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  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A8'> FORMCHECKBOX </sp=
an></span><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A8'></span><![endif]--=
><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A8'><![if !supportNest=
edAnchors]><a
  name=3D&#1060;&#1083;&#1072;&#1078;&#1086;&#1082;8></a><![endif]><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  \0424\043B\0430\0436\043E\043A8'></span><span style=3D'mso-element:field-=
end'></span><![endif]--><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A8'></span><span lang=
=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></span></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A9'> FORMCHECKBOX </sp=
an></span><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A9'></span><![endif]--=
><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A9'><![if !supportNest=
edAnchors]><a
  name=3D&#1060;&#1083;&#1072;&#1078;&#1086;&#1082;9></a><![endif]><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  \0424\043B\0430\0436\043E\043A9'></span><span style=3D'mso-element:field-=
end'></span><![endif]--><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A9'></span><span lang=
=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></span></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A10'> FORMCHECKBOX </s=
pan></span><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A10'></span><![endif]-=
-><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A10'><![if !supportNes=
tedAnchors]><a
  name=3D&#1060;&#1083;&#1072;&#1078;&#1086;&#1082;10></a><![endif]><!--[if=
 gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  \0424\043B\0430\0436\043E\043A10'></span><span style=3D'mso-element:field=
-end'></span><![endif]--><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A10'></span><span lang=
=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></span></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A11'> FORMCHECKBOX </s=
pan></span><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A11'></span><![endif]-=
-><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A11'><![if !supportNes=
tedAnchors]><a
  name=3D&#1060;&#1083;&#1072;&#1078;&#1086;&#1082;11></a><![endif]><!--[if=
 gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  \0424\043B\0430\0436\043E\043A11'></span><span style=3D'mso-element:field=
-end'></span><![endif]--><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A11'></span><span lang=
=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></span></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A12'> FORMCHECKBOX </s=
pan></span><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A12'></span><![endif]-=
-><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A12'><![if !supportNes=
tedAnchors]><a
  name=3D&#1060;&#1083;&#1072;&#1078;&#1086;&#1082;12></a><![endif]><!--[if=
 gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  \0424\043B\0430\0436\043E\043A12'></span><span style=3D'mso-element:field=
-end'></span><![endif]--><span
  style=3D'mso-bookmark:\0424\043B\0430\0436\043E\043A12'></span><span lang=
=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></span></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D667 colspan=3D12 valign=3Dtop style=3D'width:500.4pt;border:s=
olid windowtext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:red;
  mso-ansi-language:UK'>- &#1090;&#1077;&#1084;&#1072;
  &#1089;&#1092;&#1086;&#1088;&#1084;&#1091;&#1083;&#1100;&#1086;&#1074;&#1=
072;&#1085;&#1072;
  &#1095;&#1110;&#1090;&#1082;&#1086; &#1090;&#1072;
  &#1079;&#1088;&#1086;&#1079;&#1091;&#1084;&#1110;&#1083;&#1086;<o:p></o:p=
></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:1;mso-yfti-lastrow:yes'>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border:solid windowtex=
t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
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an></p>
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  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
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  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
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an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
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  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
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an></p>
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left:none;
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text .5pt;
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  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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0000000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
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an></p>
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 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
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ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
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olid windowtext 1.0pt;
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p></o:p></span></p>
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t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
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  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
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   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D667 colspan=3D12 valign=3Dtop style=3D'width:500.4pt;border:s=
olid windowtext 1.0pt;
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089;&#1090;&#1100;
  &#1074;&#1080;&#1082;&#1083;&#1072;&#1076;&#1091;
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p></span></p>
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t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
