[FOSDEM] Modified CACert cap pdf: still valid?

Hi, preparing things for the key signing party, I've downloaded the CACert cap form. Seeing that I should have added a lot of dates and othe info by hand, I opened pdfedit and modified the pdf to write down these info. I even signed the form pasting an image of a scan of my hand-written signature. After these modifications (see attachment) is the form still valid, or all of these informations must be hand-written? If it is not valid, can I remove just my signature, or I have to remove all the dates and the ID documents info, too? bye, Iacopo