Application for Standard 100/LEATHER STANDARD · para autorização para usar a marca STANDARD 100 by OEKO‑TEX® para os artigos designados na secção 1 deste pedido (primeira

Edition 012020

ApplicationSTANDARD 100 LEATHER STANDARD by OEKO‑TEXreg

OEKO-TEXreg - International Association for Research and Testing in the Field of Textile and Leather EcologyOEKO-TEXreg - Associaccedilatildeo Internacional para a Investigaccedilatildeo e Ensaios no Domiacutenio da Ecologia Tecircxtil e do Couro

OEKO-TEXreg Association | Genferstrasse 23 | PO Box 2006 | CH-8027 Zurich

Phone +41 44 501 26 00 | infooeko-texcom | wwwoeko-texcom

Application STANDARD 100 LEATHER STANDARD by OEKO‑TEXreg

To the Institute Ao Instituto

Application Pedido

General indication Indicaccedilatildeo geral

If an article consists of both textile and leather components it will either be tested and certified according to STANDARD 100 by OEKO‑TEXreg or LEATHER STANDARD by OEKO‑TEXreg in fact de-pendent on if the dominant or mainly part (visible surface mass) of the article consists of textile material or leather The applicant will receive only one certificate and label for the article(s) The final deci-sion on this (particularly also at ambiguous cases) has the manda-ted and certifying institute

Se um artigo for constituiacutedo por componentes tecircxteis e de couro cada um seraacute testado e certificado de acordo com STANDARD 100 by OEKO‑TEXreg ou LEATHER STANDARD by OEKO‑TEXreg depen-dendo se a parte predominante ou principal (superfiacutecie visiacutevel mas-sa) do artigo eacute constituiacuteda por material tecircxtil ou couro O requerente receberaacute apenas um certificado e uma etiqueta do(s) artigo(s) A de-cisatildeo final nestes casos (particularmente nos casos ambiacuteguos) eacute do instituto mandatado e certificador

Please mark what applicable por favor assinalar o que aplicaacutevel

STANDARD 100 by OEKO‑TEXreg

for textile materials and garments accessories etc para materiais tecircxteis e vestuaacuterio acessoacuterios etc

Important indication Indicaccedilatildeo importante

At the STANDARD 100 by OEKO‑TEXreg you have to select between a testing and certification according to the requirements of Annex 4 of the standard or of the Annex 6 For more details it is referred here to the item 521 as well as 435 ldquoexpanded requirements (Annex 6)rdquo of the STANDARD 100 by OEKO‑TEXreg as well as to the Annexes

No STANDARD 100 by OEKO‑TEXreg tem de selecionar entre en-saios e certificaccedilatildeo de acordo com os requisitos do Anexo 4 ou do Anexo 6 da norma Para mais detalhes eacute aqui referido o item 521 bem como o item 435 requisitos alargados (Anexo 6) do STANDARD 100 by OEKO‑TEXreg assim como aos Anexos

(Remark For leather skin andor fur as well as leather fibre board components possibly also present in the article the conditions and criteria of the latest valid LEATHER STANDARD by OEKO‑TEXreg are applied for this see also to STANDARD 100 by OEKO‑TEXreg items 2 and 522)

(Observaccedilatildeo Para couro pele eou pelo bem como componentes de fibra de couro possivelmente presentes no artigo aplicam‑se as condiccedilotildees e os criteacuterios mais recentes do LEATHER STANDARD by OEKO‑TEXreg para isto veja tambeacutem STANDARD 100 by OEKO‑TEXreg itens 2 e 522)

Please take care that you really mark your correct choice At obscurities please ask your institute

Por favor preste atenccedilatildeo para assinalar a escolha correta Em caso de duacutevida por favor pergunte ao seu instituto

First certification according to STANDARD 100 by OEKO‑TEXreg including the requirements of Annex 4Primeira certificaccedilatildeo de acordo com STANDARD 100 by OEKO‑TEXreg incluindo os requisitos do Anexo 4

Certificate renewal according to STANDARD 100 by OEKO‑TEXreg including the requirements of Annex 4Renovaccedilatildeo do certificado de acordo com STANDARD 100 by OEKO‑TEXreg incluindo os requisitos do Anexo 4

Certificate extension according to STANDARD 100 by OEKO‑TEXreg including the requirements of Annex 4(only possible if the already existing certificate was issued on the same basis)Extensatildeo do certificado de acordo com STANDARD 100 by OEKO‑TEXreg incluindo os requisitos do Anexo 4(soacute possiacutevel se o certificado jaacute existente tiver sido emitido na mesma base)

07012020 Edition 012020 2 | 24

First certification according to STANDARD 100 by OEKO‑TEXreg including the requirements of Annex 6(expanded requirements developed for companies who are particularly focused on the Detox Campaign)Primeira certificaccedilatildeo de acordo com STANDARD 100 by OEKO‑TEXreg incluindo os requisitos do Anexo 6(requisitos alargados desenvolvidos para as empresas que estatildeo particularmente focadas na Campanha Detox)

Certificate renewal according to STANDARD 100 by OEKO‑TEXreg including the requirements of Annex 6(expanded requirements developed for companies who are particularly focused on the Detox Campaign)Renovaccedilatildeo do certificado de acordo com STANDARD 100 by OEKO‑TEXreg incluindo os requisitos do Anexo 6(requisitos alargados desenvolvidos para as empresas que estatildeo particularmente focadas na Campanha Detox)

Certificate extension according to STANDARD 100 by OEKO‑TEXreg including the requirements of Annex 6(expanded requirements developed for companies who are particularly focused on the Detox Campaign) (only possible if the already existing certificate was issued on the same basis)Extensatildeo do certificado de acordo com STANDARD 100 by OEKO‑TEXreg incluindo os requisitos do Anexo 6(requisitos alargados desenvolvidos para as empresas que estatildeo particularmente focadas na Campanha Detox) (soacute possiacutevel se o certificado jaacute existente tiver sido emitido na mesma base)

for authorisation to use the STANDARD 100 by OEKO‑TEXreg mark for the articles designated in section 1 of this application (first certif-ication extension) respectively to continue the authorisation to use the mark (renewal)

para autorizaccedilatildeo para usar a marca STANDARD 100 by OEKO‑TEXreg para os artigos designados na secccedilatildeo 1 deste pedido (primeira certificaccedilatildeo extensatildeo) respetivamente para continuar a autorizaccedilatildeo de usar a marca (renovaccedilatildeo)

LEATHER STANDARD by OEKO‑TEXreg

for leather materials leather articles and leather garments leather fibre boards accepted skins and accepted furs (for this see to item 45 of the LEATHER STANDARD by OEKO‑TEXreg)

para materiais de couro artigos de couro e roupas de couro aglo-merados de fibra de couro peles e pelos aceites (para isto ver item 45 do LEATHER STANDARD by OEKO‑TEXreg)

