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{\stylesheet{\s1\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\snext1 \u3588 ?\u3656 ?\u3634 ?\u3648 ?\u3619 ?\u3636 ?\u3656 ?\u3617 ?\u3605 ?\u3657 ?\u3609 ?;}
{\s2\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\sbasedon1\snext2 \u3648 ?\u3609 ?\u3639 ?\u3657 ?\u3629 ?\u3588 ?\u3623 ?\u3634 ?\u3617 ?;}
{\s3\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\sbasedon2\snext3 \u3648 ?\u3609 ?\u3639 ?\u3657 ?\u3629 ?\u3627 ?\u3634 ?\u3605 ?\u3634 ?\u3619 ?\u3634 ?\u3591 ?;}
{\s4\sa120\cf1\qc{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\i\b\sbasedon3\snext4 \u3627 ?\u3633 ?\u3623 ?\u3586 ?\u3657 ?\u3629 ?\u3605 ?\u3634 ?\u3619 ?\u3634 ?\u3591 ?;}
{\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\sbasedon2\snext5 \u3648 ?\u3609 ?\u3639 ?\u3657 ?\u3629 ?\u3627 ?\u3634 ?\u3585 ?\u3619 ?\u3629 ?\u3610 ?;}
}
{\info{\comment StarWriter}{\vern6410}}\deftab1250
{\*\pgdsctbl
{\pgdsc0\pgdscuse195\pgwsxn11906\pghsxn16838\marglsxn283\margrsxn283\margtsxn283\margbsxn283\pgdscnxt0 \u3588 ?\u3656 ?\u3634 ?\u3648 ?\u3619 ?\u3636 ?\u3656 ?\u3617 ?\u3605 ?\u3657 ?\u3609 ?;}}
\paperh16838\paperw11906\margl283\margr283\margt283\margb283\sectd\sbknone\pgwsxn11906\pghsxn16838\marglsxn283\margrsxn283\margtsxn283\margbsxn283\ftnbj\ftnstart1\ftnrstcont\ftnnar\aenddoc\aftnrstcont\aftnstart1\aftnnrlc
\trowd\trql\trhdr\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\cellx11340
\pard\intbl\pard\plain \intbl\s4\sa120\cf1\qc{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\i\b\ql\ltrch\loch\f2 {\ltrch\loch\f2                                                     {\fs36 \u3649 ?\u3610 ?\u3610 ?\u3586 ?\u3629 ?\u3619 ?\u3633 ?\u3610 ?\u3610 ?\u3633 ?\u3605 ?\u3619 ?\u3619 ?\u3633 ?\u3610 ?\u3619 ?\u3629 ?\u3591 ?\u3626 ?\u3636 ?\u3607 ?\u3608 ?\u3636 ?\u3585 ?\u3634 ?\u3619 ?\u3619 ?\u3633 ?\u3585 ?\u3625 ?\u3634 ?\u3614 ?\u3618 ?\u3634 ?\u3610 ?\u3634 ?\u3621 ?     }                       {\i0 \u3626 ?\u3611 ?\u3626 ?. 9-02}                                                                    }
\par \pard\plain \intbl\s4\sa120\cf1\qc{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\i\b\ql\ltrch\loch\f2\fs30 {\ltrch\loch\f2                                                              \u3626 ?\u3635 ?\u3627 ?\u3619 ?\u3633 ?\u3610 ?\u3612 ?\u3641 ?\u3657 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3633 ?\u3609 ?\u3605 ?\u3609 ?\u3648 ?\u3621 ?\u3639 ?\u3629 ?\u3585 ?\u3626 ?\u3606 ?\u3634 ?\u3609 ?\u3614 ?\u3618 ?\u3634 ?\u3610 ?\u3634 ?\u3621 ?  }
\par 
\pard\plain\pard\plain \absw265\absh-378\pvpara\posy73\phcol\posx8630{\*\flymaincnt2\flyvert38112\flyhorz3584\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard

\pard\plain\pard\plain \absw265\absh-378\pvpara\posy73\phcol\posx9185{\*\flymaincnt2\flyvert38112\flyhorz63488\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard

\pard\plain\pard\plain \absw265\absh-378\pvpara\posy73\phcol\posx10002{\*\flymaincnt2\flyvert38112\flyhorz4096\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard

\pard\plain\pard\plain \absw265\absh-378\pvpara\posy75\phcol\posx9725{\*\flymaincnt2\flyvert51296\flyhorz47104\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard

