pagesize A4
at 27x33 field 40 (config/doctor)
at 27x40 field 40 (mystreet1fld/text)
at 20x47 field 60 (mystreet2fld/text)
at 20x54 field 60 (mycityfld/text)
at 32x62 field 40 (myfxfld/text)
at 30x69 field 40 (myregistrationfld/text)
at 110x26 field 40 (ssnfld/text)
at 110x33 field 40 (fnamesfld/text)
at 110x40 field 40 (surnamefld/text)
at 110x47 field 20 (dobfld/text)
at 100x55 field 40 (street1fld/text)
at 100x63 field 40 (street2fld/text)
at 100x70 field 40 (townfld/text)
at 100x79 field 40 (cityfld/text)
at 15x115 check data true
at 15x125 check data true
at 15x135 check data true
at 50x152 field 40 (miscell1fld/text)
at 15x177 check data none
at 15x188 check data none
at 105x330 field 40 (form now/date)

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File			Size	Date	Attached by
		SA0635.pdf Original PDF version of application form	2.99 kB	02:59, 4 Jan 2008	Graham	Actions
		sa0635.eps EPS version of aplication form	136.42 kB	03:04, 4 Jan 2008	Graham	Actions

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PNG version of application form
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Arava

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