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  <td width=3D120 style=3D'width:90.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>&#1604;&#1575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606; 1<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4060<o:p></o:p></span></b>=
</p>
  </td>
  <td width=3D108 style=3D'width:81.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1570;&#1602;&#1575;&#161=
0;
  &#1582;&#1575;&#1583;&#1605;<o:p></o:p></span></p>
  </td>
  <td width=3D77 colspan=3D2 style=3D'width:58.1pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-family:"B Mitra";mso-bidi-language:FA'>&#1604;&#1=
575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606;<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1670;&#1607;&#1575;&#158=
5;&#1588;&#1606;&#1576;&#1607;<o:p></o:p></span></p>
  </td>
  <td width=3D84 colspan=3D2 style=3D'width:63.0pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>20
  </span><span lang=3DFA style=3D'font-size:16.0pt;mso-bidi-language:FA'>&#=
8211;</span><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>
  16<o:p></o:p></span></p>
  </td>
  <td width=3D139 colspan=3D2 style=3D'width:103.9pt;border-top:none;border=
-left:
  solid black 3.0pt;border-bottom:solid black 3.0pt;border-right:none;
  mso-border-top-alt:solid black 3.0pt;mso-border-right-alt:solid black 3.0=
pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>&#1604;&#1575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606; 1<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4094<o:p></o:p></span></b>=
</p>
  </td>
  <td width=3D96 style=3D'width:72.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-bidi-lang=
uage:
  FA'>&#1570;&#1602;&#1575;&#1610;
  &#1575;&#1610;&#1608;&#1586;&#1610;&#1575;&#1606;<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-family:"B Mitra";mso-bidi-language:FA'>&#1604;&#1=
575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606;</span><span lang=3DAR-SA style=3D'font-size:=
16.0pt;
  font-family:"B Mitra";mso-ascii-font-family:HMS1Tholoth;mso-hansi-font-fa=
mily:
  HMS1Tholoth'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:3;height:24.0pt'>
  <td width=3D84 rowspan=3D2 style=3D'width:63.0pt;border:solid black 3.0pt;
  border-top:none;mso-border-top-alt:solid black 3.0pt;padding:0cm 5.4pt 0c=
m 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1583;&#1608;&#1588;&#160=
6;&#1576;&#1607;<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>12
  </span><span lang=3DFA style=3D'font-size:16.0pt;mso-bidi-language:FA'>&#=
8211;</span><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'> 8<o:p></o:p></span></p>
  </td>
  <td width=3D120 style=3D'width:90.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>&#1604;&#1575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606; 2<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4061<o:p></o:p></span></b>=
</p>
  </td>
  <td width=3D108 style=3D'width:81.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1582;&#1575;&#1606;&#160=
5;
  &#1602;&#1575;&#1590;&#1610; &#1586;&#1575;&#1583;&#1607;<o:p></o:p></spa=
n></p>
  </td>
  <td width=3D77 colspan=3D2 style=3D'width:58.1pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-family:"B Mitra";mso-bidi-language:FA'>&#1604;&#1=
575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606;</span><span lang=3DFA style=3D'font-size:16.=
0pt;
  font-family:"B Mitra";mso-bidi-language:FA'><o:p></o:p></span></p>
  </td>
  <td width=3D72 rowspan=3D2 style=3D'width:54.0pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1662;&#1606;&#1580;
  &#1588;&#1606;&#1576;&#1607;<o:p></o:p></span></p>
  </td>
  <td width=3D84 colspan=3D2 style=3D'width:63.0pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>16
  </span><span lang=3DFA style=3D'font-size:16.0pt;mso-bidi-language:FA'>&#=
8211;</span><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>
  12<o:p></o:p></span></p>
  </td>
  <td width=3D139 colspan=3D2 style=3D'width:103.9pt;border-top:none;border=
-left:
  solid black 3.0pt;border-bottom:solid black 3.0pt;border-right:none;
  mso-border-top-alt:solid black 3.0pt;mso-border-right-alt:solid black 3.0=
pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>&#1604;&#1575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606; 2<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4095<o:p></o:p></span></b>=
</p>
  </td>
  <td width=3D96 style=3D'width:72.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-fon=
t-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth;mso-bidi-language:FA'>&#157=
0;&#1602;&#1575;&#1610;
  &#1586;&#1575;&#1585;&#1593;<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-family:"B Mitra";mso-bidi-language:FA'>&#1604;&#1=
575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606;</span><span lang=3DAR-SA style=3D'font-size:=
16.0pt;
  font-family:"B Mitra";mso-ascii-font-family:HMS1Tholoth;mso-hansi-font-fa=
mily:
  HMS1Tholoth'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:4;height:24.0pt'>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>16
  - 12<o:p></o:p></span></p>
  </td>
  <td width=3D120 style=3D'width:90.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>&#1604;&#1575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606; 3<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4062<o:p></o:p></span></b>=
