{
    "document_id": 14696,
    "page": 5,
    "width_pt": 612,
    "height_pt": 792,
    "rotation": 0,
    "pipeline_version": "paddleocr-vl-1.6+paul-48",
    "engine": "paddleocr_vl",
    "source_run_id": 14807,
    "item_count": 55,
    "counts_by_type": {
        "form_field": 13,
        "list": 6,
        "list_item": 28,
        "text": 8
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    "build_ms": 5,
    "items": [
        {
            "id": "p5.1",
            "order": 1,
            "type": "list",
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                "l": 158.88,
                "t": 719.28,
                "r": 491.76,
                "b": 655.2
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            "text": "",
            "attrs": {
                "item_count": 4
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            "children": [
                {
                    "id": "p5.1.1",
                    "order": 2,
                    "type": "list_item",
                    "bbox": {
                        "l": 195.6,
                        "t": 719.28,
                        "r": 269.76,
                        "b": 705.6
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                    "text": "Check Yes",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p5.1.1.1",
                            "order": 3,
                            "type": "form_field",
                            "bbox": {
                                "l": 195.6,
                                "t": 719.28,
                                "r": 207.6,
                                "b": 707.28
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                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "Check Yes",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.1.1",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p5.1.2",
                    "order": 4,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.88,
                        "t": 702.72,
                        "r": 358.08,
                        "b": 688.08
                    },
                    "text": "Preparer and interpreter information",
                    "marker": "■"
                },
                {
                    "id": "p5.1.3",
                    "order": 5,
                    "type": "list_item",
                    "bbox": {
                        "l": 193.92,
                        "t": 685.92,
                        "r": 491.76,
                        "b": 671.04
                    },
                    "text": "Is someone assisting you with completing this application:",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p5.1.3.1",
                            "order": 6,
                            "type": "form_field",
                            "bbox": {
                                "l": 193.92,
                                "t": 685.92,
                                "r": 205.92,
                                "b": 673.92
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "Is someone assisting you with completing this application:",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.1.3",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p5.1.4",
                    "order": 7,
                    "type": "list_item",
                    "bbox": {
                        "l": 230.88,
                        "t": 668.88,
                        "r": 304.32,
                        "b": 655.2
                    },
                    "text": "Check No",
                    "marker": "•"
                }
            ]
        },
        {
            "id": "p5.2",
            "order": 8,
            "type": "text",
            "bbox": {
                "l": 68.88,
                "t": 636,
                "r": 163.2,
                "b": 621.12
            },
            "text": "Your Information"
        },
        {
            "id": "p5.3",
            "order": 9,
            "type": "text",
            "bbox": {
                "l": 86.16,
                "t": 603.12,
                "r": 166.8,
                "b": 589.2
            },
            "text": "➢ Your Name"
        },
        {
            "id": "p5.4",
            "order": 10,
            "type": "list",
            "bbox": {
                "l": 122.64,
                "t": 586.8,
                "r": 353.76,
                "b": 555.36
            },
            "text": "",
            "attrs": {
                "item_count": 2
            },
            "children": [
                {
                    "id": "p5.4.1",
                    "order": 11,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.64,
                        "t": 586.8,
                        "r": 302.64,
                        "b": 571.92
                    },
                    "text": "What is your current legal name?",
                    "marker": "✓"
                },
                {
                    "id": "p5.4.2",
                    "order": 12,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.88,
                        "t": 570.48,
                        "r": 353.76,
                        "b": 555.36
                    },
                    "text": "Have you used any other names since birth?",
                    "marker": "✓"
                }
            ]
        },
        {
            "id": "p5.5",
            "order": 13,
            "type": "text",
            "bbox": {
                "l": 86.64,
                "t": 553.2,
                "r": 233.04,
                "b": 539.04
            },
            "text": "➢ Your contact information"
        },
        {
            "id": "p5.6",
            "order": 14,
            "type": "text",
            "bbox": {
                "l": 122.88,
                "t": 536.64,
                "r": 269.52,
                "b": 522.48
            },
            "text": "✓ How may we contact you?"
