ࡱ> q` JbjbjqPqP t::69 dblΧ\66(^^^$hp^p"^^aaap8^R^aaa"d"J^* 0s|:0BuuJuJtXa̵#d$nv0v      Please complete in typescript font Arial 11 and return one signed copy to: Caoimhe Devlin Research Assistant Northern Ireland Chest Heart & Stroke 21 Dublin Road Belfast BT2 7HB And one copy by email to: cdevlin@nichsa.com Properly completed applications must be submitted to Northern Ireland Chest Heart & Stroke before the closing date for application and before the commencement date of the course or module. Please specify the closing date to which you are applying: REFERENCE: (office use only)1.APPLICANTS DETAILSNameJob TitleWork AddressPostcodeCONTACT DETAILSTelephoneSTD CodeNo.ExtFax STD CodeNo.E-mail 2.PLEASE ATTACH A BRIEF CURRICULUM VITAE OF NO MORE THAN 3 SIDES OF A43.DETAILS OF INSTITUTION WHERE APPLICANT WILL UNDERTAKE THE RESEARCH TRAINING COURSE OR THE ADDRESS OF THE PROVIDER OF THE RESEARCH TRAININGName of InstitutionCourse LeaderAddressPostcodeCONTACT DETAILSTelephoneSTD CodeNo.ExtFax STD CodeNo.E-mail  4.DETAILS OF HPSS BODY WHICH HAS AGREED TO SUPPORT THE AWARDNameJob TitleAddressPostcodeCONTACT DETAILSTelephoneSTD CodeNo.ExtFax STD CodeNo.E-mail WHAT FORM DOES THIS SUPPORT TAKE?5.START AND END DATES OF THE COURSE Start date:daymonthyearEnd date:daymonthyear6.DETAILS OF COURSE OR RESEARCH TRAINING(see Guidance Notes for details) 6.DETAILS OF COURSE OR RESEARCH TRAINING additional page(see Guidance Notes for details) 7.PROPOSED BENEFITSPlease outline below details of the proposed benefits that this training award will have for you, the applicant, and how the training will be applied in your job:The Applicant:Please outline below details of the proposed benefits that this training award will have for Northern Ireland Chest Heart & Stroke in terms of prevention and/or alleviation of the suffering from chest, heart and/or stroke illness:Northern Ireland Chest, Heart and Stroke: 8.FINANCE DETAILS OF RESOURCES REQUIRED Year 1Year 2Year 3Tuition Fees (inc. individual elements):Cost of salary replacement (inc. superannuation/national insurance etc): Travel (no. of miles at 35p/mile. Please indicate nature of travel e.g. from work to meeting): Other costs directly related to the research