<table class="MsoTableGrid" border="1" cellspacing="0" cellpadding="0" width="960" style="width: 720.2pt; border: none;">
 <tbody><tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:21.15pt">
  <td width="243" colspan="3" style="width:182.6pt;border-top:solid windowtext 1.0pt;
  border-left:solid windowtext 1.0pt;border-bottom:none;border-right:none;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt;height:21.15pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SY" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi;mso-bidi-language:AR-SY">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span dir="LTR"><o:p>&nbsp;</o:p></span></b></p>
  </td>
  <td width="717" colspan="12" style="width:537.6pt;border-top:solid windowtext 1.0pt;
  border-left:none;border-bottom:none;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt;height:21.15pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">المملكة العربية السعودية .</span></b><b><span dir="LTR"><o:p></o:p></span></b></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:1;height:21.55pt">
  <td width="243" colspan="3" style="width:182.6pt;border:none;border-left:solid windowtext 1.0pt;
  mso-border-left-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;
  height:21.55pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">الرقم الخاص :<o:p></o:p></span></b></p>
  </td>
  <td width="717" colspan="12" style="width:537.6pt;border:none;border-right:solid windowtext 1.0pt;
  mso-border-right-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;
  height:21.55pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi;color:red">نموذج رقم (1)</span></b><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi"><o:p></o:p></span></b></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:2;height:28.55pt">
  <td width="243" colspan="3" style="width:182.6pt;border:none;border-left:solid windowtext 1.0pt;
  mso-border-left-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;
  height:28.55pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">تاريخ الاستلام :<o:p></o:p></span></b></p>
  </td>
  <td width="170" colspan="4" style="width:127.6pt;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:28.55pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;<o:p></o:p></span></b></p>
  </td>
  <td width="217" colspan="3" style="width:163.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:28.55pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">إشعار استلام مؤقت لأصناف تحت
  الفحص<o:p></o:p></span></b></p>
  </td>
  <td width="274" colspan="3" style="width:205.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:28.55pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="56" colspan="2" style="width:41.85pt;border:none;border-right:solid windowtext 1.0pt;
  mso-border-right-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;
  height:28.55pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">الجهة<o:p></o:p></span></b></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:3;height:28.75pt">
  <td width="243" colspan="3" style="width:182.6pt;border:none;border-left:solid windowtext 1.0pt;
  mso-border-left-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;
  height:28.75pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">عدد الصفحات :<o:p></o:p></span></b></p>
  </td>
  <td width="170" colspan="4" style="width:127.6pt;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:28.75pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="217" colspan="3" style="width:163.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:28.75pt">
  <p class="MsoNormal" align="center" dir="RTL" style="margin-bottom:0in;text-align:
  center;line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">المورد<o:p></o:p></span></b></p>
  </td>
  <td width="274" colspan="3" style="width:205.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:28.75pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="56" colspan="2" style="width:41.85pt;border:none;border-right:solid windowtext 1.0pt;
  mso-border-right-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;
  height:28.75pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">مستودع<o:p></o:p></span></b></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:4;height:33.75pt">
  <td width="243" colspan="2" style="width:182.25pt;border-top:none;border-left:
  solid windowtext 1.0pt;border-bottom:solid windowtext 1.0pt;border-right:
  none;mso-border-left-alt:solid windowtext .5pt;mso-border-bottom-alt:solid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt;height:33.75pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">المرفقات : <o:p></o:p></span></b></p>
  </td>
  <td width="166" colspan="4" style="width:124.65pt;border:none;border-bottom:solid windowtext 1.0pt;
  mso-border-bottom-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;
  height:33.75pt">
  <p class="MsoNormal" align="right" style="margin-bottom:0in;text-align:right;
  line-height:normal"><b><span lang="AR-SA" dir="RTL" style="font-family:&quot;Arial&quot;,sans-serif;
  mso-ascii-font-family:Calibri;mso-ascii-theme-font:minor-latin;mso-hansi-font-family:
  Calibri;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-bidi">تاريخ
  :<o:p></o:p></span></b></p>
  </td>
  <td width="156" colspan="3" style="width:116.7pt;border:none;border-bottom:solid windowtext 1.0pt;
  mso-border-bottom-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;
  height:33.75pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">رقم <o:p></o:p></span></b></p>
  </td>
  <td width="151" colspan="2" style="width:113.0pt;border:none;border-bottom:solid windowtext 1.0pt;
  mso-border-bottom-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;
  height:33.75pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">مستند <o:p></o:p></span></b></p>
  </td>
  <td width="189" colspan="2" style="width:141.75pt;border:none;border-bottom:solid windowtext 1.0pt;
  mso-border-bottom-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;
  height:33.75pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="56" colspan="2" style="width:41.85pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:solid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt;height:33.75pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:5;height:40.0pt">
