diff --git a/samples/community/dxuian/omrcollegesheet.jpg b/samples/community/dxuian/omrcollegesheet.jpg
new file mode 100644
index 00000000..b9d70c6b
Binary files /dev/null and b/samples/community/dxuian/omrcollegesheet.jpg differ
diff --git a/samples/community/dxuian/template.json b/samples/community/dxuian/template.json
new file mode 100644
index 00000000..43bf2be6
--- /dev/null
+++ b/samples/community/dxuian/template.json
@@ -0,0 +1,48 @@
+{
+  "pageDimensions": [707, 484],
+  "bubbleDimensions": [15, 10],
+  "fieldBlocks": {
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+      "origin": [82, 35],
+      "bubblesGap": 21,
+      "labelsGap": 22.7,
+      "bubbleCount": 20,
+      "fieldLabels": ["Q1", "Q2", "Q3", "Q4", "Q5", "Q6", "Q7", "Q8", "Q9", "Q10", "Q11", "Q12", "Q13", "Q14", "Q15", "Q16", "Q17", "Q18", "Q19", "Q20"]
+    },
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+      "fieldType": "QTYPE_MCQ4",
+      "origin": [205, 35],
+      "bubblesGap": 21,
+      "labelsGap": 22.7,
+      "bubbleCount": 20,
+      "fieldLabels": ["Q21", "Q22", "Q23", "Q24", "Q25", "Q26", "Q27", "Q28", "Q29", "Q30", "Q31", "Q32", "Q33", "Q34", "Q35", "Q36", "Q37", "Q38", "Q39", "Q40"]
+    },
+    "Column3": {
+      "fieldType": "QTYPE_MCQ4",
+      "origin": [327, 35],
+      "bubblesGap": 21,
+      "labelsGap": 22.7,
+      "bubbleCount": 20,
+      "fieldLabels": ["Q41", "Q42", "Q43", "Q44", "Q45", "Q46", "Q47", "Q48", "Q49", "Q50", "Q51", "Q52", "Q53", "Q54", "Q55", "Q56", "Q57", "Q58", "Q59", "Q60"]
+    },
+    "Column4": {
+      "fieldType": "QTYPE_MCQ4",
+      "origin": [450, 35],
+      "bubblesGap": 21,
+      "labelsGap": 22.7,
+      "bubbleCount": 20,
+      "fieldLabels": ["Q61", "Q62", "Q63", "Q64", "Q65", "Q66", "Q67", "Q68", "Q69", "Q70", "Q71", "Q72", "Q73", "Q74", "Q75", "Q76", "Q77", "Q78", "Q79", "Q80"]
+    },
+    "Column5": {
+      "fieldType": "QTYPE_MCQ4",
+      "origin": [573, 35],
+      "bubblesGap": 21,
+      "labelsGap": 22.7,
+      "bubbleCount": 20,
+      "fieldLabels": ["Q81", "Q82", "Q83", "Q84", "Q85", "Q86", "Q87", "Q88", "Q89", "Q90", "Q91", "Q92", "Q93", "Q94", "Q95", "Q96", "Q97", "Q98", "Q99", "Q100"]
+    }
+  },
+  
+  "emptyValue": "-"
+}
\ No newline at end of file