training programme (please indicate below): GRAND TOTAL: 9.SUPPORTING STATEMENT FROM LINE MANAGERName of Line ManagerName of ApplicantProposed Course of StudyName of InstitutionThis application is for the Northern Ireland Chest Heart & Stroke Research Training Scheme. Northern Ireland Chest Heart & Stroke would like to know your views on the suitability of this applicant for the research course/training programme and the benefits this course will have for the individual and research relevant to Northern Ireland Chest Heart & Stroke .10.PLEASE ATTACH A BRIEF CURRICULUM VITAE OF NO MORE THAN 3 SIDES OF A4 FOR RESEARCH MENTOR INDICATING RESEARCH EXPERIENCE11.SUPPORTING STATEMENT FROM RESEARCH MENTORName of Research MentorJob TitleAddress Name of ApplicantThis application is for the Northern Ireland Chest Heart & Stroke Research Training Scheme. Northern Ireland Chest Heart & Stroke would like to know your views on the suitability of this applicant for the research course/training programme and the benefits this course will have for the individual and research relevant to Northern Ireland Chest Heart & Stroke. 12.DECLARATIONSApplicantI have read the Guidance for Research Training Scheme and agree to abide by the conditions under which the research award is attributed.SignatureDateCourse Leader or Provider of Research Training:I approve this application and am willing to accept the student as a participant in this taught course or this specified research training.SignaturePositionDateLine ManagerAs Line Manager in the applicants employing organisation, I confirm the financial details contained in this proposal. I will support the applicant and agree to uphold the terms and conditions.SignaturePositionAddressPostcodeContact Numbers:TelephoneSTD CodeNo.ExtFaxSTD CodeNo.E-mailDate 12.DECLARATIONS (CONTINUED)Research MentorAs Research Mentor for the applicants training programme, I confirm I will support the applicant during the period of research training.SignaturePositionAddressPostcodeContact Numbers:TelephoneSTD CodeNo.ExtFaxSTD CodeNo.E-mailDateNote: One application form with original signatures must be submitted by post Please return one signed paper copy of completed application and one