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</image>
                     </value>
                  </draw>
                  <subform x="103.545mm" name="HeaderInfo" layout="tb" w="80.604mm">
                     <?templateDesigner expand 1?>
                     <bind match="none"/>
                     <draw name="AF_FORM_TITLE" w="80.604mm" minH="4.826mm">
                        <ui>
                           <textEdit>
                              <border>
                                 <edge stroke="lowered"/>
                              </border>
                              <margin/>
                           </textEdit>
                        </ui>
                        <font usehref=".#som($template.#subform.#font)" size="11pt" weight="bold" posture="normal" underline="0" lineThrough="0" baselineShift="0pt" letterSpacing="0" kerningMode="none" fontHorizontalScale="100%" fontVerticalScale="100%">
                           <fill>
                              <color value="79,76,76"/>
                           </fill>
                        </font>
                        <margin topInset="0mm" bottomInset="0.254mm" leftInset="1mm" rightInset="1mm"/>
                        <para vAlign="bottom" spaceBelow="0pt" spaceAbove="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="12pt">
                           <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                        </para>
                        <value>
                           <exData contentType="text/html">
                              <body xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/" xmlns="http://www.w3.org/1999/xhtml">Application Form

</body>
                           </exData>
                        </value>
                     </draw>
                     <draw name="AF_HEADER_TEXT" w="80.604mm" minH="6.35mm">
                        <ui>
                           <textEdit>
                              <border>
                                 <edge stroke="lowered"/>
                              </border>
                              <margin/>
                           </textEdit>
                        </ui>
                        <font usehref=".#som($template.#subform.#font)" size="8pt" weight="normal" posture="normal" underline="0" lineThrough="0" baselineShift="0pt" letterSpacing="0" kerningMode="none" fontHorizontalScale="100%" fontVerticalScale="100%">
                           <fill>
                              <color value="145,143,143"/>
                           </fill>
                        </font>
                        <margin topInset="0mm" bottomInset="0mm" leftInset="1mm" rightInset="1mm"/>
                        <para spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="12pt">
                           <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                        </para>
                        <value>
                           <exData contentType="text/html">
                              <body xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/" xmlns="http://www.w3.org/1999/xhtml">Company Name Here