        },
        {
            "id": "p5.7",
            "order": 15,
            "type": "text",
            "bbox": {
                "l": 158.64,
                "t": 519.84,
                "r": 313.44,
                "b": 505.92
            },
            "text": "Daytime telephone number"
        },
        {
            "id": "p5.8",
            "order": 16,
            "type": "text",
            "bbox": {
                "l": 158.4,
                "t": 503.52,
                "r": 249.6,
                "b": 489.84
            },
            "text": "Email address"
        },
        {
            "id": "p5.9",
            "order": 17,
            "type": "list",
            "bbox": {
                "l": 122.88,
                "t": 487.44,
                "r": 491.76,
                "b": 390
            },
            "text": "",
            "attrs": {
                "item_count": 6
            },
            "children": [
                {
                    "id": "p5.9.1",
                    "order": 18,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.64,
                        "t": 487.44,
                        "r": 386.64,
                        "b": 472.8
                    },
                    "text": "What is your current U.S. mailing address?",
                    "marker": "■"
                },
                {
                    "id": "p5.9.2",
                    "order": 19,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.88,
                        "t": 471.12,
                        "r": 491.76,
                        "b": 455.52
                    },
                    "text": "Is your current mailing address the same as your physical address?",
                    "marker": "■"
                },
                {
                    "id": "p5.9.3",
                    "order": 20,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.88,
                        "t": 454.56,
                        "r": 229.2,
                        "b": 440.4
                    },
                    "text": "Describe yourself",
                    "marker": "✓"
                },
                {
                    "id": "p5.9.4",
                    "order": 21,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.16,
                        "t": 437.76,
                        "r": 283.68,
                        "b": 423.36
                    },
                    "text": "What is your gender?",
                    "marker": "■",
                    "children": [
                        {
                            "id": "p5.9.4.1",
                            "order": 22,
                            "type": "form_field",
                            "bbox": {
                                "l": 158.16,
                                "t": 437.76,
                                "r": 170.16,
                                "b": 425.76
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "What is your gender?",
                                "checked": true,
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.9.4",
                                "text_offset": 0,
                                "text_span": 0
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                        }
                    ]
                },
                {
                    "id": "p5.9.5",
                    "order": 23,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.16,
                        "t": 421.2,
                        "r": 313.92,
                        "b": 406.8
                    },
                    "text": "What is your marital status?",
                    "marker": "■",
                    "children": [
                        {
                            "id": "p5.9.5.1",
                            "order": 24,
                            "type": "form_field",
                            "bbox": {
                                "l": 158.16,
                                "t": 421.2,
                                "r": 170.16,
                                "b": 409.2
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "What is your marital status?",
                                "checked": true,
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.9.5",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p5.9.6",
                    "order": 25,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.88,
                        "t": 404.88,
                        "r": 299.52,
                        "b": 390
                    },
                    "text": "When and where you were born"
                }
            ]
        },
        {
            "id": "p5.10",
            "order": 26,
            "type": "list",
            "bbox": {
                "l": 123.12,
                "t": 388.08,
                "r": 464.64,
                "b": 257.76
            },
            "text": "",
            "attrs": {
                "item_count": 8
            },
            "children": [
                {
                    "id": "p5.10.1",
                    "order": 27,
                    "type": "list_item",
                    "bbox": {
                        "l": 157.44,
                        "t": 388.08,
                        "r": 381.36,
                        "b": 373.44
                    },
                    "text": "What is your city, town or village of birth?",
                    "marker": "■"
                },
                {
                    "id": "p5.10.2",
                    "order": 28,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.4,
                        "t": 371.28,
                        "r": 369.12,
                        "b": 356.88
                    },
                    "text": "What is your state or province of birth?",
                    "marker": "■"
                },
                {
                    "id": "p5.10.3",
                    "order": 29,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.64,
                        "t": 354.72,
                        "r": 326.64,
                        "b": 340.08
                    },
                    "text": "What is your country of birth?",
                    "marker": "■",
                    "children": [
                        {
                            "id": "p5.10.3.1",
                            "order": 30,
                            "type": "form_field",
                            "bbox": {
                                "l": 158.64,
                                "t": 354.72,
                                "r": 170.64,
                                "b": 342.72
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "What is your country of birth?",
                                "checked": true,
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.10.3",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p5.10.4",
                    "order": 31,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.88,
                        "t": 338.16,
                        "r": 310.56,
                        "b": 324
                    },
                    "text": "What is your date of birth?",
                    "marker": "■",
                    "children": [
                        {
                            "id": "p5.10.4.1",
                            "order": 32,
                            "type": "form_field",
                            "bbox": {
                                "l": 158.88,
                                "t": 338.16,
                                "r": 170.88,
                                "b": 326.16
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "What is your date of birth?",
                                "checked": true,
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.10.4",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p5.10.5",
                    "order": 33,
                    "type": "list_item",
                    "bbox": {
                        "l": 123.12,
                        "t": 321.6,
                        "r": 293.04,
                        "b": 307.44
                    },
                    "text": "Your immigration information",
                    "marker": "✓"
                },
                {
                    "id": "p5.10.6",
                    "order": 34,
                    "type": "list_item",
                    "bbox": {
                        "l": 157.92,
                        "t": 304.8,
                        "r": 420.24,
                        "b": 290.4
                    },
                    "text": "What is your country of citizenship or nationality?",
                    "marker": "■"
                },
                {
                    "id": "p5.10.7",
                    "order": 35,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.88,
                        "t": 288.72,
                        "r": 464.64,
                        "b": 274.08
                    },
                    "text": "What is your Form I-94 Arrival-Departure Record Number?",