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   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
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an></p>
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-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
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an></p>
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left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
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an></p>
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left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
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00000000</w:data>
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t:field-end'></span></span><![endif]--><span
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an></p>
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left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
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anguage:
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0000000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
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an></p>
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  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
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   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
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  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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0000000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
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olid windowtext 1.0pt;
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t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
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   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
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olid windowtext 1.0pt;
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  &#1087;&#1077;&#1088;&#1077;&#1082;&#1086;&#1085;&#1083;&#1080;&#1074;&#1=
110;&#1089;&#1090;&#1100;
  &#1076;&#1086;&#1082;&#1072;&#1079;&#1091;
  &#1074;&#1083;&#1072;&#1089;&#1085;&#1086;&#1111;
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p></span></p>
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  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border:solid windowtex=
t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span> FOR=
MCHECKBOX
  </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-lan=
guage:
  UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF65000000140000000000000000000000000000000000000000000000=
00000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF65000000140000000000000000000000000000000000000000000000=
00000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
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an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF65000000140000000000000000000000000000000000000000000000=
00000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
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an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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00000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
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olid windowtext 1.0pt;
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  &#1088;&#1110;&#1079;&#1085;&#1086;&#1084;&#1072;&#1085;&#1110;&#1090;&#1=
085;&#1110;&#1089;&#1090;&#1100;
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  &#1087;&#1088;&#1072;&#1074;&#1080;&#1083;&#1100;&#1085;&#1110;&#1089;&#1=
090;&#1100;
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t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
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   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
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an></p>
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 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'background:#999999;border-collapse:collapse;border:none;mso-borde=
r-alt:
 solid windowtext .5pt;mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5=
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 mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid win=
dowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'>
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xt 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;font-famil=
y:"Times New Roman";
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0;&#1085;&#1110;&#1089;&#1090;&#1100;<o:p></o:p></span></p>
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 </tr>
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<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D667 colspan=3D12 valign=3Dtop style=3D'width:500.4pt;border:s=
olid windowtext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:blue;
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  &#1075;&#1088;&#1072;&#1084;&#1072;&#1090;&#1080;&#1095;&#1085;&#1072; <o=
:p></o:p></span></p>
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 </tr>
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t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
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olid windowtext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:blue;
  mso-ansi-language:UK'>-
  &#1086;&#1088;&#1092;&#1086;&#1075;&#1088;&#1072;&#1092;&#1110;&#1095;&#1=
085;&#1072;<span
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 </tr>
 <tr style=3D'mso-yfti-irow:1;mso-yfti-lastrow:yes'>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border:solid windowtex=
t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'background:#999999;border-collapse:collapse;border:none;mso-borde=
r-alt:
 solid windowtext .5pt;mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5=
.4pt;
 mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid win=
dowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'>
  <td width=3D667 valign=3Dtop style=3D'width:500.4pt;border:solid windowte=
xt 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;font-famil=
y:"Times New Roman";
  color:navy;mso-ansi-language:UK'>&#1054;&#1092;&#1086;&#1088;&#1084;&#108=
3;&#1077;&#1085;&#1085;&#1103;<o:p></o:p></span></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D667 colspan=3D12 valign=3Dtop style=3D'width:500.4pt;border:s=
olid windowtext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:gree=
n;
  mso-ansi-language:UK'>-
  &#1077;&#1089;&#1090;&#1077;&#1090;&#1080;&#1095;&#1085;&#1110;&#1089;&#1=
090;&#1100;
  &#1086;&#1092;&#1086;&#1088;&#1084;&#1083;&#1077;&#1085;&#1085;&#1103;<o:=
p></o:p></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:1;mso-yfti-lastrow:yes'>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border:solid windowtex=
t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D667 colspan=3D12 valign=3Dtop style=3D'width:500.4pt;border:s=
olid windowtext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:gree=
n;
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  &#1074;&#1110;&#1076;&#1087;&#1086;&#1074;&#1110;&#1076;&#1085;&#1110;&#1=
089;&#1090;&#1100;
  &#1086;&#1092;&#1086;&#1088;&#1084;&#1083;&#1077;&#1085;&#1085;&#1103;
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 </tr>
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  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border:solid windowtex=
t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D667 colspan=3D12 valign=3Dtop style=3D'width:500.4pt;border:s=
olid windowtext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:gree=
n;
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  &#1074;&#1080;&#1082;&#1086;&#1088;&#1080;&#1089;&#1090;&#1072;&#1085;&#1=
085;&#1103;
  &#1110;&#1083;&#1102;&#1089;&#1090;&#1088;&#1072;&#1090;&#1080;&#1074;&#1=
085;&#1086;&#1075;&#1086;
  &#1084;&#1072;&#1090;&#1077;&#1088;&#1110;&#1072;&#1083;&#1091; (&#1084;&=
#1072;&#1083;&#1102;&#1085;&#1082;&#1110;&#1074;,
  &#1076;&#1110;&#1072;&#1075;&#1088;&#1072;&#1084;,
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an></p>
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 </tr>
 <tr style=3D'mso-yfti-irow:1;mso-yfti-lastrow:yes'>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border:solid windowtex=
t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
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  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
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0000000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
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an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
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text .5pt;
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  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
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t:field-end'></span></span><![endif]--><span
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an></p>
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 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
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ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
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olid windowtext 1.0pt;
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n;
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  &#1076;&#1086;&#1094;&#1110;&#1083;&#1100;&#1085;&#1110;&#1089;&#1090;&#1=
100;
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1072;&#1078;&#1077;&#1085;&#1110;&#1089;&#1090;&#1100;)
  &#1074;&#1080;&#1082;&#1086;&#1088;&#1080;&#1089;&#1090;&#1072;&#1085;&#1=
085;&#1103;
  &#1072;&#1085;&#1110;&#1084;&#1072;&#1094;&#1110;&#1081;&#1085;&#1080;&#1=
093;
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t 1.0pt;
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olid windowtext .5pt;
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  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
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   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
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  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
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  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
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  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
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   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
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an></p>
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-left:
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.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'background:#999999;border-collapse:collapse;border:none;mso-borde=
r-alt:
 solid windowtext .5pt;mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5=
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 mso-border-insideh:.5pt solid windowtext;mso-border-insidev:.5pt solid win=
dowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'>
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xt 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:navy;
  mso-ansi-language:UK'>&#1044;&#1077;&#1084;&#1086;&#1085;&#1089;&#1090;&#=
1088;&#1072;&#1094;&#1110;&#1103;
  &#1087;&#1088;&#1077;&#1079;&#1077;&#1085;&#1090;&#1072;&#1094;&#1110;&#1=
111;<o:p></o:p></span></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D667 colspan=3D12 valign=3Dtop style=3D'width:500.4pt;border:s=
olid windowtext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:maro=
on;
  mso-ansi-language:UK'>- &#1084;&#1086;&#1074;&#1072;<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:1;mso-yfti-lastrow:yes'>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border:solid windowtex=
