text/html 601061 CAIB ![CDATA[Proposta de resolució del director general d’Esports i Joventut i Resolució de la consellera de Cultura, Participació i Esports, per la qual s’estableix la convocatòria de concessió de les distincions, Cornelius Atticus 2017,en categoria masculina i en categoria femenina a una vida dedicada a l’esport de les Illes Balears]] ca 2017-10-26 ![CDATA[<p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b style="mso-bidi-font-weight:normal"><span lang="CA">Fets </span></b></span></p> <p class="MsoNormal" style="text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA"><span>1.<span style="font-style: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal; font-feature-settings: normal; font-language-override: normal; font-kerning: auto; font-synthesis: weight style; font-variant: normal;">&nbsp; </span></span>La Comunitat Autònoma de les Illes Balears va crear l’any 1996 la distinció CORNELIVS ATTICUS com a reconeixement a totes aquelles persones de les Illes que han dedicat la seva vida a la pràctica i a la promoció de l’esport i que formen part de la nostra història i del fet cultural de les Illes Balears.<span> </span></span></span></p> <p class="MsoNormal" style="text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA"><span>2.<span style="font-style: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal; font-feature-settings: normal; font-language-override: normal; font-kerning: auto; font-synthesis: weight style; font-variant: normal;">&nbsp; </span></span>La distinció consisteix en un diploma acreditatiu, una reproducció de la làpida de marbre de forma quadrangular del segle III, dedicada a un atleta del pancraci, Cornelius Atticus, trobada l’any 1933 a les excavacions oficials arqueològiques de la ciutat romana de Pol·lèntia, Alcúdia, a Mallorca i un pin d’argent amb la mateixa reproducció. </span></span></p> <p class="MsoNormal" style="margin-left:0cm;text-align:justify;text-indent:0cm; mso-list:l3 level1 lfo6;tab-stops:list 0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA"><span>3.<span style="font-style: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal; font-feature-settings: normal; font-language-override: normal; font-kerning: auto; font-synthesis: weight style; font-variant: normal;"> </span></span>Concedeix la distinció anualment <span style="color: black;">el Consell de Govern a proposta</span> de la conselleria competent en matèria d’esports, per iniciativa pròpia o a proposta de les diverses institucions i entitats esportives de les Illes Balears.</span></span></p> <p class="MsoNormal" style="margin-left:0cm;text-align:justify;text-indent:0cm; mso-list:l3 level1 lfo6;tab-stops:list 0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA" style="color: black;"><span>4.<span style="font-style: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal; font-feature-settings: normal; font-language-override: normal; font-kerning: auto; font-synthesis: weight style; font-variant: normal;">&nbsp; </span></span>L’Assemblea Balear de l’Esport va aprovar a la sessió ordinària del Ple de dia 29 de març de 2017, la proposta d’establir d’una distinció femenina Cornelius Atticus diferenciada de la masculina.</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b style="mso-bidi-font-weight:normal"><span lang="CA">Fonaments de dret</span></b></span></p> <p class="MsoNormal" style="margin-left:0cm;text-align:justify;text-indent:0cm; mso-list:l5 level1 lfo11"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA"><span>1.<span style="font-style: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal; font-feature-settings: normal; font-language-override: normal; font-kerning: auto; font-synthesis: weight style; font-variant: normal;">&nbsp; </span></span>El Decret 22/1996, de 15 de febrer, pel qual es crea la distinció Cornelius Atticus a una vida dedicada a l’esport de les Illes Balears<span lang="CA"> </span>(BOCAIB núm. 27, de 29 de febrer de 1996).</span></span></p> <p class="MsoNormal" style="text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b><span lang="CA">Proposta de resolució</span></b><span lang="CA"> </span></span></p> <p class="MsoNormal" style="text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Propòs a la consellera de Cultura, Participació i Esports que dicti una resolució en els termes següents:</span></span></p> <p class="MsoNormal" style="text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">1. Establir la convocatòria <span style="color: black;">de la concessió de les distincions</span> Cornelius Atticus<b style="mso-bidi-font-weight:normal"> </b>2017, en categoria masculina i en categoria femenina, per a les persones que han dedicat la seva vida a la pràctica o la promoció de l’esport en l’àmbit de les Illes Balears.</span></span></p> <p class="MsoNormal" style="text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">2. Establir un termini de presentació de candidatures de trenta dies comptadors <span style="color: black;">des del dia següent a la publicació d’aquesta Resolució en el BOIB —que té efectes a partir del dia següent d’haver-se publicat en el <i style="mso-bidi-font-style: normal">Butlletí Oficial de les Illes Balears</i>—, a fi que la Conselleria de Cultura, Participació i Esports pugui preparar la proposta de concessió de les distincions, que ha d’aprovar el Consell de Govern.</span></span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">3. Establir que poden presentar candidatures els consells insulars o els organismes autònoms que en depenen que tenguin atribuïda la competència en matèria esportiva, les federacions esportives, els ajuntaments, els clubs i les entitats esportives reconeguts i registrats degudament</span></span></p> <p class="MsoNormal" style="text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">4. Establir que les distincions es poden atorgar a títol pòstum.</span></span></p> <p class="Textoindependiente31"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">5. Determinar que per decidir quines propostes pot trametre la Conselleria de Cultura, Participació i Esports al Consell de Govern s’ha de constituir el jurat corresponent, d’acord amb el punt 4 de l’Annex 1 que s’adjunta a la resolució. El jurat s’ha de reunir per estudiar les candidatures i elaborar l’acta de l’acord adoptat de presentació de propostes a la Conselleria de Cultura, Participació, i Esports, la qual l’ha de trametre, amb l’informe corresponent, al Consell de Govern.</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">6. Determinar que la concessió de les distincions i la composició del jurat s’han d’ajustar a les instruccions de la distinció, que figura com a annex 1 d’aquesta Resolució.</span><b style="mso-bidi-font-weight:normal"><span lang="CA"> </span></b></span></p> <p class="MsoNormal" style="text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">7. Publicar aquesta Resolució en el <i style="mso-bidi-font-style:normal">Butlletí Oficial de les Illes Balears</i>.