{\rtf1\ansi\ansicpg1252\uc1 \deff0\deflang1033\deflangfe1036{\fonttbl{\f0\froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f2\fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;}
{\f3\froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol;}{\f14\fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings;}{\f16\froman\fcharset0\fprq2{\*\panose 02050604050505020204}Bookman Old Style;}
{\f33\fswiss\fcharset0\fprq2{\*\panose 020b0706040902060204}Haettenschweiler;}{\f54\froman\fcharset238\fprq2 Times New Roman CE;}{\f55\froman\fcharset204\fprq2 Times New Roman Cyr;}{\f57\froman\fcharset161\fprq2 Times New Roman Greek;}
{\f58\froman\fcharset162\fprq2 Times New Roman Tur;}{\f59\froman\fcharset186\fprq2 Times New Roman Baltic;}{\f66\fmodern\fcharset238\fprq1 Courier New CE;}{\f67\fmodern\fcharset204\fprq1 Courier New Cyr;}{\f69\fmodern\fcharset161\fprq1 Courier New Greek;}
{\f70\fmodern\fcharset162\fprq1 Courier New Tur;}{\f71\fmodern\fcharset186\fprq1 Courier New Baltic;}{\f150\froman\fcharset238\fprq2 Bookman Old Style CE;}{\f151\froman\fcharset204\fprq2 Bookman Old Style Cyr;}
{\f153\froman\fcharset161\fprq2 Bookman Old Style Greek;}{\f154\froman\fcharset162\fprq2 Bookman Old Style Tur;}{\f155\froman\fcharset186\fprq2 Bookman Old Style Baltic;}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;
\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;
\red128\green128\blue128;\red192\green192\blue192;}{\stylesheet{\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid \snext0 Normal;}{\s1\qj\keepn\nowidctlpar\widctlpar\adjustright \fs28\lang1036\cgrid \sbasedon0 \snext0 heading 1;}{
\s2\qj\li4956\keepn\nowidctlpar\widctlpar\adjustright \f16\fs28\lang1036\cgrid \sbasedon0 \snext0 heading 2;}{\s3\keepn\nowidctlpar\widctlpar\adjustright \b\ul\lang1036\cgrid \sbasedon0 \snext0 heading 3;}{\s4\qc\keepn\nowidctlpar\widctlpar\adjustright 
\b\f16\fs28\ul\lang1036\cgrid \sbasedon0 \snext0 heading 4;}{\s5\keepn\nowidctlpar\widctlpar\adjustright \i\fs20\lang1036\cgrid \sbasedon0 \snext0 heading 5;}{\s6\keepn\nowidctlpar\widctlpar\adjustright \b\f16\fs22\lang1036\cgrid \sbasedon0 \snext0 
heading 6;}{\s7\qj\keepn\nowidctlpar\widctlpar\adjustright \lang2060\cgrid \sbasedon0 \snext0 heading 7;}{\s8\keepn\nowidctlpar\widctlpar\adjustright \lang2060\cgrid \sbasedon0 \snext0 heading 8;}{\s9\keepn\nowidctlpar\widctlpar\outlinelevel8\adjustright 
\f33\fs32\ul\lang2060\cgrid \sbasedon0 \snext0 heading 9;}{\*\cs10 \additive Default Paragraph Font;}{\s15\nowidctlpar\widctlpar\adjustright \i\lang1036\cgrid \sbasedon0 \snext15 Body Text;}{\s16\nowidctlpar\widctlpar\adjustright \b\i\lang2060\cgrid 
\sbasedon0 \snext16 Body Text 2;}}{\*\listtable{\list\listtemplateid1134992246{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat0\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\fbias0 \fi-360\li5160\jclisttab\tx5160 }{\listlevel
\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5880\jclisttab\tx5880 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li6600\jclisttab\tx6600 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li7320\jclisttab\tx7320 }
{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li8040\jclisttab\tx8040 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li8760\jclisttab\tx8760 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li9480\jclisttab\tx9480 }
{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li10200\jclisttab\tx10200 }{\listlevel\levelnfc23\leveljc0\levelfollow0\levelstartat1\levelspace0\levelindent0
{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\fbias0 \fi-360\li10920\jclisttab\tx10920 }{\listname ;}\listid1098673240}}{\*\listoverridetable{\listoverride\listid1098673240\listoverridecount0\ls1}}{\info{\title FICHE D\'92INSCRIPTION}{\author CIPI}
{\operator xo}{\creatim\yr2004\mo4\dy18\hr19\min8}{\revtim\yr2004\mo4\dy18\hr19\min15}{\printim\yr2004\mo4\dy18\hr19\min10}{\version3}{\edmins8}{\nofpages1}{\nofwords130}{\nofchars745}{\*\company CIPI}{\nofcharsws0}{\vern73}}
\paperw11906\paperh16838\margl1134\margr851\margt851\margb851 \deftab708\widowctrl\ftnbj\aenddoc\hyphhotz425\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\formshade\viewkind1\viewscale75\pgbrdrhead\pgbrdrfoot \fet0\sectd 
\linex0\headery709\footery709\colsx708\endnhere\pgbrdropt32\pgbrdrt\brdrtnthsg\brdrw60\brsp480 \pgbrdrl\brdrtnthsg\brdrw60\brsp480 \pgbrdrb\brdrthtnsg\brdrw60\brsp480 \pgbrdrr\brdrthtnsg\brdrw60\brsp480 \sectlinegrid360\sectdefaultcl {\*\pnseclvl1
