{"id":8438,"date":"2024-08-20T12:27:54","date_gmt":"2024-08-20T08:57:54","guid":{"rendered":"https:\/\/payaplastco.ir\/fa\/?page_id=8438"},"modified":"2025-01-15T18:06:30","modified_gmt":"2025-01-15T14:36:30","slug":"%d8%ac%d8%b0%d8%a8-%d9%86%d9%8a%d8%b1%d9%88","status":"publish","type":"page","link":"https:\/\/payaplastco.ir\/fa\/%d8%ac%d8%b0%d8%a8-%d9%86%d9%8a%d8%b1%d9%88\/","title":{"rendered":"\u062c\u0630\u0628 \u0646\u064a\u0631\u0648"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8438\" class=\"elementor elementor-8438\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ee8864c e-flex e-con-boxed e-con e-parent\" data-id=\"ee8864c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1a4c27c elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"1a4c27c\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" id=\"Layer_1\" viewBox=\"0 0 24 24\"><defs><style>      .st0 {        fill: none;        stroke: #e14b00;        stroke-linecap: round;        stroke-linejoin: round;        stroke-width: 2px;      }    <\/style><\/defs><path class=\"st0\" d=\"M19,21l-7-5-7,5V5c0-.5.2-1,.6-1.4.4-.4.9-.6,1.4-.6h10c.5,0,1,.2,1.4.6.4.4.6.9.6,1.4v16Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-328d682 e-flex e-con-boxed e-con e-parent\" data-id=\"328d682\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6bfb70f elementor-widget elementor-widget-shortcode\" data-id=\"6bfb70f\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_1' ><style>#gform_wrapper_1[data-form-index=\"0\"].gform-theme,[data-parent-form=\"1_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">\u0641\u0631\u0645 \u062f\u0631\u062e\u0648\u0627\u0633\u062a \u0643\u0627\u0631<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/fa\/wp-json\/wp\/v2\/pages\/8438' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_above description_below validation_below'><fieldset id=\"field_1_1\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >1- \u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u064a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645<\/label>\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u064a<\/label>\n                                                            <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_12\" class=\"gfield gfield--type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_12'>2- \u06a9\u062f \u0645\u0644\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_12' id='input_1_12' type='number' step='any' min='9999999' max='9999999999' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_1_12\" \/><div class='gfield_description instruction ' id='gfield_instruction_1_12'>Please enter a number from <strong>9999999<\/strong> to <strong>9999999999<\/strong>.<\/div><\/div><\/div><fieldset id=\"field_1_13\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >3- \u062a\u0627\u0631\u06cc\u062e \u062a\u0648\u0644\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_1_13' class='ginput_container ginput_complex gform-grid-row'>\n                                            <div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_1_13_3_container'>\n                                                <label for='input_1_13_3' class='gform-field-label gform-field-label--type-sub '>\u0633\u0627\u0644<\/label>\n                                                <input type='number' maxlength='4' name='input_13[]' id='input_1_13_3' value=''   aria-required='true'   placeholder='\u0633\u0627\u0644' min='1920' max='2027' step='1'\/>\n                                            <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_1_13_1_container'>\n                                                <label for='input_1_13_1' class='gform-field-label gform-field-label--type-sub '>\u0645\u0627\u0647<\/label>\n                                                <input type='number' maxlength='2' name='input_13[]' id='input_1_13_1' value=''   aria-required='true'   placeholder='\u0645\u0627\u0647' min='1' max='12' step='1'\/>\n                                            <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_1_13_2_container'>\n                                                <label for='input_1_13_2' class='gform-field-label gform-field-label--type-sub '>\u0631\u0648\u0632<\/label>\n                                                <input type='number' maxlength='2' name='input_13[]' id='input_1_13_2' value=''   aria-required='true'   placeholder='\u0631\u0648\u0632' min='1' max='31' step='1'\/>\n                                           <\/div>\n                                        <\/div><\/fieldset><fieldset