ࡱ> MOLq` bjbjqPqP 5e::f888L Lp c c c  $f h -8c A "c c c E*  c j88 c 8  *H @ 0p |s (| |8 c c c c c c c c c c p c c c c LLLLLLLLL  C*!1##1@%7-1I@G##!2##4+2# '1822 24 --*4 5 2549 ********** Name& & & & & & & & & & & & & & & & & .Lastname& & & & & & & & & & & & & & & & & Address& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. Phone Home...................................................Work........................................ -*!1#%#12#@%7-1I@G##!2##4+2# '1822 24 --*4 @G 1* 6H0 @%7-1IC'1@*2#L 5H23 $(42" .(.2545 (November23,2002) @7H-0#H'!10##!2# H2-7H F 12'1 6H@G*25H@"AH#08(2*2 -d > ï}Uh2|CJ OJQJ^JmHsHh2|CJ OJQJ^Jh2|h2|CJOJQJ^JmHsH&h(h2|5CJ$OJQJ\^J_H h(5CJ$OJQJ\^J_H$h2|5CJ$OJQJ\^JmHsH0jh2|5CJOJQJU\^JmHnHu Rd : > DXZ\`$a$1@G@#7H-##B%C*28 1H'D C+I3@42#DI'"5"4H6I I2@I204142!#0@5"-'1 ( By Law) A%00414 @G8#4)15H5 2!3*1H*---L*!@G#0*1!!2*1!8@I2*7D. % 7H-................................................... 9I*!1# ........../........../.......... @I2+I25H9I#1*!1#................................. $a$,1h/ =!"#$% nLݓ"Z8Hޓm]PNG  IHDR#)yMgAMAPLTEٟ pHYs^c)w IDATxȱlOFGhBQy B1 elw<=Fmns&27@n?.y![`ZZ dfdDdDd9?xyP3)׿b_FYOc~*(D3ĘrGS,]w6,0e;'ٳ{;?5l_b}M`@vwק)ބ1JY1{bGueϽita(v/ğ=OPvڊ-e-nR,7v6/}u?m&{rJO4W)gܞ);zV6=M"E^oz'E# [ZY&{wdz/6Kni<| Jq_2^X\gk=c_e/Pvj0vC'z}^jFӇ-$/P5܌0æM6 JjE"En1)4XFNÝ;< n8n~2ۭ xD+zyH!9ʐ(q< yHapomH$ʎo5Yx1(- v8Ɠyv# }t{VlOXWGVSs6ئ?u1l $d z>h#e#'a)ܜھO_d[7 5}S7n)n_dUfʹ,FҬ_41?-ےca;ӧS߄d'u(ɼlC떲QT fpwy[ ^>S|WPH`UEhA‡pgqyKVlOPćQПzӔ](I8o@鍯S|2 {}Ε$Swt| xҥ+zB{ JɎQHf#{jY=;JlJF(e-( Fu8};?&Hqu$:nPЙ嘌#2Ou4 Zѳ ([l(]:/FFPH(:w ʦ_ѷHD{} Kש1ZGt).?͟B}DqdU SXnY3e ǁ7UbcXT(i-e"N 6)f,,Ř(|  Y'O.JpK3&HAtbwB֢`'OS4 QD?;쟥S +*eġFqYS_(d#ޠ#(Z蕭X xN.