</p>
  </td>
  <td width=3D108 style=3D'width:81.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1582;&#1575;&#1606;&#160=
5;
  &#1602;&#1575;&#1590;&#1610; &#1586;&#1575;&#1583;&#1607;<o:p></o:p></spa=
n></p>
  </td>
  <td width=3D77 colspan=3D2 style=3D'width:58.1pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-family:"B Mitra";mso-bidi-language:FA'>&#1604;&#1=
575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606;</span><span lang=3DFA style=3D'font-size:16.=
0pt;
  font-family:"B Mitra";mso-bidi-language:FA'><o:p></o:p></span></p>
  </td>
  <td width=3D84 colspan=3D2 style=3D'width:63.0pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>20
  - 16<o:p></o:p></span></p>
  </td>
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-left:
  solid black 3.0pt;border-bottom:solid black 3.0pt;border-right:none;
  mso-border-top-alt:solid black 3.0pt;mso-border-right-alt:solid black 3.0=
pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>&#1604;&#1575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
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  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
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</p>
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  <td width=3D96 style=3D'width:72.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
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font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1570;&#1602;&#1575;&#161=
0;
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  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-family:"B Mitra";mso-bidi-language:FA'>&#1604;&#1=
575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
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16.0pt;
  font-family:"B Mitra";mso-ascii-font-family:HMS1Tholoth;mso-hansi-font-fa=
mily:
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m 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
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ge:FA'>&#1603;&#1575;&#1585;&#1570;&#1605;&#1608;&#1585;&#1586;&#1610;
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  style=3D'font-size:15.0pt;font-family:"B Mitra";mso-ascii-font-family:HMS=
1Tholoth;
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-left:
  solid black 3.0pt;border-bottom:solid black 3.0pt;border-right:none;
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pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1603;&#1575;&#1585;
  &#1570;&#1605;&#1608;&#1586;&#1610;(1) &#1578;&#1607;&#1610;&#1607; &#160=
8;
  &#1578;&#1606;&#1592;&#1610;&#1605; &#1582;&#1576;&#1585;<o:p></o:p></spa=
n></p>
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  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4063<o:p></o:p></span></b>=
</p>
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  <td width=3D108 style=3D'width:81.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'><o:p>&nbsp;</o:p></span></=
p>
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eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
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ge:FA'><o:p>&nbsp;</o:p></span></p>
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none;
  border-left:solid black 3.0pt;border-bottom:solid black 3.0pt;border-righ=
t:
  none;mso-border-top-alt:solid black 3.0pt;mso-border-right-alt:solid blac=
k 3.0pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
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ge:FA'>&#1603;&#1575;&#1585;&#1570;&#1605;&#1608;&#1586;&#1610;
  (&#1608;&#1585;&#1608;&#1583;&#1610; 862)</span><span lang=3DAR-SA
  style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-font-family:HMS=
1Tholoth;
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-left:
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pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1603;&#1575;&#1585;
  &#1570;&#1605;&#1608;&#1586;&#1610;(1) &#1578;&#1607;&#1610;&#1607; &#160=
8;
  &#1578;&#1606;&#1592;&#1610;&#1605; &#1582;&#1576;&#1585;<o:p></o:p></spa=
n></p>
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  <td width=3D73 colspan=3D2 style=3D'width:54.4pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4097<o:p></o:p></span></b>=
</p>
  </td>
  <td width=3D96 style=3D'width:72.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'><o:p>&nbsp;</o:p></span></=
p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'><o:p>&nbsp;</o:p></span></=
p>
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 </tr>
 <tr style=3D'mso-yfti-irow:6;height:24.0pt'>
  <td width=3D192 colspan=3D2 style=3D'width:144.0pt;border-top:none;border=
-left:
  solid black 3.0pt;border-bottom:solid black 3.0pt;border-right:none;
  mso-border-top-alt:solid black 3.0pt;mso-border-right-alt:solid black 3.0=
pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1603;&#1575;&#1585;&#157=
0;&#1605;&#1608;&#1586;&#1610;(2)
  &#1605;&#1589;&#1575;&#1581;&#1576;&#1607; &#1608;
  &#1711;&#1586;&#1575;&#1585;&#1588;<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4064<o:p></o:p></span></b>=
</p>
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  <td width=3D108 style=3D'width:81.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'><o:p>&nbsp;</o:p></span></=
p>