\pnucrm\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang{\pntxta )}}{\*\pnseclvl5
\pndec\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang
{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain \s1\qc\keepn\nowidctlpar\widctlpar\outlinelevel0\adjustright \fs28\lang1036\cgrid {\lang1024 
{\shp{\*\shpinst\shpleft8100\shptop-67\shpright9540\shpbottom1553\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz10\shplid1036{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 65536}}{\shptxt 
\pard\plain \qc\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\b 
\par 
\par PHOTO
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8202\dptxbx{\dptxbxtext\pard\plain \qc\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\b 
\par 
\par PHOTO
\par }}\dpx8100\dpy-67\dpxsize1440\dpysize1620\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b\f16\uldb FICHE D\rquote INSCRIPTION
\par }\pard\plain \qc\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\f33\fs28 (}{\f33\fs32 \'e0 compl\'e9ter  en caract\'e8re d\rquote imprimerie)}{\f33\fs28 
\par }\pard \qj\nowidctlpar\widctlpar\adjustright {\f16\fs28 
\par }\pard\plain \s1\qj\keepn\nowidctlpar\widctlpar\outlinelevel0\adjustright \fs28\lang1036\cgrid {\lang1024 {\shp{\*\shpinst\shpleft3060\shptop114\shpright3420\shpbottom294\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz1\shplid1027
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8193\dprect\dpx3060\dpy114\dpxsize360\dpysize180
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft1260\shptop114\shpright1620\shpbottom294\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz0\shplid1026
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8192\dprect\dpx1260\dpy114\dpxsize360\dpysize180
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16 Sexe\~: M                F
\par }\pard\plain \qj\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\lang1024 {\shp{\*\shpinst\shpleft6642\shptop1854\shpright9810\shpbottom1854\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz49\shplid1075
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8241
\dpline\dpptx0\dppty0\dpptx3168\dppty0\dpx6642\dpy1854\dpxsize3168\dpysize0\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft1602\shptop270\shpright6066\shpbottom270\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz39\shplid1065{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8231\dpline\dpptx0\dppty0\dpptx4464\dppty0\dpx1602\dpy270\dpxsize4464\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft6327\shptop322\shpright9927\shpbottom2482\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz13\shplid1039
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 131072}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn fLine}{\sv 1}}{\shptxt \pard\plain \s4\qc\keepn\nowidctlpar\widctlpar\outlinelevel3\adjustright 
\b\f16\fs28\ul\lang1036\cgrid {\cf11 Cas d\rquote adolescent
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\b 
\par }{\fs22 Identit\'e9\~:
\par }\pard\plain \s5\keepn\nowidctlpar\widctlpar\outlinelevel4\adjustright \i\fs20\lang1036\cgrid {\fs18                }{\fs18\cf2 (du parent responsable de l\rquote enfant)
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\fs22 Adresse\~: 
\par }{\b 
\par }{\fs22 Date\~:
\par Signature\~:}{\b 
\par 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8205\dptxbx{\dptxbxtext\pard\plain \s4\qc\keepn\nowidctlpar\widctlpar\outlinelevel3\adjustright \b\f16\fs28\ul\lang1036\cgrid {\cf11 Cas d\rquote adolescent
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\b 
\par }{\fs22 Identit\'e9\~:
\par }\pard\plain \s5\keepn\nowidctlpar\widctlpar\outlinelevel4\adjustright \i\fs20\lang1036\cgrid {\fs18                }{\fs18\cf2 (du parent responsable de l\rquote enfant)
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\fs22 Adresse\~: 
\par }{\b 
\par }{\fs22 Date\~:
\par Signature\~:}{\b 
\par 
\par }}\dpx6327\dpy322\dpxsize3600\dpysize2160\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor255\dplinecog255\dplinecob255}}}}{\f16\fs28 Pr\'e9noms\~: 
\par }{\lang1024 {\shp{\*\shpinst\shpleft1260\shptop190\shpright6120\shpbottom190\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz2\shplid1028{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8194\dpline\dpptx0\dppty0\dpptx4860\dppty0\dpx1260\dpy190\dpxsize4860\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28 Nom\~: 