First certification according to LEATHER STANDARD by OEKO‑TEXregPrimeira certificaccedilatildeo de acordo com LEATHER STANDARD by OEKO‑TEXreg

Certificate renewal according to LEATHER STANDARD by OEKO‑TEXregRenovaccedilatildeo do certificado de acordo com EATHER STANDARD by OEKO‑TEXreg

Certificate extension according to LEATHER STANDARD by OEKO‑TEXregExtensatildeo do certificado de acordo com LEATHER STANDARD by OEKO‑TEXreg

RemarkFor possibly also in the article contained non-leather components (eg textile or metallic parts plastics etc) the conditions and crite-ria of the latest valid STANDARD 100 by OEKO‑TEXreg are applied for this see also to the LEATHER STANDARD by OEKO‑TEXreg items 2 and 522

NotaNa possibilidade de o artigo conter tambeacutem componentes natildeo de couro (por exemplo peccedilas tecircxteis ou metaacutelicas plaacutesticos etc) aplicam‑se as condiccedilotildees e os criteacuterios do mais recente do STAN-DARD 100 da OEKO‑TEXreg para isto veja tambeacutem o LEATHER STANDARD by OEKO‑TEXreg itens 2 e 522

Please select below if relevant for the article Por favor selecione abaixo se for relevante para o artigo

Non-leather components shall be tested according to (a selection must be made)

Componentes natildeo couro devem ser testados de acordo com (sele-cionar um)

Requirements Annex 4 of STANDARD 100 by OEKO‑TEXregRequisitos doAnexo 4 do STANDARD 100 da OEKO‑TEXreg

for authorisation to use the LEATHER STANDARD by OEKO‑TEXreg mark for the articles designated in section 1 of this application (first certification extension) respectively to continue the authorisa-tion to use the mark (renewal)

para autorizaccedilatildeo do uso da marca LEATHER STANDARD by OEKO‑TEXreg para os artigos designados na secccedilatildeo 1 deste pedido (primeira certificaccedilatildeo extensatildeo) respetivamente para continuar a autorizaccedilatildeo do uso da marca (renovaccedilatildeo)

07012020 Edition 012020 3 | 24

Applicant Requerente

Firm Empresa

Street No Rua

ZIP-Code Coacutedigo postal

City Cidade

State Estado

Country Paiacutes

Phone FAX Telefone Fax

Homepage Paacutegina na Internet

E-mail E-mail

Responsible person (technical) Pessoa responsaacutevel (teacutecnico)

Name Nome

E-mail E-mail

Responsible person (marketingsale) Pessoa responsaacutevel (marketingvendas)

Name Nome

E-mail E-mail

07012020 Edition 012020 4 | 24

Due to their independent status for the purposes of quality assur-ance the testing institute and certification body are obliged to keep all data secret Therefore the institute gives a guarantee of absolute secrecy These data of the application are exclusively used to deter-mine the number of tests necessary for the certification

Devido ao seu estatuto independente o instituto eou a organizaccedilatildeo de certificaccedilatildeo eacute obrigado a manter confidencial toda a informaccedilatildeo fornecida neste pedido Neste sentido o instituto daacute garantia de sigi-lo absoluto Estes dados satildeo utilizados exclusivamente para deter-minar o nuacutemero de ensaios necessaacuterios para a certificaccedilatildeo

Contact details (company responsible person address e‑mail ad-dress telephone and fax number) as well as information about the certificate (certificate number name of products product class in-formation validity etc) are transmitted during the certification process to the OEKO‑TEXreg Service GmbH OEKO‑TEXreg Secretari-at Genferstrasse 23 CH-8027 Zurich and processed there further

Os detalhes de contacto (empresa pessoa responsaacutevel morada endereccedilo de e‑mail nuacutemero de telefone e fax) bem como a infor-maccedilatildeo sobre o certificado (nuacutemero do certificado nome dos produ-tos classe dos produtos validade etc) satildeo transmitidos durante o processo de certificaccedilatildeo agrave Associaccedilatildeo OEKO‑TEXreg Genferstrasse 23 CH-8027 Zurique e aiacute processadas posteriormente

Information in the application regarding used colorants chemicals auxiliaries and source materials as well as 3rd party certifications may be verified with the respective supplier directly

A informaccedilatildeo contida neste pedido relativa aos corantes utilizados produtos quiacutemicos auxiliares e mateacuterias primas bem como certifi-caccedilotildees de 3ordf parte pode ser verificada directamente junto do res-pectivo fornecedor

Any missing unclear or contradictory entries in the application form may delay the certification process

Qualquer ausecircncia de informaccedilatildeo ou informaccedilatildeo pouco clara e con-traditoacuteria no formulaacuterio do pedido pode atrasar o processo de certifi-caccedilatildeo

This application is valid only when bearing an authorized signature on page 19

Este pedido soacute eacute vaacutelido quando tiver assinatura autorizada na paacutegi-na 19

07012020 Edition 012020 5 | 24

1 Description of the products Designaccedilatildeo dos produtos

at renewal extension process possibly request of change Durante o processo de renovaccedilatildeoextensatildeo eacute possiacutevel efetuar pedido de alteraccedilotildees

2 Product class concernedSee also to STANDARD 100 or rather to LEATHER STANDARD by OEKO‑TEXreg (Pt 43 and Annex 4 possibly 6)

Classe dos produtos em causaVer tambeacutem o STANDARD 100 ou LEATHER STANDARD by OEKO‑TEXreg (Pt 43 e Anexo 4 possivelmente 6)

I Products for babies Produtos para bebeacute

II Products with direct contact to skin Produtos em contacto directo com a pele

III Products without direct contact to skin Produtos sem contacto directo com a pele

IV Decoration material Material de decoraccedilatildeo

3 At renewal and extension process onlyDetails of the certificate to be renewed

Apenas nos processos de renovaccedilatildeo e extensatildeoDetalhes do certificado a renovar

Number of the certificate Nuacutemero do certificado

Institute Instituto

Date of certification Data de certificaccedilatildeo

End of the period of validity Fim do periacuteodo de validade

07012020 Edition 012020 6 | 24

4 Applicant Requerente

41 To fill out at application STANDARD 100 by OEKO‑TEXreg

Para preencher no pedido STANDARD 100 by OEKO‑TEXreg

Producer Produtor

In which production stages Em que fase de produccedilatildeoFibre production Produccedilatildeo de fibras