</span></span></p> <p class="MsoNormal" style="text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b style="mso-bidi-font-weight: normal"><span lang="CA">Interposició de recursos </span></b></span></p> <p class="MsoNormal" style="text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Contra aquesta resolució —que exhaureix la via administrativa— es pot interposar un recurs potestatiu de reposició davant la consellera de Cultura, Participació i Esports, en el termini d’un mes comptador des de l’endemà d’haver-se publicat en el <i style="mso-bidi-font-style: normal">Butlletí Oficial de les Illes Balears</i> (BOIB), d’acord amb l’article 124 de la Llei 39/2015, d’1 d’octubre, del procediment administratiu comú de les administracions públiques, i l’article 57 de la Llei 3/2003, de 26 de març, de règim jurídic de l’administració de la Comunitat Autònoma de les Illes Balears.</span></span></p> <p class="MsoNormal" style="text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">També es pot interposar directament un recurs contenciós administratiu davant la Sala Contenciosa del Tribunal Superior de Justícia de les Illes Balears en el termini de dos mesos comptadors des de l’endemà d’haver-se publicat en el <i style="mso-bidi-font-style: normal">Butlletí Oficial de</i> <i style="mso-bidi-font-style:normal">les Illes Balears</i> (BOIB), d’acord amb l’article 46 de la Llei 29/1998, de 13 de juliol, reguladora de la jurisdicció contenciosa administrativa.</span></span></p> <p class="MsoListParagraph" style="margin-left:0cm;text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; </span></span></p> <p class="MsoListParagraph" style="margin: 0px; text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Palma, 20 <span>&nbsp;</span>d’octubre de 2017</span></span></p> <p class="MsoListParagraph" style="margin: 0px; text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><strong><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></strong></span></p> <p class="MsoListParagraph" style="margin: 0px; text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><strong><span lang="CA">El director general d’Esports i Joventut</span></strong></span></p> <p class="MsoListParagraph" style="margin: 0px; text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Carles Gonyalons Sureda</span></span></p> <p class="MsoListParagraph" style="margin: 0px; text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">&nbsp;&nbsp; </span></span></p> <p class="MsoListParagraph" style="margin: 0px; text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Conforme amb la proposta, en dict Resolució</span></span></p> <p class="MsoListParagraph" style="margin: 0px; text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><strong><span lang="CA">La consellera de Cultura,Participació i Esports</span></strong></span></p> <p class="MsoListParagraph" style="margin: 0px; text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Francesca Tur Riera</span></span></p> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:12px;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p> <p class="MsoNormal" style="text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b style="mso-bidi-font-weight:normal"><span lang="CA">Annex 1</span></b></span></p> <p class="MsoNormal" style="text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b style="mso-bidi-font-weight:normal"><span lang="CA">Instruccions per a la concessió de les distincions Cornelius Atticus</span></b></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">1. La distinció Cornelius Atticus<span style="font-variant: small-caps;"> </span>es destina a reconèixer i premiar els mèrits de les persones físiques que, en l’àmbit de les Illes Balears, han dedicat la seva vida a l’esport, d’acord amb els requisits següents:</span></span></p> <p class="MsoNormal" style="margin-left:14.2pt;text-align:justify"> <span style="font-family:times new roman,times,serif;font-size:12px;"><i style="mso-bidi-font-style:normal"><span lang="CA">a</span></i><span lang="CA">) Haver participat en el desenvolupament esportiu de les Illes Balears com a esportista, dirigent, tècnic o en alguna altra funció directament implicada en la promoció de l’esport.</span></span></p> <p class="MsoNormal" style="margin-left:14.2pt;text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><i style="mso-bidi-font-style:normal"><span lang="CA">b</span></i><span lang="CA">) Haver dedicat un temps superior als vint-i-cinc anys al desenvolupament esportiu de les Illes Balears, llevat de les excepcions que hi pugui haver per causes extraordinàries.</span></span></p> <p class="MsoNormal" style="margin-left:14.2pt;text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><i style="mso-bidi-font-style:normal"><span lang="CA">c</span></i><span lang="CA">) No haver estat sancionat amb inhabilitació per a la pràctica esportiva.</span></span></p> <p class="MsoNormal" style="margin-left:14.2pt;text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><i style="mso-bidi-font-style:normal"><span lang="CA" style="color: black;">d</span></i><span lang="CA" style="color: black;">) Haver desenvolupat la seva activitat per a l’esport de les Illes Balears dins l’àmbit balear o des de l’esport balear contribuint a l’evolució esportiva de la Comunitat Autònoma.</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">2. La distinció consisteix en un diploma acreditatiu; una reproducció de la troballa arqueològica de la lauda sepulcral de Cornelius Atticus, que es troba a la Secció Monogràfica de Pol·lèntia (Alcúdia) del Museu de Mallorca i un pin d’argent amb la mateixa reproducció. </span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">3. El Govern de les Illes Balears concedeix la distinció a proposta de la Conselleria de Cultura, Participació i Esports amb l’acord del Consell de Govern. La iniciativa de la proposta pot sorgir de la Conselleria de Cultura, Participació i Esports mateixa o d’aquesta Conselleria a proposta dels consells insulars o dels organismes autònoms creats per aquests ens que tenguin atribuïda la competència en matèria esportiva; de les federacions esportives; dels ajuntaments, i dels clubs o de les entitats esportives degudament registrats.</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">4. Com a òrgan que ha d’informar de les propostes i valorar-les, s’estableix un jurat que ha d’estar compost de la manera que s’exposa a continuació:</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Presidenta: la consellera de Cultura, Participació i Esports.</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Vicepresident: el director general d’Esports i Joventut.</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Vocals: </span></span></p> <ul style="margin-top:0cm" type="disc"> <li class="MsoNormal" style="text-align:justify;mso-list:l16 level1 lfo12; tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">El cap del Servei de Planificació i Formació.