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How to detect tick marking on a form

Is it possible to recognize handwritten tick mark ( ✓ ) on a form and recognize texts (printed) next to tick mark like in this picture?    Person's name is marked by 1 tick  (✓ )  and account no is marked by 2 ticks (✓  ) . Need to extract data fields next to ()  and (✓ ) marks.

 

 

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