\pard\plain\pard\plain \absw265\absh-378\pvpara\posy75\phcol\posx9455{\*\flymaincnt2\flyvert51296\flyhorz59904\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard

\pard\plain\pard\plain \absw265\absh-378\pvpara\posy75\phcol\posx8907{\*\flymaincnt2\flyvert51296\flyhorz1536\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard
\pard\plain \intbl\s4\sa120\cf1\qc{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\i\b\ql\ltrch\loch\f2{\ltrch\loch\f2{\fs30                                                                      {\b0\i0 ( \u3585 ?\u3619 ?\u3603 ?\u3637 ?\u3652 ?\u3617 ?\u3656 ?\u3648 ?\u3588 ?\u3618 ?\u3617 ?\u3637 ?\u3610 ?\u3633 ?\u3605 ?\u3619 ?\u3619 ?\u3633 ?\u3619 ?\u3629 ?\u3591 ?\u3626 ?\u3636 ?\u3607 ?\u3608 ?\u3636 ? \u3631 ? )}    }                     {\b0\i0 \u3648 ?\u3621 ?\u3586 ?\u3607 ?\u3637 ?\u3656 ?\u3619 ?\u3633 ?\u3610 ?}      {\fs26                                                                                                                    
                 }}
\par 
\pard\plain\pard\plain \absw265\absh-378\pvpara\posy74\phcol\posx8668{\*\flymaincnt2\flyvert15712\flyhorz47104\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard

\pard\plain\pard\plain \absw265\absh-378\pvpara\posy74\phcol\posx10261{\*\flymaincnt2\flyvert15712\flyhorz38912\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard

\pard\plain\pard\plain \absw265\absh-378\pvpara\posy74\phcol\posx10001{\*\flymaincnt2\flyvert15712\flyhorz24064\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard

\pard\plain\pard\plain \absw265\absh-378\pvpara\posy74\phcol\posx9337{\*\flymaincnt2\flyvert15712\flyhorz29696\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard

\pard\plain\pard\plain \absw265\absh-378\pvpara\posy74\phcol\posx9604{\*\flymaincnt2\flyvert15712\flyhorz10240\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard

\pard\plain\pard\plain \absw265\absh-378\pvpara\posy74\phcol\posx8935{\*\flymaincnt2\flyvert15712\flyhorz31744\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard
\pard\plain \intbl\s1\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 {\ltrch\loch\f2                                                                                                                                                        \u3623 ?\u3633 ?\u3609 ? \u3648 ?\u3604 ?\u3639 ?\u3629 ?\u3609 ? \u3611 ?\u3637 ?}
\par {\ltrch\loch\f2                                                                             \u3626 ?\u3635 ?\u3627 ?\u3619 ?\u3633 ?\u3610 ?\u3612 ?\u3641 ?\u3657 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3633 ?\u3609 ?\u3605 ?\u3609 ?\u3649 ?\u3621 ?\u3632 ?\u3609 ?\u3634 ?\u3618 ?\u3592 ?\u3657 ?\u3634 ?\u3591 ?                             \u3621 ?\u3591 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ?\u3612 ?\u3641 ?\u3657 ?\u3619 ?\u3633 ?\u3610 ?    ....................................}
\cell\row\pard \trowd\trql\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx11340
\pard\intbl
\pard\plain\pard\plain \absw266\absh-369\pvpara\posy45\phcol\posx935{\*\flymaincnt2\flyvert17856\flyhorz14336\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<mr>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy45\phcol\posx1627{\*\flymaincnt2\flyvert17856\flyhorz9728\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<miss>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy45\phcol\posx2614{\*\flymaincnt2\flyvert17856\flyhorz29184\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\rtlch\af4\ltrch\dbch\af4\loch\f4\fs24 {\ltrch\loch\f4 <<mrs>>}
\par \pard
\pard\plain \intbl\s3\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 {\ltrch\loch\f2 1. \u3586 ?\u3657 ?\u3634 ?\u3614 ?\u3648 ?\u3592 ?\u3657 ?\u3634 ?   {\f3  }\u3609 ?\u3634 ?\u3618 ?       \u3609 ?\u3634 ?\u3591 ?\u3626 ?\u3634 ?\u3623 ?  {\f3  }\u3609 ?\u3634 ?\u3591 ?   ....{\fs22 <<{\fs24\f4 fname}>>}... \u3594 ?\u3639 ?\u3656 ?\u3629 ?\u3626 ?\u3585 ?\u3640 ?\u3621 ? {\f4 ......{\fs24 <<lname>>}......}}
\par 
\pard\plain\pard\plain \absw2236\absh371\pvpara\posy104\phcol\posx1888{\*\flymaincnt2\flyvert24160\flyhorz21504\flyanchor0\flycntnt{\cbpat2}{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 {\ltrch\loch\f0            {\fs24\f4 <<idtax>>}}
\par \pard

