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\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li4320\jclisttab\tx4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5040\jclisttab\tx5040 }{\listlevel\levelnfc23\levelnfcn23
\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6480\jclisttab\tx6480 }
{\listname ;}\listid1401126699}{\list\listtemplateid-1170069372\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3
\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li720\jclisttab\tx720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers
;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li1440\jclisttab\tx1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698693
\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2160\jclisttab\tx2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2880\jclisttab\tx2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360
\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3600\jclisttab\tx3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li4320\jclisttab\tx4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5040\jclisttab\tx5040 }{\listlevel\levelnfc23\levelnfcn23
\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6480\jclisttab\tx6480 }
{\listname ;}\listid1514416786}{\list\listtemplateid-1453545888\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelnorestart\levelspace360\levelindent0{\leveltext\leveltemplateid-1195590678
\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li1080\jclisttab\tx1080 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li1800\jclisttab\tx1800 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0
{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2520\jclisttab\tx2520 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace360\levelindent0{\leveltext\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3240\jclisttab\tx3240 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3960\jclisttab\tx3960 }{\listlevel\levelnfc23\levelnfcn23\leveljc0
\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li4680\jclisttab\tx4680 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5400\jclisttab\tx5400 }
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6120
\jclisttab\tx6120 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 
\chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6840\jclisttab\tx6840 }{\listname ;}\listid1535732928}}{\*\listoverridetable{\listoverride\listid576473857\listoverridecount0\ls1}{\listoverride\listid1514416786\listoverridecount0\ls2}
{\listoverride\listid1401126699\listoverridecount0\ls3}{\listoverride\listid548103567\listoverridecount0\ls4}{\listoverride\listid13046397\listoverridecount0\ls5}{\listoverride\listid638264617\listoverridecount0\ls6}{\listoverride\listid1535732928
\listoverridecount0\ls7}{\listoverride\listid1203055040\listoverridecount0\ls8}}{\*\revtbl {Unknown;}}{\info{\title  }{\author OMBC}{\operator PC14528}{\creatim\yr2007\mo7\dy31\hr14\min35}{\revtim\yr2007\mo7\dy31\hr14\min35}{\printim\yr2007\mo1\dy9\hr10\min7}{\version2}
{\edmins0}{\nofpages8}{\nofwords1715}{\nofchars9780}{\*\company OMBC}{\nofcharsws12010}{\vern8203}}\paperw11906\paperh16838\margl540\margr566\margt540\margb360 
\widowctrl\ftnbj\aenddoc\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\formshade\horzdoc\dgmargin\dghspace180\dgvspace180\dghorigin540\dgvorigin540\dghshow1\dgvshow1
\jexpand\viewkind1\viewscale75\pgbrdrhead\pgbrdrfoot\splytwnine\ftnlytwnine\htmautsp\nolnhtadjtbl\useltbaln\alntblind\lytcalctblwd\lyttblrtgr\lnbrkrule \fet0\sectd \linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl {\*\pnseclvl1
\pnucrm\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang{\pntxta )}}{\*\pnseclvl5
\pndec\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang
{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth4608 \cellx4500\clvertalt\clcbpat1\cltxlrtb\clftsWidth3\clwWidth6480 \cellx10980\pard\plain \s15\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\f29\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f28\fs96\cf1\lang2057\langfe1033\langnp2057 CAF FORM
\par }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\cf1 \cell }\pard\plain \s15\qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\f29\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs12\cf8\lang2057\langfe1033\langnp2057 
\par }{\f1\cf8\lang2057\langfe1033\langnp2057 *IMPORTANT*
\par A copy of the completed CAF form }{\f1\ul\cf8\lang2057\langfe1033\langnp2057 must}{\f1\cf8\lang2057\langfe1033\langnp2057  be sent to:
\par Gerard Gudgion CAF Co-ordinator
\par }\pard\plain \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf8 Unit 10 Whitney Court, Southlink Business Park
\par Oldham OL4 1DB
\par Tel: 0161 770 6672\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth4608 \cellx4500\clvertalt\clcbpat1\cltxlrtb\clftsWidth3\clwWidth6480 \cellx10980\row }\trowd 
\trgaph108\trrh718\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain 
\s24\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f0\lang2057\langfe1033\langnp2057 
\par }\pard\plain \s15\qc \li0\ri-108\sa390\sl280\slmult0\widctlpar\intbl\faauto\rin-108\lin0 \f29\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\i\f1\fs20\cf1 Notes for use: If you are completing form electronically, text boxes
 will expand to fit your text Where check boxes appear, insert an \lquote X\rquote  in those that apply.\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\f1\cf1 \trowd \trgaph108\trrh718\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\trowd 
\trgaph108\trrh1243\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain 
\s16\qj \li0\ri0\sa325\widctlpar\intbl\faauto\rin0\lin0 \f484\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\cf1 Identifying details 
\par }\pard\plain \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i\f1\fs20\cf1 Record details of unborn baby, infant, child or young person being assessed. If unborn, state name as \lquote unborn baby
\rquote  and \line mother\rquote s name, e.g. unborn baby of Ann Smith.}{\f1\fs20\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \trowd 
\trgaph108\trrh1243\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Name\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }AKA}{\f1\fs16\cf1\super 1}{\f1\fs20\cf1 /previous names\nestcell{\nonesttables
\par }{\*\bkmkstart Text10}}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text10}}}}}{\fldrslt {
\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 {\*\bkmkend Text10}\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvertalt\clbrdrt\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Male\nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1 {\*\bkmkstart Check1} FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}
}{\fldrslt }}{\f1\fs20\cf1 {\*\bkmkend Check1}        Female   }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1 {\*\bkmkstart Check2} FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3200000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check2}\ffdefres0}}}}{\fldrslt }}{\f1\fs20\cf1 {\*\bkmkend Check2}        Unknown   }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1 {\*\bkmkstart Check3} FORMCHECKBOX }{\f1\fs20\cf1 
{\*\datafield 650000001400000006436865636b3300000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check3}\ffdefres0}}}}{\fldrslt }}{\f1\fs20\cf1 {\*\bkmkend Check3}\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }Date of birth or EDD}{\f1\fs16\cf1\super 2}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }{\*\bkmkstart Text11}}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text11}}}}}{\fldrslt {
\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 {\*\bkmkend Text11}\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvertalt\cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvertalt\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Address\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }Contact tel. no.\nestcell{\nonesttables
\par }{\*\bkmkstart Text12}}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text12}}}}}{\fldrslt {
\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 {\*\bkmkend Text12}\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvmgf\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }Unique ref. no.\nestcell{\nonesttables
\par }{\*\bkmkstart Text13}}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {
\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 {\*\bkmkend Text13}\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }Version no.\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt\clbrdrt\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\cltxlrtb\clftsWidth3\clwWidth2340 
\cellx8294\clvertalt\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Postcode\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }Religion\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvertalt\clbrdrt\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294\clvertalt
\clbrdrt\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft14\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1080 \cellx1094\clvertalt\cltxlrtb\clftsWidth3\clwWidth4500 \cellx5594\clvertalt\cltxlrtb\clftsWidth3\clwWidth360 \cellx5954\clvertalt\cltxlrtb\clftsWidth3\clwWidth2340 \cellx8294
\clvertalt\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10828\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0 {
\b\f1\cf1 Ethnicity}{\f1\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 White British \nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1 {\*\bkmkstart Check4} FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}
}{\fldrslt }}{\f1\fs20\cf1 {\*\bkmkend Check4}\nestcell{\nonesttables
\par }Caribbean \nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \nestcell{\nonesttables
\par }Indian \nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 White & Black 
\par Caribbean
\par }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \nestcell{\nonesttables
\par }Chinese\nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1593 \cellx1601\clvertalt\cltxlrtb\clftsWidth3\clwWidth552 \cellx2153\clvertalt\cltxlrtb\clftsWidth3\clwWidth1589 \cellx3742\clvertalt\cltxlrtb\clftsWidth3\clwWidth555 \cellx4297
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1764 \cellx6061\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx6507\clvertalt\cltxlrtb\clftsWidth3\clwWidth1756 \cellx8263\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx8709
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1575 \cellx10284\clvertalt\cltxlrtb\clftsWidth3\clwWidth553 \cellx10837\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 White Irish 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 African 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 
\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Pakistani 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 
\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 White & Black
\par African
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Any other  
\par ethnic group*
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1593 \cellx1601\clvertalt\cltxlrtb\clftsWidth3\clwWidth552 \cellx2153\clvertalt\cltxlrtb\clftsWidth3\clwWidth1589 \cellx3742\clvertalt\cltxlrtb\clftsWidth3\clwWidth555 \cellx4297
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1764 \cellx6061\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx6507\clvertalt\cltxlrtb\clftsWidth3\clwWidth1756 \cellx8263\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx8709
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1575 \cellx10284\clvertalt\cltxlrtb\clftsWidth3\clwWidth553 \cellx10837\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Any other White 
\par }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 background*\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Any other Black 
\par }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 background*\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Bangladeshi 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 
\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 White & Asian 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 
\par }\pard \ql \fi720\li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Not given 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 
\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trrh773\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1593 \cellx1601\clvertalt\cltxlrtb\clftsWidth3\clwWidth552 \cellx2153\clvertalt\cltxlrtb\clftsWidth3\clwWidth1589 \cellx3742\clvertalt\cltxlrtb\clftsWidth3\clwWidth555 \cellx4297
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1764 \cellx6061\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx6507\clvertalt\cltxlrtb\clftsWidth3\clwWidth1756 \cellx8263\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx8709
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1575 \cellx10284\clvertalt\cltxlrtb\clftsWidth3\clwWidth553 \cellx10837\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 Any other Asian background*}{\f1\cf1 \nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 
\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Any other mixed background* 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth4289 \cellx4297\clvertalt\cltxlrtb\clftsWidth3\clwWidth1764 \cellx6061\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx6507\clvertalt\cltxlrtb\clftsWidth3\clwWidth1756 \cellx8263
\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx8709\clvertalt\cltxlrtb\clftsWidth3\clwWidth2128 \cellx10837\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth2875 \cellx2883\clvertalt\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2700 \cellx5583\clvertalt\cltxlrtb\clftsWidth3\clwWidth360 \cellx5943\clvertalt\cltxlrtb\clftsWidth3\clwWidth2345 \cellx8288\clvertalt
\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2534 \cellx10822\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 *If other, please specify\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Immigration status\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2875 \cellx2883\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2700 \cellx5583\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360 \cellx5943\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2345 \cellx8288\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10822\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth2875 \cellx2883\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2700 \cellx5583\clvertalt\cltxlrtb\clftsWidth3\clwWidth360 \cellx5943\clvertalt\cltxlrtb\clftsWidth3\clwWidth2345 
\cellx8288\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2534 \cellx10822\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Child\rquote s first language\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Parent\rquote s first language\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2875 \cellx2883\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2700 \cellx5583\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360 \cellx5943\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2345 \cellx8288\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10822\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth2875 \cellx2883\clvertalt\cltxlrtb\clftsWidth3\clwWidth2700 \cellx5583\clvertalt\cltxlrtb\clftsWidth3\clwWidth360 \cellx5943\clvertalt\cltxlrtb\clftsWidth3\clwWidth2345 \cellx8288
\clvertalt\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10822\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Does the child have a disability?
\par }\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 \nestcell{\nonesttables
\par }}\pard \qr \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Yes\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 \nestcell{\nonesttables
\par }}\pard \qr \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 No\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth3219 \cellx3227\clvertalt\cltxlrtb\clftsWidth3\clwWidth561 \cellx3788\clvertalt\cltxlrtb\clftsWidth3\clwWidth540 \cellx4328\clvertalt\cltxlrtb\clftsWidth3\clwWidth683 \cellx5011
\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx5457\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 If \lquote yes\rquote  give details\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx2348\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth8460 \cellx10808
\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard\plain 
\s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Is an interpreter or signer required?
\par }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }Yes }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \nestcell{\nonesttables
\par }No }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Has this been arranged?