րiQ|E,z%mv?# MQnQ :# 1MmrLQrLDdM,^?fK(7(vJZOn(>m d10R>ǻDu,0sDiLZECmFE?GF}f$ʍӢdm]bo=݉U͟RAJY 6ۋBі={1`gB 8?1e]wfMIm0WJTыuˇE6QP>v(=6DAӽ!e,R:9S(WgSmQ1L_Gq Eʞ52RDA,BczLl:_̅A(g5Ń2nZ/BI8NBFGk#S25̅fAFCSSQL-RBy~h ^G+jG J)?U_(ClhUI9MϲTN +eJ|\rB%QۮԒƀPF ?=~ic}^ү.I9RF^΋`U. 93.t thv[r#0D<` wЊI-ȔTG+̙R  g99S65iX 9S႙^OU$)}Ğ## <WKTPD?Lsu̪aa;ƕ2+LIQ $gWtb6󺧶"u6ZX.XM( ͯo+ŠCK;JB)_K/nO(Q /AG)XU0BMrfؘ)Rf!"1Yʩ9iWZS,d@ѡ)É"*'W΃8ѷ0Jnc()|Rzg,O,p{Nb5(vN,Zͷ(y:ĞF]Ƈ]\b+&x#2N;;Ez!R?1%K2 #mi( I(`Bz:TE ΥWd#e%-iLR`p S/)A( &//ߕX-En#ΐeHE^C|E~4O=ʴ.%1gfGN*p^w*(Qml&3T%w*Dߢ?ys_R]aNEKQ'+*Dߢp9=D~P/s7ib۷KGKR([P:J1w3C0n1%aJ@l2PzȐ kII &>\In3zKlnkڎ`S?&R6CQ YAAOdX_Sp$7n1>\ p_sGي[cJJ]+nI `fVdIc5,qdlɑݢԦ.2vPԊ2EیA X~~P~U (z[5O%|ku ,#!=lm.kLT\B]Bpyh ;~RdňR T@m;ok8MRzCQ5F8T9WcAN}%:."ZU/_QLgpa=ޱ<4vEk' R2qZKM8L'tO\'+^IpnwiCQkGe}K揭}OYeM T8J)g 靎*`A('*8{.K kmKB&#0U!qָRREBcZGꍂKu\D wӠ.҅2w!evZ sh_Eq9Z͡W颓B qևζsx72fd՟(Q%#(qur~U\7M$Y|T7˙ӫ|L!*F)VQ@[ӳ)O%7O{#:WH7k^wiR L*I`\ ʬOǞy$JXP rNΤuO[memC15 '):O`W d?;SQcNB YOAI"色^(PAWZ⏜)5y80VDB*9*"]([/&?ו?QFN6O D.S$qA߉Ƀؼ D!ŏm˷@UFW!t2@Cq7[ 8MQ5Cq h?- rŨ䤛]s+ a5("[Bݏ؃G^љL56 ;zcF3}Ȫ?Sh.hCO&tSXZ g2Hfa6tkP3꽅ʎh(=l|yJa`6)ra+jeKk,3gCJ1_Běg jŒ( AD(wC@L'%c!˜!J1Kr9ߵDѕ;Xt;Œe 4 l23E/'w.4pP~tJO k}\qȋ%CJX2](*yN[%4I)GGƭ!ߦŒ eW w߿&,:(Q2z6 ͘Rx^a)&r/j1CR F14v6cWX?e{Q@e﶑X AAܕ)ʭrЗ@!/[2(xf0J!W% 51D""rAɨ ['dZSd"$)aLXRsEX*OF(BsBGZ ۈ-we\t!?8y\HD|xXYu;Hx# \Ms &tNyLҸvTr,֯@)ߠ,v.uJao).2cMi*)0HvD)#t>nj̖H1‰s 額KܔᨪWNvDӄhwC)G=BWJ-nO Q3v% .(ﺃ )e<#!*xJ6Jm9n%>%lEsSmTb_r^ ޤBr¨vԜKVSH 6aR():S|4UE}\LLbg1`fRlDQ~^8mM5*WRtKli<',| nS]l JU(b|I.)d?4Wl9F9VYS0?$Aɮ f}аO0YD)eǑ"Ae=OÒ_C8w 4)8@&@{i oMOYE m,vSEpǑ0d_4S W]6Bɒ:)<'Pj">voLUruz8n_A8}JMPfz\S֎)t,NLI!