\pard\plain\pard\plain \absw2236\absh371\pvpara\posy96\phcol\posx6598{\*\flymaincnt2\flyvert41600\flyhorz44032\flyanchor0\flycntnt{\cbpat2}{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 {\ltrch\loch\f0           {\fs24\f4 <<id_people>>}}
\par \pard
\pard\plain \intbl\s1\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 {\ltrch\loch\f2 \u3648 ?\u3621 ?\u3586 ?\u3607 ?\u3637 ?\u3656 ?\u3610 ?\u3633 ?\u3605 ?\u3619 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3633 ?\u3609 ?\u3626 ?\u3633 ?\u3591 ?\u3588 ?\u3617 ?                                                 \u3648 ?\u3621 ?\u3586 ?\u3607 ?\u3637 ?\u3656 ?\u3610 ?\u3633 ?\u3605 ?\u3619 ?\u3611 ?\u3619 ?\u3632 ?\u3592 ?\u3635 ?\u3605 ?\u3633 ?\u3623 ?\u3611 ?\u3619 ?\u3632 ?\u3594 ?\u3634 ?\u3594 ?\u3609 ? }
\par 
\pard\plain\pard\plain \absw266\absh-369\pvpara\posy23\phcol\posx720{\*\flymaincnt2\flyvert57248\flyhorz6144\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\rtlch\af4\ltrch\dbch\af4\loch\f4\fs24 {\ltrch\loch\f4 <<day>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy17\phcol\posx1559{\*\flymaincnt2\flyvert57664\flyhorz20480\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<month>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy11\phcol\posx2557{\*\flymaincnt2\flyvert51104\flyhorz34304\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<year>>}
\par \pard
\pard\plain \intbl\s1\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2\fs24 {\ltrch\loch\f2  \u3648 ?\u3585 ?\u3636 ?\u3604 ? \u3623 ?\u3633 ?\u3609 ?\u3607 ?\u3637 ?\u3656 ?            \u3648 ?\u3604 ?\u3639 ?\u3629 ?\u3609 ?           \u3614 ?.\u3624 ?. 25          \u3652 ?\u3604 ?\u3657 ?\u3592 ?\u3656 ?\u3634 ?\u3618 ?\u3648 ?\u3591 ?\u3636 ?\u3609 ?\u3626 ?\u3617 ?\u3607 ?\u3610 ?\u3588 ?\u3619 ?\u3610 ? 90 \u3623 ?\u3633 ?\u3609 ? \u3648 ?\u3617 ?\u3639 ?\u3656 ?\u3629 ?\u3623 ?\u3633 ?\u3609 ?\u3607 ?\u3637 ?\u3656 ? ..............\u3648 ?\u3604 ?\u3639 ?\u3629 ?\u3609 ? ................... \u3614 ?.\u3624 ?. .....................}
\par 
\pard\plain\pard\plain \absw1650\absh380\pvpara\posy294\phcol\posx891{\*\flymaincnt2\flyvert64032\flyhorz59904\flyanchor0\flycntnt{\cbpat2}{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4         <<social_code>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy340\phcol\posx3889{\*\flymaincnt2\flyvert18592\flyhorz64512\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<bra_no0>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy342\phcol\posx4163{\*\flymaincnt2\flyvert36192\flyhorz61440\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<bra_no1>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy339\phcol\posx4431{\*\flymaincnt2\flyvert12384\flyhorz41984\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<bra_no2>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy341\phcol\posx4983{\*\flymaincnt2\flyvert63808\flyhorz46592\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<bra_no4>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy343\phcol\posx5261{\*\flymaincnt2\flyvert25216\flyhorz512\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<bra_no5>>}
\par \pard
{\ltrch\loch\f2 2. \u3611 ?\u3633 ?\u3592 ?\u3592 ?\u3640 ?\u3610 ?\u3633 ?\u3609 ?\u3607 ?\u3635 ?\u3591 ?\u3634 ?\u3609 ?\u3585 ?\u3633 ?\u3610 ?\u3626 ?\u3606 ?\u3634 ?\u3609 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3629 ?\u3610 ?\u3585 ?\u3634 ?\u3619 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ? {\f4 ....<<com_name>>........}\u3594 ?\u3639 ?\u3656 ?\u3629 ?\u3626 ?\u3634 ?\u3586 ?\u3634 ?{\f4 ......<<bra_name>>...}}
\par 
\pard\plain\pard\plain \absw266\absh-369\pvpara\posy0\phcol\posx4706{\*\flymaincnt2\flyvert52384\flyhorz23552\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<bra_no3>>}
\par \pard
\pard\plain \intbl\s1\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\rtlch\af7\ltrch\dbch\af6\loch\f2\fs24\lang255 {\ltrch\loch\f2  \u3648 ?\u3621 ?\u3586 ?\u3607 ?\u3637 ?\u3656 ?\u3610 ?\u3633 ?\u3597 ?\u3594 ?\u3637 ?                                                 \u3621 ?\u3635 ?\u3604 ?\u3633 ?\u3610 ?\u3607 ?\u3637 ?\u3656 ?\u3626 ?\u3634 ?\u3586 ?\u3634 ?                          }
\par 
\pard\plain\pard\plain \absw266\absh-369\pvpara\posy45\phcol\posx6945{\*\flymaincnt2\flyvert17856\flyhorz50688\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<si_no0>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy45\phcol\posx7217{\*\flymaincnt2\flyvert17856\flyhorz23552\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<si_no1>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy45\phcol\posx7495{\*\flymaincnt2\flyvert17856\flyhorz39936\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<si_no2>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy45\phcol\posx7773{\*\flymaincnt2\flyvert17856\flyhorz51712\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<si_no3>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy45\phcol\posx8050{\*\flymaincnt2\flyvert17856\flyhorz39936\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<si_no4>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy45\phcol\posx8328{\*\flymaincnt2\flyvert17856\flyhorz24064\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<si_no5>>}
\par \pard