copy by email to:Research Assistant Northern Ireland Chest Heart & Stroke 21 Dublin Road Belfast BT2 7HB cdevlin@nichsa.com      Northern Ireland Chest Heart & Stroke Research Training Scheme 2008/09 Application Form PAGE 5 Northern Ireland Chest Heart & Stroke Research Training Scheme 2008/09 Application Form  PAGE 2 Northern Ireland Chest Heart & Stroke Research Training Scheme 2008/09 Application Form Application Form for Research Training Scheme 2008/09     *Xfqyz$ I          . / 0 5 6 7 8 9 C D E F G ӽ⸬ↀↀ h\CJ h\CJ h\5CJhBhB5>*CJ h\5CJ h\CJ h8h85CJaJ h\5 hB>*aJh*hBaJ h(UaJ hBaJhBhBaJh\jhBUjhBUmHnHuhB2    Xgz"xx]^"gdB2N]2^NgdB",xx]^"`,gdB & FS^S`gd\$a$gdBgdB@I    $dh$If^a$gd$$If^a$gd8dh$Ifgd & FS^S`gd\Nxx]^NgdB    4) $Ifgdkd^$$Ifl4\ %.      (0&4 laf4p(    0kd+`$$Ifl4F$%"   0&    4 laf4p $Ifgd"xx$If]^"gd    . tbdh$If^gd dh$IfgdqkdRa$$Ifl4%&   0&4 laf4p dh$Ifgd. / 0 5 6 7 ncJ;c$If^gd$dh$If]^a$gd $Ifgdkdb$$Ifl4b0%#  0&4 laf4p7 8 9 4) $Ifgdkdb$$Ifl4\  %`L E`    (0&4 laf4p(9 C D E $Ifgd$If^gd$dh$If]^a$gdE F G ?4 $Ifgdkdcd$$Ifl4\  % L E   0&4 laf4pG T U V $Ifgd$If^gd$dh$If]^a$gdG T U V W X Y Z [ \ ] ^ _ ` a b c d e f g p q r u       h\5CJ h\5CJ h\5CJ h\CJh\ h\CJVV W X ?4 $Ifgdkde$$Ifl4\  % L E   0&4 laf4pX Y Z [ $Ifgd$If^gd$dh$If]^a$gd[ \ ] ?4 $Ifgdkd!g$$Ifl4\  % L E   0&4 laf4p] ^ _ ` $Ifgd$If^gd$dh$If]^a$gd` a b ?4 $Ifgdkdh$$Ifl4\  % L E   0&4 laf4pb c d e $Ifgd$If^gd$dh$If]^a$gde f g ?4 $Ifgdkdi$$Ifl4\  % L E   0&4 laf4pg p q r $Ifgd$If^gd$dh$If]^a$gdr s t ?1dh$Ifgdkd>k$$Ifl4\  % L E   0&4 laf4pt u v p"dh$If^"gd dh$Ifgdqkdl$$Ifl4%&   0&4 laf4p  ncTTETE$If^gd$dh$Ifa$gd $IfgdkdLm$$Ifl4;0%#   0&4 laf4p Ffu$If^gdFfp $Ifgd$$Ifa$gd$dh$Ifa$gd 2$dh$IfgdkdIx$$Ifl4@\ % L +   (0&4 laf4p(  q!dh$If^!gd $Ifgdskdy$$Ifl4%&   0&4 laf4p    p^"dh$If^"gdkdz$$Ifl40%#  0&4 laf4p   p"$If]^"gd $Ifgdskd{$$Ifl4%&   0&4 laf4p  pZ"dh$If]^"gdkd6|$$Ifl40%#  0&4 laf4p jU$dh$If^a$gd$"dh$If]^"a$gd $Ifgdqkd}$$Ifl4%&   0&4 laf4p  4) $Ifgdkd}$$Ifl4\  %L E    (0&4 laf4p( $Ifgd$If^gd$"dh$If]^"a$gd 4) $IfgdkdG$$Ifl4\  %L E    (0&4 laf4p( $Ifgd$If^gd$"dh$If]^"a$gd 4) $Ifgdkd$$Ifl4\  %`L E`    (0&4 laf4p( $Ifgd$If^gd"$If]^"gd =2"dh$If]^"gd $IfgdkdC$$Ifl4b\  % L` E   0&4 laf4p #kd$$Ifl4\  % L  E  0&4 laf4p $Ifgdx$If^gd x$If^gd"dh$If]^"gd $Ifgd     # $ ( ) - . / 0 1 6 ? @ D E F G P Q R S T V W X [ h\CJOJQJh\CJOJQJ h\5CJh\OJQJ h\CJ h\CJOJQJ h\CJh\ h\CJJ ?4 $Ifgdkd$$Ifl4\  % L  E  0&4 laf4p $Ifgd$If^gd$"dh$If]^"a$gd ?. 