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{\f15\fbidi \fmodern\fcharset128\fprq1{\*\panose 020b0609070205080204}MS Gothic{\*\falt ?l?r ?S?V?b?N};}{\f15\fbidi \fmodern\fcharset128\fprq1{\*\panose 020b0609070205080204}MS Gothic{\*\falt ?l?r ?S?V?b?N};}
{\f40\fbidi \fswiss\fcharset0\fprq2{\*\panose 00000000000000000000}Segoe UI;}{\f41\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0502040204020203}Segoe UI Symbol;}{\f110\fbidi \fmodern\fcharset128\fprq1{\*\panose 020b0609070205080204}@MS Gothic;}
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{\fhimajor\f31502\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0302020204030204}Calibri Light;}{\fbimajor\f31503\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fdbminor\f31505\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\fhiminor\f31506\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri;}{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f308\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\f309\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\f311\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\f312\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\f313\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\f314\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\f315\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\f316\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\f460\fbidi \fmodern\fcharset0\fprq1 MS Gothic Western{\*\falt ?l?r ?S?V?b?N};}{\f458\fbidi \fmodern\fcharset238\fprq1 MS Gothic CE{\*\falt ?l?r ?S?V?b?N};}{\f459\fbidi \fmodern\fcharset204\fprq1 MS Gothic Cyr{\*\falt ?l?r ?S?V?b?N};}
{\f461\fbidi \fmodern\fcharset161\fprq1 MS Gothic Greek{\*\falt ?l?r ?S?V?b?N};}{\f462\fbidi \fmodern\fcharset162\fprq1 MS Gothic Tur{\*\falt ?l?r ?S?V?b?N};}{\f465\fbidi \fmodern\fcharset186\fprq1 MS Gothic Baltic{\*\falt ?l?r ?S?V?b?N};}
{\f460\fbidi \fmodern\fcharset0\fprq1 MS Gothic Western{\*\falt ?l?r ?S?V?b?N};}{\f458\fbidi \fmodern\fcharset238\fprq1 MS Gothic CE{\*\falt ?l?r ?S?V?b?N};}{\f459\fbidi \fmodern\fcharset204\fprq1 MS Gothic Cyr{\*\falt ?l?r ?S?V?b?N};}
{\f461\fbidi \fmodern\fcharset161\fprq1 MS Gothic Greek{\*\falt ?l?r ?S?V?b?N};}{\f462\fbidi \fmodern\fcharset162\fprq1 MS Gothic Tur{\*\falt ?l?r ?S?V?b?N};}{\f465\fbidi \fmodern\fcharset186\fprq1 MS Gothic Baltic{\*\falt ?l?r ?S?V?b?N};}
{\f708\fbidi \fswiss\fcharset238\fprq2 Segoe UI CE;}{\f709\fbidi \fswiss\fcharset204\fprq2 Segoe UI Cyr;}{\f711\fbidi \fswiss\fcharset161\fprq2 Segoe UI Greek;}{\f712\fbidi \fswiss\fcharset162\fprq2 Segoe UI Tur;}
{\f713\fbidi \fswiss\fcharset177\fprq2 Segoe UI (Hebrew);}{\f714\fbidi \fswiss\fcharset178\fprq2 Segoe UI (Arabic);}{\f715\fbidi \fswiss\fcharset186\fprq2 Segoe UI Baltic;}{\f716\fbidi \fswiss\fcharset163\fprq2 Segoe UI (Vietnamese);}
{\f1410\fbidi \fmodern\fcharset0\fprq1 @MS Gothic Western;}{\f1408\fbidi \fmodern\fcharset238\fprq1 @MS Gothic CE;}{\f1409\fbidi \fmodern\fcharset204\fprq1 @MS Gothic Cyr;}{\f1411\fbidi \fmodern\fcharset161\fprq1 @MS Gothic Greek;}
{\f1412\fbidi \fmodern\fcharset162\fprq1 @MS Gothic Tur;}{\f1415\fbidi \fmodern\fcharset186\fprq1 @MS Gothic Baltic;}{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}
{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\fhimajor\f31528\fbidi \fswiss\fcharset238\fprq2 Calibri Light CE;}{\fhimajor\f31529\fbidi \fswiss\fcharset204\fprq2 Calibri Light Cyr;}{\fhimajor\f31531\fbidi \fswiss\fcharset161\fprq2 Calibri Light Greek;}
{\fhimajor\f31532\fbidi \fswiss\fcharset162\fprq2 Calibri Light Tur;}{\fhimajor\f31533\fbidi \fswiss\fcharset177\fprq2 Calibri Light (Hebrew);}{\fhimajor\f31534\fbidi \fswiss\fcharset178\fprq2 Calibri Light (Arabic);}
{\fhimajor\f31535\fbidi \fswiss\fcharset186\fprq2 Calibri Light Baltic;}{\fhimajor\f31536\fbidi \fswiss\fcharset163\fprq2 Calibri Light (Vietnamese);}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}
{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}
{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew);}{\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic);}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}
{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}}
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\f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 \af0\afs32 \ltrch\fcs0 \b\f0\fs32\insrsid2316165\charrsid8941371 UNIVERSITY OF VICTORIA RETIR}{\rtlch\fcs1 \af0\afs32 \ltrch\fcs0 \b\f0\fs32\insrsid4921002\charrsid8941371 
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\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Last Name\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \~\cell }\pard \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow1\irowband1\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt
\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph15\trrh290\trleft-142\trhdr\trbrdrt\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Street Address\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \~\cell }\pard \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow2\irowband2\ltrrow\ts11\trgaph15\trrh290\trleft-142\trhdr
