%PDF-1.4
%
89 0 obj
<<
/Filter /FlateDecode
/BBox [0 0 176.7 31.7]
/Length 83
/Resources <<
/ProcSet [/PDF /Text /ImageC /ImageI /ImageB]
/XObject <<
/Im4 4 0 R
>>
/Font 6 0 R
>>
>>
stream
xPpu*2P0P2473r,cC 3@r\\y\N!\n
!i\zF
tQ:kW +
endstream
endobj
88 0 obj
<<
/Type /Action
/S /JavaScript
/JS (AFDate_FormatEx\("dd-mmm-yyyy"\);)
>>
endobj
91 0 obj
<<
/Type /Action
/S /JavaScript
/JS (AFDate_FormatEx\("dd-mmm-yyyy"\);)
>>
endobj
90 0 obj
<<
/Type /Action
/S /JavaScript
/JS (AFDate_KeystrokeEx\("dd-mmm-yyyy"\);)
>>
endobj
93 0 obj
<<
/Type /Metadata
/Length 404
/Subtype /XML
>>
stream
2021-05-31T08:22:30+02:002021-05-31T08:22:30+02:00
endstream
endobj
92 0 obj
<<
/Filter /FlateDecode
/BBox [0 0 142.6 20.4]
/Length 83
/Resources <<
/ProcSet [/PDF /Text /ImageC /ImageI /ImageB]
/XObject <<
/Im4 4 0 R
>>
/Font 6 0 R
>>
>>
stream
xPpu*2P0P2413r,#= epsq9p+(qYZ+E\!\\@K
endstream
endobj
81 0 obj
<<
/Matrix [1.0 0 -0 1.0 0 0]
/Filter /FlateDecode
/BBox [0 0 176.7 31.7]
/Type /XObject
/Length 84
/FormType 1
/Resources 49 0 R
/Subtype /Form
>>
stream
xPpu*2P0P2473r,cC 3@r\\y\N!\n
!i\zF
tQ:kW +.
endstream
endobj
80 0 obj
<<
/Matrix [1.0 0 -0 1.0 0 0]
/Filter /FlateDecode
/BBox [0 0 176.7 31.7]
/Type /XObject
/Length 84
/FormType 1
/Resources 49 0 R
/Subtype /Form
>>
stream
xPpu*2P0P2473r,cC 3@r\\y\N!\n
!i\zF
tQ:kW +.
endstream
endobj
83 0 obj
<<
/CreationDate (D:20210531081942+02'00')
/Producer
/Creator
/ModDate (D:20210531082230+02'00')
>>
endobj
82 0 obj
<<
/OpenAction [1 0 R /XYZ null null 0]
/Outlines 50 0 R
/Type /Catalog
/Metadata 93 0 R
/Pages 36 0 R
/AcroForm <<
/NeedAppearances true
/Fields [5 0 R 7 0 R 8 0 R 9 0 R 10 0 R 11 0 R 12 0 R 13 0 R 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R
21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R]
/DR 49 0 R
>>
>>
endobj
85 0 obj
<<
/Type /Action
/S /JavaScript
/JS (AFDate_FormatEx\("dd-mmm-yyyy"\);)
>>
endobj
84 0 obj
<<
/Type /Action
/S /JavaScript
/JS (AFDate_KeystrokeEx\("dd-mmm-yyyy"\);)
>>
endobj
87 0 obj
<<
/Type /Action
/S /JavaScript
/JS (AFDate_KeystrokeEx\("dd-mmm-yyyy"\);)
>>
endobj
86 0 obj
<<
/Filter /FlateDecode
/BBox [0 0 176.7 31.7]
/Length 83
/Resources <<
/ProcSet [/PDF /Text /ImageC /ImageI /ImageB]
/XObject <<
/Im4 4 0 R
>>
/Font 6 0 R
>>
>>
stream
xPpu*2P0P2473r,cC 3@r\\y\N!\n
!i\zF
tQ:kW +
endstream
endobj
9 0 obj
<<
/Type /Annot