9r dh$Ifgdkd$$Ifl4\  % L E   0&4 laf4p  v dh$Ifgd dh$Ifgdqkd$$Ifl4%&   0&4 laf4p     # $ ( ) pbSSBSB 9r dh$Ifgd$dh$Ifa$gddh$Ifgdkd$$Ifl40%#   0&4 laf4p) - . / 0 1 6 ? @ D E F G H P Q R Ffdh$IfgdFf* dh$Ifgd 9r dh$Ifgd$dh$Ifa$gdR S T 4# 9r dh$Ifgdkd6$$Ifl4\  % L E   (0&4 laf4p(T U V W x  9r $Ifgd$a$gd\qkd$$Ifl4%&   0&4 laf4p W X [ v x$Ifgd x$Ifgdskdq$$Ifl4$\%   0\%4 laf4p  n`  9r $Ifgdkd2$$Ifl40$@#  0\%4 laf4p ~eT~ 9r dh$Ifgd$dh$If]^a$gd  9r $Ifgdskd-$$Ifl4$\%   0\%4 laf4p  2$  9r $Ifgdkd$$Ifl4\o v $Y z    (0\%4 laf4p(  9r $Ifgd 9r dh$Ifgd$"dh$If]^"a$gd 2$  9r $Ifgdkd]$$Ifl4\o v $Y z    (0\%4 laf4p(  9r $Ifgd 9r dh$Ifgd$"$If]^"a$gd 2$$  9r $Ifgdkdښ$$Ifl4\o v $Y` z    (0\%4 laf4p(  9r $Ifgd 9r dh$Ifgd 2$$  9r $Ifgdkd\$$Ifl4\o v $Y Yz   (0\%4 laf4p(  9r $Ifgd 9r dh$Ifgd 2$  9r $Ifgdkdޝ$$Ifl4\o v $Y Yz   (0\%4 laf4p(  9r $Ifgd 9r dh$Ifgd$"dh$If]^"a$gd 2$  9r $Ifgdkdn$$Ifl4\o v $Y  z    (0\%4 laf4p(        ! $ - . 0 1 2 3 U V W \ "Kh\56CJ h\5CJh\CJOJQJ h\CJh\OJQJ h\CJh\CJOJQJh\L  9r $Ifgd 9r dh$Ifgd$"dh$If]^"a$gd 2! 9r dh$Ifgdkd$$Ifl4\o v $Y z    (0\%4 laf4p( ~s x$Ifgd  9r $Ifgdskdm$$Ifl4;$\%   0\%4 laf4p     n`QQ@Q@ 9r dh$Ifgd$dh$Ifa$gddh$Ifgdkd $$Ifl4;0$@#   0\%4 laf4p     ! " # $ % - . / Ff  9r $Ifgddh$IfgdFf dh$Ifgd 9r dh$Ifgd$dh$Ifa$gd/ 0 1 2$  9r $Ifgdkdխ$$Ifl4\o v $Y z    (0\%4 laf4p(1 2 3 U |q x$Ifgd 9r x$IfgdskdR$$Ifl4$\%   0\%4 laf4p U V W X Y n`Q`$If^gd  9r $Ifgdkd$$Ifl4Q0$@#   0\%4 laf4pY Z [ PG $Ifgdkd$$Ifl42F>"$u =   0\%    4 laf4p[ \ _ x x$Ifgd $Ifgdskd5$$Ifl4$\%   0\%4 laf4p  neZ x$Ifgd $Ifgdkd$$Ifl4;0$@#  0\%4 laf4p neeUeGeG  9r $Ifgd 9r x$Ifgd $Ifgdkd$$Ifl4;0$@#   0\%4 laf4p ~n`  9r $Ifgd 9r x$Ifgdskd8$$Ifl4$\%   0\%4 laf4p Ffx $Ifgd peZ x$Ifgd x$Ifgdskd$$Ifl4$\%   0\%4 laf4p Ff[ $Ifgd  9r $Ifgd ncc x$Ifgdkd$$Ifl40$@#  0\%4 laf4pneWe  9r $Ifgd $Ifgdkd$$Ifl40$@#   0\%4 laf4pPB  9r $Ifgdkd$$Ifl4F>"$u =   0\%    4 laf4p"[|q x$Ifgd x$Ifgdgd\skd$$Ifl4$\%   0\%4 laf4p KZ[\]~  >@BJPQSTVWXY?