\par }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }Yes }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \nestcell{\nonesttables
\par }No }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth3420 \cellx3428\clvertalt\cltxlrtb\clftsWidth3\clwWidth1080 \cellx4508\clvertalt\cltxlrtb\clftsWidth3\clwWidth1980 \cellx6488\clvertalt\cltxlrtb\clftsWidth3\clwWidth2520 \cellx9008
\clvertalt\cltxlrtb\clftsWidth3\clwWidth900 \cellx9908\clvertalt\cltxlrtb\clftsWidth3\clwWidth900 \cellx10808\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Details of any special requirements
\par (for child and/or their parent)
\par }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3960 \cellx3968\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth6840 \cellx10808
\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0 {\f1\fs14\cf1 1 \lquote Also known as\rquote 
\par }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs14\cf1 2 Expected date of delivery}{\f1\fs20\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\page 
\par }\trowd \trgaph108\trrh712\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain 
\s16\qj \li0\ri0\sa325\widctlpar\intbl\faauto\rin0\lin0 \f484\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\lang2057\langfe1033\langnp2057 \page }{\b\f1\cf1 Assessment information}{\f1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd 
\trgaph108\trrh712\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 People present
\par at assessment
\par }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh1074\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160 \cellx2168\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth8640 \cellx10808
\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0 {
\f1\fs20\cf1 What has led to this unborn baby, infant, child or young person being assessed?\line \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh1059\trleft5\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth10800 \cellx10805\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trrh1249\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\cf1  }{\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \trowd 
\trgaph108\trrh1249\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\cf1 Details of parents/carers
\par }{\f1\cf1  \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 Name\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Contact tel. no.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth900 \cellx908\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4675 \cellx5583\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360 \cellx5943\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1625 \cellx7568\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth3254 \cellx10822\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Relationship to unborn baby, infant, child or young person\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5580 \cellx5588\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4984 \cellx10572\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236 \cellx10808\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Address\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Parental responsibility?\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh330\trleft8\trkeep\trftsWidth3\trwWidth12960\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvmgf\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1088\clvmgf\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4500 \cellx5588\clvmgf\clvertalt\clbrdrl\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800 \cellx7388\clvertalt\cltxlrtb\clftsWidth3\clwWidth3240 
\cellx10628\clvmgf\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx12968\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Yes }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }No }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh495\trleft8\trkeep\trftsWidth3\trwWidth12960\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1088\clvmrg\clvertalt
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4500 \cellx5588\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800 \cellx7388\clvertalt\cltxlrtb\clftsWidth3\clwWidth1440 
\cellx8828\clvertalt\cltxlrtb\clftsWidth3\clwWidth1800 \cellx10628\clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx12968\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 Name\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Contact tel. no.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth900 \cellx908\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4675 \cellx5583\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360 \cellx5943\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1625 \cellx7568\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth3254 \cellx10822\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Relationship to unborn baby, infant, child or young person\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5580 \cellx5588\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4984 \cellx10572\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236 \cellx10808\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Address\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Parental responsibility?\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh330\trleft8\trkeep\trftsWidth3\trwWidth12960\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvmgf\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1088\clvmgf\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4500 \cellx5588\clvmgf\clvertalt\clbrdrl\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800 \cellx7388\clvertalt\cltxlrtb\clftsWidth3\clwWidth3240 
\cellx10628\clvmgf\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx12968\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Yes }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }No }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh495\trleft8\trkeep\trftsWidth3\trwWidth12960\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1088\clvmrg\clvertalt
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4500 \cellx5588\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1800 \cellx7388\clvertalt\cltxlrtb\clftsWidth3\clwWidth1440 
\cellx8828\clvertalt\cltxlrtb\clftsWidth3\clwWidth1800 \cellx10628\clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx12968\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0 {
\b\f1\cf1 Current family and home situation\line 
\par }{\f1\fs20\cf1 (e.g. Family circumstances and history, family structure including siblings, other significant adults etc; who lives with the child and who does not live with the child)
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 
00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 
\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh4109\trleft5\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth10800 \cellx10805\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\cf1 
\par }\pard \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs28\cf1 2
\par \page 
\par }\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0 {
\b\f1\cf1 Details of person(s) undertaking assessment}{\b\f1\cf1 
\par }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 Name\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Contact tel. no.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth900 \cellx908\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4675 \cellx5583\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360 \cellx5943\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1625 \cellx7568\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth3254 \cellx10822\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Address\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }Role\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text12}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvmgf\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1088\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth4500 \cellx5588
\clvertalt\clbrdrl\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360 \cellx5948\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx8288\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10822\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1088\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5588\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360 \cellx5948\clvertalt\cltxlrtb\clftsWidth3\clwWidth2340 \cellx8288\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2534 \cellx10822\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }Organisation\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1088\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5588\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360 \cellx5948\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2340 \cellx8288\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth2534 \cellx10822\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh240\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trwWidthA5234\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1088\clvmrg\clvertalt
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5588\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh240\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trwWidthA5234\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvmrg\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1088\clvmrg\clvertalt
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4500 \cellx5588\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trrh717\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trrh717\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Name of lead professional (where applicable)\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4320 \cellx4328\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth6244 \cellx10572
\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\f1\fs20\cf1 Lead professional\rquote s contact number\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4320 \cellx4328\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth6244 \cellx10572
\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 
\par }\pard\plain \s22\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \b\f1\fs24\lang2057\langfe1033\kerning28\cgrid\langnp2057\langfenp1033 {\cf1\kerning0 Serv
ices working with this infant, child or young person (include services working with family or siblings where appropriate) 
\par }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard 
\qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 Universal\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 GP\nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1 {\*\bkmkstart Check45} FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000007436865636b343500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check45}\ffdefres0}}
}}{\fldrslt }}{\f1\fs20\cf1 {\*\bkmkend Check45}\nestcell{\nonesttables
\par }Details\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Tel.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20
}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh486\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1658 \cellx1663\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmgf\clvertalt\cltxbtlr\clftsWidth3\clwWidth593 \cellx601\clvertalt\cltxlrtb\clftsWidth3\clwWidth2734 \cellx3335\clvertalt\cltxlrtb\clftsWidth3\clwWidth536 \cellx3871\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1190 \cellx5061
\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth694 \cellx8943\clvertalt\cltxlrtb\clftsWidth3\clwWidth1889 \cellx10832\nestrow}{\nonesttables
\par }}\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\cltxlrtb\clftsWidth3\clwWidth2734 \cellx3335\clvertalt\cltxlrtb\clftsWidth3\clwWidth536 \cellx3871\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1190 \cellx5061
\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth939 \cellx9188
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1644 \cellx10832\nestrow}{\nonesttables
\par }}\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\cltxlrtb\clftsWidth3\clwWidth2734 \cellx3335\clvertalt\cltxlrtb\clftsWidth3\clwWidth536 \cellx3871\clvertalt\cltxlrtb\clftsWidth3\clwWidth1190 \cellx5061\clvertalt\clbrdrt
\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\cltxlrtb\clftsWidth3\clwWidth939 \cellx9188\clvertalt\cltxlrtb\clftsWidth3\clwWidth1644 \cellx10832\nestrow}{\nonesttables
\par }}\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 Early years or education/training \line provision\nestcell{\nonesttables
\par }}{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1 {\*\bkmkstart Check44} FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000007436865636b343400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check44}\ffdefres0}}
}}{\fldrslt }}{\f1\fs20\cf1 {\*\bkmkend Check44}\nestcell{\nonesttables
