{{header}}
{{include xfa_catalog_1_0.fragment}}
{{include xfa_object_2_0.fragment}}
{{include xfa_preamble_3_0.fragment}}
{{include xfa_config_4_0.fragment}}
{{object 5 0}} <<
  {{streamlen}}
>>
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<template xmlns="http://www.xfa.org/schema/xfa-template/2.8/">
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        <field w="62mm" h="9mm" access="readOnly">
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            <textEdit>
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          <button highlight="inverted"/>
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                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                  </field>
                  <margin topInset="1mm" bottomInset="1mm"/>
                </subform>
                <subform w="202mm" minH="34.081mm" layout="lr-tb" y="3mm">
                  <draw w="7.95275in" h="6.875mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="202mm" minH="28mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                  </field>
                  <margin topInset="1mm" bottomInset="1mm"/>
                </subform>
                <subform w="202mm" minH="34.081mm" layout="lr-tb" y="3mm">
                  <draw w="7.95275in" h="6.875mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="202mm" minH="28mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                  </field>
                  <margin topInset="1mm" bottomInset="1mm"/>
                </subform>
                <subform w="202mm" minH="34.081mm" layout="lr-tb">
                  <draw w="7.95275in" h="6.036mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="202mm" minH="28mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                  </field>
                  <margin topInset="1mm" bottomInset="1mm"/>
                </subform>
              </subform>
              <occur min="0" max="-1"/>
            </subform>
          </subform>
          <subform w="202mm" minH="147.001mm" layout="lr-tb">
            <draw h="6.773mm" w="108mm">
              <ui>
                <textEdit/>
              </ui>
              <margin topInset="1.27mm" bottomInset="1.27mm" leftInset="1mm" rightInset="1.27mm"/>
            </draw>
            <subform minH="237.19mm" layout="lr-tb" w="202mm">
              <subform minH="8mm" layout="lr-tb" name="show">
                <field w="60mm" h="8mm">
                  <ui>
                    <button highlight="outline"/>
                  </ui>
                  <margin bottomInset="0mm"/>
                </field>
                <margin topInset="3mm" bottomInset="2mm"/>
                <keep intact="contentArea"/>
              </subform>
              <subform minH="8mm" layout="lr-tb" name="hide">
                <field w="22mm" h="8mm">
                  <ui>
                    <button highlight="outline"/>
                  </ui>
                  <margin bottomInset="0mm"/>
                </field>
                <margin topInset="3mm" bottomInset="2mm"/>
                <keep intact="contentArea"/>
              </subform>
              <field w="62mm" h="9mm" access="protected" presence="hidden">
                <ui>
                  <textEdit>
                  </textEdit>
                </ui>
                <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
              </field>
              <subform w="202mm" minH="224.19mm" layout="lr-tb">
                <subform w="127mm" minH="15.694mm" layout="lr-tb">
                  <draw w="51mm" minH="9mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="2mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="26mm" minH="9mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="1mm" bottomInset="1mm" leftInset="0mm" rightInset="1mm"/>
                  </field>
                  <keep intact="contentArea"/>
                </subform>
                <subform w="127mm" minH="15.694mm" layout="lr-tb">
                  <draw w="51mm" minH="9mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="2mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="76mm" minH="9mm" access="protected">
                    <ui>
                      <dateTimeEdit>
                      </dateTimeEdit>
                    </ui>
                    <margin topInset="1mm" bottomInset="1mm" leftInset="0mm" rightInset="1mm"/>
                    <format>
                      <picture
                          >date{DD/MM/YYYY}</picture>
                    </format>
                  </field>
                  <keep intact="contentArea"/>
                </subform>
                <subform w="127mm" minH="15.694mm" layout="lr-tb">