id=\"field_1_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >4- \u0633\u0627\u0628\u0642\u0647 \u0628\u06cc\u0645\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_14'>\n\t\t\t<div class='gchoice gchoice_1_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u062f\u0627\u0631\u0645'  id='choice_1_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_14_0' id='label_1_14_0' class='gform-field-label gform-field-label--type-inline'>\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u0646\u062f\u0627\u0631\u0645'  id='choice_1_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_14_1' id='label_1_14_1' class='gform-field-label gform-field-label--type-inline'>\u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_15\" class=\"gfield gfield--type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_15'>5- \u0645\u062f\u062a \u0632\u0645\u0627\u0646 \u0633\u0627\u0628\u0642\u0647 \u0628\u06cc\u0645\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_15' id='input_1_15' type='number' step='any' min='1' max='30' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_1_15 gfield_description_1_15\" \/><div class='gfield_description instruction ' id='gfield_instruction_1_15'>Please enter a number from <strong>1<\/strong> to <strong>30<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_1_15'>\u0628\u0631 \u0627\u0633\u0627\u0633 \u0633\u0627\u0644 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f<\/div><\/div><fieldset id=\"field_1_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >6- \u0648\u0636\u0639\u06cc\u062a \u062a\u0623\u0647\u0644<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_16'>\n\t\t\t<div class='gchoice gchoice_1_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u0645\u062c\u0631\u062f'  id='choice_1_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_16_0' id='label_1_16_0' class='gform-field-label gform-field-label--type-inline'>\u0645\u062c\u0631\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u0645\u062a\u0623\u0647\u0644'  id='choice_1_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_16_1' id='label_1_16_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0623\u0647\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u0645\u0639\u06cc\u0644'  id='choice_1_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_16_2' id='label_1_16_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0639\u06cc\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_17\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_17'>7- \u0634\u063a\u0644 \u0647\u0645\u0633\u0631<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_1_17' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_18\" class=\"gfield gfield--type-phone gfield--width-third field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_18'>8- \u0634\u0645\u0627\u0631\u0647 \u062a\u0644\u0641\u0646 \u0647\u0645\u0633\u0631<\/label><div class='ginput_container ginput_container_phone'><input name='input_18' id='input_1_18' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >9- \u0641\u0631\u0632\u0646\u062f \u062f\u0627\u0631\u06cc\u062f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_19'>\n\t\t\t<div class='gchoice gchoice_1_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='\u0628\u0644\u0647'  id='choice_1_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_19_0' id='label_1_19_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='\u062e\u06cc\u0631'  id='choice_1_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_19_1' id='label_1_19_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_20\" class=\"gfield gfield--type-number gfield--width-third field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_20'>10- \u062a\u0639\u062f\u0627\u062f \u0641\u0631\u0632\u0646\u062f \u062f\u062e\u062a\u0631<\/label><div class='ginput_container ginput_container_number'><input name='input_20' id='input_1_20' type='number' step='any' min='0' max='20' value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_1_20\" \/><div class='gfield_description instruction ' id='gfield_instruction_1_20'>Please enter a number from <strong>0<\/strong> to <strong>20<\/strong>.<\/div><\/div><\/div><div id=\"field_1_21\" class=\"gfield gfield--type-number gfield--width-third field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_21'>11- \u062a\u0639\u062f\u0627\u062f \u0641\u0631\u0632\u0646\u062f \u067e\u0633\u0631<\/label><div class='ginput_container ginput_container_number'><input name='input_21' id='input_1_21' type='number' step='any' min='0' max='20' value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_1_21\" \/><div class='gfield_description instruction ' id='gfield_instruction_1_21'>Please enter a number from <strong>0<\/strong> to <strong>20<\/strong>.