\par }Details\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Tel.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh486\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1658 \cellx1663\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvmgf\clvertalt\cltxlrtb\clftsWidth3\clwWidth2734 \cellx3335\clvertalt\cltxlrtb\clftsWidth3\clwWidth536 \cellx3871\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1190 
\cellx5061\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth694 \cellx8943\clvertalt\cltxlrtb\clftsWidth3\clwWidth1889 \cellx10832\nestrow}{\nonesttables
\par }}\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh176\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2734 \cellx3335\clvertalt\cltxlrtb\clftsWidth3\clwWidth536 \cellx3871\clvertalt
\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1190 \cellx5061\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 
\cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth939 \cellx9188\clvertalt\cltxlrtb\clftsWidth3\clwWidth1644 \cellx10832\nestrow}{\nonesttables
\par }}\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\cltxlrtb\clftsWidth3\clwWidth2734 \cellx3335\clvertalt\cltxlrtb\clftsWidth3\clwWidth536 \cellx3871\clvertalt\cltxlrtb\clftsWidth3\clwWidth1190 \cellx5061\clvertalt\clbrdrt
\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\cltxlrtb\clftsWidth3\clwWidth939 \cellx9188\clvertalt\cltxlrtb\clftsWidth3\clwWidth1644 \cellx10832\nestrow}{\nonesttables
\par }}\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 Other services\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 Service\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Details\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Tel.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh486\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1658 \cellx1663\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmgf\clvertalt\cltxbtlr\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1077 \cellx1678\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 
\clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2310 \cellx3988\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 
\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth694 \cellx8943
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1889 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh442\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\cltxlrtb\clftsWidth3\clwWidth1254 \cellx1855\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2133 \cellx3988\clvertalt\clbrdrr
\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249
\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth537 \cellx8786\clvertalt\cltxlrtb\clftsWidth3\clwWidth2046 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\cltxlrtb\clftsWidth3\clwWidth1254 \cellx1855\clvertalt\cltxlrtb\clftsWidth3\clwWidth2133 \cellx3988\clvertalt\cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvertalt\clbrdrt
\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\cltxlrtb\clftsWidth3\clwWidth537 \cellx8786\clvertalt\cltxlrtb\clftsWidth3\clwWidth2046 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }Service\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Details\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Tel.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh486\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1658 \cellx1663\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1077 \cellx1678\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 
\clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2310 \cellx3988\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 
\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth694 \cellx8943
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1889 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh484\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4460 \cellx5061\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl
\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2583 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\cltxlrtb\clftsWidth3\clwWidth1254 \cellx1855\clvertalt\cltxlrtb\clftsWidth3\clwWidth2133 \cellx3988\clvertalt\cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvertalt\clbrdrt
\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\cltxlrtb\clftsWidth3\clwWidth939 \cellx9188\clvertalt\cltxlrtb\clftsWidth3\clwWidth1644 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }Service\nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Details\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Tel.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh486\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1658 \cellx1663\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1077 \cellx1678\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 
\clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2310 \cellx3988\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 
\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth694 \cellx8943
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1889 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh498\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4460 \cellx5061\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr
\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2583 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\cltxlrtb\clftsWidth3\clwWidth1254 \cellx1855\clvertalt\cltxlrtb\clftsWidth3\clwWidth2133 \cellx3988\clvertalt\cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvertalt\clbrdrt
\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\cltxlrtb\clftsWidth3\clwWidth939 \cellx9188\clvertalt\cltxlrtb\clftsWidth3\clwWidth1644 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }Service\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Details\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Tel.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh486\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1658 \cellx1663\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1077 \cellx1678\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 
\clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2310 \cellx3988\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 
\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth694 \cellx8943
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1889 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh497\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4460 \cellx5061\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr
\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2583 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\cltxlrtb\clftsWidth3\clwWidth1254 \cellx1855\clvertalt\cltxlrtb\clftsWidth3\clwWidth2133 \cellx3988\clvertalt\cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvertalt\clbrdrt
\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\cltxlrtb\clftsWidth3\clwWidth939 \cellx9188\clvertalt\cltxlrtb\clftsWidth3\clwWidth1644 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }Service\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Details\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Tel.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh486\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1658 \cellx1663\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1077 \cellx1678\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 
\clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2310 \cellx3988\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 
\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth694 \cellx8943
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1889 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh470\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4460 \cellx5061\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr
\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2583 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\cltxlrtb\clftsWidth3\clwWidth1254 \cellx1855\clvertalt\cltxlrtb\clftsWidth3\clwWidth2133 \cellx3988\clvertalt\cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvertalt\clbrdrt
\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\cltxlrtb\clftsWidth3\clwWidth939 \cellx9188\clvertalt\cltxlrtb\clftsWidth3\clwWidth1644 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }Service\nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Details\nestcell{\nonesttables
\par }}{\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Tel.\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\flddirty{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 00000000140000000654657874313300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\f1\fs20\cf1\lang1024\langfe1024\noproof \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh486\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1658 \cellx1663\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1077 \cellx1678\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 
\clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2310 \cellx3988\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1073 \cellx5061\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 
\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth694 \cellx8943
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1889 \cellx10832\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh498\trleft8\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvmrg\clvertalt\cltxlrtb\clftsWidth3\clwWidth593 \cellx601\clvertalt\clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4460 \cellx5061\clvmrg\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr
\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth3188 \cellx8249\clvertalt\clbrdrl\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2583 \cellx10832\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trrh9601\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trrh9601\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cf1 \line }{\b\f1\fs28\cf1 3
\par }\pard\plain \s18\qc \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\page 
\par }\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain 
\s16\ql \li0\ri0\sa325\widctlpar\intbl\faauto\rin0\lin0 \f484\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs28\cf1 CAF assessment summary: strengths and needs\line }{\f1\cf1 \line }{\f1\fs20\cf1 Conside
r each of the elements to the extent they are appropriate in the circumstances. You do not need to comment on every element. Wherever possible, base comments on evidence, not just opinion, and indicate what your evidence is. However, if there are any majo
r differences of view, these should be recorded too.}{\f1\cf1 \line \line }{\b\f1\cf1 1. Development of unborn baby, infant, child or young person}{\b\f1\fs28\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b\f1\fs28\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\trowd 
\trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs20\cf1 
\par }\trowd \trgaph108\trleft-49\trftsWidth3\trwWidth11265\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11029 \cellx10980\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx11216\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\cf1 Health\cell }{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trleft-49\trftsWidth3\trwWidth11265\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11029 \cellx10980\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx11216\row }\trowd 
\trgaph108\trrh1326\trleft-32\trftsWidth3\trwWidth11265\trftsWidthB3\trwWidthB17\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4424 \cellx4392\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.1 General health 
\par }{\f1\fs20\cf1 Conditions and impairments; access to and use}{\f1\fs20\cf1  }{\f1\fs20\cf1 of dentist, GP, optician; immunisations, developmental checks, hospital admissions, accidents, health advice and information
\par 
\par }{\f1\fs16\cf1 
\par \cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trrh1326\trleft-32\trftsWidth3\trwWidth11265\trftsWidthB3\trwWidthB17\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4424 \cellx4392\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\row }\trowd 
\trgaph108\trleft-32\trftsWidth3\trwWidth11265\trftsWidthB3\trwWidthB17\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth4424 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 \cell }{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs20\cf1 \trowd \trgaph108\trleft-32\trftsWidth3\trwWidth11265\trftsWidthB3\trwWidthB17\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth4424 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\row }\trowd \trgaph108\trrh1443\trleft-32\trftsWidth3\trwWidth11265\trftsWidthB3\trwWidthB17\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4424 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.2 Physical development 
\par }{\f1\fs20\cf1 Nourishment; activity; relaxation; vision and hearing; fine motor skills (drawing etc.); gross}{\f1\fs20\cf1  }{\f1\fs20\cf1 motor skills (mobility, playing games and sport}{\f1\fs20\cf1  }{\f1\fs20\cf1 etc.