Spinning Fiaccedilatildeo

Weaving Tecelagem

Knitting Tricotagem

Dyeing Tingimento

Printing Estamparia

Finishing Acabamentos

Coating Revestimentos

Sewing making-up Confeccedilatildeo

Others Outros

please fill in por favor preencher

42 To fill out at application LEATHER STANDARD by OEKO‑TEXreg

Para preencher no pedido LEATHER STANDARD by OEKO‑TEXreg

Producer Produtor

In which production stages Em que fase de produccedilatildeoSemi-finished leather (eg Wet-blue Wet-white etc) Couro semi-acabado (pex Wet-blue Wet-white etc)

Crust Crust

Dyed Crust Crust tingido

Finished leather Couro acabado

Leather fibre board Aglomerado de fibra de couro

Leather garment ready made Vestuaacuterio de couro artigos finais

Other leather article ready made (eg bags) Outros artigos de couro artigos finais (pex carteiras)

Others Outros

Remark Observaccedilatildeo

Coated textiles (formerly described as artificial synthetic leather) is not a genuine leather and has to be certified according to the re-quirements of the STANDARD 100 by OEKO‑TEXreg

Tecircxteis revestidos (inicialmente descritos como couro artificialsinteacute-tico) natildeo satildeo couro genuiacuteno e tecircm de ser certificados de acordo com os requisitos do STANDARD 100 by OEKO‑TEXreg

07012020 Edition 012020 7 | 24

43 Production site(s) Storage site(s)Trader andor retailerPreviouscurrent running applications

Locallocais de produccedilatildeo locallocais de armazenamentoAgente eou retalhistaPedidos anterioresatuais em curso

Is the address of the production site(s) including sub-contractors identical to the address given on the front page Storage site(s) with different address have to be listed also separately (if necessary please attach enclosure)

O endereccedilo do(s) locallocais de produccedilatildeo incluindo os subcontrata-dos eacute igual ao endereccedilo fornecido na primeira paacutegina O(s) locallocais de armazenamento com endereccedilo diferente devem ser listados tambeacutem separadamente (se necessaacuterio juntar anexo)

yes sim

No then please indicate address here Natildeo entatildeo por favor indique a morada aqui

Address Morada

Tel Tel

E-mail

Contact personPessoa a contactar

Trader andor retailer Agente eou retalhista

Have you ever applied or are you currently applying for a certificate according to STANDARD 100 by OEKO‑TEXreg andor LEATHER STANDARD by OEKO‑TEXreg with another institute

Alguma vez solicitaram ou estatildeo atualmente a solicitar um certificado de acordo com STANDARD 100 by OEKO‑TEXreg eou LEATHER STAN-DARD by OEKO‑TEXreg a outro instituto

yes sim

Institute if available certificate number Instituto se disponiacutevel o nuacutemero do certificado

no natildeo

5 Quality assurance and management systems Sistema de gestatildeo e garantia da qualidade

Who is responsible for the quality assurance (name of the person) Quem eacute responsaacutevel pela gestatildeo da qualidade (nome da pessoa)

51 How is the quality assured Como eacute garantida a qualidade

By externally certified management system (please attach a copy of the certificate)1

Por um certificado externo de gestatildeo da qualidade (por favor ane-xar coacutepia do certificado) 1

By an in-house system (please give a short description in an at-tachment)2

Por um sistema interno (por favor anexar descriccedilatildeo resumida) 2

No quality assurance installed Nenhum controlo de qualidade instalado1 for example por exemplo ISO 9000 ISO 14000 EMAS STeP by OEKO-TEXreg SA 80002 Must contain information about supplierspurchasers goods inward process and final control

Deve conter informaccedilatildeo sobre fornecedorescompradores controlo das mateacuterias-primas processos de produccedilatildeo e controlo dos artigos finais

07012020 Edition 012020 8 | 24

6 Source materials Mateacuterias-primas

61 Source materialswith the exception of chemicals auxiliaries and colo-rants

Mateacuterias-primascom exceccedilatildeo de produtos quiacutemicos auxiliares e corantes

non Nenhuma

Source materials are partly or not certified according to STAND-ARD 100 by OEKO‑TEXreg andor LEATHER STANDARD by OEKO‑TEXreg

Mateacuterias‑primas satildeo parcialmente certificadas ou natildeo certifica-das de acordo com STANDARD 100 by OEKO‑TEXreg eou LEAT-HER STANDARD by OEKO‑TEXreg

Source materials are certified without exception according to STANDARD 100 by OEKO‑TEXreg andor LEATHER STANDARD by OEKO‑TEXreg

Mateacuterias‑primas satildeo certificadas sem exceccedilatildeo de acordo com STANDARD 100 by OEKO‑TEXreg eou LEATHER STANDARD by OEKO‑TEXreg

All source materials used have to be mentioned in enclosed lists (des-ignation of the product supplier and if available OEKO‑TEXreg certif-icate number expiry date of validity product class) For each source material that is not certified according to STANDARD 100 by OEKO‑TEXreg or rather LEATHER STANDARD by OEKO‑TEXreg a sam-ple has to be sent in In case of source materials that are already certified according to STANDARD 100 by OEKO‑TEXreg or rather LEATHER STANDARD by OEKO‑TEXreg the number of samples is re-duced according to the following table

Todas as mateacuterias‑primas usadas tecircm de ser mencionadas nas listas anexas (designaccedilatildeo do produto fornecedor e se disponiacutevel nuacutemero do certificado OEKO‑TEXreg fim do periacuteodo de validade classe do pro-duto) Por cada mateacuteria‑prima natildeo certificada de acordo com STAN-DARD 100 by OEKO‑TEXreg ou LEATHER STANDARD by OEKO‑TEXreg deve ser enviada uma amostra No caso de mateacuterias-primas jaacute certifi-cadas de acordo com STANDARD 100 by OEKO- TEXreg ou LEATHER STANDARD by OEKO‑TEXreg o nuacutemero de amostras a enviar eacute reduzi-do de acordo com a seguinte tabela

Number of OEKO‑TEXreg certificates from source materialsNuacutemero de certificados OEKO‑TEXreg das mateacuterias-primas

Number of reference samples to be sent inNuacutemero de amostras de referecircncia a enviar

1 - 4 One sample for each certificateUma amostra por cada certificado

5 - 10 5 samples from 5 different certificates5 amostras de 5 certificados diferentes

More than 50Mais de 50

15 samples from 15 different certificates15 amostras de 15 certificados diferentes

62 Source materialsChemicals auxiliaries and colorants

Mateacuterias-primasProdutos quiacutemicos auxiliares e corantes

No ECO PASSPORT by OEKO‑TEXreg certificates for chemicals auxiliaries andor colorants are available

Natildeo satildeo usados produtos quiacutemicos auxiliares eou corantes certi-ficados de acordo com o ECO PASSPORT by OEKO‑TEXreg

ECO PASSPORT by OEKO‑TEXreg certificates for chemicals auxil-iaries andor colorants are partly available (please mention in the Annex bdquolist of suppliers with OEKO‑TEXreg certificateldquo (see below) and enclose copies of the certificates)