\par }{\lang1024 {\shp{\*\shpinst\shpleft2880\shptop228\shpright6120\shpbottom228\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz3\shplid1029{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8195\dpline\dpptx0\dppty0\dpptx3240\dppty0\dpx2880\dpy228\dpxsize3240\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28 Date de Naissance\~: 
\par }{\lang1024 {\shp{\*\shpinst\shpleft7407\shptop56\shpright9807\shpbottom56\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz14\shplid1040{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8206\dpline\dpptx0\dppty0\dpptx2400\dppty0\dpx7407\dpy56\dpxsize2400\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft2880\shptop266\shpright6120\shpbottom266\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz4\shplid1030
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8196
\dpline\dpptx0\dppty0\dpptx3240\dppty0\dpx2880\dpy266\dpxsize3240\dpysize0\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28 Lieu de Naissance\~: 
\par }{\lang1024 {\shp{\*\shpinst\shpleft2700\shptop304\shpright6120\shpbottom304\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz5\shplid1031{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8197\dpline\dpptx0\dppty0\dpptx3420\dppty0\dpx2700\dpy304\dpxsize3420\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28 Nationalit\'e9\~:                                                                     }{\f16     
\par }{\lang1024 {\shp{\*\shpinst\shpleft7407\shptop-2\shpright9807\shpbottom-2\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz15\shplid1041{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8207\dpline\dpptx0\dppty0\dpptx2400\dppty0\dpx7407\dpy-2\dpxsize2400\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28                                                                                         }{\f16\fs10 
\par }\pard \qj\fi708\li7080\nowidctlpar\widctlpar\adjustright {\f16\fs28                             
\par }\pard\plain \s1\qj\keepn\nowidctlpar\widctlpar\outlinelevel0\adjustright \fs28\lang1036\cgrid {\b\f16\ul Adresse compl\'e8te}{\b\f16                                                }{\b\f16\ul 
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {
\par }\pard \qj\nowidctlpar\widctlpar\adjustright {\lang1024 {\shp{\*\shpinst\shpleft4887\shptop74\shpright9807\shpbottom2114\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz16\shplid1042
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 196608}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn fLine}{\sv 1}}{\shptxt \pard\plain \s6\keepn\nowidctlpar\widctlpar\outlinelevel5\adjustright 
\b\f16\fs22\lang1036\cgrid {\ul Personne \'e0 pr\'e9venir en cas de n\'e9cessit\'e9
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {
\par }{\fs22 Identit\'e9\~:
\par Adresse\~:
\par }{
\par 
\par }{\fs22 Contact permanent\~:
\par }{
\par 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8208\dptxbx{\dptxbxtext\pard\plain \s6\keepn\nowidctlpar\widctlpar\outlinelevel5\adjustright \b\f16\fs22\lang1036\cgrid {\ul Personne \'e0 pr\'e9venir en cas de n\'e9cessit\'e9
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {
\par }{\fs22 Identit\'e9\~:
\par Adresse\~:
\par }{
\par 
\par }{\fs22 Contact permanent\~:
\par }{
\par 
\par }}\dpx4887\dpy74\dpxsize4920\dpysize2040\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor255\dplinecog255\dplinecob255}}}
{\shp{\*\shpinst\shpleft1440\shptop238\shpright4680\shpbottom238\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz6\shplid1032{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8198\dpline\dpptx0\dppty0\dpptx3240\dppty0\dpx1440\dpy238\dpxsize3240\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28 Adresse\~:                                                          
\par }{\lang1024 {\shp{\*\shpinst\shpleft1407\shptop225\shpright4527\shpbottom225\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz12\shplid1038{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8204\dpline\dpptx0\dppty0\dpptx3120\dppty0\dpx1407\dpy225\dpxsize3120\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28 
\par }{\lang1024 {\shp{\*\shpinst\shpleft5847\shptop136\shpright9687\shpbottom136\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz17\shplid1043{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8209\dpline\dpptx0\dppty0\dpptx3840\dppty0\dpx5847\dpy136\dpxsize3840\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft1980\shptop276\shpright4680\shpbottom276\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz7\shplid1033