˔ "(Vݯ\i|D+w̔1SFDws:i^He1-M52A)^(U,)qwnQVt´GU)|+e?ȌIybZ~#Mcdr_5JƠHiޢh]ܾE:_l1Ѧp eVkӤE[L4(3QEJLQ|0lֵniPDi݂n],\Q]XB),eIɩ%ަPxOJT5^u(d}E${DIi^QS6)߳}UehoU nS8^ݰ%\Sr64)R(qvbcr7Iy׸%~_!ēGž? sIJj~1MJBvx S _PtTQZ-Ȉa8lvsz;v@xעt3e6.YWM3\CUzD| IDAT@ DTM<|u7^\;?'jWj’BR)K̠`Ql*/`3K%CR<& sS\j|uJT}*׼+S9J8Zvԟ(#EmMQa$S%efx"U텶$ n T%>k(kMu_Xyl Q0} 4)QgAE)J̔{ ]-L,KqK\"S8,LяQʘr1vUʮ Vg)|Xǒ8 =[ pcHɛ/(fA8?O|OgdLY7|md )NdDWD+vc!m\3%+zUjBFԅIʹw!6k %r)[yMJGqȽ$aFۇPT$ :6*zgj:0BǦ,1G*{?Bi.Y#aխ/P:l׽7/*mZꮳlTaN;\3W=e*TCG}ƤP_IAn)mJќX&;WU-of1Y)o4N](sj^),-g6jIWf\)Cc]:ǎlӔ:8Q&AlQ,E-f8URy{ARɦ璻vP-ւSolVE-=D1@GB5eIGޒMģ=op6Mh9)id-(GE:?ScTgm5)Fѓ7aRM-6qAJ5(;3N.’EXJ,Mq+(3b6`+ /(Gt'JGr6 z[%w~>MmȂℂaJ#X^hRs):ɬ|$=65(_UϔhfB=[[=,uaLY9"Jǔ?'[({AYM))KAoGׯ(a'd+o)qj87Ϗ1>)J:CEIDw4Y'D_Lʑiᮼj])z*8әs~7)[IY[ZbrL'PV.h+ŃAYJѴW:yaO͏_~AɱTts*$˯oKr75))s6&Ė9{U|4kǗORD9uhwe[؇^ .ޖ5G[6)}.>#P\I BT>LAY#\(CR.u<d`P~Ѣym;SZ,I h\(OHYRc"t^?MBA߇2 wmzT7OSh9ILVX}P~"Zu S[<>K R&[p^2OY>n|L2eb47 OAԔ-֢JB1g sI9L1걓Btᢷ{HU"2j7*k͙b ٨n Lk \1ewuCdϔ2Nvr?CY>I1s ť'ףRPv$LX%UW?HcDfD Ѷ<*JO3@\ǗܠӏG,XxHpsu\ѝAc0* itB)<""p;S2HcΔ %ߢd5[x/3ʩxTPܷ3SU5$BM G] W$.)O'w$JT*Dٲg) ʇe.'l|PJW&8TF m{ų|^P pj?\a 2b :W.BT ʪH#at/(ؠ _q1ʐ -ACJYj(+e$%Qƥ(DBg_} W BIE%ff:`#4Q "갪(SIўKh_Ѿ,4(>(ۆcQk%CIK 9c{J]XPi{?U$9>PlL_TIRթA)a&Q)ؓ)4[\Xk?]6E Z_pma T>mH\oH4*eQKN(0%6S,Sń5_2;UnF\9\N֊f"i/ϸnBbԠEfNRiDR)\2%{he8Q=QwDxeikp7/. 0()<% 4ca'(8dD X> \ߝ([B3|rS>T⮇g%q$W:_)c((0TySh#,ح)~ođJ,j"ي2jD{1J΅U@(e*QzO'`o21@M%c9(>K{b3Ύ) B+ÂB*Bz/f_RsZ1$=e+OeJ)\0҄be 3A3ei"QRtRp,2g 6Wf1sGȔy#"TQ.L(ӏ gzR'?!'% wV %+SyV?.:(cDIyDOC])hQ)Yl?حX{ՎQْ'ʜJ2K+v:ZBbyD[Ȗ{-׊&ʔ(# F@s)[ON\ژ *ʒB0<İ(`w())I׽b:`4C90L'kT$lPD2K 4ˆT61ç} ")hH6&ٌoDA&'NFe.