\pard\plain\pard\plain \absw266\absh-369\pvpara\posy45\phcol\posx8606{\*\flymaincnt2\flyvert17856\flyhorz58368\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f4\fs24 {\ltrch\loch\f4 <<si_no6>>}
\par \pard
\pard\plain \intbl\s1\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 {\ltrch\loch\f2 3. \u3586 ?\u3629 ?\u3648 ?\u3621 ?\u3639 ?\u3629 ?\u3585 ?\u3626 ?\u3606 ?\u3634 ?\u3609 ?\u3614 ?\u3618 ?\u3634 ?\u3610 ?\u3634 ?\u3621 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ? {\fs24\f4 ....<<sie_name>>..}..                                     \u3619 ?\u3627 ?\u3633 ?\u3626 ?\u3626 ?\u3606 ?\u3634 ?\u3609 ?\u3614 ?\u3618 ?\u3634 ?\u3610 ?\u3634 ?\u3621 ?                      }
\par {\ltrch\loch\f2          \u3586 ?\u3657 ?\u3634 ?\u3614 ?\u3648 ?\u3592 ?\u3657 ?\u3634 ?\u3586 ?\u3629 ?\u3619 ?\u3633 ?\u3610 ?\u3619 ?\u3629 ?\u3591 ?\u3623 ?\u3656 ?\u3634 ?\u3586 ?\u3657 ?\u3629 ?\u3588 ?\u3623 ?\u3634 ?\u3617 ?\u3604 ?\u3633 ?\u3591 ?\u3585 ?\u3621 ?\u3656 ?\u3634 ?\u3623 ?\u3586 ?\u3657 ?\u3634 ?\u3591 ?\u3605 ?\u3657 ?\u3609 ?\u3606 ?\u3641 ?\u3585 ?\u3605 ?\u3657 ?\u3629 ?\u3591 ?\u3605 ?\u3634 ?\u3617 ?\u3588 ?\u3623 ?\u3634 ?\u3617 ?\u3592 ?\u3619 ?\u3636 ?\u3591 ?\u3607 ?\u3640 ?\u3585 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3634 ?\u3619 ?}
\par 
\par 
\par {\ltrch\loch\f2       \u3621 ?\u3591 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ? ...................................... \u3609 ?\u3634 ?\u3618 ?\u3592 ?\u3657 ?\u3634 ?\u3591 ?                                              \u3621 ?\u3591 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ? ......................................................... \u3612 ?\u3641 ?\u3657 ?\u3619 ?\u3633 ?\u3610 ?\u3611 ?\u3619 ?\u3632 ?\u3585 ?\u3633 ?\u3609 ?\u3605 ?\u3609 ?}
\par {\ltrch\loch\f2         ( ..............................................)                                                                    ( ..............................................)                       }
\par {\ltrch\loch\f2          .........../............../.................                                                                           .........../............../.................      }
\cell\row\pard \trowd\trql\cellx11340
\pard\intbl\pard\plain \intbl\s3\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\qc\ltrch\loch\f2\b {\ltrch\loch\f2 \u3626 ?\u3635 ?\u3627 ?\u3619 ?\u3633 ?\u3610 ?\u3648 ?\u3592 ?\u3657 ?\u3634 ?\u3627 ?\u3609 ?\u3657 ?\u3634 ?\u3607 ?\u3637 ?\u3656 ?}
\cell\row\pard \trowd\trql\clbrdrt\brdrs\brdrw1\brdrcf1\brsp0\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\cellx5669\clbrdrt\brdrs\brdrw1\brdrcf1\brsp0\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx11340
\pard\intbl\pard\plain \intbl\s3\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 {\ltrch\loch\f2   \u3588 ?\u3623 ?\u3634 ?\u3617 ?\u3648 ?\u3627 ?\u3655 ?\u3609 ?\u3648 ?\u3592 ?\u3657 ?\u3634 ?\u3627 ?\u3609 ?\u3657 ?\u3634 ?\u3607 ?\u3637 ?\u3656 ?}
\par 
