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Subject: service tax rule
Date: Wed, 1 Jul 2009 16:36:21 +0530
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<CENTER><B><FONT color=3D#ffffcc size=3D2 face=3DArial>Service =
Tax</FONT></B>=20
<P><B><FONT color=3D#ffffcc size=3D2 face=3DArial><A=20
href=3D"http://www.servicetax.gov.in/index.htm" =
target=3D_parent>Overview ||</A> <A=20
href=3D"http://www.servicetax.gov.in/st-actmainpg.htm" =
target=3D_parent>Acts</A>=20
||&nbsp; <A href=3D"http://www.servicetax.gov.in/st-rulemainpg.htm"=20
target=3D_parent>Rules</A> ||&nbsp; <A=20
href=3D"http://www.servicetax.gov.in/servtax_notfns_idx.htm"=20
target=3D_parent>Notifications</A>&nbsp;|| <A=20
href=3D"http://www.servicetax.gov.in/st-cirmainpg.htm"=20
target=3D_parent>Circulars</A> <A=20
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target=3D_parent>Expert=20
Group Questionnaires</A> || <A =
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target=3D_blank>Help Centers</A>&nbsp;&nbsp; || <A =
href=3D"http://www.cbec.gov.in/"=20
target=3D_parent>CBEC home =
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<P align=3Dcenter><B><FONT size=3D2 face=3DArial>FORM =
ST-2</FONT></B></P>
<P style=3D"TEXT-ALIGN: center" class=3DMsoNormal><I><SPAN=20
style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT =
size=3D2>[Certificate of=20
registration under Section 69 of The Finance Act, 1994 (32 of=20
1994)]</FONT></SPAN></I></P>
<P style=3D"TEXT-ALIGN: justify" class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT =
size=3D2>Shri/Ms.&nbsp;=20
=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85=85. (name with =
complete address of premises ) having undertaken=20
to comply with the conditions prescribed in Chapter V of the Finance =
Act, 1994=20
read with the Service Tax Rules, 1994, and any orders issued thereunder =
is=20
hereby certified to have been registered with the Central Excise =
Department. The=20
Service Tax Code and other details are mentioned =
hereunder.</FONT></SPAN></P><B>
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style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
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none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
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      size=3D2></FONT></SPAN>&nbsp;</P></TD>
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none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
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none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
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      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
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none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
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<P style=3D"TEXT-INDENT: -36pt; MARGIN-LEFT: 36pt" =
class=3DMsoNormal><B><FONT size=3D2=20
face=3DArial>1.</FONT><SPAN=20
style=3D"FONT-VARIANT: normal; FONT-STYLE: normal; FONT-FAMILY: =
Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</FONT></SPAN><FONT size=3D2 face=3DArial>&nbsp;PAN No.</FONT></B></P>
<P style=3D"TEXT-INDENT: -36pt; MARGIN-LEFT: 36pt" =
class=3DMsoNormal><B><FONT size=3D2=20
face=3DArial></FONT></B>&nbsp;</P><B>
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id=3Dtable2 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
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windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
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    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
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none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
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      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
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none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
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      size=3D2></FONT></SPAN>&nbsp;</P></TD>
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none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
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      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
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      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