</body>
                           </exData>
                        </value>
                     </draw>
                     <margin topInset="1.524mm" bottomInset="1.524mm"/>
                  </subform>
                  <draw name="topSeparator" y="20.32mm" w="184.15mm" h="0in">
                     <value>
                        <line slope="/">
                           <edge thickness="0.635mm" usehref=".#som($template.#subform.#edge)"/>
                        </line>
                     </value>
                  </draw>
               </area>
               <area x="12.7mm" y="263.664mm" name="Footer">
                  <?templateDesigner expand 0?>
                  <draw name="bottonSeparator" w="184.15mm" h="0in" y="3.036mm">
                     <value>
                        <line slope="/">
                           <edge thickness="0.254mm" usehref=".#som($template.#subform.#edge)"/>
                        </line>
                     </value>
                  </draw>
                  <draw name="disclaimerLabel" y="7.115mm" h="6.259mm" w="130.175mm">
                     <ui>
                        <textEdit/>
                     </ui>
                     <value>
                        <text>DISCLAIMER</text>
                     </value>
                     <font usehref=".#som($template.#subform.#font)" size="8pt" baselineShift="0pt" weight="normal" posture="normal" underline="0" lineThrough="0" letterSpacing="0" kerningMode="none" fontHorizontalScale="100%" fontVerticalScale="100%">
                        <fill>
                           <color value="145,143,143"/>
                        </fill>
                     </font>
                     <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="0.5mm" rightInset="0.5mm"/>
                     <para lineHeight="12pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt">
                        <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                     </para>
                     <desc>
                        <text name="fieldLabel">Disclaimer Label</text>
                     </desc>
                  </draw>
                  <draw name="disclaimerText" y="15.609mm" x="0.032mm" w="130.143mm" h="14.758mm">
                     <?renderCache.bounds 366075 39000 0 0 1417 1417 0 0?>
                     <ui>
                        <textEdit/>
                     </ui>
                     <value>
                        <text>This document is strictly private, confidential and personal to its recipients and should not be copied, distributed or reproduced in whole or in part, nor passed to any third party.</text>
                     </value>
                     <font usehref=".#som($template.#subform.#font)" size="8pt" baselineShift="0pt">
                        <fill>
                           <color value="145,143,143"/>
                        </fill>
                     </font>
                     <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="0.5mm" rightInset="0.5mm"/>
                     <para lineHeight="12pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt">
                        <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                     </para>
                     <desc>
                        <text name="fieldLabel">Disclaimer Text</text>
                     </desc>
                  </draw>
                  <field name="CurrentPageNumber" w="62mm" h="10.084mm" id="floatingField019144" access="readOnly" presence="hidden">
                     <?templateDesigner floatingFieldPlaceholder #?>
                     <ui>
                        <numericEdit>
                           <border>
                              <edge stroke="lowered"/>
                           </border>
                           <margin/>
                        </numericEdit>
                     </ui>
                     <font usehref=".#som($template.#subform.#font)"/>
                     <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                     <para vAlign="middle"/>
                     <event activity="ready" ref="$layout" name="event__layout_ready">
                        <script contentType="application/x-javascript">this.rawValue = xfa.layout.page(this)
</script>
                     </event>
                     <calculate override="error"/>
                     <bind match="none"/>
                  </field>
                  <field name="NumberofPages" w="62mm" h="10.084mm" id="floatingField020603" access="readOnly" presence="hidden">
                     <?templateDesigner floatingFieldPlaceholder ##?>
                     <ui>
                        <numericEdit>
                           <border>
                              <edge stroke="lowered"/>
                           </border>
                           <margin/>
                        </numericEdit>
                     </ui>
                     <font usehref=".#som($template.#subform.#font)"/>
                     <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                     <para vAlign="middle"/>
                     <event activity="ready" ref="$layout" name="event__layout_ready">
                        <script contentType="application/x-javascript">this.rawValue = xfa.layout.pageCount()
</script>
                     </event>
                     <calculate override="error"/>
                     <bind match="none"/>
                  </field>
                  <draw name="pages" x="168.275mm" h="6.259mm" y="7.115mm" minW="16.587mm">
                     <ui>
                        <textEdit/>
                     </ui>
                     <value>
                        <exData contentType="text/html">
                           <body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"><p style="text-decoration:none;letter-spacing:0in"><span xfa:embedType="uri" xfa:embedMode="raw" xfa:embed="#floatingField019144"/>/<span xfa:embedType="uri" xfa:embedMode="raw" xfa:embed="#floatingField020603"/></p></body>
                        </exData>
                     </value>
                     <font usehref=".#som($template.#subform.#font)" size="8pt" weight="normal" posture="normal" underline="0" lineThrough="0" baselineShift="0pt" letterSpacing="0" kerningMode="none" fontHorizontalScale="100%" fontVerticalScale="100%">
                        <fill>
                           <color value="145,143,143"/>
                        </fill>
                     </font>
                     <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="0.5mm" rightInset="0.5mm"/>
                     <para hAlign="right" lineHeight="12pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt">
                        <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                     </para>
                  </draw>
                  <field name="CurrentDate" w="62mm" h="10.084mm" id="floatingField013023" access="readOnly" presence="hidden">
                     <?templateDesigner floatingFieldPlaceholder {current date}?>
                     <ui>
                        <dateTimeEdit>
                           <border>
                              <edge stroke="lowered"/>
                           </border>
                           <margin/>
                        </dateTimeEdit>
                     </ui>
                     <font usehref=".#som($template.#subform.#font)"/>
                     <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                     <para vAlign="middle"/>
                     <value>
                        <date/>
                     </value>
                     <event activity="ready" ref="$layout" name="event__layout_ready">
                        <script>$.rawValue = Num2Date(Date(), "YYYY-MM-DD")
</script>
                     </event>
                     <calculate override="error"/>
                     <bind match="none"/>
                  </field>
                  <draw name="date" y="15.609mm" x="155.575mm" h="6.259mm" minW="29.286mm">
                     <ui>
                        <textEdit/>
                     </ui>
                     <value>
                        <exData contentType="text/html">
                           <body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"><p style="text-decoration:none;letter-spacing:0in"><span xfa:embedType="uri" xfa:embedMode="raw" xfa:embed="#floatingField013023"/></p></body>
                        </exData>
                     </value>
                     <font usehref=".#som($template.#subform.#font)" size="8pt" weight="normal" posture="normal" underline="0" lineThrough="0" baselineShift="0pt" letterSpacing="0" kerningMode="none" fontHorizontalScale="100%" fontVerticalScale="100%">
                        <fill>
                           <color value="145,143,143"/>
                        </fill>
                     </font>
                     <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="0.5mm" rightInset="0.5mm"/>
                     <para hAlign="right" lineHeight="12pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt">
                        <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                     </para>
                  </draw>
                  <field name="CurrentTime" w="62mm" h="10.084mm" id="floatingField027838" access="readOnly" presence="hidden">
                     <?templateDesigner floatingFieldPlaceholder {current time}?>
                     <ui>
                        <dateTimeEdit>
                           <border>
                              <edge stroke="lowered"/>
                           </border>
                           <margin/>
                        </dateTimeEdit>
                     </ui>
                     <font usehref=".#som($template.#subform.#font)"/>
                     <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                     <para vAlign="middle"/>
                     <value>
                        <time/>
                     </value>
                     <event activity="ready" ref="$layout" name="event__layout_ready">
                        <script>$.rawValue = Num2Time(Time(), "HH:MM:SS")
</script>
                     </event>
                     <calculate override="error"/>
                     <bind match="none"/>
                  </field>
                  <draw name="time" y="24.103mm" x="155.575mm" h="6.259mm" minW="29.286mm">
                     <ui>
                        <textEdit/>
                     </ui>
                     <value>
                        <exData contentType="text/html">
                           <body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"><p style="text-decoration:none;letter-spacing:0in"><span xfa:embedType="uri" xfa:embedMode="raw" xfa:embed="#floatingField027838"/></p></body>
                        </exData>
                     </value>
                     <font usehref=".#som($template.#subform.#font)" size="8pt" weight="normal" posture="normal" underline="0" lineThrough="0" baselineShift="0pt" letterSpacing="0" kerningMode="none" fontHorizontalScale="100%" fontVerticalScale="100%">
                        <fill>
                           <color value="145,143,143"/>
                        </fill>
                     </font>
                     <margin topInset="0.5mm" bottomInset="0.5mm" leftInset="0.5mm" rightInset="0.5mm"/>
                     <para hAlign="right" lineHeight="12pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt">
                        <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                     </para>
                  </draw>
               </area>
            </pageArea>
         </pageSet>
         <variables>
            <?templateDesigner expand 1?>
            <script contentType="application/x-javascript" name="dorRadioButtonMerge">
            function mergeData(field, textField) {
                if(dorMergeElementOverriddenData.isFieldOverridden(field.parent)){
                    return;
               }
               var radioButtonList = textField.parent.resolveNode("AF_RADIOBUTTONLIST");
               var hiddenField = textField.parent.resolveNode(textField.parent.name);
               var oNodes = radioButtonList.nodes || [];
               var nNodesLength = oNodes.length;
               var sValue = getValueFromHiddenTextField(hiddenField);
               var oOption = null;

               if (dorShowSelectedOptions.value === "true") {
                    hideRadioButtons(radioButtonList);
                    if (hiddenField.rawValue != null){
                        oOption = getSelectedNode(radioButtonList, sValue);
                    }
               } else {
                    radioButtonList.rawValue = sValue;
               }

               // if radio button is inside table radio button title text field will be hidden
               // make it visible
               textField.presence = "visible";