<\/div><\/div><\/div><fieldset id=\"field_1_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >12- \u0648\u0636\u0639\u06cc\u062a \u062e\u062f\u0645\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_22'>\n\t\t\t<div class='gchoice gchoice_1_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u0627\u0646\u062c\u0627\u0645 \u062f\u0627\u062f\u0645'  id='choice_1_22_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_1_22\"   \/>\n\t\t\t\t\t<label for='choice_1_22_0' id='label_1_22_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0646\u062c\u0627\u0645 \u062f\u0627\u062f\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u0627\u0646\u062c\u0627\u0645 \u0646\u062f\u0627\u062f\u0645'  id='choice_1_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_22_1' id='label_1_22_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u0646\u062c\u0627\u0645 \u0646\u062f\u0627\u062f\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_22_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u0645\u0639\u0627\u0641\u06cc\u062a \u062f\u0627\u0631\u0645'  id='choice_1_22_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_22_2' id='label_1_22_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0639\u0627\u0641\u06cc\u062a \u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_1_22'>\u0641\u0642\u0637 \u0622\u0642\u0627\u06cc\u0627\u0646 \u067e\u0627\u0633\u062e \u062f\u0647\u0646\u062f<\/div><\/fieldset><fieldset id=\"field_1_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >13- \u0646\u0648\u0639 \u0645\u0639\u0627\u0641\u06cc\u062a<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_23'>\n\t\t\t<div class='gchoice gchoice_1_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0634\u0647\u062f\u0627'  id='choice_1_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_23_0' id='label_1_23_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0634\u0647\u062f\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u062c\u0627\u0646\u0628\u0627\u0632\u0627\u0646'  id='choice_1_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_23_1' id='label_1_23_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u062c\u0627\u0646\u0628\u0627\u0632\u0627\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0627\u06cc\u062b\u0627\u0631\u06af\u0631\u0627\u0646'  id='choice_1_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_23_2' id='label_1_23_2' class='gform-field-label gform-field-label--type-inline'>\u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0627\u06cc\u062b\u0627\u0631\u06af\u0631\u0627\u0646<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >14- \u0622\u06cc\u0627 \u062a\u0627 \u06a9\u0646\u0648\u0646 \u0627\u0632 \u0628\u06cc\u0645\u0647 \u0628\u06cc\u06a9\u0627\u0631\u06cc \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f\u061f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_24'>\n\t\t\t<div class='gchoice gchoice_1_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u0628\u0644\u0647'  id='choice_1_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_24_0' id='label_1_24_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u062e\u06cc\u0631'  id='choice_1_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_24_1' id='label_1_24_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_28\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_28'>15- \u0645\u062f\u062a \u0632\u0645\u0627\u0646 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0628\u06cc\u0645\u0647 \u0628\u06cc\u06a9\u0627\u0631\u06cc \u0628\u0647 \u0645\u0627\u0647<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_1_28' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >16- \u0622\u06cc\u0627 \u062f\u0631 \u0633\u0644\u0627\u0645\u062a \u06a9\u0627\u0645\u0644 \u0631\u0648\u062d\u06cc \u0648 \u062c\u0633\u0645\u06cc \u0645\u06cc\u0628\u0627\u0634\u06cc\u062f \u061f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_26'>\n\t\t\t<div class='gchoice gchoice_1_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='\u0628\u0644\u0647'  id='choice_1_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_26_0' id='label_1_26_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='\u062e\u06cc\u0631'  id='choice_1_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_26_1' id='label_1_26_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_27\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_27'>17- \u062f\u0631 \u0635\u0648\u0631\u062a \u062e\u06cc\u0631 \u0628\u06cc\u0645\u0627\u0631\u06cc \u062e\u0648\u062f \u0631\u0627 \u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f .