</span></span></li> <li class="MsoNormal" style="text-align:justify;mso-list:l16 level1 lfo12; tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Tres representants de la Direcció General d’Esports i Joventut.</span></span></li> <li class="MsoNormal" style="text-align:justify;mso-list:l16 level1 lfo12; tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Un representant de cada consell insular o, si escau, dels organismes autònoms creats per aquests ens que tenguin atribuïda la competència en matèria esportiva.</span></span></li> <li class="MsoNormal" style="color:black;text-align:justify;mso-list:l16 level1 lfo12; tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Un representant de federacions esportives d’esports individuals a proposta de l’Assemblea Balear de l’Esport.</span></span></li> <li class="MsoNormal" style="color:black;text-align:justify;mso-list:l16 level1 lfo12; tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Un representant de federacions esportives d’esports d’equip a proposta de l’Assemblea Balear de l’Esport.</span></span></li> <li class="MsoNormal" style="text-align:justify;mso-list:l16 level1 lfo12; tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Un representant del Col·legi Oficial de Llicenciats en Ciències de l’Activitat Física i de l’Esport (COLEF).</span></span></li> <li class="MsoNormal" style="text-align:justify;mso-list:l16 level1 lfo12; tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Un representant de l’Assemblea de gestors esportius professionals de les Illes Balears (AGEPIB).</span></span></li> <li class="MsoNormal" style="text-align:justify;mso-list:l16 level1 lfo12; tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Un representant de l’àrea d’esports de cadascun dels mitjans de comunicació d’àmbit autonòmic de les Illes Balears.</span></span></li> <li class="MsoNormal" style="text-align:justify;mso-list:l16 level1 lfo12; tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Un representant dels guardonats amb la distinció.</span></span></li> </ul> <p class="MsoNormal" style="text-align:justify;text-indent:.15pt;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Secretari: el funcionari que nomeni la Direcció General d’Esports i Joventut.</span></span></p> <p class="MsoNormal" style="text-align:justify;text-indent:.15pt;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">5. Una vegada constituït el jurat, la consellera pot proposar els criteris que han de regir la distribució dels vots emesos pels membres. Aquests criteris s’han de fixar amb el vot favorable de la majoria dels assistents.</span><b style="mso-bidi-font-weight:normal"><span lang="CA"> </span></b></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">6. En totes les actuacions, el jurat s’ha d’ajustar a les normes de funcionament dels òrgans col·legiats que estableixen els articles 17 i següents de la Llei 3/2003, de 26 de març, de règim jurídic de l’administració de la Comunitat Autònoma de les Illes Balears, i els articles 15 i següents de la Llei 40/2015, d’1 d’octubre, de règim jurídic del sector públic. </span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">7. Les propostes o candidatures a les distincions s’han d’adreçar a la Direcció General d’Esports i Joventut, carrer de l’Uruguai, s/n (Palma Arena), 07010 Palma,<span lang="CA"> </span>i s’han de presentar en qualsevol de les formes que fixa l’article 16.4 de la Llei 39/2015, d’1 d’octubre, del procediment administratiu comú de les administracions públiques.</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Les propostes han de contenir:</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA"><i style="mso-bidi-font-style:normal">a)</i> L’imprès de proposta de candidatura formalitzat (annex II), que podeu trobar a la pàgina web, http://esports.caib.es i que inclou:</span></span></p> <ul> <li class="MsoListParagraph" style="text-align: left;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Les dades de l’entitat que fa la proposta.</span></span></li> <li class="MsoListParagraph" style="text-align: left;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Les circumstàncies i les dades personals de la persona proposada </span></span></li> <li class="MsoListParagraph" style="text-align: left;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Els currículums general i laboral de la persona proposada.</span></span></li> <li class="MsoListParagraph" style="text-align: left;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">El currículum esportiu de la persona proposada.</span></span></li> <li class="MsoNormal" style="text-align: left;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">Una fotografia recent de la persona proposada.</span><b style="mso-bidi-font-weight:normal"><span lang="CA"> </span></b></span></li> </ul> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b style="mso-bidi-font-weight:normal"><span lang="CA">Per facilitar la tasca d’avaluació del jurat, aquest imprès no es pot emplenar a mà.</span></b></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><i style="mso-bidi-font-style:normal"><span lang="CA">b</span></i><span lang="CA">) Un dossier informatiu o fotogràfic documental dels mèrits que s’al·leguen i que expressi la dedicació a l’esport (màxim de 10 pàgines). </span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">(Qualsevol dubte o qüestió en relació amb la presentació de les candidatures es podrà consultar al correu: cornelius@esports.caib.es).</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA" style="color: black;">8. Només es pot atorgar una distinció ordinària anualment per a cada categoria. El jurat està facultat per declarar deserta aquesta distinció. </span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">9. La distinció atorgada a títol pòstum s’ha de lliurar als familiars més pròxims. </span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">10. Les distincions s’han de lliurar en un acte públic que ha d’organitzar el Govern de les Illes Balears en el primer trimestre de l’any 2018.</span></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:0cm"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA">11. L’acord de la concessió s’ha de publicar en el <i style="mso-bidi-font-style:normal">Butlletí Oficial de les Illes Balears</i>.