>Q(VQu OSpŸIgY>6E"]\Qw1aΎ!mi@XI~n);SdD'0ofJ 9JeТJ- \z0rPVꐑd<5E$²(,{AamzGmLrL:P"lz6˜@̗Υ%Jǔ=mV' 5VtƤSXG`5u:(*3ZwlSO ?4|IFWߚ2]ZT 뾋8'Wf({yTNj=UV^9Z2E-8'}T~UfCU Ԥ9Rvv޲>F{)+w)(Dq8ݯtiz4NUFUdWGb%EVoh` BHY)RC3@{MSY&T(s63%lnޛo%,ʐ( jϨ'V~_d v@>gu=lC5ƞ8dlp?h0i%e3EbgS9j:.gLJ璸IHJtB/ɲpa\Κ%'^:eq1|wnCYu/]Yd o-GV*%ML4)U62r1SH$kLˡlNźjݪ|Pv&>(F6p$d`v~qkBEtusibI^[>2r]U@كD㑧/"F(I57tXW-D*ZJ.D۴2[Zup3r,oGi1QLEa=Ҧ<e:Q -d&Y͂&FQfQk C&RHME%U3< J%7RnuVafJ q7*"ujQ R;I[װ6N)OhYJ44V 2l*4)) G9y+~W:Q,^;xпYN'!ݮ~%2XRYz*sűS3د<*!sQ.ij3t~k14(9݃;lUNLl)e'K]w[/)Ÿ%E(!Qc=;Ѝ γ?aq6sY.w%\;ǹbiʐ%wL(փ/m/}:=F(eÐRwFsQB._aS)Oaluq/TrgF7~'Pa%bXjr2EERfeB8+ŖuI479((eyZ(ը(Z"F*Sx*c_RirtGoyˈRҟUL:-A(o80*E]&أ9#zi)D!~SR#{ur/rNLPP*Ir,G0MKHA癊"Q&QrYeMAw jPؽXk)Sr׋uPʤRĉƨ[F>:QHm VI9]c`I^o:?ay|U҂RBMñT׺t]ח*gJ.˯Zb0%Ι4ߙP$iQX:O<"d s矋]ړAOf&SN,ю?A|Af'J*zqCC3[42fJ2Y4!Wi:bLIY)y>REnrGXk R8I3 "*+ʔJ%;J{HNqbBk'0K6/'DtOa/Œ-O8Su)z%EKXAIfoEMń J'MvdMlƸAXRp-9PMڝL %˕ QB;:^xqM ( Р0Cu BC:emS0vJ)KdP!C(I)zCgB Y{DIMj#eDAXYbUth"i46(iӁIZn+GkMޭK!Hy(Vx YZIJX$='PRR`9f#("x40 Q( {ϣ}L>a1h/(l4$YN8@])I:ҩvp3Sb[.DᛲǕNIvVE0[NHxl1st֎N2ANP~,DQde=52iZWԤH6ɤQ=$K?2DҤר"r1avwEU=i/$)N(:@l3Oy;><)1  wŜ\(a\ h8e#f)V)бd.S i+(QMy]IێiTH]ʹj!1;6g E_d3e :!pkt0ꓼ*(qf$絗*egKScThP[ȘD{pX.A5۔Q)42*ŽC&4gF.s!*i(A n{PPhOcH&"T2 Q_(rjáN?-B=Uڼ?gl4up3a_ǫt*eYP돒l80!0A{MiZ(*d?@J AS.k;YIuTET?-0(+(;rC{Ȋ4)\q K4Y< &]yBȼ•*ȅ:^hS?|qܽ%m ݊]b4_Q܊/iә@5uj{JR%p:k"eo>RO/k/EUʲ* Ejh,(ǽf'?ahXLJ DF󼁖vtcX8Ge{!4(),HoXg=c qE+k.A"i) 4l*ϲ$}e4jw3eOtaIw 8O ?DXI h7ttPvB!q]mUh+=Njj5VRԻTmU % e M/|"(Q=Dwdeyۻͽ鑰SA7UQ:ɟPQڀnO,r3OڐL-t]9j[2@D!{"kl |;F'a'F850\ֽ\C"ERU;uYRP%E"&,=?