<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_1_27' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >18- \u0622\u06cc\u0627 \u062a\u0627 \u06a9\u0646\u0648\u0646 \u062d\u0627\u062f\u062b\u0647 \u0634\u063a\u0644\u06cc \u062f\u0627\u0634\u062a\u0647 \u0627\u06cc\u062f \u061f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_29'>\n\t\t\t<div class='gchoice gchoice_1_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='\u0628\u0644\u0647'  id='choice_1_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_0' id='label_1_29_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='\u062e\u06cc\u0631'  id='choice_1_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_1' id='label_1_29_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >19- \u062f\u0631 \u062d\u0627\u0644 \u062d\u0627\u0636\u0631 \u0645\u0634\u063a\u0648\u0644 \u0628\u0647 \u06a9\u0627\u0631 \u0647\u0633\u062a\u06cc\u062f \u061f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_31'>\n\t\t\t<div class='gchoice gchoice_1_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='\u0628\u0644\u0647'  id='choice_1_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_31_0' id='label_1_31_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='\u062e\u06cc\u0631'  id='choice_1_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_31_1' id='label_1_31_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_30\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_30'>20- \u0646\u0627\u0645 \u0648 \u0622\u062f\u0631\u0633 \u0645\u062d\u0644 \u06a9\u0627\u0631 \u06a9\u0647 \u0627\u06a9\u0646\u0648\u0646 \u062f\u0631 \u0622\u0646 \u0645\u0634\u063a\u0648\u0644 \u0628\u0647 \u06a9\u0627\u0631 \u0647\u0633\u062a\u06cc\u062f \u0631\u0627 \u0627\u0639\u0644\u0627\u0645 \u0646\u0645\u0627\u06cc\u06cc\u062f.<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_1_30' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_32\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_32'>21- \u062e\u0648\u062f\u062a\u0627\u0646 \u0631\u0627 \u062f\u0631 \u0686\u0646\u062f \u062e\u0637 \u0645\u0639\u0631\u0641\u06cc \u0648 \u062a\u0648\u0635\u06cc\u0641 \u06a9\u0646\u06cc\u062f( \u0646\u0642\u0627\u0637 \u0642\u0648\u062a \u0648 \u0636\u0639\u0641 ) :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_1_32' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_1_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >22- \u0627\u0632 \u0686\u0647 \u0637\u0631\u06cc\u0642\u06cc \u0628\u0627 \u0627\u06cc\u0646 \u0645\u062c\u0645\u0648\u0639\u0647 \u0622\u0634\u0646\u0627 \u0634\u062f\u0647 \u0627\u06cc\u062f \u061f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_53'>\n\t\t\t<div class='gchoice gchoice_1_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='\u0622\u06af\u0647\u06cc'  id='choice_1_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_53_0' id='label_1_53_0' class='gform-field-label gform-field-label--type-inline'>\u0622\u06af\u0647\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='\u0645\u0639\u0631\u0641\u06cc \u062f\u0648\u0633\u062a\u0627\u0646'  id='choice_1_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_53_1' id='label_1_53_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0639\u0631\u0641\u06cc \u062f\u0648\u0633\u062a\u0627\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_53_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='\u0633\u0627\u06cc\u062a \u0647\u0627\u06cc \u0627\u0633\u062a\u062e\u062f\u0627\u0645\u06cc'  id='choice_1_53_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_53_2' id='label_1_53_2' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u062a \u0647\u0627\u06cc \u0627\u0633\u062a\u062e\u062f\u0627\u0645\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_53_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='gf_other_choice'  id='choice_1_53_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_53_3' id='label_1_53_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_1_53_other' class='gchoice_other_control' name='input_53_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >23- \u0622\u062e\u0631\u06cc\u0646 \u0645\u062f\u0631\u06a9 \u062a\u062d\u0635\u06cc\u0644\u0627\u062a \u0631\u0633\u0645\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_54'>\n\t\t\t<div class='gchoice gchoice_1_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645'  id='choice_1_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_0' id='label_1_54_0' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='\u062f\u06cc\u067e\u0644\u0645'  id='choice_1_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_1' id='label_1_54_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_54_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='\u0641\u0648\u0642 \u062f\u06cc\u067e\u0644\u0645'  id='choice_1_54_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_2' id='label_1_54_2' class='gform-field-label gform-field-label--type-inline'>\u0641\u0648\u0642 \u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_54_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='\u0644\u06cc\u0633\u0627\u0646\u0633'  id='choice_1_54_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_3' id='label_1_54_3' class='gform-field-label gform-field-label--type-inline'>\u0644\u06cc\u0633\u0627\u0646\u0633<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_54_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='\u0641\u0648\u0642 \u0644\u06cc\u0633\u0627\u0646\u0633'  id='choice_1_54_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_4' id='label_1_54_4' class='gform-field-label gform-field-label--type-inline'>\u0641\u0648\u0642 \u0644\u06cc\u0633\u0627\u0646\u0633<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_54_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='\u062f\u06a9\u062a\u0631\u06cc'  id='choice_1_54_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_5' id='label_1_54_5' class='gform-field-label gform-field-label--type-inline'>\u062f\u06a9\u062a\u0631\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_36\" class=\"gfield gfield--type-text gfield--width-third field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_36'>24- \u0631\u0634\u062a\u0647 \u062a\u062d\u0635\u06cc\u0644\u06cc<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_1_36' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_37\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_37'>25- \u0646\u0627\u0645 \u062f\u0627\u0646\u0634\u06af\u0627\u0647<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_1_37' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_38\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_38'>26- \u0645\u0639\u062f\u0644<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_1_38' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_39\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >27- \u062a\u0627\u0631\u06cc\u062e \u0641\u0627\u0631\u063a \u0627\u0644\u062a\u062d\u0635\u06cc\u0644\u06cc<\/legend><div id='input_1_39' class='ginput_container ginput_complex gform-grid-row'>\n                                            <div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_1_39_3_container'>\n                                                <label for='input_1_39_3' class='gform-field-label gform-field-label--type-sub '>\u0633\u0627\u0644<\/label>\n                                                <input type='number' maxlength='4' name='input_39[]' id='input_1_39_3' value=''   aria-required='false'   placeholder='\u0633\u0627\u0644' min='1920' max='2027' step='1'\/>\n                                            <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_1_39_1_container'>\n                                                <label for='input_1_39_1' class='gform-field-label gform-field-label--type-sub '>\u0645\u0627\u0647<\/label>\n                                                <input type='number' maxlength='2' name='input_39[]' id='input_1_39_1' value=''   aria-required='false'   placeholder='\u0645\u0627\u0647' min='1' max='12' step='1'\/>\n                                            <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_1_39_2_container'>\n                                                <label for='input_1_39_2' class='gform-field-label gform-field-label--type-sub '>\u0631\u0648\u0632<\/label>\n                                                <input type='number' maxlength='2' name='input_39[]' id='input_1_39_2' value=''   aria-required='false'   placeholder='\u0631\u0648\u0632' min='1' max='31' step='1'\/>\n                                           <\/div>\n                                        <\/div><\/fieldset><fieldset id=\"field_1_41\" class=\"gfield gfield--type-list gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >28- \u062f\u0648\u0631\u0647\u200c\u0647\u0627\u06cc \u062a\u062e\u0635\u0635\u06cc \u06af\u0630\u0631\u0627\u0646\u062f\u0647 \u0634\u062f\u0647<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_41_cell1 gform-grid-col' ><input aria-invalid='false'  aria-describedby=\"gfield_description_1_41\" aria-label='28- \u062f\u0648\u0631\u0647\u200c\u0647\u0627\u06cc \u062a\u062e\u0635\u0635\u06cc \u06af\u0630\u0631\u0627\u0646\u062f\u0647 \u0634\u062f\u0647, Row 1' data-aria-label-template='28- \u062f\u0648\u0631\u0647\u200c\u0647\u0627\u06cc \u062a\u062e\u0635\u0635\u06cc \u06af\u0630\u0631\u0627\u0646\u062f\u0647 \u0634\u062f\u0647, Row {0}' type='text' name='input_41[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_1_41'>\u0631\u0634\u062a\u0647: .................................................................... \u0645\u0648\u0633\u0633\u0647: ....................................................... \u0645\u062f\u062a \u062f\u0648\u0631\u0647: ....................................... \u062a\u0627\u0631\u06cc\u062e: ................................