@AlnosvhlOJQJ hlCJhl hm$CJ hm$5CJ hl5CJ h\5CJh\OJQJ h\CJh\56CJh\56CJh\ h\CJ h\6CJ<[\]~shh x$Ifgdkd$$Ifl40$"  04 laf4p~sj\j  9r $Ifgd $Ifgdkd$$Ifl40$"   04 laf4pUG  9r $Ifgdkd$$Ifl43F7U"$ 7   0    4 laf4pv x$Ifgd x$Ifgdgd\nkd$$Ifl4$$   04 laf4p @ncc x$Ifgdkd$$Ifl40&7"  0%4 laf4p@ABQneZ x$Ifgd $Ifgdkd$$Ifl40n&U"   0%4 laf4pQRSTUneWe  9r $Ifgd $Ifgdkd$$Ifl40n&U"   0%4 laf4pUVWPE x$Ifgdqkd$$Ifl4&Fn$& 7   0%    4 laf4pWXY@x x$Ifgd $Ifgdskd$$Ifl4&%   0%4 laf4p @ABlneZ x$Ifgd $Ifgdkd$$Ifl40n&U"   0%4 laf4plmnopneWe  9r $Ifgd $Ifgdkd$$Ifl40n&U"   0%4 laf4ppqrPG $Ifgdkd$$Ifl4Fn$& 7   0%    4 laf4prstu~ $Ifgdgd\skd$$Ifl4F&%   0%4 laf4p uvy} x$Ifgd $Ifgdnkd$$Ifl4&%   04 laf4p sjjajajaj\Ff $Ifgd $Ifgdkdz$$Ifl40&7"  04 laf4p Ff~  9r $Ifgd 9r x$IfgdFf] x$Ifgd$x$Ifa$gd $IfgdHIJKMNOPq "#$%',-345BCDEHIJQRSV}~ĽҮҴҽҴҨҠܠқ h\5CJ h\5h\OJQJ h$CJ hs5CJ *h\OJQJ *h\CJ *h\B*OJQJph h\CJh\ h\CJ *h\OJQJ *h\CJ *h\B*OJQJph:GHIJKLMNOPXFfFf  9r $Ifgd 9r x$Ifgd $Ifgd !"#$%&'()*+,-Ff  9r $Ifgd 9r x$IfgdFf $Ifgd-./012345BCDEFGHIJ x$IfgdFf  9r $Ifgd 9r x$IfgdFf $IfgdJKLMNOPQR x$Ifgdgd\nkd$$Ifl4a&%   04 laf4p RSV}v x$Ifgd x$Ifgdskd$$Ifl44'%   04 laf4p }~ne $Ifgdkd$$Ifl40R4'#  04 laf4pse\ $Ifgd  9r $Ifgd$"dh$If]^"a$gdskd$$Ifl44'%   04 laf4p +Gl.TVWXYZ\]^_    %&'()*456789ADEFGHZ[\]^_a}޾h1M)CJOJQJ h\5 h\5CJhRCJOJQJh\CJOJQJ h\CJh\OJQJ h\CJh\KPG $IfgdkdQ$$Ifl4FA y4' 8   0    4 laf4psjj $Ifgd$"dh$If]^"a$gdskd}$$Ifl44'%   04 laf4p PG $Ifgdkd5$$Ifl4FA y4' 8   0    4 laf4pvmm $Ifgd$"$If]^"a$gdskda$$Ifl44'%   04 laf4p PG $Ifgdkd$$Ifl4FA y4' 8   0    4 laf4psjj $Ifgd$"dh$If]^"a$gdskdE$$Ifl44'%   04 laf4p PG $Ifgdkd$$Ifl4FA y4' 8   0    4 laf4pVWtc$ 9r $Ifa$gd$dh$Ifa$gd $Ifgdskd) $$Ifl44'%   04 laf4p WXY2) $Ifgdkd $$Ifl4\Rm$4' 5    (04 laf4p(YZ[\]^wf$ 9r $Ifa$gd dh$Ifgd $Ifgdskdc $$Ifl44'%   04 laf4p ^_c2) $Ifgdkd $$Ifl4#\Rm$4' 5    (04 laf4p(c \QF x$Ifgd x$Ifgdkd$$Ifl404'5U#  04 laf4p!dh$If^!gd   ne $Ifgdkd$$Ifl404'5U#  04 laf4p  %&'se\ $Ifgd  9r $Ifgd$"dh$If]^"a$gdskd$$Ifl44'%   04 laf4p '()PG $Ifgdkdc$$Ifl4FA y4' 8   0    4 laf4p)*456sjj $Ifgd$"dh$If]^"a$gdskd$$Ifl44'%   04 laf4p 678PG $IfgdkdG$$Ifl4FA y4' 8   0    4 laf4p89ABCDEvmmmm $Ifgd$"$If]^"a$gdskds$$Ifl44'%   04 laf4p EFGPG $Ifgdkd+$$Ifl4FA y4' 8   0    4 laf4pGHZ[\sjj $Ifgd$"dh$If]^"a$gdskdW$$Ifl44'%   04 laf4p \]^PG $Ifgdkd$$Ifl4FA y4' 8   0    4 laf4p^_`atc$ 9r $Ifa$gd$dh$Ifa$gd $Ifgdskd;$$Ifl44'%   04 laf4p egilnst~prtvԻⴭⴭԻⴭϴⴭԻhrh\5CJ h\5CJ h\5CJh\56CJh\5CJOJQJ h\5 h\CJh\OJQJh\ h\CJh1M)CJOJQJh\CJOJQJ@2) $Ifgdkd$$Ifl4\Rm$4' 5    (04 laf4p(tc$ 9r $Ifa$gd$dh$Ifa$gd $Ifgdskdu$$Ifl44'%   04 laf4p 2' x$Ifgdkd-$$Ifl4=\Rm$4' 5    (04 laf4p(~ $Ifgdgd\skd$$Ifl4F4'%   04 laf4p v dh$Ifgd 9r dh$Ifgdlkdu$$Ifl4&%   04 laf4p ul $Ifgdkd)$$Ifl40&7"  04 laf4p~ $$Ifa$gd $Ifgdlkd%$$Ifl4&%   04 laf4p 7. $Ifgdkd$$Ifl4\ "&7      (04 laf4p(|q x$Ifgd $$Ifa$gd $Ifgdnkdi!$$Ifl4&%   04 laf4p 7. $Ifgdkd!"$$Ifl4\ "&7 ;    (04 laf4p(|q x$Ifgd $$Ifa$gd $Ifgdnkd#$$Ifl4&%   04 laf4p 7. $Ifgdkd[$$$Ifl4\ &7 3    (04 laf4p(ef||| $$Ifa$gd $Ifgdnkd%$$Ifl4&%   04 laf4p fghi7." $$Ifa$gd $Ifgdkd&$$Ifl4\ "&7` `     (04 laf4p(ijklm.kd!($$Ifl4\ "&7 7 7   (04 laf4p( $Ifgdmnop $Ifgd $$Ifa$gdpqr7. $Ifgdkd)$$Ifl4\ "&7 7 7   (04 laf4p(rst~|q x$Ifgd $$Ifa$gd $IfgdnkdE+$$Ifl4&%   04 laf4p 7. $Ifgdkd+$$Ifl4\ "&7 ;    (04 laf4p(|q x$Ifgd $$Ifa$gd $Ifgdnkd-$$Ifl4&%   04 laf4p 7. $Ifgdkd7.$$Ifl4\ "&7 ;    (04 laf4p(|q x$Ifgd $$Ifa$gd $Ifgdnkd/$$Ifl4&%   04 laf4p 7. $Ifgdkdq0$$Ifl4\ &7 3    (04 laf4p(pq| $$Ifa$gd $Ifgdnkd1$$Ifl4&%   04 laf4p qrst7." $$Ifa$gd $Ifgdkd2$$Ifl4\ "&7` `     (04 laf4p(tuvwx.kd74$$Ifl4\ "&7 7 7   (04 laf4p( $Ifgdxyz{ $Ifgd $$Ifa$gdvy}  #$%&'()+,./04MOPSch\56CJh\5CJOJQJhrh\OJQJ h\CJ h\CJ h\CJ h\CJ h\5CJ h\5CJ h\5h\F{|}7. $Ifgdkd5$$Ifl4\ "&7 7 7   (04 laf4p(}~|q x$Ifgd $$Ifa$gd $Ifgdnkd[7$$Ifl4&%   04 laf4p 7. $Ifgdkd8$$Ifl4\ "&7 ;    (04 laf4p(|q x$Ifgd $$Ifa$gd $Ifgdnkd9$$Ifl4&%   04 laf4p 7. $IfgdkdM:$$Ifl4\ "&7 ;    (04 laf4p(v$dh$Ifa$gd dh$Ifgdnkd;$$Ifl4&%   04 laf4p 9-$dh$Ifa$gd dh$Ifgdkd<$$Ifl4\ "&`7  `    (04 laf4p(8kd>$$Ifl4\ "& `     04 laf4p dh$Ifgd)kdj?$$Ifl4\ "&     04 laf4p dh$Ifgd$dh$Ifa$gd$dh$Ifa$gd dh$IfgdD8)8$dh$Ifa$gd dh$Ifgdkd@$$Ifl4\ "&     04 laf4p8kd:B$$Ifl4\ "&      04 laf4p dh$Ifgd~ dh$Ifgd $IfgdlkdC$$Ifl4&%   04 laf4p uiZZiZiZi$dh$Ifa$gd dh$Ifgdkd`D$$Ifl40n&V"   04 laf4p   FfL$dh$Ifa$gd dh$IfgdFfG $Ifgd9- dh$Ifgdkd&O$$Ifl4\n "& j k     (04 laf4p(#$%sg dh$Ifgd 9r dh$Ifgd$dh$Ifa$gdlkdP$$Ifl4&%   04 laf4p %&'WK dh$Ifgdkd]Q$$Ifl4F &/ 3   0    4 laf4p'() dh$IfgdlkdR$$Ifl4&%   04 laf4p )*+,-/| $Ifgd "gd\gd\lkd9S$$Ifl4&%   04 laf4p /04Mv dh$Ifgd 9r