               // assign caption of selected option as value of textField
               if ( oOption != null &amp;&amp; dorShowSelectedOptions.value === "true" ) {
                    textField.rawValue = oOption.caption.value.text.value;
               }
            }

            function hideRadioButtons(radioButtonList) {
                var oNodes = radioButtonList.nodes || [];
                var nNodesLength = oNodes.length;
                 for (var nNodeCount = 0; nNodeCount &lt; nNodesLength; nNodeCount++) {
                 var oNode = oNodes.item(nNodeCount);
                 if ( oNode.className === "field" ) {
                    oNode.presence = "hidden";
                 }
               }
            }

            function getSelectedNode(radioButtonList, radioButtonListValue) {
                var oNodes = radioButtonList.nodes || [];
                var nNodesLength = oNodes.length;
                var oOption = null;
                for (var nNodeCount = 0; nNodeCount &lt; nNodesLength; nNodeCount++) {
                  var oNode = oNodes.item(nNodeCount);
                  if ( oNode.className === "field" ) {
                     var oItemsValue = oNode.resolveNode("#items.#text") || oNode.resolveNode("#items.#integer");
                     if ( oItemsValue != null &amp;&amp; oItemsValue.value === radioButtonListValue) {
                        oOption = oNode;
                        break;
                     }
                  }
               }
               return oOption;
            }

         function getValueFromHiddenTextField(hiddenTextField) {
            return hiddenTextField.rawValue != null ? hiddenTextField.rawValue.toString().replace(/^\s+|\s+$/g,'') : "";
         }

         function overrideOptionsForRadioButton(field, fieldOverriddenData) {
                var somExpr = field.somExpression.substring(xfa.form.data.somExpression.length + 1);
                var elementOverrideData = fieldOverriddenData[somExpr];
                if (elementOverrideData.hasOwnProperty("options")) {
                    var hiddenTextField = field.resolveNode(field.name);
                    var titleField = field.resolveNode("AF_RADIOBUTTONLISTTITLE");
                    var radioButtonList = field.resolveNode("AF_RADIOBUTTONLIST");
                    titleField.presence = "visible";
                    var optionsMap = elementOverrideData.options;
                    var radioButtonListValue = getValueFromHiddenTextField(hiddenTextField);
                    hideRadioButtons(radioButtonList);
                    if ( radioButtonListValue != null &amp;&amp; optionsMap.hasOwnProperty(radioButtonListValue) ) {
                        titleField.rawValue = optionsMap[radioButtonListValue];
                    }
                }
            }
</script>
            <text name="dorValueSeparator">, </text>
            <text name="dorShowSelectedOptions">true</text>
            <text name="dorRowShadingInst">templateDesigner rowpattern first:.*, next:.*, firstcolor:.*, nextcolor:.*, apply:1</text>
            <script contentType="application/x-javascript" name="dorCheckBoxMerge">
            function mergeData(field, textField) {
               if(dorMergeElementOverriddenData.isFieldOverridden(field.parent)){
                    return;
               }
               var values = field.rawValue != null ? field.rawValue.toString().split(",") : [];
               var checkBoxValues = getCheckBoxValues(field.parent);

               // if check box is inside table check box title text field will be hidden
               // make it visible and hide check boxes
               textField.presence = "visible";
               if (dorShowSelectedOptions.value === "true") {
                  hideCheckBoxes(field.parent);
               } else {
                  resetCheckBoxes(field.parent);
               }

               // if no option selected hide check box subform
               if ( values != null ) {
                  var displayValues = [];
                  var lengthOfValues = values.length;
                  for (var count = 0; count &lt; lengthOfValues; count++) {
                      // get check box button corresponding to value
                      var value = values[count] || "";
                      var checkBoxButton = checkBoxValues[value.toString().replace(/^\s+|\s+$/g, '')];
                      if ( checkBoxButton != null &amp;&amp; checkBoxButton.className === "field") {
                         if (dorShowSelectedOptions.value === "true") {
                            // push display into displayValues array
                            displayValues.push(checkBoxButton.caption.value.text.value);
                         } else {
                            checkBoxButton.value.integer = 1;
                         }
                      }
                  }
                  textField.rawValue = displayValues.join(dorValueSeparator.value) || "";
               }
            }

            function hideCheckBoxes(nodeParent) {
               var oNodes = nodeParent.nodes || [];
               var nNodesLength = oNodes.length;

               // hide all check boxes as selected options are shown together in textField
               for (var nNodeCount = 0; nNodeCount &lt; nNodesLength; nNodeCount++) {
                  var oField = oNodes.item(nNodeCount);
                  if ( oField.className === "field" )
                     if ( oField.resolveNode("#ui.#checkButton") != null ) {
                        oField.presence = "hidden";
                     }
               }
            }

            function resetCheckBoxes(nodeParent) {
               var oNodes = nodeParent.nodes || [];
               var nNodesLength = oNodes.length;

               // hide all check boxes as selected options are shown together in textField
               for (var nNodeCount = 0; nNodeCount &lt; nNodesLength; nNodeCount++) {
                  var oField = oNodes.item(nNodeCount);
                  if ( oField.className === "field" ) {
                     if ( oField.resolveNode("#ui.#checkButton") != null ) {
                        oField.value.integer = 0;
                     }
                  }
               }
            }

            function getCheckBoxValues(nodeParent) {
               var mValues = {};
               var oNodes = nodeParent.nodes || [];
               var nNodesLength = oNodes.length;

