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\underline{ Research Team} & \underline{I.D.} & \underline{Section} \\ 
\\ 
\underline{ \makebox[6cm][l]{ ~~~~~~~~~~}} &
\underline{ \makebox[4cm][l]{ ~~~~~~~~~~}} &
\underline{ \makebox[5cm][l]{ ~~~~~~~~~~}} \\ 
\\ 
\underline{ \makebox[6cm][l]{ ~~~~~~~~~~}} &
\underline{ \makebox[4cm][l]{ ~~~~~~~~~~}} &
\underline{ \makebox[5cm][l]{ ~~~~~~~~~~}} \\ 
\\ 
\underline{ \makebox[6cm][l]{ ~~~~~~~~~~}} &
\underline{ \makebox[4cm][l]{ ~~~~~~~~~~}} &
\underline{ \makebox[5cm][l]{ ~~~~~~~~~~}}
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{\newpage
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TOTAL  ~~~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . .[100] &
{\em \makebox[4cm][l]{ ~~~~~~~~~~}}
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