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Create LaTeX template FORM

I need a LaTeX Template for the following form. You can enter fake data/address/etc such as the given example. The document should be as self contained as possible, if some macros or packages are required that is ok. The document should compile with XeLaTeX and look nearly identical to attached form (except red text and highlighting is not necessary, blue type will do for form filling part ). NEED within one or two days max. Thank you.

the attached form is to be written in latex on legal size paper, the gray/balck portion is constant, the red portion is variable in length and actual data will vary and be filled out from data collected on html form and stored in mysql database, i can do all that. I just need the latex file to compile with xelatex.. and
to allow for variable data on form (variable red stuff on here... )

Habilidades: LaTeX

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Información del empleador:
( 9 comentarios ) chula vista, United States

ID de proyecto: #7823548

Adjudicado a:

controlsExpert

I am an expert in Latex writing. Please send me the file you mentioned in the description. I can deliver you a the work by the deadline. We can finalize the fee after I see the file.

$250 USD en 5 días
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