               // collect save values against check box in a map
               for (var nNodeCount = 0; nNodeCount &lt; nNodesLength; nNodeCount++) {
                  var oField = oNodes.item(nNodeCount);
                  if ( oField.className === "field" ) {
                     if ( oField.resolveNode("#ui.#checkButton") != null ) {
                        sSaveValue = oField.resolveNode("extras.saveValue") || null;
                        if ( sSaveValue != null ) {
                           mValues[sSaveValue.value.toString().replace(/^\s+|\s+$/g, '')] = oField;
                        }
                     }
                  }
               }

               return mValues;
            }
            function overrideOptionsForCheckBox(field,fieldOverriddenData) {
                var somExpr = field.somExpression.substring(xfa.form.data.somExpression.length + 1);
                var elementOverrideData = fieldOverriddenData[somExpr];
                if (elementOverrideData.hasOwnProperty("options")) {
                    var hiddenTextField = field.resolveNode(field.name);
                    field.resolveNode("AF_CHECKBOXTITLE").presence = "visible";
                    var optionsMap = elementOverrideData.options;
                    var values = hiddenTextField.rawValue != null ? hiddenTextField.rawValue.toString().split(",") : [];
                    hideCheckBoxes(field);
                    if ( values != null ) {
                        var displayValues = [];
                        var lengthOfValues = values.length;
                        for (var count = 0; count &lt; lengthOfValues; count++) {
                            var value = values[count] || "";
                            if (optionsMap.hasOwnProperty(value)) {
                                displayValues.push(optionsMap[value]);
                            }
                        }
                        }
                    field.resolveNode("AF_CHECKBOXTITLE").rawValue = displayValues.join(dorValueSeparator.value) || "";
                }
            }

            function overrideOptionsForImageChoice(field,fieldOverriddenData) {
                var somExpr = field.somExpression.substring(xfa.form.data.somExpression.length + 1);
                var elementOverrideData = fieldOverriddenData[somExpr];
                if (elementOverrideData.hasOwnProperty("options")) {
                    var hiddenTextField = field.resolveNode(field.name);
                    field.resolveNode("AF_IMAGECHOICETITLE").presence = "visible";
                    var optionsMap = elementOverrideData.options;
                    var values = hiddenTextField.rawValue != null ? hiddenTextField.rawValue.toString().split(",") : [];
                    hideCheckBoxes(field);
                    field.resolveNode("AF_IMAGECHOICETITLE").rawValue = hiddenTextField.rawValue || "";
                }
            }
</script>
            <script contentType="application/x-javascript" name="dorExcludeFromDoR">
            function exclude(oSOMExprs) {
                    var nIndex = -1;
                    var nPrevIndex = -1;
                    var oFields = {};
                    var oSeparator = '=';
                    var oTrueStatus = "true";

                    var oFieldStatus;
                    var nIndexOfSeparator;
                    var oSOMExpr;
                    var bStatus;
                    var oStatus;

                    // initialize oFields map with templateIds or som expressions and their dorExclusion values
                    while(true) {
                        nIndex = oSOMExprs.indexOf(',', nPrevIndex + 1);
                        if(nIndex == -1)
                            break;

                        oFieldStatus = oSOMExprs.substring(nPrevIndex + 1, nIndex);
                        nIndexOfSeparator = oFieldStatus.indexOf(oSeparator);
                        oSOMExpr = "data[0]." + oFieldStatus.substring(0, nIndexOfSeparator);
                        bStatus = oFieldStatus.substring(nIndexOfSeparator + 1);
                        oStatus = "visible";

                        if (bStatus == "true")
                            oStatus = "hidden";

                        oFields[oSOMExpr] = oStatus;
                        nPrevIndex = nIndex;
                    }
                    oFieldStatus = oSOMExprs.substring(nPrevIndex + 1);
                    nIndexOfSeparator = oFieldStatus.indexOf(oSeparator);
                    oSOMExpr = "data[0]." + oFieldStatus.substring(0, nIndexOfSeparator);
                    bStatus = oFieldStatus.substring(nIndexOfSeparator + 1);
                    oStatus = "visible";

                    if (bStatus == "true")
                        oStatus = "hidden";

                    oFields[oSOMExpr] = oStatus;

                    // get objects corresponding to templateIds
                    iterate(xfa.form, oFields);
              }

              /**
               * Maps SOM Expression or templateId (backward compatibility) to corresponding form field object.
               */
              function iterate(oTreeNode, oFields) {
                var somExpr = oTreeNode.somExpression.substring(xfa.form.somExpression.length + 1);
                if (oFields.hasOwnProperty(somExpr))
                     oTreeNode.presence = oFields[somExpr];
                else if(oFields.hasOwnProperty(oTreeNode.id)) // if we get templateId (backward compatibility)
                     oTreeNode.presence = oFields[oTreeNode.id];

                // iterate through children of subform and form only
                if(oTreeNode.className == "subform" || oTreeNode.className == "form") {
                    var oNodes = oTreeNode.nodes;
                    for (var nCount = 0; nCount &lt; oNodes.length; nCount++) {
                        iterate(oNodes.item(nCount), oFields);
                    }
                }
            }
         </script>
            <script contentType="application/x-javascript" name="dorTableRowShading" runAt="both">
            function shadeRows(oTableRow) {
               applyRowShading(oTableRow);
            }

            /**
             * If apply flag in row shading instruction is 1 extract values of first color
             * and next color and use them to alternately shade rows
             */
            function applyRowShading(oTableRow) {
               // get xml of table tag
               var oSomExp = oTableRow.parent.somExpression.substring(xfa.form.somExpression.length + 1);
               var oParentXML = xfa.template.resolveNode(oSomExp).saveXML("pretty");
               // get regular expression to extract row shading instruction
               var oFind = new RegExp(dorRowShadingInst.value, "g");
               // get string for row shading instruction
               var oRowShadingInst = oFind.exec(oParentXML)[0];

               // regular expression to get color values and appy flag
               var oColorRegExp = new RegExp("firstcolor:.*", "g");
               // get string for color values and apply flag
               var oColors = oColorRegExp.exec(oRowShadingInst)[0];

               // values are separated by ,
               var nIndexOfComma = oColors.indexOf(',');
               // get value for first color
               var oFirstColor = oColors.substring(11, nIndexOfComma);
               nIndexOfComma = oColors.indexOf(',', nIndexOfComma + 1);
               // get value for next color
               var oNextColor = oColors.substring(11 + oFirstColor.length + 2 + 10, nIndexOfComma);
               // get value of apply flag
               var oApply = oColors.substring(11 + oFirstColor.length + 2 + 10 + oNextColor.length + 2 + 6);

               // if apply flag is 1 only then apply row shading
               if (oApply === '1')
                  shadeRowsWithColor(oTableRow, oFirstColor, oNextColor);
            }

