 ?\u3617 ?}
\cell\row\pard \trowd\trql\trleft993\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx7499
\pard\intbl\pard\plain \intbl\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \u3594 ?\u3635 ?\u3619 ?\u3632 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3623 ?\u3633 ?\u3609 ?\u3607 ?\u3637 ?\u3656 ? __________________________________________}
\par {\ltrch\loch\f3 \u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3648 ?\u3614 ?\u3636 ?\u3656 ?\u3617 ? (\u3606 ?\u3657 ?\u3634 ?\u3617 ?\u3637 ?) _____________________\u3610 ?\u3634 ?\u3607 ? ___________ \u3626 ?\u3605 ?\u3634 ?\u3591 ?\u3588 ?\u3660 ?}
\par {\ltrch\loch\f3 \u3651 ?\u3610 ?\u3648 ?\u3626 ?\u3619 ?\u3655 ?\u3592 ?\u3648 ?\u3621 ?\u3586 ?\u3607 ?\u3637 ?\u3656 ? ____________________________________________}
\par {\ltrch\loch\f3 \u3621 ?\u3591 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ? __________________________________________________}
\par {\ltrch\loch\f3       (_____________________________________________)}
\cell\row\pard \pard\plain \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\loch\lang1033 
\par {\ltrch\loch\f1 \tab \tab \tab \tab }
\par \trowd\trql\trleft993\clbrdrt\brdrs\brdrw1\brdrcf1\brsp0\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx7499
\pard\intbl\pard\plain \intbl\s4\keepn\qc\rtlch\afs36\lang255\ltrch\dbch\afs36\langfe1054\loch\fs36\lang1033\b\ltrch\dbch\af3\loch\f3 {\ltrch\loch\f3 \u3626 ?\u3635 ?\u3627 ?\u3619 ?\u3633 ?\u3610 ?\u3648 ?\u3592 ?\u3657 ?\u3634 ?\u3627 ?\u3609 ?\u3657 ?\u3634 ?\u3607 ?\u3637 ?\u3656 ?\u3608 ?\u3609 ?\u3634 ?\u3588 ?\u3634 ?\u3619 ?}
\cell\row\pard \trowd\trql\trleft993\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx7499
\pard\intbl\pard\plain \intbl\s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\dbch\af3\loch\f3\lang1033 {\ltrch\loch\f3 \u3594 ?\u3635 ?\u3619 ?\u3632 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3623 ?\u3633 ?\u3609 ?\u3607 ?\u3637 ?\u3656 ? _____________________________________________}
\par {\ltrch\loch\f3 \u3651 ?\u3610 ?\u3648 ?\u3626 ?\u3619 ?\u3655 ?\u3592 ?\u3619 ?\u3633 ?\u3610 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3648 ?\u3621 ?\u3586 ?\u3607 ?\u3637 ?\u3656 ? ________________________________________}
\par {\ltrch\loch\f3 \u3611 ?\u3619 ?\u3632 ?\u3607 ?\u3633 ?\u3610 ?\u3605 ?\u3619 ?\u3634 ?\u3608 ?\u3609 ?\u3634 ?\u3588 ?\u3634 ?\u3619 ? }
\par 
\par {\ltrch\loch\f3 \u3621 ?\u3591 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ?  ___________________________________________________}
\par {\ltrch\loch\f3         (___________________________________________________)}
\cell\row\pard \pard\plain \s2\rtlch\afs28\lang255\ltrch\dbch\afs28\langfe1054\loch\lang255\ltrch\loch\lang1033 
\par \sect\sectd\sbknone\lndscpsxn\pgwsxn16840\pghsxn11907\marglsxn567\margrsxn567\margtsxn567\margbsxn567
\pard\plain \s1\rtlch\lang255\ltrch\dbch\langfe1054\loch\lang255 
\par }