                  <draw w="51mm" minH="9mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="2mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="76mm" minH="9mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="1mm" bottomInset="1mm" leftInset="0mm" rightInset="1mm"/>
                  </field>
                  <keep intact="contentArea"/>
                </subform>
                <subform w="202mm" minH="15.694mm" layout="lr-tb">
                  <draw w="127mm" h="17.439mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="2mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="25mm" minH="17.578mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="10mm" bottomInset="1mm" leftInset="3mm" rightInset="1mm"/>
                  </field>
                  <keep intact="contentArea"/>
                </subform>
                <subform w="202mm" minH="15.694mm" layout="lr-tb">
                  <draw w="127mm" minH="20.35mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="2mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="25mm" minH="17.578mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="15mm" bottomInset="1mm" leftInset="3mm" rightInset="1mm"/>
                  </field>
                  <keep intact="contentArea"/>
                </subform>
                <subform w="202mm" minH="15.694mm" layout="lr-tb">
                  <draw w="127mm" minH="11.651mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="2mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="25mm" minH="11.651mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="7mm" bottomInset="1mm" leftInset="3mm" rightInset="1mm"/>
                  </field>
                  <keep intact="contentArea"/>
                </subform>
                <subform w="202mm" minH="15.694mm" layout="lr-tb">
                  <draw w="127mm" minH="17.578mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="2mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="25mm" minH="17.578mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="10mm" bottomInset="1mm" leftInset="3mm" rightInset="1mm"/>
                  </field>
                  <keep intact="contentArea"/>
                </subform>
                <subform w="202mm" minH="15.694mm" layout="lr-tb">
                  <draw w="127mm" minH="11.192mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="2mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="25mm" minH="11mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="6mm" bottomInset="1mm" leftInset="3mm" rightInset="1mm"/>
                  </field>
                  <keep intact="contentArea"/>
                  <margin bottomInset="2mm"/>
                </subform>
                <subform w="202mm" minH="34.081mm" layout="lr-tb">
                  <draw w="7.95275in" h="9.537mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="202mm" minH="28mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                  </field>
                  <margin topInset="1mm" bottomInset="1mm"/>
                </subform>
                <subform w="202mm" minH="34.081mm" layout="lr-tb">
                  <draw w="7.95275in" h="9.537mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="202mm" minH="28mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                  </field>
                  <margin topInset="1mm" bottomInset="1mm"/>
                </subform>
                <subform w="202mm" minH="34.081mm" layout="lr-tb">
                  <draw w="7.95275in" h="6.875mm">
                    <ui>
                      <textEdit/>
                    </ui>
                    <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="1mm" rightInset="0.5mm"/>
                  </draw>
                  <field w="202mm" minH="28mm" access="protected">
                    <ui>
                      <textEdit multiLine="1">
                      </textEdit>
                    </ui>
                    <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                  </field>
                  <margin topInset="1mm" bottomInset="1mm"/>
                </subform>
              </subform>
              <occur min="0" max="-1"/>
            </subform>
          </subform>
          <subform w="22mm" minH="8mm" layout="lr-tb" name="save" y="3mm">
            <field w="22mm" h="8mm">
              <ui>
                <button highlight="outline"/>
              </ui>
              <margin bottomInset="0mm"/>
            </field>
            <margin topInset="3mm" bottomInset="2mm"/>
          </subform>
        </subform>
        <overflow leader="Bloog"/>
      </subform>