Satildeo parcialmente usados produtos quiacutemicos auxiliares eou co-rantes certificados de acordo com o ECO PASSPORT by OEKO‑TEXreg (por favor mencione no Anexo ldquoLista de fornecedo-res com certificado OEKO‑TEXregrdquo (ver abaixo) e inclua coacutepias dos certificados)

07012020 Edition 012020 9 | 24

7 Details concerning the articles to be certified Informaccedilotildees sobre os artigos a certificar

71 Owner of the materials Proprietaacuterio dos materiais

Applicant (own business) Requerente (por conta proacutepria)

Ordering customer (commission business) Contratante (trabalho agrave comissatildeo)

Mixed (own and commission business require two certificates) Misto (por conta proacutepria e trabalho agrave comissatildeo requer dois certifi-cados)

72 Qualitative composition and description of all indi-vidual materialsDesignation where ever possible for leather according DIN EN 15987 for textile materials according to DIN 60001-1 and EU Regulation 10072011 or FTC rules

Composiccedilatildeo qualitativa e descriccedilatildeo de todos os materiais individuaisDesignaccedilatildeo sempre que possiacutevel para couro de acordo com a norma DIN EN 15987 para materiais tecircxteis de acordo com a norma DIN 60001-1 e com o Regulamento UE 10072011 ou com as regras da FTC

eg for leather kind of animal aniline semianiline pigmented etc pex para couro o tipo de animal anilina semianilina pigmentado etc

eg dyed knitted fabrics 60 cotton 40 polyester sewing threads 100 polyester dyed buttons 100 polyester

pex malhas tingidas 60 Algodatildeo 40 Polieacutester linhas de costura 100 Polieacutester Bototildees tingidos 100 Polieacutester

721 Cotton organic cotton Algodatildeo algodatildeo orgacircnico

No statement to the topic GMO (genetically modified organisms) requested Note No test for GMO is performed in the laboratory

Natildeo eacute necessaacuteria nenhuma declaraccedilatildeo sobre GMO (organismos geneticamente modificados) Nota Nenhum teste para GMO eacute re-alizado no laboratoacuterio

At the materialsarticles which shall be certified exclusively cot-ton without genetically modified organisms is used and this shall be described in the article group accordingly Note An additional test for GMO is performed in the laboratory

Nos materiaisartigos que seratildeo certificados exclusivamente co-mo usando algodatildeo sem organismos geneticamente modifica-dos isso seraacute descrito no grupo de artigos em conformidade No-ta Um teste adicional para GMO eacute realizado no laboratoacuterio

(These materialsarticles marked clearly has to be submitted to the institute)

(Estes materiaisartigos assinalados claramente devem ser envia-dos ao instituto)

At the materialsarticles which shall be certified exclusively cot-ton without genetically modified organisms is used and this shall be described in the article group accordingly A part of the used cotton is organic cotton Note An additional test for GMO is per-formed in the laboratory However ldquoorganic cottonrdquo cannot by de-clared on the certificate

Nos materiaisartigos que seratildeo certificados exclusivamente co-mo usando algodatildeo sem organismos geneticamente modifica-dos isso seraacute descrito no grupo de artigos em conformidade Uma parte do algodatildeo usado eacute algodatildeo orgacircnico Nota Um teste adicional para GMO eacute realizado no laboratoacuterio No entanto ldquoalgo-datildeo orgacircnicordquo natildeo pode ser declarado no certificado

At the materialsarticles which shall be certified exclusively or-ganic cotton is used and this shall be described in the article group accordingly Please note also the indications below

Nos materiaisartigos que seratildeo certificados exclusivamente co-mo usando algodatildeo orgacircnico isso seraacute descrito no grupo de arti-gos em conformidade Por favor observe tambeacutem as indicaccedilotildees abaixo

07012020 Edition 012020 10 | 24

Indications Indicaccedilotildees

If organic cotton is used and consequently is declared additional a valid certificate has to be submitted which proves the bioorganic origin and the not-usage of genetically modified organisms (GMO) At the cotton fibresmaterials additionally a special laboratory test is performed mandatory which has to confirm too that no genetic modifications are detectable This procedure applies for both mate-rials made of 100 organic cotton and also for mixtures of organic cotton with other materials (except mixtures of organic cotton with conventional and GV cotton see above)

Se for usado algodatildeo orgacircnico e consequentemente for declarado deve ser apresentado adicionalmente um certificado vaacutelido que comprove a origem bioloacutegicaorgacircnica e a natildeo utilizaccedilatildeo de organis-mos geneticamente modificados (OGM) Adicionalmente nas fibrasmateriais de algodatildeo eacute realizado um teste laboratorial especial obri-gatoacuterio que tambeacutem tem de confirmar que nenhuma modificaccedilatildeo geneacutetica eacute detectaacutevel Este procedimento aplica-se aos materiais constituiacutedos por algodatildeo 100 orgacircnico e tambeacutem a misturas de algodatildeo bioloacutegico com outros materiais (exceto misturas de algo-datildeo orgacircnico com algodatildeo convencional e algodatildeo GMO ver acima)

73 Range of garment sizes Gama de tamanhos das peccedilas de vestuaacuterio

From De

up to ateacute

74 Textile materials Materiais Tecircxteis

741 Spinning process of synthetic textile fibers Processo de fiaccedilatildeo de fibras tecircxteis sinteacuteticas

not known desconhecidos

Dry melt or wet spinning process without organic solvents Processos de fiaccedilatildeo a seco por fusatildeo ou a huacutemido sem solven-tes orgacircnicos

Wet spinning process using organic solvents Processos de fiaccedilatildeo a huacutemido usando solventes orgacircnicos

Which Qual

Both (please clearly mark testing samples) Ambos (por favor assinale claramente as amostras a testar)

742 Constituents of the fibres (Dulling agents dyestuff pigments antistatic agents UV-stabilicers etc)

Constituintes das fibras(Agentes para retirar o brilho pigmentos corantes agentes antiestaacuteticos estabilizadores UV etc)

none nenhum

UV-stabilizers used Estabilizadores UV utilizados

see enclosed list (products percentage weight) ver lista anexa (produtos percentagem em peso)

743 Fibre and yarn preparations(Reviving agent sizing agent wax agent etc)

Preparaccedilotildees de fibras e fios(Produto de avivagem produto de encolagem parafina etc)

none nenhum

see enclosed list (examples of recipes products coating) ver lista anexa (exemplos de receitas produtos revestimento)

07012020 Edition 012020 11 | 24

744 Pretreatment processes(Washing bleaching etc)

Processos de preacute-tratamento(Lavagem branqueamento etc)

none nenhum

see enclosed list (examples of recipes products) ver lista anexa (exemplos de receitas produtos)