\trbrdrt\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph15\trleft-142\trhdr\trbrdrt\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 City\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \cell }\pard \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow3\irowband3\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt
\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Province\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \~\cell }\pard \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow4\irowband4\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt
\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Postal Code\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \~\cell }\pard \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow5\irowband5\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt
\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Spouse Name\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \~\cell }\pard \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow6\irowband6\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt
\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Phone number \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \~\cell }\pard \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow7\irowband7\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt
\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Date Joined\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \~ }{\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 
\f0\fs26\cf19\lang4105\langfe4105\langfenp4105\insrsid14905938 dd-m}{\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\cf19\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 on-yyyy}{\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 
\f0\fs26\cf20\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \cell }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 
\f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow8\irowband8\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Date of Birth\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \~ }{\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 
\f0\fs26\cf19\lang4105\langfe4105\langfenp4105\insrsid14905938 dd-m}{\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\cf19\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 on-yyyy}{\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 
\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \cell }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 
\f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow9\irowband9\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Group Type\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 __ faculty / __ staff \~\cell 
}\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow10\irowband10\ltrrow
\ts11\trgaph15\trleft-142\trhdr\trbrdrt\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Email Address\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467  \cell }\pard \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow11\irowband11\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt
\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Department\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\cf21\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \~}{\rtlch\fcs1 \af0\afs26 
\ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \cell }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 
\f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow12\irowband12\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 University \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 \~\cell }\pard \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow13\irowband13\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt
\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Member Status\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 __ }{\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 
\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid14905938  }{\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Life / __ Annual \cell }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 \f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow14\irowband14\ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt\brdroutset\brdrw15 \trbrdrl
\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row \ltrrow}\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467 Amount enclosed}{\rtlch\fcs1 
\ab\af0\afs26 \ltrch\fcs0 \b\f0\fs26\lang4105\langfe4105\super\langfenp4105\insrsid2316165\charrsid11814467 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035968 {\rtlch\fcs1 \af0\afs26 
\ltrch\fcs0 \f0\fs26\lang4105\langfe4105\langfenp4105\insrsid2316165\charrsid11814467  \cell }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs26 \ltrch\fcs0 
\f0\fs26\insrsid2316165\charrsid11814467 \trowd \irow15\irowband15\lastrow \ltrrow\ts11\trgaph15\trleft-142\trhdr\trbrdrt\brdroutset\brdrw15 \trbrdrl\brdroutset\brdrw15 \trbrdrb\brdroutset\brdrw15 \trbrdrr\brdroutset\brdrw15 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trspdl15\trspdt15\trspdb15\trspdr15\trspdfl3\trspdft3\trspdfb3\trspdfr3\trpaddl15\trpaddt15\trpaddb15\trpaddr15\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3