            /**
             * Actual function to shade rows of the table alternately.
             * @param oTableRow table row which has to be shade
             * @param oFirstColor color with which first row would be shade
             * @param oNextColor color with which next row would be shade
             */
            function shadeRowsWithColor(oTableRow, oFirstColor, oNextColor) {
               // get hexadecimal values for colors
               oFirstColor = getHexColor(oFirstColor);
               oNextColor = getHexColor(oNextColor);

               // get colors in string format
               var oColor1 = getColorString(oFirstColor);
               var oColor2 = getColorString(oNextColor);

               // shade rows alternately
               var oFreqs=[1,1];
               var oColors=[oColor1, oColor2];
               var nFreqSize = 0;

               for (var i = 0; i &lt; oFreqs.length; i++)
                  nFreqSize += oFreqs[i];

               var nRelIndex = oTableRow.index % nFreqSize + 1;

               for (var nRun=0; nRun &lt; oFreqs.length; nRun++) {
                  if (nRelIndex &gt; oFreqs[nRun]) {
                     nRelIndex -= oFreqs[nRun];
                  }
                  else {
                     oTableRow.border.fill.color.value = oColors[nRun];
                     break;
                  }
               }
            }

            /**
             * Function that returns six digit hexadecimal value for color
             * @param oColor hexadecimal color value having six or less digits
             * @return six digit hexadecimal value with zero prefixed if needed
             */
            function getHexColor(oColor) {
               while (oColor.length &lt; 6) {
                  oColor = '0' + oColor;  // zero pad
               }
               return oColor;
            }


            /**
             * Function that returns color string corresponding to hexadecimal color value
             * @param oHexColor fixed length (6) hexadecimal color value
             * @return color string
             */
            function getColorString(oHexColor) {
               var oColor = parseInt(oHexColor.substring(0, 2), 16).toString() + ","
                              + parseInt(oHexColor.substring(2, 4), 16).toString() + ","
                              + parseInt(oHexColor.substring(4, 6), 16).toString();
               return oColor;
            }
</script>
            <script contentType="application/x-javascript" name="dorMergeElementOverriddenData">
            function mergeOverriddenData(stateOverrideNode) {
                        var elementJson = {};
                        var oNodes = stateOverrideNode.nodes;
                        for (var nCount = 0; nCount &lt; oNodes.length; nCount++) {
                            var node = oNodes.item(nCount);
                            if (node.className === "subform") {
                            var overriddenElement = getElementJson(node);
                            if (overriddenElement) {
                                elementJson[overriddenElement.somExp] = overriddenElement;
                            }
                    }
                }
                iterate(xfa.form, elementJson);
            }

            function getElementJson(elementNode) {
                    var somNode = elementNode.resolveNode("AF_SOMEXPR_XFO");
                if (somNode  &amp;&amp; somNode.rawValue) {
                    var retvalMap = {"somExp": somNode.rawValue};
                    var optionsNode = elementNode.resolveNode("AF_OPTIONS_XFO");
                    if (optionsNode) {
                            var optionsMap = getOptionsMap(optionsNode);
                            if (optionsMap) {
                                retvalMap.options = optionsMap;
                            }
                    }
                    return retvalMap;
                }
            }

            function getOptionsMap(optionsNode) {
                var retvalMap;
                var oNodes = optionsNode.nodes;
                for (var nCount = 0; nCount &lt; oNodes.length; nCount++) {
                    var optionNode = oNodes.item(nCount);
                    if (optionNode != null &amp;&amp; optionNode.className === "subform") {
                            var optionDisplayNode = optionNode.resolveNode("AF_DISPLAY_XFO");
                         var optionSaveNode = optionNode.resolveNode("AF_SAVE_XFO");
                            if (optionDisplayNode &amp;&amp; optionDisplayNode.rawValue &amp;&amp; optionSaveNode &amp;&amp; optionSaveNode.rawValue) {
                                retvalMap = retvalMap || {};
                                retvalMap[optionSaveNode.rawValue] = optionDisplayNode.rawValue
                        }
                    }
                }
                return retvalMap;
            }

            /**
             * Maps SOM Expression or templateId (backward compatibility) to corresponding form field object.
             */
            function iterate(oTreeNode, elementJson) {
                var somExpr = oTreeNode.somExpression.substring(xfa.form.data.somExpression.length + 1);
                if (elementJson.hasOwnProperty(somExpr)) {
                    dorDefaultElementOverrideHandler.overrideOptionsForElement(oTreeNode, elementJson);
                } else if (elementJson.hasOwnProperty(oTreeNode.id)) { // if we get templateId (backward compatibility)
                    dorDefaultElementOverrideHandler.overrideOptionsForElement(oTreeNode, elementJson);
                }
                // iterate through children of subform and form only
                if (oTreeNode.className == "subform" || oTreeNode.className == "form") {
                    var oNodes = oTreeNode.nodes;
                    for (var nCount = 0; nCount &lt; oNodes.length; nCount++) {
                        iterate(oNodes.item(nCount), elementJson);
                    }
                }
            }

             function isFieldOverridden(field) {
                var somExprRequired = field.somExpression.substring(xfa.form.data.somExpression.length + 1);
                var stateOverrideNode = xfa.resolveNode("AF_STATEOVERRIDESSUBFORM_XFO");
                var oNodes = stateOverrideNode.nodes;
                for (var nCount = 0; nCount &lt; oNodes.length; nCount++) {
                    var node = oNodes.item(nCount);
                    if (node.className === "subform") {
                        var overriddenElement = getElementJson(node);
                        if (overriddenElement &amp;&amp; overriddenElement.somExp === somExprRequired) {
                            return true;
                        }
                    }
                }
                return false;
            }

</script>
            <script contentType="application/x-javascript" name="dorDefaultElementOverrideHandler"> function overrideOptionsForElement(elementNode, fieldOverriddenData) {
    var element = elementNode.resolveNode("extras.dorElementType");
    if (element != null) {
        var elementType = element.value;
        if (elementType === 'AF_CHECKBOX_XFO') {
            dorCheckBoxMerge.overrideOptionsForCheckBox(elementNode, fieldOverriddenData);
        } else if (elementType === 'AF_RADIOBUTTONLIST_XFO') {
            dorRadioButtonMerge.overrideOptionsForRadioButton(elementNode, fieldOverriddenData);
        } else if (elementType === "AF_IMAGECHOICE_XFO") {
            dorCheckBoxMerge.overrideOptionsForImageChoice(elementNode, fieldOverriddenData);
        } else if (elementType === "AF_DROPDOWNLIST_XFO") {
            dorDropDownElementOverrideHandler.overrideOptionsForDropDown(elementNode, fieldOverriddenData);
        }
    }
 }