745 Dyeing and printing procedures colorants used Processos de tingimento e estamparia corantes utilizados

none nenhum

see enclosed list (examples of recipes trade names CI names MAK-amines heavy metals)

ver lista anexa (exemplos de receitas designaccedilatildeo comercial no-mes CI MAK-aminas metais pesados)

746 Finishingcoating AcabamentosRevestimentos

none nenhum

mechanical finish Acabamento mecacircnico

chemical finishcoating Acabamentos quiacutemicoRevestimentos

Crease resistant finish Acabamento anti-vinco

Full handle Acabamento de melhoramento de toque

Softener Amaciamento

Washing Lavagem

Antistatic finish Acabamento antiestaacutetico

Soil release finish Acabamento ldquosoil releaserdquo

Hydrophobic finish Acabamento hidroacutefobo

Water soil or oil repellent finish or coating Acabamento ou revestimento de repelecircncia agrave aacutegua oacuteleo ou suji-dade

UV finish Acabamento UV

Other chemical finish Outros acabamentos quiacutemicos

Examples of recipes and all auxiliaries used in finishing must be com-piled in a separate list with trade name and source of each product

Exemplos de receitas e todos os auxiliares utilizados nos acabamen-tos devem ser compilados numa lista separada com a designaccedilatildeo co-mercial e a origem de cada produto

747 Use of dimethylfumarat (DMFu) during production Uso de Dimetilfumarato (DMFu) durante a produccedilatildeo

yes sim

no natildeo

not known desconhecido

07012020 Edition 012020 12 | 24

748 At renewal processes(What has changed in respect of the processes ap-plied (eg reviving sizing waxing pre-treatment dye-ing and printing and finishing processes) compared to the data given in the previous application (for re-newal))

Nos processos de renovaccedilatildeo(O que mudou em relaccedilatildeo aos processos solicitados (pex processos de avivamento encolagem preacute-tratamento tingi-mento estamparia e acabamentos) em comparaccedilatildeo com os dados fornecidos no pedido anterior (para renovaccedilatildeo))

75 Leather material Material de couro

(To fill in at certification according to LEATHER STANDARD and also at certification according to STANDARD 100 if the article contains also leather leather fibre board skin andor fur)

(Para preencher na certificaccedilatildeo de acordo com LEATHER STAN-DARD e tambeacutem na certificaccedilatildeo de acordo com STANDARD 100 se o artigo contiver tambeacutem couro aglomerado de fibra de couro pele eou pelo)

751 Tanning Curtume

Tanning with chromium(III) salts Curtume com sais de croacutemio (III)

Tanning with glutardialdehyde Curtume com glutaraldeiacutedo

Tanning with vegetable tanning agents Curtume com agentes de curtume vegetal

Other Tanning Outros curtumes

Which Qual

Several (please clearly mark testing samples) Vaacuterios (por favor assinalar claramente as amostras a testar)

752 Conservation of semi-finished leather Conservaccedilatildeo do couro semi-acabado

TCMTB TCMTB

CMC CMC

OPP OPP

OIT OIT

Others Outros

Which Qual

753 Retanning Recurtume

Synthetic retannings Recurtume sinteacutetico

Vegetable retannings Recurtume vegetal

Retanning with chromium(III) salts Recurtume com sais de croacutemio (III)

Others Outros

Which Qual

07012020 Edition 012020 13 | 24

754 Fatliquoring Engorduramento

Fatliquors please list below Engordurantes por favor listar abaixo

Which Qual

755 Colouring (dyestuffs pigments) Tingimento (corantes pigmentos)

none nenhum

Dyestuffspigments (please list in the scheduled enclosure exam-ples of recipes trade names CI names MAK-amines heavy metals)

Corantespigmentos (por favor listar no espaccedilo destinado exem-plos de receitas designaccedilotildees comerciais nomes CI MAK-ami-nas metais pesados)

756 Leather finishing Acabamento do couro

No finish layer Sem camada de acabamento

Mechanical treatment only Apenas tratamento mecacircnico

Kind of finishing eg PUR acrylate etc(please list below)

Tipo de acabamento pex poliuretano acrilato etc(por favor listar abaixo)

Which Qual

Usage of solvents (please list below) Uso de solventes (por favor listar abaixo)

Which Qual

Usage of additional products (please list below) Uso de produtos adicionais (por favor listar abaixo)

Which Qual

See enclosed list Ver lista anexa

757 Other chemicals used Outros produtos quiacutemicos usados

eg chemicals used to change the pH value for liming for fixation etc

pex produtos quiacutemicos usados para alterar o valor do pH para a fixa-ccedilatildeo etc

yes sim

no natildeo

07012020 Edition 012020 14 | 24

759 Other treatments Outros tratamentos

none nenhum

Hydrophobation Hidrofoacutebico

Soil release finish Acabamento soil release

Examples of recipes and auxiliaries used in finishing must be com-piled in a separate list with trade name producer respectively source of each product

Exemplos de receitas e auxiliares utilizados nos acabamentos devem ser compilados numa lista em separado com a designaccedilatildeo comercial e fornecedores ou fabricantes de cada produto

7510 At renewal processes(What has changed in respect of the processes ap-plied (eg tanning conservation fatliquoring colour-ing finishing) compared to the data given in the previ-ous application (for renewal))

Nos processos de renovaccedilatildeo(O que mudou em relaccedilatildeo aos processos solicitados (pex curtume conservaccedilatildeo engorduramento tingimento acaba-mento) em comparaccedilatildeo com os dados fornecidos no pedido anterior (para renovaccedilatildeo))

76 Use of biological active substances or components(Query for all materials articles relevant has to be answered)

Uso de substacircncias ou componentes bioloacutegicos activos(Consulta para todos os materiais artigos relevantes tem de ser respondida)

yes sim

Name of the product possibly number of certificate according to STANDARD 100 by OEKO‑TEXreg

Nome do produto eventual nuacutemero de certificado de acordo com STANDARD 100 da OEKO‑TEXreg

no natildeo

Recipes preparations and components used must be shown in a separate list with trade name and source of each product Enclose documents (delivery note invoice or similar) of the supplier

Receitas preparaccedilotildees e componentes utilizados para o tratamento devem ser mencionados numa lista separada com a designaccedilatildeo co-mercial e o fornecedor ou fabricante de cada produto Anexar docu-mentos (guia de remessa fatura ou similares) do fornecedor

07012020 Edition 012020 15 | 24

77 Use of flame retardant substances or components(Query for all materials articles relevant has to be answered)

Uso de substacircncias ou componentes retardadores de cha-ma(Consulta para todos os materiais artigos relevantes tem de ser respondida)

yes sim

no natildeo

Receitas preparaccedilotildees e componentes usados para o tratamento de-vem ser mencionados numa lista separada com a designaccedilatildeo comer-cial e o fornecedor ou fabricante de cada produto Anexar documen-tos (guia de remessa factura ou similares) do fornecedor