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8199
\dpline\dpptx0\dppty0\dpptx2700\dppty0\dpx1980\dpy276\dpxsize2700\dpysize0\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28 Code Postal\~:                      
\par }{\lang1024 {\shp{\*\shpinst\shpleft5967\shptop48\shpright9567\shpbottom48\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz18\shplid1044{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8210\dpline\dpptx0\dppty0\dpptx3600\dppty0\dpx5967\dpy48\dpxsize3600\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft1440\shptop314\shpright4680\shpbottom314\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz8\shplid1034
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8200
\dpline\dpptx0\dppty0\dpptx3240\dppty0\dpx1440\dpy314\dpxsize3240\dpysize0\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28 T\'e9l.\~:
\par }{\lang1024 {\shp{\*\shpinst\shpleft5127\shptop79\shpright9687\shpbottom79\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz19\shplid1045{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8211\dpline\dpptx0\dppty0\dpptx4560\dppty0\dpx5127\dpy79\dpxsize4560\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs10 
\par }{\lang1024 {\shp{\*\shpinst\shpleft7047\shptop202\shpright9687\shpbottom202\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz21\shplid1047{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8213\dpline\dpptx0\dppty0\dpptx2640\dppty0\dpx7047\dpy202\dpxsize2640\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28 E \endash  mail\~:
\par }{\lang1024 {\shp{\*\shpinst\shpleft5127\shptop233\shpright9687\shpbottom233\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz20\shplid1046{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8212\dpline\dpptx0\dppty0\dpptx4560\dppty0\dpx5127\dpy233\dpxsize4560\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft1440\shptop30\shpright4680\shpbottom30\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz9\shplid1035
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8201
\dpline\dpptx0\dppty0\dpptx3240\dppty0\dpx1440\dpy30\dpxsize3240\dpysize0\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f16\fs28 
\par }\pard \nowidctlpar\widctlpar\adjustright {\fs10\ul  }{\b\ul 
\par }\pard \qc\nowidctlpar\widctlpar\adjustright {\f33\fs32\ul Choix du projet
\par }\pard \nowidctlpar\widctlpar\adjustright {\b\ul 
\par }{\b\ul\lang1024 {\shp{\*\shpinst\shpleft8082\shptop2939\shpright9522\shpbottom2939\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz43\shplid1069{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8235\dpline\dpptx0\dppty0\dpptx1440\dppty0\dpx8082\dpy2939\dpxsize1440\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft8082\shptop2651\shpright9522\shpbottom2651\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz42\shplid1068
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8234
\dpline\dpptx0\dppty0\dpptx1440\dppty0\dpx8082\dpy2651\dpxsize1440\dpysize0\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft5346\shptop2651\shpright6786\shpbottom2651\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz40\shplid1066{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8232\dpline\dpptx0\dppty0\dpptx1440\dppty0\dpx5346\dpy2651\dpxsize1440\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft4479\shptop59\shpright9810\shpbottom4523\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz34\shplid1060
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 262144}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn fLine}{\sv 1}}{\shptxt \pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {
\b\f16\fs28\ul\lang2060 Lieu}{\b\f16\fs28\lang2060 \~:
\par }{\b\f16\fs28\ul\lang2060 P\'e9riode}{\b\f16\fs28\lang2060 \~:
\par 
\par }\pard\plain \s9\keepn\nowidctlpar\widctlpar\outlinelevel8\adjustright \f33\fs32\ul\lang2060\cgrid {\b\f16\fs28 Langue(s)}{\b\f16\fs28\ulnone \~:
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\b\f16\fs28\lang2060      }{\fs24\lang2060 Bien parl\'e9e(s)\~: }{\b\f16\fs28\lang2060   
\par      }{\fs24\lang2060 Moins bien parl\'e9e(s)\~:}{\b\f16\fs28\lang2060  
\par }\pard \qj\nowidctlpar\widctlpar\adjustright {\b\f16\fs24\ul\lang2060 Exp\'e9riences pass\'e9es si vous en avez
\par }{\f33\fs32\lang2060 
\par }{\fs24\lang2060 Pays                                   Ann\'e9e 