\par 
\par }\pard \ql \li0\ri0\widctlpar\intbl\tx2369\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \tab 
\par 
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trrh1443\trleft-32\trftsWidth3\trwWidth11265\trftsWidthB3\trwWidthB17\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4424 \cellx4392\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\row }\trowd 
\trgaph108\trleft-32\trftsWidth3\trwWidth11265\trftsWidthB3\trwWidthB17\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth4424 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 \cell }{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs20\cf1 \trowd \trgaph108\trleft-32\trftsWidth3\trwWidth11265\trftsWidthB3\trwWidthB17\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth4424 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\row }\trowd \trgaph108\trleft-32\trftsWidth3\trwWidth11265\trftsWidthB3\trwWidthB17\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4424 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.3 Speech, language and communication
\par }{\f1\fs20\cf1 Preferred communication, language, conversation,}{\f1\fs20\cf1  }{\f1\fs20\cf1 expression, questioning; games; stories and songs;}{\f1\fs20\cf1  }{\f1\fs20\cf1 listening; responding; understanding
\par 
\par 
\par 
\par \cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trleft-32\trftsWidth3\trwWidth11265\trftsWidthB3\trwWidthB17\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4424 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\row }\trowd 
\trgaph108\trleft-49\trftsWidth3\trwWidth11265\trftsWidthB3\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth4441 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 \cell }{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs20\cf1 \trowd \trgaph108\trleft-49\trftsWidth3\trwWidth11265\trftsWidthB3\trftsWidthA3\trwWidthA236\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth4441 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\row }\trowd \trgaph108\trrh2129\trleft-49\trftsWidth3\trwWidth11265\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4441 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\clvertalt\clbrdrl\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth236 \cellx11216\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.4 Emotional and social development
\par }{\f1\fs20\cf1 Feeling special; early attachments; risking/actual}{\f1\fs20\cf1  }{\f1\fs20\cf1 self-harm; phobias; psychological difficulties;}{\f1\fs20\cf1  }{\f1\fs20\cf1 coping with stress; motivation, positive attitudes;}{\f1\fs20\cf1  }{
\f1\fs20\cf1 confidence; relationships with peers; feeling isolated and solitary; fears; often unhappy
\par 
\par 
\par 
\par }{\f1\fs16\cf1 \cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt {\f1\fs20\cf1 \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trrh2129\trleft-49\trftsWidth3\trwWidth11265\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4441 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\clvertalt\clbrdrl\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236 \cellx11216\row }\trowd 
\trgaph108\trleft-49\trftsWidth3\trwWidth11265\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx187\clvertalt\cltxlrtb\clftsWidth3\clwWidth4205 \cellx4392\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx11216\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \cell \cell \cell 
\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trleft-49\trftsWidth3\trwWidth11265\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx187\clvertalt\cltxlrtb\clftsWidth3\clwWidth4205 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 
\cellx11216\row }\trowd \trgaph108\trrh2075\trleft-49\trftsWidth3\trwWidth11265\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4441 \cellx4392\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\clvertalt\clbrdrl\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236 \cellx11216\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.5 Behavioural development
\par }{\f1\fs20\cf1 Lifestyle, self-control, reckless or impulsive activity;}{\f1\fs20\cf1  }{\f1\fs20\cf1 behaviour with peers; substance misuse; anti-social}{\f1\fs20\cf1  }{\f1\fs20\cf1 behaviour; sexual behaviour; offending;}{\f1\fs20\cf1  }{\f1\fs20\cf1 
violence and aggression; restless and overactive;}{\f1\fs20\cf1  }{\f1\fs20\cf1 easily distracted, attention span/concentration
\par }\pard \ql \li306\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin306 {\f1\fs20\cf1 
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trrh2075\trleft-49\trftsWidth3\trwWidth11265\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4441 \cellx4392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6588 \cellx10980\clvertalt\clbrdrl\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236 \cellx11216\row }\pard\plain 
\s20\ql \li0\ri0\nowidctlpar\nooverflow\faroman\rin0\lin0\itap0 \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20\cf1 
\par }\pard\plain \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b\f1\fs28\cf1 4
\par }\pard\plain \s20\qc \li0\ri0\nowidctlpar\nooverflow\faroman\rin0\lin0\itap0 \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20\cf1 
\par }\pard \s20\ql \li0\ri0\nowidctlpar\nooverflow\faroman\rin0\lin0\itap0 {\fs20\cf1 \page 
\par }\trowd \trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth10849 \cellx10800\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b\f1\fs28\cf1\lang1033\langfe1033\langnp1033 1. Development of unborn baby, infant, child or young person (continued)}{
\b\f1\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\cf1 \trowd \trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth10849 \cellx10800\row }\trowd \trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth10849 \cellx10800\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\cf1 \trowd 
\trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth10849 \cellx10800\row }\trowd 
\trgaph108\trrh1326\trleft-31\trftsWidth3\trwWidth10849\trftsWidthB3\trwWidthB18\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4572 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 
1.6 Identity, self-esteem. self-image and social presentation
\par }{\f1\fs20\cf1 Perceptions of self; knowledge or personal/family history; sense of belonging; experiences of discrimination due to race, religion, age, age, gender, sexuality and disability
\par }{\f1\fs16\cf1 \cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20
\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trrh1326\trleft-31\trftsWidth3\trwWidth10849\trftsWidthB3\trwWidthB18\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4572 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd \trgaph108\trleft-31\trftsWidth3\trwWidth10849\trftsWidthB3\trwWidthB18\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth4572 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 
\cell }{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trleft-31\trftsWidth3\trwWidth10849\trftsWidthB3\trwWidthB18\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth4572 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd \trgaph108\trrh1443\trleft-31\trftsWidth3\trwWidth10849\trftsWidthB3\trwWidthB18\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4572 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.7 Family and social relationships
\par }{\f1\fs20\cf1 Building stable relationships with family, peers and wider community; helping others; friendships; levels of association for negative relationships
\par 
\par }\pard \ql \li0\ri0\widctlpar\intbl\tx2369\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \tab \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{
\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trrh1443\trleft-31\trftsWidth3\trwWidth10849\trftsWidthB3\trwWidthB18\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4572 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd 
\trgaph108\trleft-31\trftsWidth3\trwWidth10849\trftsWidthB3\trwWidthB18\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth4572 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 \cell }{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs20\cf1 \trowd \trgaph108\trleft-31\trftsWidth3\trwWidth10849\trftsWidthB3\trwWidthB18\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth4572 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd \trgaph108\trleft-31\trftsWidth3\trwWidth10849\trftsWidthB3\trwWidthB18\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4572 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.8 Self-care skills and independence
\par }{\f1\fs20\cf1 Becoming independent; boundaries, rules, asking for help, decision-making; changes to body; washing; dressing; feeding; positive separation from family
\par 
\par \cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trleft-31\trftsWidth3\trwWidth10849\trftsWidthB3\trwWidthB18\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4572 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd \trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth4590 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 
\cell }{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth4590 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd 
\trgaph108\trrh1671\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.9 Learning
\par Understanding, reasoning and problem solving
\par }{\f1\fs20\cf1 Organising, making connections; being creative; exploring, experimenting; imaginative play and interaction
\par 
\par }{\f1\fs16\cf1 \cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20