      <subform layout="tb" w="203mm">
        <margin bottomInset="0mm" leftInset="0mm" topInset="0mm"/>
        <variables>
        </variables>
        <subform layout="lr-tb" minH="8.802mm" w="203mm">
          <keep intact="contentArea"/>
          <margin leftInset="0mm"/>
          <draw h="0.238889in" name="tbd" w="203mm">
            <margin bottomInset="1mm" leftInset="2mm" rightInset="1mm" topInset="1mm"/>
            <ui>
              <textEdit/>
            </ui>
          </draw>
          <draw h="8mm" w="203mm">
            <margin bottomInset="0.5mm" leftInset="2mm" rightInset="0.5mm" topInset="2mm"/>
            <ui>
              <textEdit/>
            </ui>
          </draw>
          <subform layout="lr-tb" name="fieldCaption" w="50mm" presence="hidden">
            <keep intact="contentArea"/>
            <margin leftInset="2mm"/>
            <draw h="8.802mm" name="Normal" w="48mm">
              <margin bottomInset="0.5mm" leftInset="0mm" rightInset="0.5mm" topInset="0.5mm"/>
              <ui>
                <textEdit/>
              </ui>
            </draw>
            <draw h="8.802mm" name="Star" w="48mm">
              <margin bottomInset="0.5mm" leftInset="0mm" rightInset="0.5mm" topInset="0.5mm"/>
              <ui>
                <textEdit/>
              </ui>
            </draw>
          </subform>
          <field access="readOnly" h="9mm" w="62mm">
            <margin bottomInset="1mm" leftInset="1mm" rightInset="1mm" topInset="1mm"/>
            <ui>
              <textEdit>
              </textEdit>
            </ui>
          </field>
          <field h="6mm" name="Button1" w="28.575mm">
            <ui>
              <button highlight="inverted"/>
            </ui>
          </field>
          <field h="6mm" name="Button2" w="28.575mm">
            <ui>
              <button highlight="inverted"/>
            </ui>
          </field>
          <field h="6mm" name="verifySig" w="28.575mm">
            <ui>
              <button highlight="inverted"/>
            </ui>
          </field>
          <field h="0.1mm" name="concat" w="0.1mm">
            <calculate>
              <script contentType="application/x-javascript">
	        fieldCaption.Star.presence = "hidden";
	        fieldCaption.Normal.presence = "visible";
	        this.rawValue = "Sig Not Required";
              </script>
            </calculate>
            <margin bottomInset="0mm" leftInset="0mm" rightInset="0mm" topInset="0mm"/>
            <validate>
              <message>
                <text name="scriptTest"/>
              </message>
            </validate>
          </field>
        </subform>
        <subform layout="lr-tb" w="203mm" presence="hidden">
          <keep intact="contentArea"/>
          <margin bottomInset="1mm"/>
          <draw h="6.269mm" w="7.992125in">
            <margin bottomInset="0mm" leftInset="2mm" rightInset="0.5mm" topInset="2mm"/>
            <ui>
              <textEdit/>
            </ui>
          </draw>
          <draw h="5mm" name="Text1" w="139.483mm">
            <margin bottomInset="0mm" leftInset="2mm" rightInset="0mm" topInset="0.5mm"/>
            <ui>
              <textEdit/>
            </ui>
          </draw>
          <field access="readOnly" h="0.217639in" name="TextField1" w="0.604861in">
            <margin bottomInset="0mm" leftInset="0mm" rightInset="0mm" topInset="0mm"/>
            <ui>
              <textEdit>
              </textEdit>
            </ui>
            <validate>
              <message>
                <text name="scriptTest"/>
              </message>
            </validate>
          </field>
          <draw h="5mm" name="Text1" w="0.786167in">
            <margin bottomInset="0mm" leftInset="0mm" rightInset="0.5mm" topInset="0.5mm"/>
            <ui>
              <textEdit/>
            </ui>
          </draw>
          <field h="9mm" name="url" w="62mm">
            <margin bottomInset="1mm" leftInset="1mm" rightInset="1mm" topInset="1mm"/>
            <ui>
              <textEdit>
              </textEdit>
            </ui>
          </field>
        </subform>
      </subform>
    </subform>
    <proto>
      <subform w="202.001mm" name="Bloog" x="0.003mm" y="0.008mm">
        <occur max="-1"/>
        <draw w="202mm" h="6mm" x="0.001mm" y="0.001mm">
          <ui>
            <textEdit/>
          </ui>
          <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="0.5mm" rightInset="0.5mm"/>
        </draw>
      </subform>
    </proto>
  </subform>
</template>
endstream
endobj
{{include xfa_locale_6_0.fragment}}
{{include xfa_postamble_7_0.fragment}}
{{include xfa_pages_8_0.fragment}}
{{xref}}
{{trailer}}
{{startxref}}
%%EOF