\par }\pard\plain \s7\qj\keepn\nowidctlpar\widctlpar\outlinelevel6\adjustright \lang2060\cgrid {\f33\fs32 
\par }{Nature du projet                    
\par }\pard\plain \qc\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\f33\fs32\lang2060 
\par }\pard\plain \s8\keepn\nowidctlpar\widctlpar\outlinelevel7\adjustright \lang2060\cgrid {type du chantier\~: National           International
\par }\pard\plain \qc\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\f33\fs32\lang2060 
\par }\pard \qj\nowidctlpar\widctlpar\adjustright {\f33\fs32\lang2060 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8226\dptxbx{\dptxbxtext\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\b\f16\fs28\ul\lang2060 Lieu}{\b\f16\fs28\lang2060 \~:
\par }{\b\f16\fs28\ul\lang2060 P\'e9riode}{\b\f16\fs28\lang2060 \~:
\par 
\par }\pard\plain \s9\keepn\nowidctlpar\widctlpar\outlinelevel8\adjustright \f33\fs32\ul\lang2060\cgrid {\b\f16\fs28 Langue(s)}{\b\f16\fs28\ulnone \~:
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\b\f16\fs28\lang2060      }{\fs24\lang2060 Bien parl\'e9e(s)\~: }{\b\f16\fs28\lang2060   
\par      }{\fs24\lang2060 Moins bien parl\'e9e(s)\~:}{\b\f16\fs28\lang2060  
\par }\pard \qj\nowidctlpar\widctlpar\adjustright {\b\f16\fs24\ul\lang2060 Exp\'e9riences pass\'e9es si vous en avez
\par }{\f33\fs32\lang2060 
\par }{\fs24\lang2060 Pays                                   Ann\'e9e 
\par }\pard\plain \s7\qj\keepn\nowidctlpar\widctlpar\outlinelevel6\adjustright \lang2060\cgrid {\f33\fs32 
\par }{Nature du projet                    
\par }\pard\plain \qc\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\f33\fs32\lang2060 
\par }\pard\plain \s8\keepn\nowidctlpar\widctlpar\outlinelevel7\adjustright \lang2060\cgrid {type du chantier\~: National           International
\par }\pard\plain \qc\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\f33\fs32\lang2060 
\par }\pard \qj\nowidctlpar\widctlpar\adjustright {\f33\fs32\lang2060 
\par }}\dpx4479\dpy59\dpxsize5331\dpysize4464\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor255\dplinecog255\dplinecob255}}}
{\shp{\*\shpinst\shpleft5634\shptop347\shpright9234\shpbottom347\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz35\shplid1061{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8227\dpline\dpptx0\dppty0\dpptx3600\dppty0\dpx5634\dpy347\dpxsize3600\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft-126\shptop59\shpright4338\shpbottom4523\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz22\shplid1048
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 327680}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn fLine}{\sv 1}}{\shptxt \pard\plain \s4\qc\keepn\nowidctlpar\widctlpar\outlinelevel3\adjustright 
\b\f16\fs28\ul\lang1036\cgrid {\lang2060 Nature
\par }\pard\plain \s7\qj\keepn\nowidctlpar\widctlpar\outlinelevel6\adjustright \lang2060\cgrid {
\par Education 
\par Formation citoyenne
\par }{\lang1036 Animation jeunes                   
\par }\pard\plain \s8\keepn\nowidctlpar\widctlpar\outlinelevel7\adjustright \lang2060\cgrid {Ados (10\~\endash  17 ans)
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {
\par }\pard \qj\nowidctlpar\widctlpar\adjustright {\fs24\lang2060 Environnement
\par Sant\'e9 / Assainissement
\par Social
\par Handicap\'e9s
\par 
\par Construction
\par Agriculture
\par }{\fs24\lang2060 Culture}{\fs24  }{\fs24\lang2060 /}{\fs24  A}{\fs24\lang2060 rt}{\fs24\lang2060 
\par }\pard \qc\nowidctlpar\widctlpar\adjustright {\b\f16\fs28\ul\lang2060 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8214\dptxbx{\dptxbxtext\pard\plain \s4\qc\keepn\nowidctlpar\widctlpar\outlinelevel3\adjustright \b\f16\fs28\ul\lang1036\cgrid {\lang2060 Nature
\par }\pard\plain \s7\qj\keepn\nowidctlpar\widctlpar\outlinelevel6\adjustright \lang2060\cgrid {
\par Education 
\par Formation citoyenne
\par }{\lang1036 Animation jeunes                   
\par }\pard\plain \s8\keepn\nowidctlpar\widctlpar\outlinelevel7\adjustright \lang2060\cgrid {Ados (10\~\endash  17 ans)
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {
\par }\pard \qj\nowidctlpar\widctlpar\adjustright {\fs24\lang2060 Environnement
\par Sant\'e9 / Assainissement
\par Social
\par Handicap\'e9s
\par 
\par Construction
\par Agriculture
\par }{\fs24\lang2060 Culture}{\fs24  }{\fs24\lang2060 /}{\fs24  A}{\fs24\lang2060 rt}{\fs24\lang2060 
