| cik | Central Index Key assigned to the registrant by the SEC. | String | Original |
| accession | Unique identifier for the filing, assigned by EDGAR. | String | Original |
| pursuant_to_rule | Legal basis for the termination or suspension of the duty to file reports. | String | Original |
| filing_data | Date the form was submitted to the SEC. | Date | Original |
| applicant_name | Name of the company requesting the suspension or termination of filing obligations. | String | Original |
| applicant_address | Primary address of the applicant/registrant. | String | Original |
| securities_class | Class(es) of securities subject to the suspension or termination. | String | Original |
| other_sec_class | Additional classes of securities covered by the form, if applicable. | String (Optional) | Original |
| rule_provision | Specific rule under which the request is being made (e.g., Rule 12h-3(b)(1)(i)). | String | Original |
| no_record_holders | Total number of holders of record for the securities, supporting eligibility for deregistration. | Integer | Original |
| authorized_person | Name of the person signing the form on behalf of the registrant. | String | Original |
| date | Date the form was signed by the authorized person. | Date | Original |