</script>
            <script contentType="application/x-javascript" name="dorDropDownElementOverrideHandler">
 function overrideOptionsForDropDown(field,fieldOverriddenData) {
    var somExpr = field.somExpression.substring(xfa.form.data.somExpression.length + 1);
    var elementOverrideData = fieldOverriddenData[somExpr];
    if (elementOverrideData.hasOwnProperty("options")) {
        if (checkIfNewDropDownValueSelected(field.rawValue,elementOverrideData.options)) {
            field.clearItems();
            for(var propertyName in elementOverrideData.options) {
                var value = elementOverrideData.options[propertyName];
                field.addItem(value, propertyName);
            }
        }
    }
 }

 function checkIfNewDropDownValueSelected(fieldValue,optionsMap) {
    var returnValue = false;
    for(var propertyName in optionsMap) {
        returnValue = returnValue  || (propertyName == fieldValue)
    }
    return returnValue;
 }
</script>
         </variables>
         <proto>
            <font typeface="Arial"/>
            <fill>
               <color value="4,166,203"/>
            </fill>
            <edge>
               <color value="4,166,203"/>
            </edge>
            <field name="designer__defaultHyphenation">
               <para>
                  <hyphenation hyphenate="1"/>
               </para>
            </field>
            <draw name="spaceFiller" w="127mm" h="0mm" hAlign="center">
               <value>
                  <rectangle>
                     <edge presence="hidden"/>
                  </rectangle>
               </value>
            </draw>
         </proto>
         <subform layout="tb" name="AF_EXCLUDEFROMDORSUBFORM_XFO">
            <field name="excludeFromDoRTextField" presence="hidden">
               <ui>
                  <textEdit>
                     <border>
                        <edge stroke="lowered"/>
                     </border>
                     <margin/>
                  </textEdit>
               </ui>
               <font typeface="Myriad Pro"/>
               <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
               <para vAlign="middle"/>
               <caption reserve="45.6029mm">
                  <para vAlign="middle"/>
                  <value>
                     <text>Exclude From DoR Text Field</text>
                  </value>
               </caption>
               <bind match="dataRef" ref="$record.excludeFromDoR"/>
               <event activity="initialize" name="event__initialize">
                  <script contentType="application/x-javascript">
                 if ( this.rawValue != null )
                     dorExcludeFromDoR.exclude(this.rawValue);
              </script>
               </event>
            </field>
            <?templateDesigner expand 1?></subform>
         <subform name="AF_STATEOVERRIDESSUBFORM_XFO" w="170.074mm" layout="tb" presence="hidden">
            <subform name="AF_ELEMENT_XFO" w="193.798mm" layout="tb" presence="hidden">
               <bind match="dataRef" ref="$record.stateOverrides.element[*]"/>
               <occur min="0" max="-1"/>
               <subform w="169.567mm" name="AF_OPTIONS_XFO" layout="tb">
                  <bind match="dataRef" ref="$.options"/>
                  <subform w="169.014mm" name="AF_OPTION_XFO" layout="tb">
                     <bind match="dataRef" ref="$.option[*]"/>
                     <occur min="0" max="-1"/>
                     <field name="AF_DISPLAY_XFO" w="146.775mm" h="9mm">
                        <ui>
                           <textEdit>
                              <border>
                                 <edge stroke="lowered"/>
                              </border>
                              <margin/>
                           </textEdit>
                        </ui>
                        <font typeface="Myriad Pro"/>
                        <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                        <para vAlign="middle"/>
                        <caption reserve="25mm">
                           <para vAlign="middle"/>
                           <value>
                              <text>Display</text>
                           </value>
                        </caption>
                        <bind match="dataRef" ref="$.displayValue"/>
                     </field>
                     <field name="AF_SAVE_XFO" w="149.874mm" h="8.767mm">
                        <ui>
                           <textEdit>
                              <border>
                                 <edge stroke="lowered"/>
                              </border>
                              <margin/>
                           </textEdit>
                        </ui>
                        <font typeface="Myriad Pro"/>
                        <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                        <para vAlign="middle"/>
                        <caption reserve="25mm">
                           <para vAlign="middle"/>
                           <value>
                              <text>Save</text>
                           </value>
                        </caption>
                        <bind match="dataRef" ref="$.saveValue"/>
                     </field>
                     <?templateDesigner expand 1?></subform>
                  <?templateDesigner expand 0?></subform>
               <field name="AF_SOMEXPR_XFO" w="168.968mm" h="9mm">
                  <ui>
                     <textEdit>
                        <border>
                           <edge stroke="lowered"/>
                        </border>
                        <margin/>
                     </textEdit>
                  </ui>
                  <font typeface="Myriad Pro"/>
                  <margin topInset="1mm" bottomInset="1mm" leftInset="1mm" rightInset="1mm"/>
                  <para vAlign="middle"/>
                  <caption reserve="25mm">
                     <para vAlign="middle"/>
                     <value>
                        <text>somExpr</text>
                     </value>
                  </caption>
                  <bind match="dataRef" ref="$.somExpr"/>
               </field>
               <?templateDesigner expand 1?></subform>
            <bind match="dataRef" ref="$record.stateOverrides"/>
            <event activity="initialize" name="event__initialize">
               <script contentType="application/x-javascript">
     dorMergeElementOverriddenData.mergeOverriddenData(this)