\par }\pard \qc\nowidctlpar\widctlpar\adjustright {\b\f16\fs28\ul\lang2060 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }}\dpx-126\dpy59\dpxsize4464\dpysize4464\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor255\dplinecog255\dplinecob255}}}}{\b\ul 
\par 
\par }{\b\i\fs28\lang1024 {\shp{\*\shpinst\shpleft6066\shptop175\shpright9378\shpbottom175\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz36\shplid1062{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8228\dpline\dpptx0\dppty0\dpptx3312\dppty0\dpx6066\dpy175\dpxsize3312\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\fs10\lang1024 {\shp{\*\shpinst\shpleft2610\shptop175\shpright2898\shpbottom463\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz23\shplid1049
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8215\dprect\dpx2610\dpy175\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\b\ul 
\par }{\fs10 
\par }{\fs16\lang1024 {\shp{\*\shpinst\shpleft2610\shptop118\shpright2898\shpbottom406\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz24\shplid1050
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8216\dprect\dpx2610\dpy118\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{                                                                             
\par }{\b\i\fs28\lang1024 {\shp{\*\shpinst\shpleft2610\shptop176\shpright2898\shpbottom464\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz25\shplid1051
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8217\dprect\dpx2610\dpy176\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{
\par 
\par }{\b\i\fs28\lang1024 {\shp{\*\shpinst\shpleft6786\shptop148\shpright8946\shpbottom148\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz37\shplid1063{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8229\dpline\dpptx0\dppty0\dpptx2160\dppty0\dpx6786\dpy148\dpxsize2160\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft2610\shptop4\shpright2898\shpbottom292\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz26\shplid1052
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8218\dprect\dpx2610\dpy4\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\fs16 
\par }{\lang1024 {\shp{\*\shpinst\shpleft6534\shptop4968\shpright9954\shpbottom6588\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz11\shplid1037{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn lTxid}{\sv 393216}}{\sp{\sn hspNext}{\sv 1037}}{\sp{\sn fLine}{\sv 0}}{\shptxt \pard\plain \qc\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\fs24\cf2\lang2060 A exp\'e9dier \'e0
\par }\pard \nowidctlpar\widctlpar\adjustright {\fs24\cf2\lang2060 Edoh Edmond AKAKPO
\par Pr\'e9sident du C A de Pivot
\par BP 512 Atakpam\'e9 TOGO
\par Afrique de l\rquote Ouest
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8203\dptxbx{\dptxbxtext\pard\plain \qc\nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\fs24\cf2\lang2060 A exp\'e9dier \'e0
\par }\pard \nowidctlpar\widctlpar\adjustright {\fs24\cf2\lang2060 Edoh Edmond AKAKPO
\par Pr\'e9sident du C A de Pivot
\par BP 512 Atakpam\'e9 TOGO
\par Afrique de l\rquote Ouest
\par }}\dpx6534\dpy4968\dpxsize3420\dpysize1620\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinehollow}}}}{
\par }{\b\ul\lang1024 {\shp{\*\shpinst\shpleft4626\shptop2614\shpright9378\shpbottom3478\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz50\shplid1076{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn lTxid}{\sv 458752}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn fLine}{\sv 1}}{\shptxt \pard\plain \s8\keepn\nowidctlpar\widctlpar\outlinelevel7\adjustright \lang2060\cgrid {Date                                         Signature
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8242\dptxbx{\dptxbxtext\pard\plain \s8\keepn\nowidctlpar\widctlpar\outlinelevel7\adjustright \lang2060\cgrid {Date                                         Signature
\par }}\dpx4626\dpy2614\dpxsize4752\dpysize864\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor255\dplinecog255\dplinecob255}}}
{\shp{\*\shpinst\shpleft-126\shptop3478\shpright4770\shpbottom6646\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz48\shplid1074{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn lTxid}{\sv 524288}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn fLine}{\sv 1}}{\shptxt \pard\plain \s16\nowidctlpar\widctlpar\adjustright \b\i\lang2060\cgrid {\cf12 Veuillez vous r\'e9f\'e9rer \'e0 la description de nos projets en vue d\rquote op
\'e9rer un bon choix\~.