dh$IfgdlkdS$$Ifl4&%   04 laf4p MNOul $IfgdkdT$$Ifl40&7"  04 laf4pOPQRnkdmV$$Ifl4&%   04 laf4p  $IfgdlkdU$$Ifl4&%   04 laf4p RSc $$Ifa$gd $Ifgd7." $$Ifa$gd $Ifgdkd%W$$Ifl4\ "&7` `     (04 laf4p(.kdX$$Ifl4\ "&7 7 7   (04 laf4p( $Ifgd $Ifgd $$Ifa$gd7. $IfgdkdCZ$$Ifl4\ "&7 7 7   (04 laf4p(  |q x$Ifgd $$Ifa$gd $Ifgdnkd[$$Ifl4&%   04 laf4p     %)*./348ADFGXZdmnrsw{[\_irs跰 hjE5CJ h(U5CJhHoh\5CJ hL5CJh\OJQJ h\CJ h\CJ h\CJ h\CJh\ h\5 h\5CJ h\5CJB   7. $Ifgdkd\$$Ifl4\ "&7 ;    (04 laf4p(  |q x$Ifgd $$Ifa$gd $Ifgdnkd^$$Ifl4&%   04 laf4p 7. $Ifgdkd^$$Ifl4\ "&7 ;    (04 laf4p(%&'v$dh$Ifa$gd dh$IfgdnkdI`$$Ifl4&%   04 laf4p '()*9-$dh$Ifa$gd dh$Ifgdkda$$Ifl4\ "&`7  `    (04 laf4p(*+,-.8kd{b$$Ifl4\ "& `     04 laf4p dh$Ifgd./012)kdc$$Ifl4\ "&     04 laf4p dh$Ifgd$dh$Ifa$gd23456$dh$Ifa$gd dh$Ifgd678ABD8)8$dh$Ifa$gd dh$IfgdkdEe$$Ifl4\ "&     04 laf4pBCDE8kdf$$Ifl4\ "&      04 laf4p dh$IfgdEFGX~ dh$Ifgd $Ifgdlkd&h$$Ifl4&%   04 laf4p XYZdmnrswxuiZZiZiZi$dh$Ifa$gd dh$Ifgdkdh$$Ifl40n&V"   04 laf4p xyz{Ffaq$dh$Ifa$gd dh$IfgdFfsl $Ifgd9- dh$Ifgdkds$$Ifl4\n "& j k     (04 laf4p(sg dh$Ifgd 9r dh$Ifgd$dh$Ifa$gdlkd#u$$Ifl4&%   04 laf4p WK dh$Ifgdkdu$$Ifl4F &/ 3   0    4 laf4pwdh$If]gdjE dh$Ifgdlkdv$$Ifl4&%   04 laf4p WK dh$Ifgdkdw$$Ifl4Fn#&   0    4 laf4p $Ifgd "gd\lkdx$$Ifl4&%   04 laf4p \ $Ifgdqkdy$$Ifl4&%   04 laf4p \]^ne $IfgdkdCz$$Ifl40n&U"  04 laf4p^_`s $Ifgdskd5{$$Ifl4&%   04 laf4p   !#%56789?@ABCDEƶ{u{j{u`hB*CJphh(U0JmHnHu h0Jjh0JUhhw7hBhw7CJ OJQJ^Jhw756OJQJ^Jh(U56OJQJ^JhBhw756OJQJ^JhC56OJQJ^Jh] ojh] oUh\ hHoh\ h(U5CJ h\5CJ hjE5CJ!niggggggggggd\kd{$$Ifl40n&U"   04 laf4p %678CDEgdB &dP]gdz$a$ &dP]gdB$h]ha$&`#$ &dP]gdw7EkƹƹӪwm]P]PP]hz56OJQJ^JhBhz56OJQJ^JhB*CJph'jhB*CJUmHnHphuh(U0JmHnHu h0Jjh0JUhhBhCJ OJQJ^JhB56OJQJ^Jh(U56OJQJ^JhBh56OJQJ^Jh.'56OJQJ^JhBhB56OJQJ^J9:<=>?@ADIJɿh\hCJOJQJhCJOJQJh/hB6CJ$OJQJh(UhBh] ohhzhCJ OJQJ^J>?@ABCDEFGHIJ$da$$a$gdB < 00&P /R :pz. A!n"n#n$n%% < 0 0&P /R :pz. A!n"n#n$n%! < 0 0&P /R :pz. A!n"n#n$n%! < 0 0&P /R :pz. A!n"n#n$n%! < 00&P /R :pz. A!n"n#n$n%& < 00&P /R :pz. A!n"n#n$n%& ^DdO04^^X  C 4ANichsa_colourRL^>dqB(^D F ^>dqBJFIFHHC    C   " }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?