Ǝ_tX-83SURn +m6y#Z_ r?2yv324PT>A 5VQ:b;L_\ul)Iz̵V0E;[,+K(N'm[(2lQv~HI{ZnbeI2sԧ dw)}Ym2}=+ GCd#?J*}G%Qb;VRʿL3+JOLE"umgTӕ"?48TVzAtI9daw,r7؝;P塹'SSTІ {5>k"gB|['(WL[74z7Iriо6's~n/tpW͠ n@^̆𗩾cB.c42%y1 gD0aP|~u9l7s]_QSspY)Q'ƋD̔ BNC+V7Rc c!5GfO[WDex ?$QI(:8 ?SN%,0`ě}{3_HAh~ҥPBJ 9hbb9D i(ْf $O?g!e!|K[Bŧ8V+eOڈm X.QvNXi*w>ٶ \(ؤǔzai h)Wipբ6K:+77UԂrpqzJ:+(C^_O.LI5~iP"[`9+~>6v0p?\(31ELuP)iXT`eE¿ .wd89,Qy\(ylܐi"Ckbfwqdˉ'Jl/FC{cmz5*sgDn;pZ e7r0FL 3.A,2LglLMCha?$JUtCѺw2L\ي2#8ghi_(.+Qn+M4{({=QȎyJ^ZCl߉9 ͛*aˠPҰ%~/P;N"ad{a JC*YSDypPGG}'ب)SE."pPb{IAOq٠H>Y)rBS br3~**j4gBi\q%NmbPh+piPԎ!b翭[PPfp3B"L?ؼ4Fi*(aXFX(. 6earp3ߧp$dQ$;RVLѤ-~ JrS & &,Zķ_cxW)LVe£ycP^)LJ n%Tۗ((/ TJ6ء_҅oc.7KRmh%Q)A>dmź4)Q7 ޠ:8NG䣂jېY☏61%60*PH]NGtZyKyoby JqL>*;"vCC!d[(j5Q1RگSPdָjE<(KhRܽQɊ6,e!(s<Π*f$ 4Y1$Ѥ`ɝQV~ɔ0e;SF({c@J(=QfM݉%v}fDQP=D8sv-uUP (+Jo*o)F.~BGG&οk*,;l G)(([ ^uw5#Q$(WBkz1nyDq+Ou =G,Hgv4 ~TpO9d|JyL=C mzYz/VDl& 55UcCHѧfyq՜^ SӨg(_֐L(_8C,%øښ'ST[xw}x\ QDx3/:>Bp^yrі<|_ƒ\Xc y@U6OO up>)şFIJY_C>R5*O{6nɔJ]~(ْ-D k? h (?38s;IENDB`@@@ NormalCJ_HaJmH sH tH DAD Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List >B@> Body TextCJ OJQJ^Jkk)HSTo"~ ,-.fghil00000000000000000000000000I0I0 l,b$ݓ"Z8Hޓm]M.@f(  .n p   C"f  S p  B   A @B S  ?k 8tCGjrno .efl()HRno!"}~  +.efl3nflCGfl2|(@GG GG(k UnknownGz Times New Roman5Symbol3& z Arial?Angsana New"qhtt!24eer2HX(?(2$C*!1##1@%7-1I@G##!2##4+2#HP Authorized CustomerclawfootOh+'0  0< \ h tj(ѤѺ͡繡úHP Authorized CustomerNormal clawfoot2Microsoft Office Word@F#@.[@.[՜.+,0  hp|  je %ѤѺ͡繡ú Title  !"#$%&'()*+,-./012456789:;=>?@ABCEFGHIJKNRoot Entry FpfP1Table3|WordDocument5eSummaryInformation(<DocumentSummaryInformation8DCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q