\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\b\i\fs24\cf12\lang2060 
\par }\pard\plain \s16\nowidctlpar\widctlpar\adjustright \b\i\lang2060\cgrid {\cf12 La liste de nos chantiers n\rquote est pas restrictive. Nous pourrons \'e9tudier avec vous la possibilit\'e9 de votre participation \'e0 un chantier hors- programme
 si les chantiers propos\'e9s ne correspondent pas \'e0 votre go\'fbt}{\cf5 .
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8240\dptxbx{\dptxbxtext\pard\plain \s16\nowidctlpar\widctlpar\adjustright \b\i\lang2060\cgrid {\cf12 Veuillez vous r\'e9f\'e9rer \'e0 la description de nos projets en vue d\rquote op\'e9rer un bon choix\~.

\par }\pard\plain \nowidctlpar\widctlpar\adjustright \fs20\lang1036\cgrid {\b\i\fs24\cf12\lang2060 
\par }\pard\plain \s16\nowidctlpar\widctlpar\adjustright \b\i\lang2060\cgrid {\cf12 La liste de nos chantiers n\rquote est pas restrictive. Nous pourrons \'e9tudier avec vous la possibilit\'e9 de votre participation \'e0 un chantier hors- programme
 si les chantiers propos\'e9s ne correspondent pas \'e0 votre go\'fbt}{\cf5 .
\par }}\dpx-126\dpy3478\dpxsize4896\dpysize3168\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor255\dplinecog255\dplinecob255}}}
{\shp{\*\shpinst\shpleft6354\shptop1462\shpright9378\shpbottom1462\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz47\shplid1073{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8239\dpline\dpptx0\dppty0\dpptx3024\dppty0\dpx6354\dpy1462\dpxsize3024\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft9234\shptop2038\shpright9522\shpbottom2326\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz46\shplid1072
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8238\dprect\dpx9234\dpy2038\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft7362\shptop2038\shpright7650\shpbottom2326\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz45\shplid1071
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8237\dprect\dpx7362\dpy2038\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft6354\shptop1750\shpright9522\shpbottom1750\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz44\shplid1070{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8236\dpline\dpptx0\dppty0\dpptx3168\dppty0\dpx6354\dpy1750\dpxsize3168\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}{\shp{\*\shpinst\shpleft5346\shptop1030\shpright6786\shpbottom1030\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz41\shplid1067
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8233
\dpline\dpptx0\dppty0\dpptx1440\dppty0\dpx5346\dpy1030\dpxsize1440\dpysize0\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft7362\shptop22\shpright8946\shpbottom22\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz38\shplid1064{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8230\dpline\dpptx0\dppty0\dpptx1584\dppty0\dpx7362\dpy22\dpxsize1584\dpysize0
\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\lang1024 {\shp{\*\shpinst\shpleft2610\shptop2182\shpright2898\shpbottom2470\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz33\shplid1059
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8225\dprect\dpx2610\dpy2182\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft2610\shptop1894\shpright2898\shpbottom2182\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz32\shplid1058
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8224\dprect\dpx2610\dpy1894\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft2610\shptop1606\shpright2898\shpbottom1894\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz31\shplid1057
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8223\dprect\dpx2610\dpy1606\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft2610\shptop1030\shpright2898\shpbottom1318\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz30\shplid1056
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8222\dprect\dpx2610\dpy1030\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft2610\shptop742\shpright2898\shpbottom1030\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz29\shplid1055
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8221\dprect\dpx2610\dpy742\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft2610\shptop454\shpright2898\shpbottom742\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz28\shplid1054
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8220\dprect\dpx2610\dpy454\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft2610\shptop166\shpright2898\shpbottom454\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz27\shplid1053
{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8219\dprect\dpx2610\dpy166\dpxsize288\dpysize288
\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{
\par }}