\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trrh1671\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd \trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth244 \cellx195\clvertalt\cltxlrtb\clftsWidth3\clwWidth4346 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth244 \cellx195\clvertalt\cltxlrtb\clftsWidth3\clwWidth4346 \cellx4541\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd \trgaph108\trrh1553\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4590 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.10 Participation in learning, education and employment
\par }{\f1\fs20\cf1 Access and engagement; attendance, participation; adult support; access to appropriate resources
\par }\pard \ql \li306\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin306 {\f1\fs20\cf1 
\par 
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trrh1553\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd \trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth244 \cellx195\clvertalt\cltxlrtb\clftsWidth3\clwWidth4346 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth244 \cellx195\clvertalt\cltxlrtb\clftsWidth3\clwWidth4346 \cellx4541\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd \trgaph108\trrh2075\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4590 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.11 Progress and achievement in learning
\par }{\f1\fs20\cf1 Progress in basic and key skills; available opportunities; support with disruption to education; level of adult interest
\par }\pard \ql \li306\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin306 {\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{
\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trrh2075\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4590 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd 
\trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth244 \cellx195\clvertalt\cltxlrtb\clftsWidth3\clwWidth4346 \cellx4541\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth244 
\cellx195\clvertalt\cltxlrtb\clftsWidth3\clwWidth4346 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\trowd 
\trgaph108\trrh2075\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 1.12 Aspirations
\par }{\f1\fs20\cf1 Ambition; pupil\rquote s confidence and view of progress; motivation, perseverance
\par }\pard \ql \li306\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin306 {\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{
\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trrh2075\trleft-49\trftsWidth3\trwWidth10849\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4590 \cellx4541\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6259 \cellx10800\row }\pard 
\qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs28\cf1 5
\par }\pard\plain \s20\qc \li0\ri0\nowidctlpar\nooverflow\faroman\rin0\lin0\itap0 \f1\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20\cf1 \page 
\par }\trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth10800 \cellx10692\pard\plain \s16\ql \li0\ri0\sa325\widctlpar\intbl\faauto\rin0\lin0 
\f484\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\cf1 \line }{\b\f1\fs28\cf1 2. Parents and carers\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b\f1\fs28\cf1 \trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth10800 \cellx10692\row }\trowd 
\trgaph108\trrh1355\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 2.1 Basic care, ensuring safety
\par and protection
\par }{\f1\fs20\cf1 Provision of food, drink, warmth, shelter,
\par appropriate clothing; personal, dental hygiene;
\par engagement with services; safe and healthy
\par environment}{\f1\fs16\cf1 \cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trrh1355\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth287 \cellx179
\clvertalt\cltxlrtb\clftsWidth3\clwWidth4095 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 
\cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth287 \cellx179\clvertalt\cltxlrtb\clftsWidth3\clwWidth4095 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd 
\trgaph108\trrh1278\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 2.2 Emotional warmth and stability
\par }{\f1\fs20\cf1 Stable, affectionate, stimulating family
\par environment; praise and encouragement; secure}{\f1\fs20\cf1  }{\f1\fs20\cf1 attachments; frequency of house, school,}{\f1\fs20\cf1  }{\f1\fs20\cf1 employment moves\cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 
0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trrh1278\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd 
\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth287 \cellx179\clvertalt\cltxlrtb\clftsWidth3\clwWidth4095 \cellx4274\clvertalt\clbrdrb\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 
\trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth287 \cellx179\clvertalt\cltxlrtb\clftsWidth3\clwWidth4095 \cellx4274\clvertalt\clbrdrb\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 
2.3 Guidance, boundaries
\par and stimulation
\par }{\f1\fs20\cf1 Encouraging self-control; modelling positive
\par behaviour; effective and appropriate discipline;
\par avoiding over-protection; support for positive
\par activities\cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20
\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth10800 
\cellx10692\pard\plain \s16\ql \li0\ri0\sa325\widctlpar\intbl\faauto\rin0\lin0 \f484\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs28\cf1 \line 3. Family and environmental}{\b\f1\fs28\cf1 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b\f1\fs28\cf1 \trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth10800 \cellx10692\row }\trowd \trgaph108\trrh1583\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4382 
\cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 
3.1 Family history, functioning and well-being
\par }{\f1\fs20\cf1 Illness, bereavement, violence, parental substance}{\f1\fs20\cf1  }{\f1\fs20\cf1 misuse, criminality, anti-social behaviour; culture,}{\f1\fs20\cf1  }{\f1\fs20\cf1 size and composition of household; absent}{\f1\fs20\cf1  }{\f1\fs20\cf1 
parents, relationship breakdown; physical disability}{\f1\fs20\cf1  }{\f1\fs20\cf1 and mental health; abusive behaviour\cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 
0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trrh1583\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd 
\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth287 \cellx179\clvertalt\cltxlrtb\clftsWidth3\clwWidth4095 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth287 \cellx179\clvertalt\cltxlrtb\clftsWidth3\clwWidth4095 \cellx4274\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd \trgaph108\trrh1675\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 3.2 Wider family
\par }{\f1\fs20\cf1 Formal and informal support networks from
\par extended family and others; wider caring and
\par employment roles and responsibilities\cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}
}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd 
\trgaph108\trrh1675\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth287 \cellx179
\clvertalt\cltxlrtb\clftsWidth3\clwWidth4095 \cellx4274\clvertalt\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth287 \cellx179
\clvertalt\cltxlrtb\clftsWidth3\clwWidth4095 \cellx4274\clvertalt\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd 
\trgaph108\trrh1558\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 3.3 Housing, employment and
\par financial considerations
\par }{\f1\fs20\cf1 Water/heating/sanitation facilities, sleeping
\par arrangements; reason for homelessness; work and}{\f1\fs20\cf1  }{\f1\fs20\cf1 shifts; employment; income/benefits; effects of}{\f1\fs20\cf1  }{\f1\fs20\cf1 hardship\cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 
0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trrh1558\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd 
\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth287 \cellx179\clvertalt\cltxlrtb\clftsWidth3\clwWidth4095 \cellx4274\clvertalt\clbrdrb\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 
\trowd \trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth287 \cellx179\clvertalt\cltxlrtb\clftsWidth3\clwWidth4095 \cellx4274\clvertalt\clbrdrb\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\trowd \trgaph108\trrh1552\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 
3.4 Social and community elements
\par and resources, including education
\par }{\f1\fs20\cf1 Day care; places of worship; transport; shops;
\par leisure facilities; crime, unemployment, anti-social}{\f1\fs20\cf1  }{\f1\fs20\cf1 behaviour in area; peer groups, social networks}{\f1\fs20\cf1  }{\f1\fs20\cf1 and relationships\cell }{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 
{\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 \trowd \trgaph108\trrh1552\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4382 \cellx4274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6418 \cellx10692\row }\pard 
\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\cf1 
\par 
\par 
\par 
\par }\pard \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs28\cf1 6
\par }{\cf1 \page 
\par }\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cf1 
\par }\pard\plain \s16\ql \li0\ri0\sa325\widctlpar\intbl\faauto\rin0\lin0\itap2 \f484\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\cf1 Conclusions, solutions and actions
\par }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i\f1\fs20\cf1 
Now the assessment is completed you need to record conclusions, solutions and actions. Work with the baby, child or young person and/or parent or carer, and take account of their ideas, solutions and goals.