</script>
            </event>
            <?templateDesigner expand 1?></subform>
         <subform w="184.15mm" name="guideRootPanel" layout="tb" id="guideContainer-rootPanel__">
            <?templateDesigner expand 1?>
            <border>
               <edge presence="hidden" stroke="lowered"/>
               <corner presence="hidden"/>
            </border>
            <breakBefore/>
            <margin bottomInset="0mm"/>
            <extras>
               <text name="dorElementType">AF_PANELSUBFORM_XFO</text>
            </extras>
            <bind match="none"/>
            <subform w="184.15mm" name="page" layout="tb" id="guideContainer-rootPanel-Page_1__">
               <?templateDesigner expand 1?>
               <border>
                  <edge presence="hidden" stroke="lowered"/>
                  <corner presence="hidden"/>
               </border>
               <breakBefore/>
               <draw minH="5.842mm" name="AF_PANELTITLE" w="184.15mm">
                  <ui>
                     <textEdit/>
                  </ui>
                  <value>
                     <text>Page 1</text>
                  </value>
                  <font baselineShift="0pt" fontHorizontalScale="100%" fontVerticalScale="100%" kerningMode="none" letterSpacing="0" lineThrough="0" posture="normal" size="14pt" underline="0" usehref=".#som($template.#subform.#font)" weight="bold">
                     <fill usehref=".#som($template.#subform.#fill)"/>
                  </font>
                  <margin bottomInset="1.27mm" leftInset="0.5mm" rightInset="0.5mm" topInset="3.81mm"/>
                  <para lineHeight="18pt" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt">
                     <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                  </para>
                  <border>
                     <edge presence="hidden"/>
                     <edge presence="hidden"/>
                     <edge thickness="0.1524mm">
                        <color value="233,239,239"/>
                     </edge>
                     <edge presence="hidden"/>
                     <corner thickness="1.524mm">
                        <color value="233,239,239"/>
                     </corner>
                     <corner thickness="1.524mm"/>
                     <corner thickness="0.152mm"/>
                     <corner thickness="1.524mm"/>
                  </border>
                  <keep intact="contentArea" next="contentArea"/>
               </draw>
               <margin bottomInset="0mm"/>
               <extras>
                  <text name="dorElementType">AF_PANELSUBFORM_XFO</text>
               </extras>
               <bind match="none"/>
               <draw name="contact_us_txt" w="184.15mm" minH="9.001mm" id="guideContainer-rootPanel-Page_1-text__">
                  <ui>
                     <textEdit/>
                  </ui>
                  <value>
                     <exData contentType="text/html">
                        <body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">Contact Us</body>
                     </exData>
                  </value>
                  <font baselineShift="0pt" fontHorizontalScale="100%" fontVerticalScale="100%" kerningMode="none" letterSpacing="0" lineThrough="0" posture="normal" size="9pt" underline="0" usehref=".#som($template.#subform.#font)" weight="normal">
                     <fill>
                        <color value="167,165,165"/>
                     </fill>
                  </font>
                  <margin bottomInset="4.318mm" leftInset="1.0008mm" rightInset="1.0008mm" topInset="4.318mm"/>
                  <para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle">
                     <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                  </para>
                  <border>
                     <edge presence="hidden"/>
                     <edge presence="hidden"/>
                     <edge thickness="0.1524mm">
                        <color value="249,252,251"/>
                     </edge>
                     <edge presence="hidden"/>
                     <corner/>
                     <corner/>
                     <corner thickness="0.152mm">
                        <color value="249,252,251"/>
                     </corner>
                     <corner/>
                  </border>
                  <keep intact="contentArea"/>
                  <extras>
                     <text name="dorElementType">AF_TEXT_XFO</text>
                  </extras>
               </draw>
               <field name="name1" w="184.15mm" minH="9.001mm" id="guideContainer-rootPanel-Page_1-Name__">
                  <ui>
                     <textEdit multiLine="1">
                        <margin/>
                     </textEdit>
                  </ui>
                  <font size="9pt" usehref=".#som($template.#subform.#font)" weight="normal">
                     <fill>
                        <color value="79,76,76"/>
                     </fill>
                  </font>
                  <margin bottomInset="4.318mm" leftInset="1mm" rightInset="1mm" topInset="4.318mm"/>
                  <para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" vAlign="middle">
                     <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                  </para>
                  <caption reserve="59.85mm">
                     <margin rightInset="12.7mm"/>
                     <para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle">
                        <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                     </para>
                     <value>
                        <text>Name</text>
                     </value>
                     <font baselineShift="0pt" fontHorizontalScale="100%" fontVerticalScale="100%" kerningMode="none" letterSpacing="0" lineThrough="0" posture="normal" size="9pt" underline="0" usehref=".#som($template.#subform.#font)" weight="normal">
                        <fill>
                           <color value="167,165,165"/>
                        </fill>
                     </font>
                  </caption>
                  <border>
                     <edge presence="hidden"/>
                     <edge presence="hidden"/>
                     <edge thickness="0.1524mm">
                        <color value="249,252,251"/>
                     </edge>
                     <edge presence="hidden"/>
                     <corner/>
                     <corner/>
                     <corner thickness="0.152mm">
                        <color value="249,252,251"/>
                     </corner>
                     <corner/>
                  </border>
                  <value>
                     <text/>
                  </value>
                  <extras>
                     <text name="dorElementType">AF_TEXTFIELD_XFO</text>
                  </extras>
                  <bind match="dataRef" ref="$record.name1"/>
               </field>
               <field name="email" w="184.15mm" minH="9.001mm" id="guideContainer-rootPanel-Page_1-Email__">
                  <ui>
                     <textEdit multiLine="1">
                        <margin/>
                     </textEdit>
                  </ui>
                  <font size="9pt" usehref=".#som($template.#subform.#font)" weight="normal">
                     <fill>
                        <color value="79,76,76"/>
                     </fill>
                  </font>
                  <margin bottomInset="4.318mm" leftInset="1mm" rightInset="1mm" topInset="4.318mm"/>
                  <para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" vAlign="middle">
                     <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                  </para>
                  <caption reserve="59.85mm">
                     <margin rightInset="12.7mm"/>
                     <para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle">
                        <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                     </para>
                     <value>
                        <text>E-mail</text>
                     </value>