<\/div><\/fieldset><fieldset id=\"field_1_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >29- \u0645\u06cc\u0632\u0627\u0646 \u0622\u0634\u0646\u0627\u06cc\u06cc \u0628\u0627 \u0645\u0647\u0627\u0631\u062a Word<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_55'>\n\t\t\t<div class='gchoice gchoice_1_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='\u0622\u0634\u0646\u0627\u06cc\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_1_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_0' id='label_1_55_0' class='gform-field-label gform-field-label--type-inline'>\u0622\u0634\u0646\u0627\u06cc\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='\u06a9\u0645'  id='choice_1_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_1' id='label_1_55_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_55_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_1_55_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_2' id='label_1_55_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_55_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='\u067e\u06cc\u0634\u0631\u0641\u062a\u0647'  id='choice_1_55_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_3' id='label_1_55_3' class='gform-field-label gform-field-label--type-inline'>\u067e\u06cc\u0634\u0631\u0641\u062a\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-five-twelfths gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >30- \u0645\u06cc\u0632\u0627\u0646 \u0622\u0634\u0646\u0627\u06cc\u06cc \u0628\u0627 \u0645\u0647\u0627\u0631\u062a Excel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_56'>\n\t\t\t<div class='gchoice gchoice_1_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='\u0622\u0634\u0646\u0627\u06cc\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_1_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_0' id='label_1_56_0' class='gform-field-label gform-field-label--type-inline'>\u0622\u0634\u0646\u0627\u06cc\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='\u06a9\u0645'  id='choice_1_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_1' id='label_1_56_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_56_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_1_56_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_2' id='label_1_56_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_56_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='\u067e\u06cc\u0634\u0631\u0641\u062a\u0647'  id='choice_1_56_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_3' id='label_1_56_3' class='gform-field-label gform-field-label--type-inline'>\u067e\u06cc\u0634\u0631\u0641\u062a\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_57\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >31- \u0645\u06cc\u0632\u0627\u0646 \u0622\u0634\u0646\u0627\u06cc\u06cc \u0628\u0627 \u0645\u0647\u0627\u0631\u062a Outlook<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_57'>\n\t\t\t<div class='gchoice gchoice_1_57_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='\u0622\u0634\u0646\u0627\u06cc\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_1_57_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_57_0' id='label_1_57_0' class='gform-field-label gform-field-label--type-inline'>\u0622\u0634\u0646\u0627\u06cc\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_57_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='\u06a9\u0645'  id='choice_1_57_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_57_1' id='label_1_57_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_57_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_1_57_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_57_2' id='label_1_57_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_57_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='\u067e\u06cc\u0634\u0631\u0641\u062a\u0647'  id='choice_1_57_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_57_3' id='label_1_57_3' class='gform-field-label gform-field-label--type-inline'>\u067e\u06cc\u0634\u0631\u0641\u062a\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_59\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-five-twelfths gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >32- \u0645\u06cc\u0632\u0627\u0646 \u0622\u0634\u0646\u0627\u06cc\u06cc \u0628\u0627 \u0645\u0647\u0627\u0631\u062a \u0631\u0627\u0647\u06a9\u0627\u0631\u0627\u0646 \u0647\u0645\u06a9\u0627\u0631\u0627\u0646 \u0633\u06cc\u0633\u062a\u0645<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_59'>\n\t\t\t<div class='gchoice gchoice_1_59_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='\u0622\u0634\u0646\u0627\u06cc\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_1_59_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_59_0' id='label_1_59_0' class='gform-field-label gform-field-label--type-inline'>\u0622\u0634\u0646\u0627\u06cc\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_59_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='\u06a9\u0645'  id='choice_1_59_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_59_1' id='label_1_59_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_59_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_1_59_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_59_2' id='label_1_59_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_59_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='\u067e\u06cc\u0634\u0631\u0641\u062a\u0647'  id='choice_1_59_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_59_3' id='label_1_59_3' class='gform-field-label gform-field-label--type-inline'>\u067e\u06cc\u0634\u0631\u0641\u062a\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_48\" class=\"gfield gfield--type-list gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >33- \u0633\u0648\u0627\u0628\u0642 \u06a9\u0627\u0631\u06cc: ( \u0628\u0647 \u062a\u0631\u062a\u06cc\u0628 \u0627\u0632 \u0622\u062e\u0631\u06cc\u0646 \u0633\u0627\u0628\u0642\u0647)<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_48_cell1 gform-grid-col' ><input aria-invalid='false'  aria-describedby=\"gfield_description_1_48\" aria-label='33- \u0633\u0648\u0627\u0628\u0642 \u06a9\u0627\u0631\u06cc: ( \u0628\u0647 \u062a\u0631\u062a\u06cc\u0628 \u0627\u0632 \u0622\u062e\u0631\u06cc\u0646 \u0633\u0627\u0628\u0642\u0647), Row 1' data-aria-label-template='33- \u0633\u0648\u0627\u0628\u0642 \u06a9\u0627\u0631\u06cc: ( \u0628\u0647 \u062a\u0631\u062a\u06cc\u0628 \u0627\u0632 \u0622\u062e\u0631\u06cc\u0646 \u0633\u0627\u0628\u0642\u0647), Row {0}' type='text' name='input_48[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_1_48'>\n\u0646\u0627\u0645 \u0648 \u0646\u0634\u0627\u0646\u06cc \u0645\u062d\u0644 \u06a9\u0627\u0631........................\n\u0639\u0646\u0648\u0627\u0646 \u0634\u063a\u0644 ........................\n\u0634\u0631\u062d \u0648\u0638\u0627\u06cc\u0641 .................. \u062f\u0633\u062a\u0645\u0632\u062f \u062f\u0631\u06cc\u0627\u0641\u062a\u06cc ............... \u0645\u062f\u062a \u0647\u0645\u06a9\u0627\u0631\u06cc ................... \u062f\u0644\u06cc\u0644 \u067e\u0627\u06cc\u0627\u0646 \u0647\u0645\u06a9\u0627\u0631\u06cc .......\n<\/div><\/fieldset><fieldset id=\"field_1_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >34- \u0622\u06cc\u0627 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0627\u0632 \u0645\u062d\u0644 \u06a9\u0627\u0631 \u0642\u0628\u0644\u06cc \u062e\u0648\u062f \u0646\u0627\u0645\u0647 \u062d\u0633\u0646 \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0631 \u0627\u0631\u0627\u0626\u0647 \u062f\u0647\u06cc\u062f\u061f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_49'>\n\t\t\t<div class='gchoice gchoice_1_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='\u0628\u0644\u0647'  id='choice_1_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_49_0' id='label_1_49_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='\u062e\u06cc\u0631'  id='choice_1_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_49_1' id='label_1_49_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_50\" class=\"gfield gfield--type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_50'>35- \u0645\u06cc\u0632\u0627\u0646 \u062d\u0642\u0648\u0642 \u062f\u0631\u062e\u0648\u0627\u0633\u062a\u06cc :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_50' id='input_1_50' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_1_51\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >36- \u0627\u0632 \u0686\u0647 \u0632\u0645\u0627\u0646\u06cc \u0642\u0627\u062f\u0631 \u0628\u0647 \u0647\u0645\u06a9\u0627\u0631\u06cc \u0628\u0627 \u0645\u062c\u0645\u0648\u0639\u0647 \u0645\u0627 \u0645\u06cc \u0628\u0627\u0634\u06cc\u062f\u061f<\/legend><div id='input_1_51' class='ginput_container ginput_complex