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb60\sa40\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph115\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl115\trpaddr115\trpaddfl3\trpaddfr3 
\clvertalb\cltxlrtb\clftsWidth3\clwWidth10697 \cellx10820\clvertalb\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 What are your conclusions? }{\i\f1\fs20\cf1 
(For example strengths, no additional needs, additional needs, complex needs, risk of harm to self or others)}{\f1\fs20\cf1 
\par }\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh117\trleft123\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10416 \cellx10776\clvertalt\cltxlrtb\clftsWidth3\clwWidth327 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\fldedit{\*\fldinst {\f1\fs20\cf1 {\*\bkmkstart Text135} FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 {\*\bkmkend Text135}\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh1411\trleft123\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth10416 \cellx10776\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth327 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft123\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\clbrdrt\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10416 \cellx10776\clvertalt\cltxlrtb\clftsWidth3\clwWidth327 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0\itap2 {\b\f1\fs20\cf1 What needs to change? }{\i\f1\fs20\cf1 (For example what outcomes, solutions and goals do the child/young person, parent/carer and you want to achieve)\line }{\f1\fs20\cf1 
\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh117\trleft123\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10460 \cellx10820\clvertalt\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}{\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh1511\trleft123\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth10460 \cellx10820\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft123\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\clbrdrt\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10460 \cellx10820\clvertalt\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }Action plan }{\i\f1\fs20\cf1 (in order of priority)\nestcell{\nonesttables
\par }}{\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }By when?\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh432\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalc\cltxlrtb\clftsWidth3\clwWidth6454 \cellx6814
\clvertalc\cltxlrtb\clftsWidth3\clwWidth2337 \cellx9151\clvertalc\cltxlrtb\clftsWidth3\clwWidth1669 \cellx10820\clvertalc\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth5687 \cellx5692\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1814 \cellx1814
\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20{\f1\fs20\cf1 \u8194\'20\u8194\'20\u8194\'20}}}{\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1418 \cellx1423\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh843\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\cltxlrtb\clftsWidth3\clwWidth6218 \cellx6578
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx6814\clvertalt\cltxlrtb\clftsWidth3\clwWidth2101 \cellx8915\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx9151\clvertalt\cltxlrtb\clftsWidth3\clwWidth1669 \cellx10820
\clvertalc\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh230\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\cltxlrtb\clftsWidth3\clwWidth6454 \cellx6814
\clvertalt\cltxlrtb\clftsWidth3\clwWidth2337 \cellx9151\clvertalt\cltxlrtb\clftsWidth3\clwWidth1669 \cellx10820\clvertalc\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth5687 \cellx5692\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft8\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1814 \cellx1822\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1418 \cellx1423\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh837\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\cltxlrtb\clftsWidth3\clwWidth6218 \cellx6578
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx6814\clvertalt\cltxlrtb\clftsWidth3\clwWidth2101 \cellx8915\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx9151\clvertalt\cltxlrtb\clftsWidth3\clwWidth1669 \cellx10820
\clvertalc\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh128\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\cltxlrtb\clftsWidth3\clwWidth6454 \cellx6814
\clvertalt\cltxlrtb\clftsWidth3\clwWidth2337 \cellx9151\clvertalt\cltxlrtb\clftsWidth3\clwWidth1669 \cellx10820\clvertalc\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth5687 \cellx5692\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft8\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1814 \cellx1822\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1418 \cellx1423\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh830\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\cltxlrtb\clftsWidth3\clwWidth6218 \cellx6578
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx6814\clvertalt\cltxlrtb\clftsWidth3\clwWidth2101 \cellx8915\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx9151\clvertalt\cltxlrtb\clftsWidth3\clwWidth1669 \cellx10820
\clvertalc\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh110\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\cltxlrtb\clftsWidth3\clwWidth6454 \cellx6814
\clvertalt\cltxlrtb\clftsWidth3\clwWidth2337 \cellx9151\clvertalt\cltxlrtb\clftsWidth3\clwWidth1669 \cellx10820\clvertalc\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth5687 \cellx5692\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft8\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth1814 \cellx1822\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh765\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth1418 \cellx1423\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh824\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\cltxlrtb\clftsWidth3\clwWidth6218 \cellx6578
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx6814\clvertalt\cltxlrtb\clftsWidth3\clwWidth2101 \cellx8915\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx9151\clvertalt\cltxlrtb\clftsWidth3\clwWidth1669 \cellx10820
\clvertalc\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh199\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalc\cltxlrtb\clftsWidth3\clwWidth10460 \cellx10820
\clvertalc\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh111\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trwWidthA4789\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth6191 \cellx6314\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 Agreed review date\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1        }{\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh412\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth3402 \cellx3407\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh432\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trwWidthA2688\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth2303 \cellx2426\clvertalt\cltxlrtb\clftsWidth3\clwWidth3888 \cellx6314
\clvertalt\cltxlrtb\clftsWidth3\clwWidth2101 \cellx8415\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx364\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh86\trleft123\trkeep\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trwWidthA4789\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\cltxlrtb\clftsWidth3\clwWidth6191 \cellx6314\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard\plain \s1\ql \li0\ri0\sb120\keepn\nowidctlpar\intbl\nooverflow\faroman\outlinelevel0\rin0\lin0\itap2 \b\f1\fs24\lang2057\langfe1033\kerning28\cgrid\langnp2057\langfenp1033 {\fs20\cf1\kerning0 How will you know when things have improved?