\pard\plain\pard\plain \absw265\absh-378\pvpara\posy73\phcol\posx357{\*\flymaincnt2\flyvert38112\flyhorz41472\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard
\pard\plain \intbl\s1\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 {\ltrch\loch\f2              \u3648 ?\u3627 ?\u3655 ?\u3609 ?\u3588 ?\u3623 ?\u3619 ?\u3629 ?\u3629 ?\u3585 ?\u3610 ?\u3633 ?\u3605 ?\u3619 ?\u3619 ?\u3633 ?\u3610 ?\u3619 ?\u3629 ?\u3591 ?\u3626 ?\u3636 ?\u3607 ?\u3608 ?\u3636 ?\u3631 ?}
\par 
\pard\plain\pard\plain \absw265\absh-378\pvpara\posy13\phcol\posx567{\*\flymaincnt2\flyvert64160\flyhorz64000\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard
{\ltrch\loch\f2                  \u3593 ?\u3610 ?\u3633 ?\u3610 ?\u3606 ?\u3634 ?\u3623 ?\u3619 ?}
\par 
\pard\plain\pard\plain \absw265\absh-378\pvpara\posy36\phcol\posx566{\*\flymaincnt2\flyvert57728\flyhorz34816\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard
\pard\plain \intbl\s1\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\rtlch\af7\ltrch\dbch\af6\loch\f2\lang255 {\ltrch\loch\f2                  \u3593 ?\u3610 ?\u3633 ?\u3610 ?\u3594 ?\u3633 ?\u3656 ?\u3623 ?\u3588 ?\u3619 ?\u3634 ?\u3623 ? \u3617 ?\u3637 ?\u3612 ?\u3621 ?\u3610 ?\u3633 ?\u3591 ?\u3588 ?\u3633 ?\u3610 ?\u3651 ?\u3594 ?\u3657 ?\u3605 ?\u3633 ?\u3657 ?\u3591 ?\u3649 ?\u3605 ?\u3656 ?}
\par {\ltrch\loch\f2                  \u3623 ?\u3633 ?\u3609 ?\u3607 ?\u3637 ?\u3656 ?.............................\u3606 ?\u3638 ?\u3591 ?\u3623 ?\u3633 ?\u3609 ?\u3607 ?\u3637 ?\u3656 ?..................................}
\cell\pard\plain \intbl\s3\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 
\par 
\pard\plain\pard\plain \absw265\absh-378\pvpara\posy103\phcol\posx199{\*\flymaincnt2\flyvert56032\flyhorz55808\flyanchor0\flycntnt{\*\brdrt\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrl\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrb\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28{\*\brdrr\brdlncol1\brdlnin0\brdlnout1\brdlndist0}\brsp28}\s5\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par \pard
\pard\plain \intbl\s1\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 {\ltrch\loch\f2            \u3652 ?\u3617 ?\u3656 ?\u3648 ?\u3627 ?\u3655 ?\u3609 ?\u3588 ?\u3623 ?\u3619 ?\u3629 ?\u3629 ?\u3585 ?\u3610 ?\u3633 ?\u3605 ?\u3619 ?\u3619 ?\u3633 ?\u3610 ?\u3619 ?\u3629 ?\u3591 ?\u3626 ?\u3636 ?\u3607 ?\u3608 ?\u3636 ? \u3631 ? \u3648 ?\u3614 ?\u3619 ?\u3634 ?\u3632 ?}
\par {\ltrch\loch\f2             ............................................................................................}
\par {\ltrch\loch\f2             ............................................................................................}
\par {\ltrch\loch\f2             ............................................................................................}
\cell\row\pard \trowd\trql\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\cellx5669\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx11340