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      size=3D2></FONT></SPAN>&nbsp;</P></TD>
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    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
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      size=3D2></FONT></SPAN>&nbsp;</P></TD>
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none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
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      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
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    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
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    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
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<P style=3D"TEXT-INDENT: -36pt; MARGIN-LEFT: 36pt" =
class=3DMsoNormal><FONT size=3D2=20
face=3DArial>2.</FONT><SPAN=20
style=3D"FONT-VARIANT: normal; FONT-STYLE: normal; FONT-FAMILY: =
Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</FONT></SPAN><SPAN style=3D"FONT-FAMILY: Arial"><FONT =
size=3D2>&nbsp;Service Tax=20
Code </FONT></SPAN></P>
<P style=3D"TEXT-INDENT: 36pt" class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;(Registration=20
Number)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;=20
</FONT></SPAN></P>
<P style=3D"TEXT-INDENT: -36pt; MARGIN-LEFT: 36pt" =
class=3DMsoNormal><FONT size=3D2=20
face=3DArial>3.</FONT><SPAN=20
style=3D"FONT-VARIANT: normal; FONT-STYLE: normal; FONT-FAMILY: =
Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</FONT></SPAN><FONT size=3D2 face=3DArial><!--[if gte vml 1]><v:rect=20
style=3D"Z-INDEX: 2; POSITION: absolute; MARGIN-TOP: 2.25pt; WIDTH: =
259.5pt; FLOAT: right; HEIGHT: 11.25pt; MARGIN-LEFT: 224.25pt"=20
id=3D_x0000_s1025 coordsize =3D "21600,21600"></v:rect><![endif]--><![if =
!vml]><span
style=3D'mso-ignore:vglayout;position:absolute;z-index:2;left:392px;top:2=
95px;
width:348px;height:17px'><img width=3D348 height=3D17
src=3D"frm_st2_files/image001.gif" align=3Dright =
v:shapes=3D"_x0000_s1025"></span><![endif]></FONT><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>Taxable =
Services</FONT></SPAN></P>
<P style=3D"TEXT-INDENT: -36pt; MARGIN-LEFT: 36pt" =
class=3DMsoNormal><FONT size=3D2=20
face=3DArial>4.</FONT><SPAN=20
style=3D"FONT-VARIANT: normal; FONT-STYLE: normal; FONT-FAMILY: =
Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</FONT></SPAN><FONT size=3D2 face=3DArial>Address of business =
premises:</FONT></P>
<P style=3D"TEXT-INDENT: -18pt; MARGIN-LEFT: 54pt" =
class=3DMsoNormal><FONT size=3D2=20
face=3DArial>(i)</FONT><SPAN=20
style=3D"FONT-VARIANT: normal; FONT-STYLE: normal; FONT-FAMILY: =
Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </FONT></SPAN><FONT size=3D2 =
face=3DArial>Name=20
of Premises / Building</FONT></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 59.4pt; BORDER-TOP: medium none; =
BORDER-RIGHT: medium none"=20
id=3Dtable3 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0>
  <TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD></TR></TBODY></TABLE>
<P style=3D"TEXT-INDENT: 36pt" class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>(ii)&nbsp; Flat/Door/Block=20
No.</FONT></SPAN></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 59.4pt; BORDER-TOP: medium none; =
BORDER-RIGHT: medium none"=20
id=3Dtable4 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0>
  <TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD></TR></TBODY></TABLE>
<P style=3D"TEXT-INDENT: 36pt" class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>(iii) =
Road/Street/Lane</FONT></SPAN></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 59.4pt; BORDER-TOP: medium none; =
BORDER-RIGHT: medium none"=20
id=3Dtable5 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0>
  <TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD></TR></TBODY></TABLE>
<P style=3D"TEXT-INDENT: 36pt" class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>(iv) Village / Area /=20
Lane</FONT></SPAN></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 59.4pt; BORDER-TOP: medium none; =
BORDER-RIGHT: medium none"=20
id=3Dtable6 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0>
  <TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
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    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