\tblrsid2041642\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-82\tblindtype3 \clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil 
\cellx1959\clvertalc\clbrdrt\brdroutset\brdrw15 \clbrdrl\brdroutset\brdrw15 \clbrdrb\brdroutset\brdrw15 \clbrdrr\brdroutset\brdrw15 \cltxlrtb\clftsWidth3\clwWidth7068\clshdrawnil \cellx9072\row }\pard \ltrpar
\qj \li0\ri0\sa200\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941371 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid4921002\charrsid2041642 The}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid8087072\charrsid2041642  annual}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid13249157\charrsid2041642  membership}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2041642\charrsid2041642  fee }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid91838\charrsid2041642 $3}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\insrsid8087072\charrsid2041642 0.00 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2041642\charrsid2041642 will be }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid8087072\charrsid2041642 redu}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid91838\charrsid2041642 
ced to $15.00 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2041642\charrsid2041642 from }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid91838\charrsid2041642 October 1, 2024}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2041642\charrsid2041642  to March 31, 2025}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid91838\charrsid2041642 .
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid8941371 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid8941371 
\hich\af0\dbch\af15\loch\f0 For payment, we accept }{\rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i\lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0 INTERAC}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0  e-transfer}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid8941371 
\hich\af0\dbch\af15\loch\f0 . If you select this option, note that }{\rtlch\fcs1 \af0 \ltrch\fcs0 \loch\af0\hich\af0\dbch\af15\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0 
UVRA has arranged with the bank to have Interac e-transfers deposited directly into UVRA\hich\f0 \rquote \loch\f0 s bank account, so you will be asked, }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\loch\af0\hich\af0\dbch\af15\insrsid8941371\charrsid8941371 
\hich\af0\dbch\af15\loch\f0 on the e-transfer page}{\rtlch\fcs1 \af0 \ltrch\fcs0 \loch\af0\hich\af0\dbch\af15\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0 , to give our email address (}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\insrsid8941371\charrsid8941371 HYPERLINK "C:\\\\Users\\\\kaptu\\\\Downloads\\\\\\"mailto:"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid3561882\charrsid8941371 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b02000000030000000303000000000000c000000000000046000022000000433a5c55736572735c6b617074755c446f776e6c6f6164735c226d61696c746f3a00ffffadde000000000000000000000000000000000000000000000000}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \ul\cf2\lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\ulc2\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0 uvra@uvic.ca}}}\sectd \ltrsect
\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \loch\af0\hich\af0\dbch\af15\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0 ) and accept this arrangement.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0 If you prefer to pay by }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid3561882 \hich\af0\dbch\af15\loch\f0 cheque}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid8941371 
\hich\af0\dbch\af15\loch\f0 , please make your cheque payable to}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \i\lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0  }{\rtlch\fcs1 \ab\ai\af0 
\ltrch\fcs0 \b\i\lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0 UVic Retirees Association}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0 , and mail it to:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371 
\hich\af0\dbch\af15\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\loch\af0\hich\af0\dbch\af15\langnp1033\insrsid8941371\charrsid8941371 \hich\af0\dbch\af15\loch\f0 UVic Retirees \hich\af0\dbch\af15\loch\f0 
Association, ·¬ÇÑÉçÇø, PO Box 1700 STN CSC, Victoria BC, V8W 2Y2.
\par }\pard \ltrpar\ql \li0\ri0\sa200\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9527955 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12608556\charrsid8941371 RECEIVED IN }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid924182\charrsid8941371 OFFICE: _}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid7423537\charrsid8941371 __________}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid924182\charrsid8941371 _    }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid12608556\charrsid8941371 ON }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid924182\charrsid8941371 DATABASE: _}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12608556\charrsid8941371 _____________________}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid9527955\charrsid8941371 
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