\pard\intbl\pard\plain \intbl\s3\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 {\ltrch\loch\f2   }
\par {\ltrch\loch\f2 \u3621 ?\u3591 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ? ............................................... \u3648 ?\u3592 ?\u3657 ?\u3634 ?\u3627 ?\u3609 ?\u3657 ?\u3634 ?\u3607 ?\u3637 ?\u3656 ?}
\par {\ltrch\loch\f2       ( ................................................... ) }
\par {\ltrch\loch\f2         ............../.................../...............}
\cell\pard\plain \intbl\s3\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 
\par {\ltrch\loch\f2                             \u3621 ?\u3591 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ? ............................................... \u3612 ?\u3641 ?\u3657 ?\u3629 ?\u3609 ?\u3640 ?\u3617 ?\u3633 ?\u3605 ?\u3636 ?}
\par {\ltrch\loch\f2                               ( ........................................................ ) }
\par {\ltrch\loch\f2                               ................./..................../....................}
\cell\row\pard \trowd\trql\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\cellx11340
\pard\intbl\pard\plain \intbl\s3\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\qc\ltrch\loch\f2\b {\ltrch\loch\f2 \u3626 ?\u3635 ?\u3627 ?\u3619 ?\u3633 ?\u3610 ?\u3612 ?\u3641 ?\u3657 ?\u3619 ?\u3633 ?\u3610 ?\u3610 ?\u3633 ?\u3605 ?\u3619 ?\u3619 ?\u3633 ?\u3610 ?\u3619 ?\u3629 ?\u3591 ?\u3626 ?\u3636 ?\u3607 ?\u3608 ?\u3636 ?\u3585 ?\u3634 ?\u3619 ?\u3619 ?\u3633 ?\u3585 ?\u3625 ?\u3634 ?\u3614 ?\u3618 ?\u3634 ?\u3610 ?\u3634 ?\u3621 ?}
\cell\row\pard \trowd\trql\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\cellx5669\clbrdrl\brdrs\brdrw1\brdrcf1\brsp0\clbrdrb\brdrs\brdrw1\brdrcf1\brsp0\clbrdrr\brdrs\brdrw1\brdrcf1\brsp0\cellx11340
\pard\intbl\pard\plain \intbl\s3\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 {\ltrch\loch\f2   \u3652 ?\u3604 ?\u3657 ?\u3619 ?\u3633 ?\u3610 ?\u3610 ?\u3633 ?\u3605 ?\u3619 ?\u3619 ?\u3633 ?\u3610 ?\u3619 ?\u3629 ?\u3591 ?\u3626 ?\u3636 ?\u3607 ?\u3608 ?\u3636 ?\u3585 ?\u3634 ?\u3619 ?\u3619 ?\u3633 ?\u3585 ?\u3625 ?\u3634 ?\u3614 ?\u3618 ?\u3634 ?\u3610 ?\u3634 ?\u3621 ?}
\par {\ltrch\loch\f2   \u3623 ?\u3633 ?\u3609 ?\u3607 ?\u3637 ?\u3656 ? ............. \u3648 ?\u3604 ?\u3639 ?\u3629 ?\u3609 ? .................. \u3614 ?.\u3624 ?. ....................}
\cell\pard\plain \intbl\s3\sa120\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255\ltrch\loch\f2 {\ltrch\loch\f2                               \u3621 ?\u3591 ?\u3594 ?\u3639 ?\u3656 ?\u3629 ? ..............................................\u3612 ?\u3641 ?\u3657 ?\u3619 ?\u3633 ?\u3610 ?\u3610 ?\u3633 ?\u3605 ?\u3619 ?}
\par {\ltrch\loch\f2                                    ( ..............................................)}
\cell\row\pard \pard\plain \s1\cf1{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\aspalpha\rtlch\af7\afs24\lang255\ltrch\dbch\af6\afs24\langfe255\loch\f0\fs28\lang255 
\par }