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    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
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    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
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    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
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      <P class=3DMsoNormal><SPAN=20
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    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
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<P style=3D"TEXT-INDENT: 36pt" class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>(v)=20
Block/Taluk/Sub-Division/Town</FONT></SPAN></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 59.4pt; BORDER-TOP: medium none; =
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id=3Dtable7 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0>
  <TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD></TR></TBODY></TABLE>
<P style=3D"TEXT-INDENT: 36pt" class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>(vi) Post =
office</FONT></SPAN></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 59.4pt; BORDER-TOP: medium none; =
BORDER-RIGHT: medium none"=20
id=3Dtable8 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0>
  <TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD></TR></TBODY></TABLE>
<P style=3D"TEXT-INDENT: 36pt" class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT =
size=3D2>(vii)City/District</FONT></SPAN></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 59.4pt; BORDER-TOP: medium none; =
BORDER-RIGHT: medium none"=20
id=3Dtable9 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0>
  <TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD></TR></TBODY></TABLE>
<P class=3DMsoNormal><SPAN style=3D"FONT-FAMILY: Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
(viii)State/Union Territory</FONT></SPAN></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 59.4pt; BORDER-TOP: medium none; =
BORDER-RIGHT: medium none"=20
id=3Dtable10 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0>
  <TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
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      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
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    <TD=20
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none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD></TR></TBODY></TABLE>
<P style=3D"TEXT-INDENT: 18pt; MARGIN-LEFT: 18pt" =
class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>(ix)=20
PIN&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;=20
Telephone Nos:</FONT></SPAN></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 59.4pt; BORDER-TOP: medium none; =
BORDER-RIGHT: medium none"=20
id=3Dtable11 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0>
  <TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; BACKGROUND: black; FONT-WEIGHT: =
700"><FONT=20
      size=3D2>X</FONT></SPAN></P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD></TR></TBODY></TABLE>
<P style=3D"TEXT-INDENT: 36pt" class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>(x) E-mail =
Address</FONT></SPAN></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 59.4pt; BORDER-TOP: medium none; =
BORDER-RIGHT: medium none"=20
id=3Dtable12 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0>
  <TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD></TR></TBODY></TABLE>
<P style=3D"MARGIN-LEFT: 36pt" class=3DMsoNormal><FONT size=3D2=20
face=3DArial></FONT>&nbsp;</P>
<P style=3D"MARGIN-LEFT: 36pt" class=3DMsoNormal><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>5.=20
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PREMISES=20
CODE&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</FONT></SPAN></P>
<TABLE=20
style=3D"BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; =
BORDER-COLLAPSE: collapse; MARGIN-LEFT: 6.75pt; BORDER-TOP: medium none; =
MARGIN-RIGHT: 6.75pt; BORDER-RIGHT: medium none"=20
id=3Dtable13 class=3DMsoNormalTable border=3D1 cellSpacing=3D0 =
cellPadding=3D0=20
  align=3Dleft><TBODY>
  <TR>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: =
windowtext 1pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: =
13.5pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; =
BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD>
    <TD=20