((((((((((((((((((((((-|S@u6tZu \7/vG;L*%ui`z#Bw}9'ٺU(ÖKEJg:bC/5ī ,^e#~ZƯ4g l\vU^z5oYEƵj3^\8z ^M\Ҝm6_fG_{?kHAd# ^9TnxSs0kht[$Eh͟w<1^-Ep1OyWïw /ͳ/>=[h$񄪯nxe \-{ae0V#Gu J(4Բ#%HJ(o{+,h#մ7⽤-o ?کkc*xOOBpa;Tdrrz;"9hd(zd0Wu, ꩼ%YS}G7u~{}Dr=ܰ~|t7Odj+ #ὫT+{>:*N)4u}=2(Š((((+~/ўɧ +SH5jX߁ pP叽qUWΞԣ~xY)5XO_3~V? JWL}cL8?GW, m4`ǧ(:4t :lyE157is܇nL4[/{Jk^=.K͸+ɱO+V \<I4rHř'GErr} =*Ԡ_QE&[Z?|]^)֬cګQ% ÁұhZ4ǖS^jh_>)W $~,P1F+gz/~ ]wu;N}|Eti3xxG_3O? Tn;qOǸcݶSѵM3XNil{YT'r;ثֵ _hr%oTj(U#M̼-TUi{k?I(~ǧ[hm" :WLa>k-Uoړ(SF 潬>2!{^OsyO%_ϧ5袊<(((((((((((((((((((((((((((((((((((((((xm8a $Q@bOhM"J#?,7f-#$q>>xK 6ylP9M~::uaNpfTY?bƭ{jSjww.^ir#䞵^+nE(Y (QEQEQEQEQEQEh}w†#FmgG*͛U>R~ϡ+xBnJYGC![،%t sx=cAhafc "9yJVMc' &b%No/U~Q\?ď%͌jq'n,$`FIlwȮ⾖HԊ]? `ʆ".3?مQVsQ@su|" ƹ/0_#5TQ_1V˚np -5}ߛ( ( ( ( ( ( ( >>$zƃxѐɺAE98=Fr5UJRF8=,E)Q(FĽOJ&܅ܞ=upAZjY^BF6u%te8S?gOĿn_.ZA ;y?؟f*䞒xǂex-AW'v'ШŠ((((((((((((((((((((((((((((((((((((((?~3J xf8Y!c皞pnmuhXʰ>cRxx`>`u;WB/?e_kQEx'EPEPEPEPEPEPEPEPEPA_Ėt׶rUu# ޿σ8VY+VVy_eяV?nurK$: ͢6wge:p+Eh )QEQEQEQEQEQEQEQE^ E]{s)*JqS]έ*uʝH٣#玴ψ^#.vZ`>x:'xuvm.R3,1;: (neY`dD9WVB }v_XzK?džcOZ3/~*nKEWyEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEPEGwq\02HUG'^o'rQct8Ag1UJ_ lM fGQ_3ݼtzˤs6;^+ֿl/]3F#iO#J y,ڔW?EhgUԭIREsN+ fFj^ET!EPEPEPEP\WA޶BtL2vi# aWk_:Vso v9W?}XpUz-ވ 3HӨwz^ezz]SK)) + +ʊw"AO͢L~C"AO͢L~C"AO͢L~C"AO͢L~C"AO͢L~C"AO͢LlO7/ۯYɽ9Odݾgf]w1pT<+ۑ^|3EW~QEQE%*mך.fy{fnG8:ҾI L-f[Iqз"zd8CںXa]O_C8%YUSmgu{k=)4ݑVjz4/.-QE((((( {^I*$+]?VA{]>X flA8lnd&!ȾO7pBR:8ZuZ#̳e~(lq/> g\jd6;0lghVu^QZeW\ܟF ?!_7Q^, (o>'E7-W>U@|5ԑZZKԥ;VTQ ecl{ *OTĸ.<{K\1HAcݟB$S} @W؟>*3FLJH鳰K|y.Gyu)jGϳh=((/y%Kv-{\λj㤷O;䞊=+>+$<)IN(QEQEQEQEt^ <%" TӑD07~dnY Iky_xM]p-n=cW9QYTNĎ.gKz ?|5B;}i4:-Ĕ|+Wz?ύ=uuiڣi]02MAW\6}VWǟL-}+\1LaO7ams 9!K xzl ^O,%;.;zXկuMNQny'&EzGŶۻ (Q@Q@Q@Q@Q@Q@Q@Q@[MKEՠ4f ż9#8 9>Q@in}3pUᵰ :#vA򎾏iK -{,Z*QlW8Ni@p^'O k6Mto.nI H$U=Xd}EO^Y)+ϫ>zEdQ*1TJ1r} %^(y4G⎼(B},-FD 9X4Q_ )9IaBiAZ1I/E (QEQE|/BWe~y/BWe}I9 Š(l((((( "oO_)՟P|;_NK5{?|;vQEyۅQ@Q@Q@TQE}vQEQEQEQEQE'JL3?ܼEnW sz?xwGX?OJG4QE|IVQEQEQEtu6+sRM 2J?_M-QZ>F 9'~3*Z몔_~lEW~BQTW^T;Y/C %+>@((((((((({[f q$R^6!Ad_TėῊ:f9,@ 0{>3)QYU ߗ8 _iEq0eae9zZK<}cy=׆+1wcT}ޫ. htE,N$R2HAס*2?RZzz5vdQE`zaEPEPEPEGĚƗ Z֯bqq)¢IrIdRm _W>#ඳr9ƿ8@|U׾):6ueӴ|p77~.~O1EәKUIwmOWªK_~eѢIo˲QEv2QEQEQEQEQEQEQEQEQEQEQEQE{{>4'o'.rͦ2yeXrX7]Euk4s: "' ) pA c/w>-|⋽eN#tlIݟ;Hn} ~G~^}^Oko?jP[h*Afb?H X*Hʲ밫lLd{톛?cJj{x>=+@(((+%_҄+%_҄(((((((((((+[XӧῊqi3