\documentclass[11pt,a4paper]{article}
	\usepackage{amssymb}
	\usepackage{amsmath}
	\usepackage{geometry}
	 \geometry{
	 a4paper,
	 total={170mm,257mm},
	 left=20mm,
	 top=20mm,
	 }



	\usepackage{pgf} 

	\pgfmathsetseed{\number\pdfrandomseed} % to ensure that it is randomized
	% use \randomseed for xelatex

	\newcommand{\randomnum}[1]{% 
		\pgfmathsetmacro{\thenum}{int(random(ceil(#1-#1/4),floor(#1+#1/4)))}%
		\thenum%
	}%


	\newcommand{\answerbox}[1]{%%
    	\fbox{\rule{#1in}{0pt}\rule[-0.5ex]{0pt}{4ex}}}

    \title{\textbf{Application Form PKSR20}}
    \author{Intergalactic Registration Office}
    \date{Control no. \answerbox{1}}
    
    \addtolength{\topmargin}{-2cm}

    
    

    
\begin{document}

\maketitle
\thispagestyle{empty}
\section*{}
I hereby applicate to register my GPG fingerprint. 
I fullfil the requirement that I have either
\begin{itemize}
\item[1.] uploaded the public key to the \textbf{keys.openpgp.org} keyserver \textbf{using the following mail address} or
\item[2.] I can state the \textbf{full GPG fingerprint}, which is
\end{itemize}
\
Mail address or full GPG fingerprint (e.g. 1234-2234-3234-4234-5234-6234-7234-8234-9234-0234)
\\
\answerbox{6.5}
\\
\\
I state that I am certain about the requirements given above and checked that these requirements are given during the registration process. 


\section*{Additional information}
The following colour is applicable on this fingerprint:
\\
Colour of fingerprint
\\
\answerbox{6.5}
\\
\\
\\
Please reason the chosen color in a small sentence.
\\
Reason
\\
\answerbox{6.5}
\\
\\
\\
From a scale from 1 (definitely not) to 5 (definitely), how private is your public key?
\\
\\
\answerbox{0.1} 1 \ \ \ \answerbox{0.1} 2 \ \ \ \answerbox{0.1} 3 \ \ \ \answerbox{0.1} 4 \ \ \ \answerbox{0.1} 5 \ \ \ 
\\
\\
\\
From a scale from 1 (definitely not) to 5 (definitely), how private is your private key?
\\
\\
\answerbox{0.1} 1 \ \ \ \answerbox{0.1} 2 \ \ \ \answerbox{0.1} 3 \ \ \ \answerbox{0.1} 4 \ \ \ \answerbox{0.1} 5 \ \ \ 
\\
\\
\\
From a scale from 1 (definitely not) to 5 (definitely), how public is your public key?
\\
\\
\answerbox{0.1} 1 \ \ \ \answerbox{0.1} 2 \ \ \ \answerbox{0.1} 3 \ \ \ \answerbox{0.1} 4 \ \ \ \answerbox{0.1} 5 \ \ \ 

\end{document}