\nestcell{\nonesttables
\par }}\pard\plain \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh117\trleft123\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10460 \cellx10820\clvertalt\cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{\f1\fs20\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\tx7061\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \tab \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh1960\trleft123\trftsWidth3\trwWidth10980\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth237 \cellx360\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth10460 \cellx10820\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth283 \cellx11103\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 
\cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs28\cf1 7
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\page 
\par }\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 Child or young person\rquote s comment on the assessment and actions identified}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh117\trleft116\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx352\clvertalt\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10249 \cellx10601\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx10837\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}{\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh1423\trleft116\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236 \cellx352\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth10249 \cellx10601\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236 \cellx10837\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs20\cf1 
\par }\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 Parent or carer\rquote s comment on the assessment and actions identified}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh117\trleft116\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx352\clvertalt\clbrdrb\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10249 \cellx10601\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx10837\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20{
\f1\fs20\cf1 \u8194\'20\u8194\'20}}}{\i\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh1400\trleft116\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236 \cellx352\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth10249 \cellx10601\clvertalt\clbrdrl
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth236 \cellx10837\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 Consent for information storage and information sharing
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \line I understand the information that is recorded on this form and that it will be stored and used for the purpose of providing services to:
\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft115\trftsWidth3\trwWidth10995\trftsWidthB3\trwWidthB103\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx351\clvertalt\cltxlrtb\clftsWidth3\clwWidth10279 \cellx10628\clvertalt\cltxlrtb\clftsWidth3\clwWidth377 \cellx11008\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\tx695\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000007436865636b333000000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check30}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \tab Me
\par 
\par }\pard \ql \li0\ri0\widctlpar\intbl\tx695\tx2135\tx2855\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 
650000001400000007436865636b333100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check31}\ffdefres0}}}}{\fldrslt }}{\f1\fs20\cf1 \tab This infant, child or young person for whom I am a parent
\par 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1  FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 650000001400000007436865636b333200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check32}\ffdefres0}}}}{\fldrslt }}{
\f1\fs20\cf1 \tab This infant, child or young person for whom I am a carer
\par }\pard \ql \li0\ri0\widctlpar\intbl\tx695\tx2135\tx2855\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh1525\trleft115\trftsWidth3\trwWidth10995\trftsWidthB3\trwWidthB103\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx351\clvertalt\cltxlrtb\clftsWidth3\clwWidth10279 \cellx10628
\clvertalt\cltxlrtb\clftsWidth3\clwWidth377 \cellx11008\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }I have had the reasons for information sharing explained to me and I understand those reasons\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft115\trftsWidth3\trwWidth10995\trftsWidthB3\trwWidthB103\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx351\clvertalt\cltxlrtb\clftsWidth3\clwWidth10279 \cellx10628\clvertalt\cltxlrtb\clftsWidth3\clwWidth377 \cellx11008\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 I agree to the sharing of information, as agreed, between the services listed below\nestcell{\nonesttables
\par }}\pard \qr \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 Yes\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1 {\*\bkmkstart Check42} FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 
650000001400000007436865636b343200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check42}\ffdefres0}}}}{\fldrslt }}{\f1\fs20\cf1 {\*\bkmkend Check42}\nestcell{\nonesttables
\par }}\pard \qr \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 No\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs20\cf1 {\*\bkmkstart Check43} FORMCHECKBOX }{\f1\fs20\cf1 {\*\datafield 
650000001400000007436865636b343300000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check43}\ffdefres0}}}}{\fldrslt }}{\f1\fs20\cf1 {\*\bkmkend Check43}\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh418\trleft115\trftsWidth3\trwWidth10995\trftsWidthB3\trwWidthB103\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx351\clvertalc\cltxlrtb\clftsWidth3\clwWidth7843 \cellx8192\clvertalc
\clbrdrl\brdrnone \cltxlrtb\clftsWidth3\clwWidth561 \cellx8753\clvertalt\cltxlrtb\clftsWidth3\clwWidth538 \cellx9291\clvertalc\cltxlrtb\clftsWidth3\clwWidth891 \cellx10182\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx10628
\clvertalt\cltxlrtb\clftsWidth3\clwWidth377 \cellx11008\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \qr \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \qr \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft115\trftsWidth3\trwWidth10995\trftsWidthB3\trwWidthB103\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx351\clvertalc\cltxlrtb\clftsWidth3\clwWidth8404 \cellx8753\clvertalt\cltxlrtb\clftsWidth3\clwWidth538 \cellx9291\clvertalc\cltxlrtb\clftsWidth3\clwWidth891 \cellx10182
\clvertalt\cltxlrtb\clftsWidth3\clwWidth446 \cellx10628\clvertalt\cltxlrtb\clftsWidth3\clwWidth377 \cellx11008\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 (Use this space to record any specific information sharing restrictions )}{\f1\fs20\cf1 
\par }\pard \ql \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt {\f1\fs20\cf1 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap3 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trrh1079\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth10153 \cellx10158\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd 
\trgaph108\trrh1578\trleft115\trftsWidth3\trwWidth10995\trftsWidthB3\trwWidthB103\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx351\clvertalt\cltxlrtb\clftsWidth3\clwWidth10656 \cellx11008
\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft115\trftsWidth3\trwWidth10995\trftsWidthB3\trwWidthB103\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx351\clvertalt\cltxlrtb\clftsWidth3\clwWidth10279 \cellx10628\clvertalt\cltxlrtb\clftsWidth3\clwWidth377 \cellx11008\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 Signed\nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Name\nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Date\nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft115\trftsWidth3\trwWidth10995\trftsWidthB3\trwWidthB103\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx351\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1019 \cellx1370\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth2693 \cellx4062\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth896 \cellx4958\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2799 \cellx7756\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth784 \cellx8540\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2088 \cellx10628\clvertalt\clbrdrl\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth377 \cellx11008\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft115\trftsWidth3\trwWidth10995\trftsWidthB3\trwWidthB103\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx351\clvertalt\cltxlrtb\clftsWidth3\clwWidth10279 \cellx10628\clvertalt\cltxlrtb\clftsWidth3\clwWidth377 \cellx11008\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 Assessor\rquote s signature\line \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft13\trftsWidth3\trwWidth10995\trftsWidthB3\trftsWidthA3\trwWidthA380\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth10615 \cellx10628\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb80\sa80\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 Signed\nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Name\nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }Date\nestcell{\nonesttables
\par }}{\field\fldedit{\*\fldinst {\f1\fs20\cf1  FORMTEXT }{\f1\fs20\cf1 {\*\datafield 0000000014000000075465787431333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text135}}}}}{\fldrslt \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}{\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft13\trftsWidth3\trwWidth10995\trftsWidthB3\trftsWidthA3\trwWidthA380\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth355 \cellx367\clvertalt\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080 \cellx1447\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat8\cltxlrtb\clftsWidth3\clwWidth2562 \cellx4008\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1038 \cellx5046\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2662 \cellx7707\clvertalt\clbrdrl\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth724 \cellx8431\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth2194 \cellx10628\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs20\cf1 
\par }\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft116\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx352\clvertalt\cltxlrtb\clftsWidth3\clwWidth10037 \cellx10389\clvertalt\cltxlrtb\clftsWidth3\clwWidth448 \cellx10837\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 Exceptional circumstances: significant harm to infant, child or young person
\par }{\f1\fs20\cf1 If at any time during the course of this assessment you feel that an infant, child or young person has been harmed or abused or is at risk of harm or abuse, you must follow your local safeguarding children board (LSCB) procedures
 as set out in the booklet
\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\i\f1\fs20\cf1 What To Do If You Are Worried A Child Is Being Abused }{\f1\fs20\cf1 (Department of Health, 2003).\nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft116\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx352\clvertalt\cltxlrtb\clftsWidth3\clwWidth10037 \cellx10389\clvertalt\cltxlrtb\clftsWidth3\clwWidth448 \cellx10837\nestrow}{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\b\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 \nestcell{\nonesttables
\par }}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 {\f1\fs20\cf1 {\*\nesttableprops\trowd \trgaph108\trleft116\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth236 \cellx352\clvertalt\cltxlrtb\clftsWidth3\clwWidth10037 \cellx10389\clvertalt\cltxlrtb\clftsWidth3\clwWidth448 \cellx10837\nestrow}{\nonesttables
\par }}\trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\pard\plain \s18\ql \li0\ri0\sl280\slmult0
\widctlpar\intbl\faauto\rin0\lin0 \f485\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20\cf1 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\cf1 \trowd \trgaph108\trleft-108\trftsWidth3\trwWidth11088\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 
\clvertalt\cltxlrtb\clftsWidth3\clwWidth11088 \cellx10980\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\cf1 
\par 
\par 
\par }\pard \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs28\cf1 8
\par }\pard\plain \s15\qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f29\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f0\cf1\lang2057\langfe1033\langnp2057 
\par }}