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%%
%% A DANTE-Edition example
%%
%% Example 06-00-43 on page 209.
%%
%% Copyright (C) 2010 Herbert Voss
%%
%% It may be distributed and/or modified under the conditions
%% of the LaTeX Project Public License, either version 1.3
%% of this license or (at your option) any later version.
%%
%% See http://www.latex-project.org/lppl.txt for details.
%%
%%
%% ====
% Show page(s) 1,2
%%
\documentclass[oneside,11pt]{article}
\pagestyle{empty}
\setlength\textwidth{183.78818pt}
\setlength\parindent{0pt}
\usepackage[utf8]{inputenc}
\usepackage[paper=a5,pagesize,DIV14]{typearea}
\usepackage{fancyhdr}
\lhead{A survey}
\pagestyle{fancy}
\usepackage[english]{babel}
\usepackage{ltablex,ragged2e}
\keepXColumns
\newcolumntype{C}{>{\Centering}X}
\newcolumntype{P}[1]{>{\Centering}p{#1}}
%------------ After a suggestion by David Kastrup ------------
\newcommand\replicate[2]{\ifnum#1>0 #2%
\expandafter\replicate\expandafter{\number\numexpr#1-1}{#2}\fi}
\newcommand*\NumberLines{79} \newcounter{N}
\newcommand*\Space{\rule[-1.8mm]{0pt}{6mm}}
\begin{document}
\begin{tabularx}{\linewidth}{|r|c|P{3cm}|C|P{3cm}|} \hline
\textbf{No} & \textbf{first name} & \textbf{last name}
& \textbf{address} & \textbf{signature} \Space \\ \hline
\endhead
%
\replicate{\NumberLines}{\stepcounter{N}\theN &&&& \Space \\ \hline}
%
\end{tabularx}
\end{document}
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