                    "marker": "■"
                },
                {
                    "id": "p5.10.8",
                    "order": 36,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.88,
                        "t": 271.92,
                        "r": 402.72,
                        "b": 257.76
                    },
                    "text": "When did you last arrive in the United States?",
                    "marker": "■"
                }
            ]
        },
        {
            "id": "p5.11",
            "order": 37,
            "type": "list",
            "bbox": {
                "l": 195.6,
                "t": 254.4,
                "r": 330.96,
                "b": 207.6
            },
            "text": "",
            "attrs": {
                "item_count": 3
            },
            "children": [
                {
                    "id": "p5.11.1",
                    "order": 38,
                    "type": "list_item",
                    "bbox": {
                        "l": 195.6,
                        "t": 254.4,
                        "r": 290.4,
                        "b": 241.2
                    },
                    "text": "o Date of Arrival"
                },
                {
                    "id": "p5.11.2",
                    "order": 39,
                    "type": "list_item",
                    "bbox": {
                        "l": 195.84,
                        "t": 238.32,
                        "r": 330.96,
                        "b": 224.4
                    },
                    "text": "Place of arrival (airport)",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p5.11.2.1",
                            "order": 40,
                            "type": "form_field",
                            "bbox": {
                                "l": 195.84,
                                "t": 238.32,
                                "r": 207.84,
                                "b": 226.32
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "Place of arrival (airport)",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.11.2",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p5.11.3",
                    "order": 41,
                    "type": "list_item",
                    "bbox": {
                        "l": 195.6,
                        "t": 221.52,
                        "r": 311.52,
                        "b": 207.6
                    },
                    "text": "Status at last arrival",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p5.11.3.1",
                            "order": 42,
                            "type": "form_field",
                            "bbox": {
                                "l": 195.6,
                                "t": 221.52,
                                "r": 207.6,
                                "b": 209.52
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "Status at last arrival",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.11.3",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                }
            ]
        },
        {
            "id": "p5.12",
            "order": 43,
            "type": "text",
            "bbox": {
                "l": 231.36,
                "t": 204.96,
                "r": 322.32,
                "b": 191.04
            },
            "text": "Most likely F1"
        },
        {
            "id": "p5.13",
            "order": 44,
            "type": "list",
            "bbox": {
                "l": 195.12,
                "t": 188.16,
                "r": 537.36,
                "b": 90.96
            },
            "text": "",
            "attrs": {
                "item_count": 5
            },
            "children": [
                {
                    "id": "p5.13.1",
                    "order": 45,
                    "type": "list_item",
                    "bbox": {
                        "l": 195.12,
                        "t": 188.16,
                        "r": 537.36,
                        "b": 173.76
                    },
                    "text": "What is the passport number of your most recently issued passport?",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p5.13.1.1",
                            "order": 46,
                            "type": "form_field",
                            "bbox": {
                                "l": 195.12,
                                "t": 188.16,
                                "r": 207.12,
                                "b": 176.16
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "What is the passport number of your most recently issued passport?",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.13.1",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p5.13.2",
                    "order": 47,
                    "type": "list_item",
                    "bbox": {
                        "l": 195.36,
                        "t": 171.84,
                        "r": 537.36,
                        "b": 141.36
                    },
                    "text": "What is your travel document number (if any)? In most cases, leave this section blank. Likely you don't have one.",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p5.13.2.1",
                            "order": 48,
                            "type": "form_field",
                            "bbox": {
                                "l": 195.36,
                                "t": 171.84,
                                "r": 207.36,
                                "b": 159.84
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "What is your travel document number (if any)? In most cases, leave this section blank. Likely you don't have one.",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.13.2",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p5.13.3",
                    "order": 49,
                    "type": "list_item",
                    "bbox": {
                        "l": 195.6,
                        "t": 138.72,
                        "r": 524.64,
                        "b": 124.32
                    },
                    "text": "What is the expiration date of your passport or travel document?",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p5.13.3.1",
                            "order": 50,
                            "type": "form_field",
                            "bbox": {
                                "l": 195.6,
                                "t": 138.72,
                                "r": 207.6,
                                "b": 126.72
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "What is the expiration date of your passport or travel document?",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.13.3",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p5.13.4",
                    "order": 51,
                    "type": "list_item",
                    "bbox": {
                        "l": 195.6,
                        "t": 121.92,
                        "r": 481.44,
                        "b": 108
                    },
                    "text": "What country issued your passport or travel document?",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p5.13.4.1",
                            "order": 52,
                            "type": "form_field",
                            "bbox": {
                                "l": 195.6,
                                "t": 121.92,
                                "r": 207.6,
                                "b": 109.92
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "What country issued your passport or travel document?",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.13.4",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p5.13.5",
                    "order": 53,
                    "type": "list_item",
                    "bbox": {
                        "l": 195.6,
                        "t": 105.12,
                        "r": 468.48,
                        "b": 90.96
                    },
                    "text": "What is your current immigration status or category?",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p5.13.5.1",
                            "order": 54,
                            "type": "form_field",
                            "bbox": {
                                "l": 195.6,
                                "t": 105.12,
                                "r": 207.6,
                                "b": 93.12
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "What is your current immigration status or category?",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p5.13.5",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                }
            ]
        },
        {
            "id": "p5.14",
            "order": 55,
            "type": "text",
            "bbox": {
                "l": 231.36,
                "t": 87.84,
                "r": 265.68,
                "b": 75.6
            },
            "text": "F1"
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}