</span></span></p> <p align="center" class="MsoNormalCxSpMiddle" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:12px;"><span lang="CA"><span>&nbsp; &nbsp;</span></span><b style="mso-bidi-font-weight:normal"><span> </span></b></span></p> <div style="page-break-after: always;"> <span style="display: none;">&nbsp;</span></div> <p style="margin: 0px; text-align: right;"> <span style="font-family:times new roman,times,serif;font-size:12px;">FOTOGRAFIA </span></p> <p style="margin: 0px; text-align: right;"> <span style="font-family:times new roman,times,serif;font-size:12px;">A insertar per a l'Administració</span></p> <p style="text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></p> <p align="center" class="MsoNormalCxSpMiddle" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US">ANNEX II</span></b></span></p> <p align="center" class="MsoNormal" style="margin-bottom:6.0pt;text-align:center"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US">CANDIDATURA CORNELIVS ATTICVS 2017</span></b></span></p> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center;background:#BFBFBF"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight: normal"><span lang="CA">ENTITAT QUE FA LA PROPOSTA</span></b></span></p> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" height="126" style="margin-left: -0.5pt; border-collapse: collapse; border: medium none;" width="668"> <tbody> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:19.85pt;mso-height-rule: exactly"> <td style="width:72.55pt;border:solid black 1.0pt;mso-border-alt: solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="121"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ENTITAT</span></span></p> </td> <td colspan="5" style="width:416.5pt;border:solid black 1.0pt; border-left:none;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule:exactly" width="694"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></span></p> </td> </tr> <tr style="mso-yfti-irow:1;height:19.85pt;mso-height-rule:exactly"> <td style="width:72.55pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="121"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ADREÇA</span></span></p> </td> <td colspan="5" style="width:416.5pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="694"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:2;height:19.85pt;mso-height-rule:exactly"> <td style="width:72.55pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="121"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">MUNICIPI</span></span></p> </td> <td colspan="3" style="width:261.25pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="435"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:27.75pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="46"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">CP</span></span></p> </td> <td style="width:127.5pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule:exactly" width="213"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:3;mso-yfti-lastrow:yes;height:19.85pt;mso-height-rule: exactly"> <td style="width:72.55pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="121"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">TELÈFON</span></span></p> </td> <td style="width:104.65pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule:exactly" width="174"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:106.35pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="177"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">CORREU ELECTRÒNIC</span></span></p> </td> <td colspan="3" style="width:205.5pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="343"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr height="0"> <td style="border:none" width="121"> </td> <td style="border:none" width="174"> </td> <td style="border:none" width="177"> </td> <td style="border:none" width="84"> </td> <td style="border:none" width="46"> </td> <td style="border:none" width="213"> </td> </tr> </tbody> </table> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center;text-indent:35.45pt;background:#BFBFBF"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight:normal"><span lang="CA">PERSONA PROPOSADA PER LA DISTINCIÓ</span></b></span></p> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" height="130" style="margin-left: -0.5pt; border-collapse: collapse; border: medium none;" width="668"> <tbody> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:19.85pt;mso-height-rule: exactly"> <td colspan="2" style="width:104.75pt;border:solid black 1.0pt; mso-border-alt:solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt; height:19.85pt;mso-height-rule:exactly" width="175"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">NOM I COGNOMS</span></span></p> </td> <td colspan="9" style="width:384.3pt;border:solid black 1.0pt; border-left:none;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule:exactly" width="641"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:1;height:19.85pt;mso-height-rule:exactly"> <td colspan="4" style="width:138.25pt;border:solid black 1.0pt; border-top:none;mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="230"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ANYS DEDICATS A L’ESPORT</span></span></p> </td> <td style="width:64.05pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule:exactly" width="107"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td colspan="4" style="width:109.6pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt; height:19.85pt;mso-height-rule:exactly" width="183"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">MODALITAT ESPORTIVA</span></span></p> </td> <td colspan="2" style="width:177.15pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="295"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:2;height:19.85pt;mso-height-rule:exactly"> <td colspan="3" style="width:118.15pt;border:solid black 1.0pt; border-top:none;mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="197"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">FORMA DE DEDICACIÓ </span></span></p> </td> <td colspan="4" style="width:110.0pt;border:none;border-bottom:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-bottom-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt; height:19.85pt;mso-height-rule:exactly" width="183"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span><span lang="CA">( &nbsp; )</span><span> </span>ESPORTISTA</span></span></p> </td> <td colspan="3" style="width:129.0pt;border:none;border-bottom:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-top-alt:solid black .5pt; mso-border-bottom-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt; height:19.85pt;mso-height-rule:exactly" width="215"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA"><span><span style="font-family:times new roman,times,serif;font-size:10px;"><span><span lang="CA">( &nbsp; )</span></span></span> </span>TÈCNIC/A</span></span></p> </td> <td style="width:131.9pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-top-alt:solid black .5pt;mso-border-bottom-alt: solid black .5pt;mso-border-right-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt; height:19.85pt;mso-height-rule:exactly" width="220"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA"><span>&nbsp;</span>DIRIGENT</span></span></p> </td> </tr> <tr style="mso-yfti-irow:3;mso-yfti-lastrow:yes;height:19.85pt;mso-height-rule: exactly"> <td