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  <td width=3D77 colspan=3D2 style=3D'width:58.1pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'><o:p>&nbsp;</o:p></span></p>
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-left:
  solid black 3.0pt;border-bottom:solid black 3.0pt;border-right:none;
  mso-border-top-alt:solid black 3.0pt;mso-border-right-alt:solid black 3.0=
pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1603;&#1575;&#1585;&#157=
0;&#1605;&#1608;&#1586;&#1610;(2)
  &#1605;&#1589;&#1575;&#1581;&#1576;&#1607; &#1608;
  &#1711;&#1586;&#1575;&#1585;&#1588;<o:p></o:p></span></p>
  </td>
  <td width=3D73 colspan=3D2 style=3D'width:54.4pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4098<o:p></o:p></span></b>=
</p>
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  <td width=3D96 style=3D'width:72.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'><o:p>&nbsp;</o:p></span></=
p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'><o:p>&nbsp;</o:p></span></=
p>
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 </tr>
 <tr style=3D'mso-yfti-irow:7;height:24.0pt'>
  <td width=3D192 colspan=3D2 style=3D'width:144.0pt;border-top:none;border=
-left:
  solid black 3.0pt;border-bottom:solid black 3.0pt;border-right:none;
  mso-border-top-alt:solid black 3.0pt;mso-border-right-alt:solid black 3.0=
pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1603;&#1575;&#1585;&#157=
6;&#1585;&#1583;
  &#1575;&#1610;&#1606;&#1578;&#1585;&#1606;&#1578; &#1583;&#1585;
  &#1581;&#1585;&#1601;&#1607;
  &#1582;&#1576;&#1585;&#1606;&#1711;&#1575;&#1585;&#1610;<o:p></o:p></span=
></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4065<o:p></o:p></span></b>=
</p>
  </td>
  <td width=3D108 style=3D'width:81.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'><o:p>&nbsp;</o:p></span></=
p>
  </td>
  <td width=3D77 colspan=3D2 style=3D'width:58.1pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'><o:p>&nbsp;</o:p></span></p>
  </td>
  <td width=3D191 colspan=3D2 style=3D'width:143.6pt;border-top:none;border=
-left:
  solid black 3.0pt;border-bottom:solid black 3.0pt;border-right:none;
  mso-border-top-alt:solid black 3.0pt;mso-border-right-alt:solid black 3.0=
pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1603;&#1575;&#1585;&#157=
6;&#1585;&#1583;
  &#1575;&#1610;&#1606;&#1578;&#1585;&#1606;&#1578; &#1583;&#1585;
  &#1581;&#1585;&#1601;&#1607;
  &#1582;&#1576;&#1585;&#1606;&#1711;&#1575;&#1585;&#1610;<o:p></o:p></span=
></p>
  </td>
  <td width=3D73 colspan=3D2 style=3D'width:54.4pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.0pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
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nt-family:
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</p>
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ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'><o:p>&nbsp;</o:p></span></=
p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'><o:p>&nbsp;</o:p></span></=
p>
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 </tr>
 <tr style=3D'mso-yfti-irow:8;height:27.5pt;mso-row-margin-right:400.9pt'>
  <td width=3D533 colspan=3D7 style=3D'width:400.1pt;border:solid black 3.0=
pt;
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  padding:0cm 5.4pt 0cm 5.4pt;height:27.5pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DLTR style=3D'text-align:center;=
direction:
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ookman Old Style";
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an
  lang=3DFA dir=3DRTL style=3D'font-size:22.0pt;font-family:"B Nazanin";mso=
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nguage:
  FA'>&#1711;&#1600;&#1585;&#1608;&#1607;</span></b><b><span style=3D'font-=
size:
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none;
  mso-border-top-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:3=
4.65pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
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font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1585;&#1608;&#1586;<o:p>=
</o:p></span></b></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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><b><span
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font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1587;&#1575;&#1593;&#157=
8;<o:p></o:p></span></b></p>
  </td>
  <td width=3D120 style=3D'width:90.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
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font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1593;&#1606;&#1608;&#157=
5;&#1606;
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  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:34.65pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1603;&#1583;&#1583;&#158=
5;&#1587;<o:p></o:p></span></b></p>
  </td>
  <td width=3D108 style=3D'width:81.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1606;&#1575;&#1605;
  &#1575;&#1587;&#1578;&#1575;&#1583;<o:p></o:p></span></b></p>
  </td>
  <td width=3D77 colspan=3D2 style=3D'width:58.1pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:34.65pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1603;&#1604;&#1575;&#158=
7;</span></b><b><span
  lang=3DFA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-fon=
t-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth;mso-bidi-language:FA'><o:p>=