/Rect [237.7 427.7 524.9 445.2]
/V
/T (Text Box 1_4)
/DA (0.29803 0.29803 0.29803 rg /F3 10 Tf)
/P 1 0 R
/MaxLen 40
/DV
/DR <<
/Font 6 0 R
>>
/AP <<
/N 55 0 R
>>
/F 4
/Subtype /Widget
/FT /Tx
>>
endobj
8 0 obj
<<
/Type /Annot
/Rect [237.7 450.4 524.9 465.1]
/V
/T (Text Box 1_3)
/DA (0.29803 0.29803 0.29803 rg /F3 10 Tf)
/P 1 0 R
/MaxLen 50
/DV
/DR <<
/Font 6 0 R
>>
/AP <<
/N 54 0 R
>>
/F 4
/Subtype /Widget
/FT /Tx
>>
endobj
11 0 obj
<<
/Type /Annot
/Rect [351.1 33.7 507.9 54.1]
/V
/T (Text Box 2)
/DA (0.29803 0.29803 0.29803 rg /F3 10 Tf)
/P 1 0 R
/DV
/DR <<
/Font 6 0 R
>>
/AP <<
/N 57 0 R
>>
/F 4
/Subtype /Widget
/FT /Tx
>>
endobj
10 0 obj
<<
/Type /Annot
/Rect [59.1 33.7 201.7 54.1]
/V
/T (Date Field 1)
/DA (0.29803 0.29803 0.29803 rg /F3 10 Tf)
/P 1 0 R
/AA <<
/K 90 0 R
/F 91 0 R
>>
/DV
/DR <<
/Font 6 0 R
>>
/AP <<
/N 92 0 R
>>
/F 4
/Subtype /Widget
/FT /Tx
>>
endobj
13 0 obj
<<
/Type /Annot
/Rect [237.7 405 524.9 422.5]
/V
/T (Text Box 1_6)
/DA (0.29803 0.29803 0.29803 rg /F3 10 Tf)
/P 1 0 R
/MaxLen 40
/DV
/DR <<
/Font 6 0 R
>>
/AP <<
/N 59 0 R
>>
/F 4
/Subtype /Widget
/FT /Tx
>>
endobj
12 0 obj
<<
/Type /Annot
/Rect [237.7 492.9 524.9 510.4]
/V
/T (Text Box 1_5)
/DA (0.29803 0.29803 0.29803 rg /F3 10 Tf)
/P 1 0 R
/MaxLen 50
/DV
/DR <<
/Font 6 0 R
>>
/AP <<
/N 58 0 R
>>
/F 4
/Subtype /Widget
/FT /Tx
>>
endobj
15 0 obj
<<
/Type /Annot
/Rect [166.8 322.8 524.9 337.5]
/Opt [ ]
/Ff 131072
/V
/T (List Box 1)
/DA (0.29803 0.29803 0.29803 rg /F3 10 Tf)
/P 1 0 R
/DV
/DR <<
/Font 6 0 R
>>
/AP <<
/N 61 0 R
>>
/F 4
/Subtype /Widget
/FT /Ch
>>
endobj
14 0 obj
<<
/Type /Annot
/Rect [237.7 382.3 524.9 399.8]
/V
/T (Text Box 1_7)
/DA (0.29803 0.29803 0.29803 rg /F3 10 Tf)
/P 1 0 R
/MaxLen 40
/DV
/DR <<
/Font 6 0 R
>>
/AP <<
/N 60 0 R
>>
/F 4
/Subtype /Widget
/FT /Tx
>>
endobj
1 0 obj
<<
/Type /Page
/Group <<
/I true
/S /Transparency
/CS /DeviceRGB
>>
/Annots [5 0 R 12 0 R 7 0 R 8 0 R 9 0 R 13 0 R 14 0 R 15 0 R 16 0 R 22 0 R 28 0 R 17 0 R 23 0 R 29 0 R 18 0 R
24 0 R 30 0 R 19 0 R 25 0 R 31 0 R 20 0 R 26 0 R 32 0 R 21 0 R 27 0 R 33 0 R 35 0 R 34 0 R 10 0 R 11 0 R]
/MediaBox [0 0 595.22 841.8]
/Parent 36 0 R
/Contents 2 0 R
/Resources 49 0 R
>>
endobj
3 0 obj
1560
endobj
2 0 obj
<<
/Filter /FlateDecode
/Length 3 0 R
>>
stream
xXɎ7+t]^?o>=ullnLlm_!CO|V_/OEa
$ .Ӊ?wMO_~5`pq6ƛhR֦70lcoYI@`8@oN<Dž7Z#CFi?/m#ֲ5K֠4!EڝȸjT5ArjMģzAݨqV7{~ya{;7F$