78 Use of Navy Blue (Index no 611-070-00-2 EG no 405-665-4) at the production(Query for all materials articles relevant has to be answered)

Uso do corante Navy blue (CI 611-070-00-2 EG nordm 405-665-4) na produccedilatildeo(Consulta para todos os materiais artigos relevantes tem de ser respondida)

yes sim

no natildeo

79 Non-textile and non-leather materials Materiais natildeo tecircxteis e natildeo couro

791 Description of all chemical physical and thermal treatments used during manufacture of non-textile and non-leather materials

Descriccedilatildeo de todos os tratamentos quiacutemicos fiacutesicos e teacutermi-cos usados durante a produccedilatildeo dos materiais natildeo tecircxteis e natildeo couro

710 Any other treatments Outros tratamentos

7101 Description of any other not yet described treatments (for example transport preservation)

Descriccedilatildeo de outros tratamentos ainda natildeo descritos (por exemplo conservaccedilatildeo para transporte)

07012020 Edition 012020 16 | 24

8 Information regarding traded articlesThis information concerns only articles that have not been changed by the applicant (merchandise)

Informaccedilatildeo relativa aos artigos comercializadosEsta informaccedilatildeo diz respeito apenas a artigos que natildeo fo-ram alterados pelo requerente (mercadorias)

81 Number of suppliers Nuacutemero de fornecedores

82 Addresses of the suppliers Endereccedilos dos fornecedores

see enclosed list (Designation of the product supplier incl address tel fax e‑mail and if available OEKO‑TEXreg certificate number expiry date of validity product class)

ver lista anexa (Designaccedilatildeo do artigo fornecedor incluindo endereccedilo telefone fax e‑mail e se disponiacutevel nuacutemero do certificado OEKO‑TEXreg fim do periacuteodo de validade e classe do produto)

07012020 Edition 012020 17 | 24

Declaration of commitment Declaraccedilatildeo de compromisso

Name and address of the person who is in charge of issuing the declaration

Nome e morada da pessoa que eacute responsaacutevel pela declaraccedilatildeo

Description of the products proposed for certification according to STANDARD 100 by OEKO‑TEXreg or rather according to LEATHER STANDARD by OEKO‑TEXreg

Descriccedilatildeo dos produtos propostos para a certificaccedilatildeo de acordo com STANDARD 100 by OEKO‑TEXreg ou de acordo com LEATHER STANDARD by OEKO‑TEXreg

By signing this application with an authorized signature the appli-cant is responsible for the data given and is obliged to inform the testing institute of any alterations immediately

O requerente ao assinar este pedido com uma assinatura autoriza-da eacute responsaacutevel por todas as informaccedilotildees fornecidas e eacute obrigado a comunicar de imediato ao instituto de testes quaisquer alteraccedilotildees

By signing the application the applicant is responsible to comply with the animal and species protection which are relevant for him Regarding to this the OEKO‑TEXreg Service Ltd excludes any liabili-ty

Ao assinar o pedido o requerente eacute responsaacutevel por cumprir com a proteccedilatildeo de animais e de espeacutecies que lhe satildeo relevantes A este respeito a Associaccedilatildeo OEKO‑TEXreg exclui qualquer responsabilida-de

In case of an application for renewal the applicant confirms with an authorized signature of this application that all the above supple-mentary data together with the data given in the original applica-tion are to such a degree complementary that they refer to the to-dayrsquos state The applicant is further obliged to inform the testing institute of any alterations immediately and takes note of the fact that the conformity declaration signed when obtaining certification is still valid In case that at the renewal process the articles were tested the first time according to the Annex 6 of the STANDARD 100 by OEKO‑TEXreg the applicant has to sign absolutely a new declara-tion of conformity

No caso de pedido de renovaccedilatildeo o requerente confirma com uma assinatura autorizada neste pedido que toda a informaccedilatildeo suple-mentar acima referida juntamente com a informaccedilatildeo fornecida no pedido original satildeo complementares e referem-se ao estado atual Aleacutem disso o requerente eacute obrigado a informar imediatamente o instituto de testes de qualquer alteraccedilatildeo e estaacute ciente de que a de-claraccedilatildeo de conformidade assinada aquando da obtenccedilatildeo da certifi-caccedilatildeo ainda eacute vaacutelida No caso de no processo de renovaccedilatildeo os ar-tigos terem sido testados pela primeira vez de acordo com o Anexo 6 do STANDARD 100 by OEKO‑TEXreg o requerente tem de assinar necessariamente uma nova declaraccedilatildeo de conformidade

The applicant acknowledges that the use of protected trade names marks as well as terms which are protected elsewhere (for example by law as it is the case for bdquoorganicldquo) in the article de-scription on the certificate are in his sole responsibility

O requerente reconhece que o uso de nomesmarcas registadas assim como de alguns termos que estatildeo protegidos (como por exemplo o termo ldquoorgacircnicordquo) na descriccedilatildeo dos artigos no certifica-do satildeo da sua inteira responsabilidade

The applicant agrees that his address can be mentioned in an inter-national reference list of all holders of OEKO‑TEXreg certificates (please cross out this paragraph if you do not agree to this)

O requerente concorda que a sua morada seja mencionada na lista internacional de referecircncia com todos os detentores de certificados OEKO‑TEXreg (por favor fazer uma cruz neste paraacutegrafo se natildeo con-cordar)

The applicant agrees that he will receive repeated information from the International OEKO‑TEXreg Service Ltd in the form of an elec-tronic newsletter to the e-mail address mentioned in the application (please cross out this paragraph if you do not agree to this)

O requerente concorda em receber vaacuterias informaccedilotildees da Associa-ccedilatildeo International OEKO‑TEXreg na forma de newsletter electroacutenica para o endereccedilo de e-mail mencionado no pedido (por favor fazer uma cruz neste paraacutegrafo se natildeo concordar)

Please read through the Terms of Use (ToU) at wwwoeko-texcomToU and check the box if you agree with them

Por favor leia os Termos de Utilizaccedilatildeo (ToU) em wwwoeko-texcomToU e assinale se estiver de acordo

07012020 Edition 012020 18 | 24

I agree to the Terms of Use (ToU) Estou de acordo com os Termos de Utilizaccedilatildeo (ToU)(Note Without agreement testing and certification cannot be conducted) (Nota Se natildeo concordar natildeo se podem realizar nem ensaios nem certificaccedilotildees)

Date Data

Signature Assinatura

Shopping guide Guia de compra

In order to mention the certified articles in the shopping guide the enclosed form has to be filled in and sent back