style="width:99.25pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">DATA DE NAIXEMENT</span></span></p> </td> <td colspan="5" style="width:106.3pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="177"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td colspan="2" style="width:99.25pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt; height:19.85pt;mso-height-rule:exactly" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">LLOC DE NAIXEMENT</span></span></p> </td> <td colspan="3" style="width:184.25pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="307"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr height="0"> <td style="border:none" width="165"> </td> <td style="border:none" width="9"> </td> <td style="border:none" width="22"> </td> <td style="border:none" width="34"> </td> <td style="border:none" width="107"> </td> <td style="border:none" width="5"> </td> <td style="border:none" width="38"> </td> <td style="border:none" width="128"> </td> <td style="border:none" width="12"> </td> <td style="border:none" width="75"> </td> <td style="border:none" width="220"> </td> </tr> </tbody> </table> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center;background:#BFBFBF"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight: normal"><span lang="CA">*A EMPLENAR NOMÉS SI LA CANDIDATURA ÉS A TÍTOL PÒSTUM</span></b></span></p> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" height="157" style="margin-left: -0.5pt; border-collapse: collapse; border: medium none;" width="667"> <tbody> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:19.85pt;mso-height-rule: exactly"> <td colspan="4" style="width:191.4pt;border:solid black 1.0pt; mso-border-alt:solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt; height:19.85pt;mso-height-rule:exactly" width="319"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">*NOM I COGNOMS (DEL FAMILIAR DE REFERÈNCIA)</span></span></p> </td> <td colspan="4" style="width:297.65pt;border:solid black 1.0pt; border-left:none;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule:exactly" width="496"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:1;height:19.85pt;mso-height-rule:exactly"> <td colspan="2" style="width:113.45pt;border:solid black 1.0pt; border-top:none;mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">*TIPUS DE PARENTESC</span></span></p> </td> <td colspan="6" style="width:375.6pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="626"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:2;height:19.85pt;mso-height-rule:exactly"> <td style="width:71.45pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="119"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">*ADREÇA</span></span></p> </td> <td colspan="7" style="width:417.6pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="696"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:3;height:19.85pt;mso-height-rule:exactly"> <td style="width:71.45pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="119"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">*MUNICIPI</span></span></p> </td> <td colspan="5" style="width:262.3pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="437"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:34.85pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="58"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">*CP</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule:exactly" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:4;mso-yfti-lastrow:yes;height:19.85pt;mso-height-rule: exactly"> <td style="width:71.45pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule: exactly" width="119"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">*TELÈFON</span></span></p> </td> <td colspan="2" style="width:98.7pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt;mso-height-rule:exactly" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td colspan="2" style="width:113.3pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt; height:19.85pt;mso-height-rule:exactly" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">*CORREU ELECTRÒNIC</span></span></p> </td> <td colspan="3" style="width:205.6pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .5pt;mso-border-left-alt:solid black .5pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:19.85pt; mso-height-rule:exactly" width="343"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr height="0"> <td style="border:none" width="119"> </td> <td style="border:none" width="70"> </td> <td style="border:none" width="95"> </td> <td style="border:none" width="35"> </td> <td style="border:none" width="153"> </td> <td style="border:none" width="84"> </td> <td style="border:none" width="58"> </td> <td style="border:none" width="201"> </td> </tr> </tbody> </table> <p class="MsoNormalCxSpMiddle" style="text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight:normal"><span lang="CA">CURRICULUM GENERAL DE LA PERSONA PROPOSADA</span></b></span></p> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center;background:#BFBFBF"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight: normal"><span lang="CA">ESTUDIS I FORMACIÓ </span></b></span></p> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" height="162" style="border-collapse: collapse; border: medium none;" width="667"> <tbody> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:11.35pt;mso-height-rule: exactly"> <td style="width:70.9pt;border:solid black 1.0pt;mso-border-alt: solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt; mso-height-rule:exactly" width="118"> <p align="center" class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">DATA REALITZACIÓ</span></span></p> </td> <td style="width:6.0cm;border-top:solid black 1.0pt;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 2.25pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; mso-border-right-alt:solid black 2.25pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt; height:11.35pt;mso-height-rule:exactly" width="284"> <p align="center" class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ESTUDIS, TITULACIONS O FORMACIÓ</span></span></p> </td> <td style="width:70.9pt;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black 2.25pt;mso-border-alt:solid black .5pt; mso-border-left-alt:solid black 2.25pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt; height:11.35pt;mso-height-rule:exactly" width="118"> <p align="center" class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">DATA REALITZACIÓ</span></span></p> </td> <td style="width:177.15pt;border:solid black 1.0pt;border-left: none;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="295"> <p align="center" class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ESTUDIS, TITULACIONS O FORMACIÓ</span></span></p> </td> </tr> <tr style="mso-yfti-irow:1"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:6.