                     <font baselineShift="0pt" fontHorizontalScale="100%" fontVerticalScale="100%" kerningMode="none" letterSpacing="0" lineThrough="0" posture="normal" size="9pt" underline="0" usehref=".#som($template.#subform.#font)" weight="normal">
                        <fill>
                           <color value="167,165,165"/>
                        </fill>
                     </font>
                  </caption>
                  <border>
                     <edge presence="hidden"/>
                     <edge presence="hidden"/>
                     <edge thickness="0.1524mm">
                        <color value="249,252,251"/>
                     </edge>
                     <edge presence="hidden"/>
                     <corner/>
                     <corner/>
                     <corner thickness="0.152mm">
                        <color value="249,252,251"/>
                     </corner>
                     <corner/>
                  </border>
                  <value>
                     <text/>
                  </value>
                  <extras>
                     <text name="dorElementType">AF_TEXTFIELD_XFO</text>
                  </extras>
                  <validate>
                     <picture>^(([^&lt;&gt;()\[\]\.,;:\s@"]+(\.[^&lt;&gt;()\[\]\\.,;:\s@"]+)*)|(".+"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$</picture>
                  </validate>
                  <bind match="dataRef" ref="$record.email"/>
               </field>
               <field name="phone_number" w="184.15mm" minH="9.001mm" id="guideContainer-rootPanel-Page_1-Phone_Number__">
                  <ui>
                     <textEdit multiLine="1">
                        <margin/>
                     </textEdit>
                  </ui>
                  <font size="9pt" usehref=".#som($template.#subform.#font)" weight="normal">
                     <fill>
                        <color value="79,76,76"/>
                     </fill>
                  </font>
                  <margin bottomInset="4.318mm" leftInset="1mm" rightInset="1mm" topInset="4.318mm"/>
                  <para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" vAlign="middle"/>
                  <caption reserve="59.85mm">
                     <margin rightInset="12.7mm"/>
                     <para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle">
                        <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                     </para>
                     <value>
                        <text>Phone Number</text>
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                     <font baselineShift="0pt" fontHorizontalScale="100%" fontVerticalScale="100%" kerningMode="none" letterSpacing="0" lineThrough="0" posture="normal" size="9pt" underline="0" usehref=".#som($template.#subform.#font)" weight="normal">
                        <fill>
                           <color value="167,165,165"/>
                        </fill>
                     </font>
                  </caption>
                  <border>
                     <edge presence="hidden"/>
                     <edge presence="hidden"/>
                     <edge thickness="0.1524mm">
                        <color value="249,252,251"/>
                     </edge>
                     <edge presence="hidden"/>
                     <corner/>
                     <corner/>
                     <corner thickness="0.152mm">
                        <color value="249,252,251"/>
                     </corner>
                     <corner/>
                  </border>
                  <keep intact="contentArea"/>
                  <value>
                     <text/>
                  </value>
                  <extras>
                     <text name="dorElementType">AF_TELEPHONE_XFO</text>
                  </extras>
                  <bind match="dataRef" ref="$record.phone_number"/>
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               <field name="issue_description" w="184.15mm" minH="9.001mm" id="guideContainer-rootPanel-Page_1-Issue_Description__">
                  <ui>
                     <textEdit multiLine="1">
                        <margin/>
                     </textEdit>
                  </ui>
                  <font size="9pt" usehref=".#som($template.#subform.#font)" weight="normal">
                     <fill>
                        <color value="79,76,76"/>
                     </fill>
                  </font>
                  <margin bottomInset="4.318mm" leftInset="1mm" rightInset="1mm" topInset="4.318mm"/>
                  <para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" vAlign="middle">
                     <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                  </para>
                  <caption reserve="59.85mm">
                     <margin rightInset="12.7mm"/>
                     <para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle">
                        <hyphenation use="designer__defaultHyphenation.para.hyphenation"/>
                     </para>
                     <value>
                        <text>Issue Description</text>
                     </value>
                     <font baselineShift="0pt" fontHorizontalScale="100%" fontVerticalScale="100%" kerningMode="none" letterSpacing="0" lineThrough="0" posture="normal" size="9pt" underline="0" usehref=".#som($template.#subform.#font)" weight="normal">
                        <fill>
                           <color value="167,165,165"/>
                        </fill>
                     </font>
                  </caption>
                  <border>
                     <edge presence="hidden"/>
                     <edge presence="hidden"/>
                     <edge thickness="0.1524mm">
                        <color value="249,252,251"/>
                     </edge>
                     <edge presence="hidden"/>
                     <corner/>
                     <corner/>
                     <corner thickness="0.152mm">
                        <color value="249,252,251"/>
                     </corner>
                     <corner/>
                  </border>
                  <value>
                     <text/>
                  </value>
                  <extras>
                     <text name="dorElementType">AF_TEXTFIELD_XFO</text>
                  </extras>
                  <bind match="dataRef" ref="$record.issue_description"/>
               </field>
            </subform>
         </subform>
      </subform>
   </template>
   <config xmlns="http://www.xfa.org/schema/xci/3.0/">
      <agent name="designer">
         <!--  [0..n]  -->
         <destination>pdf</destination>
         <pdf>
            <!--  [0..n]  -->
            <fontInfo/>
         </pdf>
      </agent>
      <present>
         <!--  [0..n]  -->
         <destination>pdf</destination>
         <pdf>
            <!--  [0..n]  -->
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               <month>February</month>
               <month>March</month>
               <month>April</month>
               <month>May</month>
               <month>June</month>
               <month>July</month>
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               <month>September</month>
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               <day>Mon</day>
               <day>Tue</day>
               <day>Wed</day>
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            <numberSymbol name="grouping">,</numberSymbol>
            <numberSymbol name="percent">%</numberSymbol>
            <numberSymbol name="minus">-</numberSymbol>
            <numberSymbol name="zero">0</numberSymbol>
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         <currencySymbols>
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            <currencySymbol name="isoname">USD</currencySymbol>
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            <typeface name="Adobe Hebrew"/>
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            <typeface name="Adobe Myungjo Std M"/>
            <typeface name="Adobe Devanagari"/>
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