De modo a incluir os artigos certificados no guia de compra o for-mulaacuterio ldquoShopping Guiderdquo em anexo deve ser preenchido e devolvi-do

07012020 Edition 012020 19 | 24

List of suppliers with OEKO‑TEXreg certificate Lista de fornecedores com certificado OEKO‑TEXreg

SupplierDesignation of sourced articles andor services (incl material composition type of finishing) respectively chemicals in case of ECO PASSPORT certified chemicals

Certificate number Expiry date Product classCertification according to Annex (4 or 6)

FornecedorDesignaccedilatildeo dos artigos eou serviccedilos de origem (incluindo a composiccedilatildeo do material tipo de acabamento) respetivamente e produtos quiacutemicos no caso de produtos quiacutemicos certificados pela ECO PASSPORT

Nuacutemero do Certificado Fim da validade Classe do produtoCertificaccedilatildeo de acordo com Anexo(4 ou 6)

Copies of all OEKO‑TEXreg certificates mentioned above must be enclosed herewith pay attention to the period of validity

Devem ser anexadas coacutepias de todos os certificados OEKO‑TEXreg acima mencionados ter atenccedilatildeo ao prazo de validade

Load additional empty pages Carregar paacuteginas vazias adicionais

07012020 Edition 012020 20 | 24

List of suppliers without OEKO‑TEXreg certificate Lista de fornecedores sem certificados OEKO‑TEXreg

Supplier Address phone fax e-mail Designation of article (incl material composition)

Fornecedor Morada telefone fax e-mail Designaccedilatildeo do artigo (incluindo a composiccedilatildeo dos materiais)

07012020 Edition 012020 21 | 24

Colorants used Corantes utilizados

Trade name Source Colorant type Application CI name

Denominaccedilatildeo comercial Fornecedor Tipo de corantes Aplicaccedilatildeo Nome CI

example por exemplo

Dianix Blue AC-E Dystar Disperse Dyeing Disperse Blue 56

Additional information regarding heavy metal content and MAK amines may help to optimize the testing program Please attach MSDS

Informaccedilatildeo adicional sobre o conteuacutedo em metais pesados e MAK Aminas pode ajudar a optimizar o programa de testes Por favor anexe as fichas de seguranccedila

07012020 Edition 012020 22 | 24

Auxiliaries and chemical compounds used(Fibre constituents Fibre and yarn preparations Pre-treatment processes dyeing and printing procedures tanning chemicals fatliquors retanning substances other auxiliaries finishings etc)

Produtos quiacutemicos e auxiliares utilizados(Constituintes de fibras preparaccedilotildees de fibras e fios processos de preacute-tratamento processos de tingimento e de estamparia produtos quiacutemicos de curtume engorduramento substacircncias de recurtume outros auxiliares acaba-mentos etc)

Trade name Source Type of auxiliary Date of the safety data sheet

Denominaccedilatildeo comercial Fornecedor Tipo de auxiliares Data da ficha de seguranccedila

example por exemplo

Softycon SM Textilcolor Softener 112010

Please attach MSDS of all products Por favor anexe as fichas de seguranccedila de todos os productos

07012020 Edition 012020 23 | 24

TO BE FILLED IN ONLY FOR SAMPLES OF TEXTILE CARPETS MA-TRESSES FOAMS AND OTHER LARGER COATED ARTICLES AS WELL AS FOR LEATHER MATERIAL WHICH IS USED IN LARGE SCALE (EG LEATHER FOR FURNITURE)

A SER PREENCHIDO APENAS PARA AMOSTRAS DE TAPETES TEcircX-TEIS COLCHOtildeES ESPUMAS E OUTROS ARTIGOS REVESTIDOS MAI-ORES BEM COMO PARA MATERIAL DE COURO QUE Eacute USADO EM GRANDE ESCALA (pex COURO PARA MOacuteVEIS)

Denomination of the specimenDenominaccedilatildeo da amostra

Colour of test sampleCor da amostra de teste

Date of productionData de produccedilatildeo

Date of samplingData de amostragem

Dimensions of the product (eg foam block) where the sample for the test was taken fromDimensotildees do produto (pex- bloco de espuma) de onde foi retirada a amostra para o ensaio

Taken fromAmostra retirada de

Date of packingData de embalagem

Sample sizeDimensotildees do provete

Date of dispatchData de envio

Each testing sample has to be wrapped airtight and separately in plastic foil

Cada amostra deveraacute ser hermeticamente e individualmente fe-chada em saco plaacutestico

Required sample size Dimensotildees requeridas da amostra

Mattress parts and foamsPartes de colchotildees e espumas

2 pieces of 25 x 20 x maximum used thickness [cm]2 provetes de 25 x 20 x espessura maacutexima utilizada [cm]

Other samples for the Emission chamber testOutras amostras para o ensaio da cacircmara de emissatildeo

2 pieces of 50 x 40 cm2 Provetes de 50 x 40 cm

to be filled in by the laboratory A ser preenchido pelo laboratoacuterio

Date of sample arrival in the laboratoryData de chegada das amostras ao laboratoacuterio