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 2.25pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; mso-border-right-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="284"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:70.9pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black 2.25pt;mso-border-alt:solid black .5pt; mso-border-left-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:177.15pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="295"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:2"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:6.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 2.25pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; mso-border-right-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="284"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:70.9pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black 2.25pt;mso-border-alt:solid black .5pt; mso-border-left-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:177.15pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="295"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:3"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:6.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 2.25pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; mso-border-right-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="284"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:70.9pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black 2.25pt;mso-border-alt:solid black .5pt; mso-border-left-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:177.15pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="295"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:4"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:6.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 2.25pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; mso-border-right-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="284"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:70.9pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black 2.25pt;mso-border-alt:solid black .5pt; mso-border-left-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:177.15pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="295"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:5"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:6.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 2.25pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; mso-border-right-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="284"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:70.9pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black 2.25pt;mso-border-alt:solid black .5pt; mso-border-left-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:177.15pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="295"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:6"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:6.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 2.25pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; mso-border-right-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="284"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:70.9pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black 2.25pt;mso-border-alt:solid black .5pt; mso-border-left-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:177.15pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="295"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:7"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:6.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 2.25pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; mso-border-right-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="284"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:70.9pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black 2.25pt;mso-border-alt:solid black .5pt; mso-border-left-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:177.15pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="295"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:8;mso-yfti-lastrow:yes"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:6.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 2.25pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; mso-border-right-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="284"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:70.9pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black 2.25pt;mso-border-alt:solid black .5pt; mso-border-left-alt:solid black 2.25pt;padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:177.15pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="295"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> </tbody> </table> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center;background:#BFBFBF"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight: normal"><span lang="CA">EXPERIÈNCIA LABORAL </span></b></span></p> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" height="114" style="border-collapse: collapse; border: medium none;" width="667"> <tbody> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:11.35pt;mso-height-rule: exactly"> <td style="width:70.9pt;border:solid black 1.0pt;mso-border-alt: solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt; mso-height-rule:exactly" width="118"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">DATA CONTRACTE</span></span></p> </td> <td style="width:191.35pt;border:solid black 1.0pt;border-left: none;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="319"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">EMPRESA O SECTOR</span></span></p> </td> <td style="width:8.0cm;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="378"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">LLOC DE FEINA O CÀRREC OCUPAT</span></span></p> </td> </tr> <tr style="mso-yfti-irow:1"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:191.35pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="319"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:8.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="378"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:2"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:191.35pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="319"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:8.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="378"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:3"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:191.35pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="319"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:8.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="378"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:4"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:191.35pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="319"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:8.