  <td width="215" style="width:161.5pt;border:solid windowtext 1.0pt;border-top:
  none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">ملاحظات<o:p></o:p></span></b></p>
  </td>
  <td width="72" colspan="3" style="width:.75in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">السعر<o:p></o:p></span></b></p>
  </td>
  <td width="66" style="width:49.75pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">الكمية<o:p></o:p></span></b></p>
  </td>
  <td width="138" colspan="3" style="width:103.45pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">الوحدة<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="264" colspan="4" style="width:197.9pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">اسم الصنف ووصفه<o:p></o:p></span></b></p>
  </td>
  <td width="150" colspan="2" style="width:112.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">رقم الصنف<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="55" style="width:41.1pt;border-top:none;border-left:none;border-bottom:
  solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt:
  solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:
  solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">الرقم<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:6;height:137.1pt">
  <td width="215" style="width:161.5pt;border:solid windowtext 1.0pt;border-top:
  none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt;height:137.1pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="72" colspan="3" style="width:.75in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:137.1pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi;mso-ansi-language:EN-GB">&nbsp;</span></b></p>
  </td>
  <td width="66" style="width:49.75pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:137.1pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="138" colspan="3" style="width:103.45pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:137.1pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="264" colspan="4" style="width:197.9pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:137.1pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="150" colspan="2" style="width:112.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:137.1pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="55" style="width:41.1pt;border-top:none;border-left:none;border-bottom:
  solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt:
  solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:
  solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:137.1pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:7;height:40.0pt">
  <td width="354" colspan="5" style="width:265.25pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">مدير إدراة المستودعات <o:p></o:p></span></b></p>
  </td>
  <td width="402" colspan="7" style="width:301.35pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">المستلم مأمور عهدة ساحة الاستلام
  / أمين المستودع / مأمور العهدة<o:p></o:p></span></b></p>
  </td>
  <td width="150" colspan="2" style="width:112.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">المسلم<o:p></o:p></span></b></p>
  </td>
  <td width="55" rowspan="2" style="width:41.1pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:40.0pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">الاسم<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">التوقيع<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">التاريخ<o:p></o:p></span></b></p>
  </td>
 </tr>
 <tr style="mso-yfti-irow:8;mso-yfti-lastrow:yes;height:85.1pt">
  <td width="354" colspan="5" style="width:265.25pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt;height:85.1pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">..................................................<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">..................................................<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">..................................................<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="402" colspan="7" style="width:301.35pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:85.1pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">..................................................<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">..................................................<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi;mso-ansi-language:EN-GB">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">..................................................<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  </td>
  <td width="150" colspan="2" style="width:112.5pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:85.1pt">
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">.............................<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">.............................<o:p></o:p></span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">&nbsp;</span></b></p>
  <p class="MsoNormal" dir="RTL" style="margin-bottom:0in;text-align:right;
  line-height:normal;direction:rtl;unicode-bidi:embed"><b><span lang="AR-SA" style="font-family:&quot;Arial&quot;,sans-serif;mso-ascii-font-family:Calibri;
  mso-ascii-theme-font:minor-latin;mso-hansi-font-family:Calibri;mso-hansi-theme-font:
  minor-latin;mso-bidi-theme-font:minor-bidi">.............................<o:p></o:p></span></b></p>
  </td>
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  <td width="66" style="border:none"></td>
  <td width="56" style="border:none"></td>
  <td width="4" style="border:none"></td>
  <td width="78" style="border:none"></td>
  <td width="73" style="border:none"></td>
  <td width="66" style="border:none"></td>
  <td width="85" style="border:none"></td>
  <td width="40" style="border:none"></td>
  <td width="149" style="border:none"></td>
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<p class="MsoNormal" dir="RTL" style="text-align:right;direction:rtl;unicode-bidi:
embed"><b><span dir="LTR"><o:p>&nbsp;</o:p></span></b></p>