</o:p></span></b></p>
  </td>
  <td style=3D'mso-cell-special:placeholder;border:none;padding:0cm 0cm 0cm=
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 </tr>
 <tr style=3D'mso-yfti-irow:10;height:24.75pt;mso-row-margin-right:400.9pt'>
  <td width=3D84 style=3D'width:63.0pt;border:solid black 3.0pt;border-top:=
none;
  mso-border-top-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:2=
4.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1610;&#1603;
  &#1588;&#1606;&#1576;&#1607;<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>20
  </span><span lang=3DFA style=3D'font-size:16.0pt;mso-bidi-language:FA'>&#=
8211;</span><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>
  16<o:p></o:p></span></p>
  </td>
  <td width=3D120 style=3D'width:90.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>&#1604;&#1575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606; 1<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4066<o:p></o:p></span></b>=
</p>
  </td>
  <td width=3D108 style=3D'width:81.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-fon=
t-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth;mso-bidi-language:FA'>&#157=
0;&#1602;&#1575;&#1610;
  &#1575;&#1610;&#1608;&#1586;&#1610;&#1575;&#1606;<o:p></o:p></span></p>
  </td>
  <td width=3D77 colspan=3D2 style=3D'width:58.1pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-family:"B Mitra";mso-bidi-language:FA'>&#1604;&#1=
575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606;</span><span lang=3DFA style=3D'font-size:16.=
0pt;
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mily:
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  <td style=3D'mso-cell-special:placeholder;border:none;padding:0cm 0cm 0cm=
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  width=3D535 colspan=3D8><p class=3D'MsoNormal'>&nbsp;</td>
 </tr>
 <tr style=3D'mso-yfti-irow:11;height:24.75pt;mso-row-margin-right:400.9pt'>
  <td width=3D84 style=3D'width:63.0pt;border:solid black 3.0pt;border-top:=
none;
  mso-border-top-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:2=
4.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1587;&#1607;
  &#1588;&#1606;&#1576;&#1607;<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>20
  </span><span lang=3DFA style=3D'font-size:16.0pt;mso-bidi-language:FA'>&#=
8211;</span><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>
  16<o:p></o:p></span></p>
  </td>
  <td width=3D120 style=3D'width:90.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>&#1604;&#1575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606; 2<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4067<o:p></o:p></span></b>=
</p>
  </td>
  <td width=3D108 style=3D'width:81.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1582;&#1575;&#1606;&#160=
5;
  &#1605;&#1587;&#1593;&#1608;&#1583;&#1610;<o:p></o:p></span></p>
  </td>
  <td width=3D77 colspan=3D2 style=3D'width:58.1pt;border-top:none;border-l=
eft:solid black 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-family:"B Mitra";mso-bidi-language:FA'>&#1604;&#1=
575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606;</span><span lang=3DFA style=3D'font-size:16.=
0pt;
  font-family:"B Mitra";mso-ascii-font-family:HMS1Tholoth;mso-hansi-font-fa=
mily:
  HMS1Tholoth;mso-bidi-language:FA'><o:p></o:p></span></p>
  </td>
  <td style=3D'mso-cell-special:placeholder;border:none;padding:0cm 0cm 0cm=
 0cm'
  width=3D535 colspan=3D8><p class=3D'MsoNormal'>&nbsp;</td>
 </tr>
 <tr style=3D'mso-yfti-irow:12;height:24.75pt;mso-row-margin-right:400.9pt'>
  <td width=3D84 style=3D'width:63.0pt;border:solid black 3.0pt;border-top:=
none;
  mso-border-top-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:2=
4.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1662;&#1606;&#1580;
  &#1588;&#1606;&#1576;&#1607;<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
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  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>20
  - 16<o:p></o:p></span></p>
  </td>
  <td width=3D120 style=3D'width:90.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DFA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-bidi-langua=
ge:FA'>&#1604;&#1575;&#1576;&#1585;&#1575;&#1578;&#1608;&#1575;&#1585;
  &#1586;&#1576;&#1575;&#1606; 3<o:p></o:p></span></p>
  </td>
  <td width=3D72 style=3D'width:54.0pt;border-top:none;border-left:solid bl=
ack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;background:#E6E6E6;padding:0cm 5.4=
pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><b><span
  lang=3DAR-SA style=3D'font-size:16.0pt;font-family:"B Mitra";mso-ascii-fo=
nt-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>4068<o:p></o:p></span></b>=
</p>
  </td>
  <td width=3D108 style=3D'width:81.0pt;border-top:none;border-left:solid b=
lack 3.0pt;
  border-bottom:solid black 3.0pt;border-right:none;mso-border-top-alt:soli=
d black 3.0pt;
  mso-border-right-alt:solid black 3.0pt;padding:0cm 5.4pt 0cm 5.4pt;
  height:24.75pt'>
  <p class=3DMsoNormal align=3Dcenter dir=3DRTL style=3D'text-align:center'=
><span
  lang=3DAR-SA style=3D'font-size:14.0pt;font-family:"B Nazanin";mso-ascii-=
font-family:
  HMS1Tholoth;mso-hansi-font-family:HMS1Tholoth'>&#1582;&#1575;&#1606;&#160=
5;
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