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="378"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:5"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:191.35pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="319"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:8.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="378"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:6;mso-yfti-lastrow:yes"> <td style="width:70.9pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="118"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:191.35pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="319"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:8.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="378"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> </tbody> </table> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="EN-US">&nbsp;DATA, SIGNATURA I SEGELL DE L’ENTITAT</span></span></p> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="EN-US">&nbsp; </span></span></p> <p align="center" class="MsoNormalCxSpMiddle" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US">ANNEX II</span></b></span></p> <p class="MsoNormalCxSpMiddle" style="text-align: center;"> <span style="font-family:times new roman,times,serif;font-size:12px;"><b style="mso-bidi-font-weight:normal"><span lang="CA">CURRICULUM ESPORTIU DE LA PERSONA PROPOSADA</span></b></span></p> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center;background:#BFBFBF"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight: normal"><span lang="CA">PRINCIPALS RESULTATS<span>&nbsp; </span>ESPORTIUS </span></b></span></p> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" height="374" style="margin-left: 5pt; border-collapse: collapse; border: medium none;" width="650"> <tbody> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:11.35pt;mso-height-rule: exactly"> <td style="width:56.75pt;border:solid black 1.0pt;mso-border-alt: solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt; mso-height-rule:exactly" width="95"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ANY</span></span></p> </td> <td style="width:120.45pt;border:solid black 1.0pt;border-left: none;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="201"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ESPORT</span></span></p> </td> <td style="width:4.0cm;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="189"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">CATEGORIA</span></span></p> </td> <td style="width:7.0cm;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="331"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">RESULTAT OBTINGUT</span></span></p> </td> </tr> <tr style="mso-yfti-irow:1"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:2"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:3"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:4"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:5"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:6"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:7"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:8"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:9"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:10"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:11"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:12"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:13"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:14"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:15"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:16"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:17"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:18"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:19"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:20"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:21"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:22;mso-yfti-lastrow:yes"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:120.45pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="201"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:4.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="189"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> </tbody> </table> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight:normal"><span lang="CA">&nbsp;</span></b></span></p> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center;background:#BFBFBF"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight: normal"><span lang="CA">DISTINCIONS, RECONEIXEMENTS, PREMIS,<span>&nbsp; </span>MEDALLES, ETC </span></b></span></p> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" height="163" style="margin-left: 5pt; border-collapse: collapse; border: medium none;" width="648"> <tbody> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:11.35pt;mso-height-rule: exactly"> <td style="width:56.75pt;border:solid black 1.0pt;mso-border-alt: solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt; mso-height-rule:exactly" width="95"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ANY</span></span></p> </td> <td style="width:3.0cm;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="142"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ESPORT</span></span></p> </td> <td style="width:148.8pt;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="248"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ENTITAT QUE CONCEDEIX</span></span></p> </td> <td style="width:7.0cm;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="331"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">DISTINCIÓ, RECONEIXEMENT </span></span></p> </td> </tr> <tr style="mso-yfti-irow:1"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:2"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:3"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:4"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:5"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:6"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:7"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:8"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:9;mso-yfti-lastrow:yes"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> </tbody> </table> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="EN-US">DATA, SIGNATURA I SEGELL DE L’ENTITAT<span>&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></p> <p> &nbsp;&nbsp;<br clear="all" style="page-break-before:always" /> </p> <p align="center" class="MsoNormalCxSpMiddle" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight:normal"><span lang="EN-US">ANNEX II</span></b></span></p> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center;background:#BFBFBF"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight: normal"><span lang="EN-US">ACTIVITAT COM A PROMOTOR D’ACTIVITATS ESPORTIVES </span></b></span></p> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" height="163" style="border-collapse: collapse; border: medium none;" width="661"> <tbody> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:11.35pt;mso-height-rule: exactly"> <td style="width:56.75pt;border:solid black 1.0pt;mso-border-alt: solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt; mso-height-rule:exactly" width="95"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ANY</span></span></p> </td> <td style="width:99.2pt;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="165"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ESPORT</span></span></p> </td> <td style="width:333.1pt;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="555"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ACTIVITAT PROMOGUDA</span></span></p> </td> </tr> <tr style="mso-yfti-irow:1"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:99.2pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:333.1pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="555"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:2"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:99.2pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:333.1pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="555"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:3"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:99.2pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:333.1pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="555"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:4"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:99.2pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:333.1pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="555"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:5"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:99.2pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:333.1pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="555"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:6"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:99.2pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:333.1pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="555"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:7"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:99.2pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:333.1pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="555"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:8"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:99.2pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:333.1pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="555"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:9;mso-yfti-lastrow:yes"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:99.2pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="165"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:333.1pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="555"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> </tbody> </table> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;</span></span></p> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center;background:#BFBFBF"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight: normal"><span lang="CA">ACTIVITAT COM A DIRIGENT ESPORTIU </span></b></span></p> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" height="162" style="border-collapse: collapse; border: medium none;" width="661"> <tbody> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:11.35pt;mso-height-rule: exactly"> <td style="width:56.75pt;border:solid black 1.0pt;mso-border-alt: solid black .5pt;background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt; mso-height-rule:exactly" width="95"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ANY</span></span></p> </td> <td style="width:3.0cm;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="142"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ESPORT</span></span></p> </td> <td style="width:148.8pt;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="248"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">ENTITAT ESPORTIVA EN LA QUE VA PARTICIPÀ</span></span></p> </td> <td style="width:7.0cm;border:solid black 1.0pt;border-left:none; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; background:#FBD4B4;padding:0cm 5.4pt 0cm 5.4pt;height:11.35pt;mso-height-rule: exactly" width="331"> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">CÀRREC OCUPAT</span></span></p> </td> </tr> <tr style="mso-yfti-irow:1"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:2"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:3"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:4"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:5"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:6"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:7"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> <tr style="mso-yfti-irow:8;mso-yfti-lastrow:yes"> <td style="width:56.75pt;border:solid black 1.0pt;border-top:none; mso-border-top-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="95"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:3.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="142"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:148.8pt;border-top:none;border-left:none; border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt: solid black .5pt;mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="248"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> <td style="width:7.0cm;border-top:none;border-left:none;border-bottom: solid black 1.0pt;border-right:solid black 1.0pt;mso-border-top-alt:solid black .5pt; mso-border-left-alt:solid black .5pt;mso-border-alt:solid black .5pt; padding:0cm 5.4pt 0cm 5.4pt" width="331"> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> </tbody> </table> <p align="center" class="MsoNormal" style="text-align:center"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;</span></span></p> <p align="center" class="MsoNormalCxSpMiddle" style="margin-left:-35.45pt; mso-add-space:auto;text-align:center;background:#BFBFBF"> <span style="font-family:times new roman,times,serif;font-size:10px;"><b style="mso-bidi-font-weight: normal"><span lang="CA">ALTRES ACTIVITATS RELACIONADAS AMB L’ESPORT<span>&nbsp; </span></span></b></span></p> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none;"> <tbody> <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes; height:125.05pt"> <td style="width:490.65pt;border:solid black 1.0pt; mso-border-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:125.05pt" valign="top" width="818"> <p class="MsoNormal" style="margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></p> </td> </tr> </tbody> </table> <p class="MsoNormal"> <span style="font-family:times new roman,times,serif;font-size:10px;"><span lang="CA">DATA, SIGNATURA I SEGELL DE L’ENTITAT<span> </span></span></span></p> ]] ca 2017-10-26 34381 11736 2017-10-24 CAIB CAIB 210 34386