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Declaration Form to be converted into a Adaptive form, any suggestions?

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I have a pdf declaration form which has to be converted into adaptive form, which looks like a fill in the blanks..

Do we have any component in AEM Forms where we can create a form which looks like the below example?

Example form:

An agreement made on ______________ day of _____________ two

thousand _______________ between Sh.________________________

office of ______________________________________(hereinafter called

‘the Borrower’ which expression shall include his heirs, administrators,

executors, and legal representatives) of the one part and the Chief

Administrator.

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