    style=3D"BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: medium =
none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 13.5pt; =
PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: =
windowtext 1pt solid; PADDING-TOP: 0pt"=20
    vAlign=3Dtop width=3D18>
      <P class=3DMsoNormal><SPAN=20
      style=3D"FONT-FAMILY: Arial; FONT-WEIGHT: 700"><FONT=20
      size=3D2></FONT></SPAN>&nbsp;</P></TD></TR></TBODY></TABLE>
<P class=3DMsoNormal><FONT size=3D2 face=3DArial></FONT>&nbsp;</P>
<P class=3DMsoBodyText><SPAN style=3D"FONT-FAMILY: Arial"><FONT=20
size=3D2>[<I>SL.NOS.2,3,4 TO BE REPEATED FOR EVERY PREMISES BEING =
GRANTED A=20
REGISTRATION UNDER THIS CERTIFICATE. PREMISES CODE IS GIVEN BY THE =
DEPARTMENT=20
BASED ON THE COMMISSIONERATE+DIVISION+ RANGE+ SL=20
NO</I>]&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</FONT></SPAN></P>
<P style=3D"TEXT-ALIGN: justify; TEXT-INDENT: -30pt; MARGIN-LEFT: 36pt"=20
class=3DMsoNormal><SPAN style=3D"FONT-FAMILY: Arial"><FONT =
size=3D2>Note:&nbsp;=20
</FONT></SPAN></P>
<P class=3DMsoBodyTextIndent3><FONT size=3D2 face=3DArial>1.&nbsp;=20
&nbsp;&nbsp;&nbsp;&nbsp; In case the registrant starts providing any =
other=20
taxable service (other than those mentioned above), he shall intimate =
the=20
department.</FONT></P>
<P style=3D"TEXT-ALIGN: justify; TEXT-INDENT: -30pt; MARGIN-LEFT: 36pt"=20
class=3DMsoNormal><FONT size=3D2 face=3DArial>2.</FONT><SPAN=20
style=3D"FONT-VARIANT: normal; FONT-STYLE: normal; FONT-FAMILY: =
Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</FONT></SPAN><FONT size=3D2 =
face=3DArial>In=20
case the registrant starts billing from other premises (other than those =

mentioned above), he shall intimate the department.</FONT></P>
<P style=3D"TEXT-ALIGN: justify; TEXT-INDENT: -30pt; MARGIN-LEFT: 36pt"=20
class=3DMsoNormal><FONT size=3D2 face=3DArial>3.</FONT><SPAN=20
style=3D"FONT-VARIANT: normal; FONT-STYLE: normal; FONT-FAMILY: =
Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</FONT></SPAN><FONT =
size=3D2=20
face=3DArial>These intimations and any other information which =
registrant wishes=20
to bring to the notice of the department can be submitted on-line by the =

registrant after logging on to web-site.</FONT></P>
<P style=3D"TEXT-ALIGN: justify; TEXT-INDENT: -30pt; MARGIN-LEFT: 36pt"=20
class=3DMsoNormal><FONT size=3D2 face=3DArial>4.</FONT><SPAN=20
style=3D"FONT-VARIANT: normal; FONT-STYLE: normal; FONT-FAMILY: =
Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</FONT></SPAN><FONT =
size=3D2=20
face=3DArial>This registration certificate is not =
transferable.</FONT></P>
<P style=3D"TEXT-ALIGN: justify; TEXT-INDENT: -30pt; MARGIN-LEFT: 36pt"=20
class=3DMsoNormal><FONT size=3D2 face=3DArial>5.</FONT><SPAN=20
style=3D"FONT-VARIANT: normal; FONT-STYLE: normal; FONT-FAMILY: =
Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</FONT></S=
PAN><FONT=20
size=3D2 face=3DArial>List of Accounting Codes is enclosed. These may =
invariably be=20
furnished in the challan at the time of making payment of service=20
tax.</FONT></P>
<P style=3D"TEXT-INDENT: -213pt; MARGIN-LEFT: 225pt" =
class=3DMsoBodyTextIndent><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>Place:&nbsp;=20
=85=85=85=85=85.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;=20
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Name and signature of the Central=20
Excise&nbsp;&nbsp; </FONT></SPAN></P>
<P style=3D"TEXT-INDENT: -213pt; MARGIN-LEFT: 225pt" =
class=3DMsoBodyTextIndent><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>Date:&nbsp;=20
=85=85=85=85=85.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Officer with =
official=20
seal</FONT></SPAN></P>
<P style=3D"TEXT-INDENT: -213pt; MARGIN-LEFT: 225pt" =
class=3DMsoBodyTextIndent><SPAN=20
style=3D"FONT-FAMILY: Arial"><FONT size=3D2>CC: (by e-mail) =
To-</FONT></SPAN></P>
<P style=3D"TEXT-INDENT: -22.5pt; MARGIN-LEFT: 34.5pt"=20
class=3DMsoBodyTextIndent><FONT size=3D2 face=3DArial>(1)</FONT><SPAN=20
style=3D"FONT-VARIANT: normal; FONT-STYLE: normal; FONT-FAMILY: =
Arial"><FONT=20
size=3D2>&nbsp;&nbsp;&nbsp;</FONT></SPAN><FONT size=3D2 face=3DArial>The =
Pay and=20
Accounts Officer (Commissionerate Name)</FONT></P>
<P><SPAN style=3D"FONT-FAMILY: Arial"><FONT size=3D2>&nbsp;&nbsp;&nbsp;=20
(2)&nbsp;&nbsp; The Superintendent of Central Excise (Where premises are =

located).</FONT></SPAN></P></B></BODY></HTML>

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