How to say fill out this form, please. in Japanese

1)このこの(kono) (n) this書式書式(shoshiki) (n) blank form/formatに(ni) (prt) indicates such things as location of person or thing, location of short-term action, etc.記入記入(kinyuu) (n,vs) entry/filling in of formsしてして(shite) (prt) by/as/indicates patient of a causative expression/acts as a connective/adds emphasis/and thenくださいください(kudasai) (exp) please give me/please do for me。(。) Japanese period "."    
kono shoshiki ni kinyuu shitekudasai 。
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