t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D667 colspan=3D12 valign=3Dtop style=3D'width:500.4pt;border:s=
olid windowtext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:maro=
on;
  mso-ansi-language:UK'>-
  &#1078;&#1077;&#1089;&#1090;&#1080;&#1082;&#1091;&#1083;&#1103;&#1094;&#1=
110;&#1103;<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:1;mso-yfti-lastrow:yes'>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border:solid windowtex=
t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D667 colspan=3D12 valign=3Dtop style=3D'width:500.4pt;border:s=
olid windowtext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:maro=
on;
  mso-ansi-language:UK'>-
  &#1077;&#1084;&#1086;&#1094;&#1110;&#1081;&#1085;&#1110;&#1089;&#1090;&#1=
100;<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:1;mso-yfti-lastrow:yes'>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border:solid windowtex=
t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>12</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100320000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-size:8.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D667 colspan=3D12 valign=3Dtop style=3D'width:500.4pt;border:s=
olid windowtext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;color:maro=
on;
  mso-ansi-language:UK'>-
  &#1087;&#1086;&#1079;&#1080;&#1094;&#1110;&#1102;&#1074;&#1072;&#1085;&#1=
085;&#1103;
  &#1076;&#1077;&#1084;&#1086;&#1085;&#1089;&#1090;&#1088;&#1072;&#1090;&#1=
086;&#1088;&#1072;
  &#1091; &#1087;&#1088;&#1086;&#1089;&#1090;&#1086;&#1088;&#1110; &#1082;&=
#1072;&#1073;&#1110;&#1085;&#1077;&#1090;&#1091;<o:p></o:p></span></p>
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 </tr>
 <tr style=3D'mso-yfti-irow:1;mso-yfti-lastrow:yes'>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border:solid windowtex=
t 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>1</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>2</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>3</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>4</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.85pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>5</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>6</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>7</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>8</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D53 valign=3Dtop style=3D'width:39.9pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>9</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.=
0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070024043B04300436043E043A043900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D69 valign=3Dtop style=3D'width:51.55pt;border-top:none;border=
-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>10</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100300000000000=
0000000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span lang=3DUK
  style=3D'font-size:14.0pt;mso-ansi-language:UK'><span style=3D'mso-elemen=
t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
  <td width=3D60 valign=3Dtop style=3D'width:45.0pt;border-top:none;border-=
left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=3DMsoNormal><span lang=3DUK style=3D'font-size:14.0pt;mso-ansi-l=
anguage:
  UK'>11</span><!--[if supportFields]><span lang=3DUK style=3D'font-size:14=
.0pt;
  mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></span>
  FORMCHECKBOX </span><![endif]--><span lang=3DUK style=3D'font-size:14.0pt;
  mso-ansi-language:UK'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400080024043B04300436043E043A043100310000000000=
0000000000000000000000000000000000000000</w:data>
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t:field-end'></span></span><![endif]--><span
  lang=3DUK style=3D'font-size:14.0pt;mso-ansi-language:UK'><o:p></o:p></sp=
an></p>
  </td>
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left:none;
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text .5pt;
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anguage:
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.0pt;
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an></p>
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<p class=3DMsoNormal><span lang=3DEN-US style=3D'font-size:14.0pt;mso-ansi-=
language:
EN-US'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><u><span lang=3DUK style=3D'color:navy;mso-ansi-langua=
ge:UK'>&#1055;&#1088;&#1086;&#1087;&#1086;&#1079;&#1080;&#1094;&#1110;&#111=
1;
</span></u><!--[if supportFields]><span lang=3DUK style=3D'font-size:14.0pt;
color:navy;mso-ansi-language:UK'><span style=3D'mso-element:field-begin'></=
span><span
style=3D'mso-bookmark:\0422\0435\043A\0441\0442\043E\0432\0435\041F\043E\04=
3B\04351'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT <span style=3D'mso-element=
:field-separator'></span></span></span><![endif]--><span
style=3D'mso-bookmark:\0422\0435\043A\0441\0442\043E\0432\0435\041F\043E\04=
3B\04351'><span
lang=3DUK style=3D'font-size:14.0pt;color:navy;mso-ansi-language:UK'><![if =
!supportNestedAnchors]><a
name=3D&#1058;&#1077;&#1082;&#1089;&#1090;&#1086;&#1074;&#1077;&#1055;&#108=
6;&#1083;&#1077;1></a><![endif]></span></span><span
style=3D'mso-bookmark:\0422\0435\043A\0441\0442\043E\0432\0435\041F\043E\04=
3B\04351'><span
lang=3DUK style=3D'font-size:14.0pt;font-family:"Arial Unicode MS";mso-fare=
ast-font-family:
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nbsp;&nbsp;&nbsp;&nbsp;</span><!--[if gte mso 9]><xml>
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ark:
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style=3D'mso-bookmark:\0422\0435\043A\0441\0442\043E\0432\0435\041F\043E\04=
3B\04351'></span><span
lang=3DUK style=3D'font-size:14.0pt;color:navy;mso-ansi-language:UK'><o:p><=
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