Date of analysisData de anaacutelise

RemarksObservaccedilotildees

07012020 Edition 012020 24 | 24

_checkbox-field 1_ Off

producer Off

producer_leather Off

trader Off

terms_of_use_confirmation Off

applicant_responsible_persion_3

filled_by_laboratory

other_treatments

end_of_validity_for_renewal

date_of_certification_for_renewal

non_textile_materials

institute_name_for_renewal

certificate_number_for_renewal

designation2

changes_by_renewal_leather

product_description

designation

changes_by_renewal_ots100

name_and_address_applicant

number_of_suppliers

_text-field 153_

_text-field 147_

_text-field 141_

_text-field 135_

_text-field 129_

_text-field 123_

_text-field 117_

_text-field 111_

_text-field 105_

_text-field 99_

_text-field 93_

_text-field 87_

_text-field 81_

_text-field 75_

_text-field 69_

_text-field 63_

_text-field 57_

_text-field 51_

_text-field 398_

_text-field 394_

_text-field 390_

_text-field 386_

_text-field 382_

_text-field 378_

_text-field 374_

_text-field 370_

_text-field 366_

_text-field 362_

_text-field 358_

_text-field 354_

_text-field 350_

_text-field 346_

_text-field 342_

_text-field 338_

_text-field 334_

_text-field 330_

_text-field 326_

_text-field 322_

_text-field 219_

_text-field 216_

_text-field 317_

_text-field 213_

_text-field 312_

_text-field 210_

_text-field 307_

_text-field 207_

_text-field 302_

_text-field 204_

_text-field 297_

_text-field 201_

_text-field 292_

_text-field 198_

_text-field 287_

_text-field 195_

_text-field 282_

_text-field 192_

_text-field 277_

_text-field 189_

_text-field 272_

_text-field 186_

_text-field 267_

_text-field 183_

_text-field 262_

_text-field 180_

_text-field 257_

_text-field 177_

_text-field 252_

_text-field 174_

_text-field 247_

_text-field 171_

_text-field 242_

_text-field 168_

_text-field 237_

_text-field 165_

_text-field 232_

_text-field 162_

_text-field 227_

_text-field 159_

_text-field 222_

name_product_1

inst_cert_1

name_product_3

garment_size_to

garment_size_from

_text-field 154_

_text-field 148_

_text-field 142_

_text-field 136_

_text-field 130_

_text-field 124_

_text-field 118_

_text-field 112_

_text-field 106_

_text-field 100_

_text-field 94_

_text-field 88_

_text-field 82_

_text-field 76_

_text-field 70_

_text-field 64_

_text-field 58_

_text-field 52_

_text-field 37_

_text-field 36_

_text-field 41_

_text-field 35_

_text-field 33_

_text-field 40_

_text-field 39_

applicant_email_2

applicant_fax_2

applicant_tel_2

_text-field 38_

applicant_address_2

marketing_email

marketing_telfax

marketing_name

person_email

person_telfax

person_name

firm_email

firm_homepage

firm_telfax

firm_country

firm_state

firm_city

firm_postcode

firm_street

firm_name

_text-field 399_

_text-field 395_

_text-field 391_

_text-field 387_

_text-field 383_

_text-field 379_

_text-field 375_

_text-field 371_

_text-field 367_

_text-field 363_

_text-field 359_

_text-field 355_

_text-field 351_

_text-field 347_

_text-field 343_

_text-field 339_

_text-field 335_

_text-field 331_

_text-field 327_

_text-field 323_

leather_others_category

std100_others_category

_text-field 220_

_text-field 217_

_text-field 318_

_text-field 214_

_text-field 313_

_text-field 211_

_text-field 308_

_text-field 208_

_text-field 303_

_text-field 205_

_text-field 298_

_text-field 202_

_text-field 293_

_text-field 199_

_text-field 288_

_text-field 196_

_text-field 283_

_text-field 193_

_text-field 278_

_text-field 190_

_text-field 273_

_text-field 187_

_text-field 268_

_text-field 184_

_text-field 263_

_text-field 181_

_text-field 258_

_text-field 178_

_text-field 253_

_text-field 175_

_text-field 248_

_text-field 172_

_text-field 243_

_text-field 169_

_text-field 238_

_text-field 166_

_text-field 233_

_text-field 163_

_text-field 228_

_text-field 160_

_text-field 223_

_text-field 414_

_text-field 413_

_text-field 412_

_text-field 410_

_text-field 409_

_text-field 408_

_text-field 407_

_text-field 406_

_text-field 405_

_text-field 404_

colour_of_test_sample

denomination_of_specimen

_text-field 400_

_text-field 396_

_text-field 392_

_text-field 388_

_text-field 384_

_text-field 380_

_text-field 376_

_text-field 372_

_text-field 368_

_text-field 364_

_text-field 360_

_text-field 356_

_text-field 352_

_text-field 348_

_text-field 344_

_text-field 340_

_text-field 336_

_text-field 332_

_text-field 328_

_text-field 324_

_text-field 155_

_text-field 149_

_text-field 143_

_text-field 137_

_text-field 131_

_text-field 125_

_text-field 119_

_text-field 113_

_text-field 107_

_text-field 101_

_text-field 95_

_text-field 89_

_text-field 83_

_text-field 77_

_text-field 71_

_text-field 65_

_text-field 59_

_text-field 53_

_text-field 319_

_text-field 314_

_text-field 309_

_text-field 304_

_text-field 299_

_text-field 294_

_text-field 289_

_text-field 284_

_text-field 279_

_text-field 274_

_text-field 269_

_text-field 264_

_text-field 259_

_text-field 254_

_text-field 249_

_text-field 244_

_text-field 239_

_text-field 234_

_text-field 229_

_text-field 224_

_text-field 221_

_text-field 218_

_text-field 215_

_text-field 212_

_text-field 209_

_text-field 206_

_text-field 203_

_text-field 200_

_text-field 197_

_text-field 194_

_text-field 191_

_text-field 188_

_text-field 185_

_text-field 182_

_text-field 179_

_text-field 176_

_text-field 173_

_text-field 170_

_text-field 167_

_text-field 164_

_text-field 161_

_text-field 156_

_text-field 150_

_text-field 144_

_text-field 138_

_text-field 132_

_text-field 126_

_text-field 120_

_text-field 114_

_text-field 108_

_text-field 102_

_text-field 96_

_text-field 90_

_text-field 84_

_text-field 78_

_text-field 72_

_text-field 66_

_text-field 60_

_text-field 54_

_text-field 320_

_text-field 315_

_text-field 310_

_text-field 305_

_text-field 300_

_text-field 295_

_text-field 290_

_text-field 285_

_text-field 280_

_text-field 275_

_text-field 270_

_text-field 265_

_text-field 260_

_text-field 255_

_text-field 250_

_text-field 245_

_text-field 240_

_text-field 235_

_text-field 230_

_text-field 225_

_text-field 401_

_text-field 397_

_text-field 393_

_text-field 389_

_text-field 385_

_text-field 381_

_text-field 377_

_text-field 373_

_text-field 369_

_text-field 365_

_text-field 361_

_text-field 357_

_text-field 353_

_text-field 349_

_text-field 345_

_text-field 341_

_text-field 337_

_text-field 333_

_text-field 329_

_text-field 325_

_text-field 157_

_text-field 151_

_text-field 145_

_text-field 139_

_text-field 133_

_text-field 127_

_text-field 121_

_text-field 115_

_text-field 109_

_text-field 103_

_text-field 97_

_text-field 91_

_text-field 85_

_text-field 79_

_text-field 73_

_text-field 67_

_text-field 61_

_text-field 55_

_text-field 321_

_text-field 316_

_text-field 311_

_text-field 306_

_text-field 301_

_text-field 296_

_text-field 291_

_text-field 286_

_text-field 281_

_text-field 276_

_text-field 271_

_text-field 266_

_text-field 261_

_text-field 256_

_text-field 251_

_text-field 246_

_text-field 241_

_text-field 236_

_text-field 231_

_text-field 226_

_text-field 158_

_text-field 152_

_text-field 146_

_text-field 140_

_text-field 134_

_text-field 128_

_text-field 122_

_text-field 116_

_text-field 110_

_text-field 104_

_text-field 98_

_text-field 92_

_text-field 86_

_text-field 80_

_text-field 74_

_text-field 68_

_text-field 62_

_text-field 56_