gform-grid-row'>\n                                            <div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_1_51_3_container'>\n                                                <label for='input_1_51_3' class='gform-field-label gform-field-label--type-sub '>\u0633\u0627\u0644<\/label>\n                                                <input type='number' maxlength='4' name='input_51[]' id='input_1_51_3' value=''   aria-required='false'   placeholder='\u0633\u0627\u0644' min='1920' max='2027' step='1'\/>\n                                            <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_1_51_1_container'>\n                                                <label for='input_1_51_1' class='gform-field-label gform-field-label--type-sub '>\u0645\u0627\u0647<\/label>\n                                                <input type='number' maxlength='2' name='input_51[]' id='input_1_51_1' value=''   aria-required='false'   placeholder='\u0645\u0627\u0647' min='1' max='12' step='1'\/>\n                                            <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_1_51_2_container'>\n                                                <label for='input_1_51_2' class='gform-field-label gform-field-label--type-sub '>\u0631\u0648\u0632<\/label>\n                                                <input type='number' maxlength='2' name='input_51[]' id='input_1_51_2' value=''   aria-required='false'   placeholder='\u0631\u0648\u0632' min='1' max='31' step='1'\/>\n                                           <\/div>\n                                        <\/div><\/fieldset><fieldset id=\"field_1_4\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >37- \u0622\u062f\u0631\u0633 \u0634\u0645\u0627<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_1_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_4_1_container' >\n                                        <label for='input_1_4_1' id='input_1_4_1_label' class='gform-field-label gform-field-label--type-sub '>\u0622\u062f\u0631\u0633 \u062e\u064a\u0627\u0628\u0627\u0646<\/label>\n                                        <input type='text' name='input_4.1' id='input_1_4_1' value=''    aria-required='true'   autocomplete=\"address-line1\" \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_1_4_2_container' >\n                                        <label for='input_1_4_2' id='input_1_4_2_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u062f\u0627\u0645\u0647 \u0622\u062f\u0631\u0633<\/label>\n                                        <input type='text' name='input_4.2' id='input_1_4_2' value=''    autocomplete=\"address-line2\" aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_4_3_container' >\n                                    <label for='input_1_4_3' id='input_1_4_3_label' class='gform-field-label gform-field-label--type-sub '>\u0634\u0647\u0631<\/label>\n                                    <input type='text' name='input_4.3' id='input_1_4_3' value=''    aria-required='true'   autocomplete=\"address-level2\" \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_1_4_4_container' >\n                                        <label for='input_1_4_4' id='input_1_4_4_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0633\u062a\u0627\u0646<\/label>\n                                        <input type='text' name='input_4.4' id='input_1_4_4' value=''      aria-required='true'   autocomplete=\"address-level1\" \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_1_4_5_container' >\n                                    <label for='input_1_4_5' id='input_1_4_5_label' class='gform-field-label gform-field-label--type-sub '>\u0643\u062f \u067e\u0633\u062a\u064a<\/label>\n                                    <input type='text' name='input_4.5' id='input_1_4_5' value=''    aria-required='true'   autocomplete=\"postal-code\" \/>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_1_4_6_container' >\n                                        <label for='input_1_4_6' id='input_1_4_6_label' class='gform-field-label gform-field-label--type-sub '>\u0643\u0634\u0648\u0631<\/label>\n                                        <select name='input_4.6' id='input_1_4_6'   aria-required='true'   autocomplete=\"country-name\" ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' selected='selected'>Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_1_2\" class=\"gfield gfield--type-email field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >38- \u0627\u064a\u0645\u064a\u0644 \u0622\u062f\u0631\u0633 \u0634\u0645\u0627<\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_1_2_container'>\n                                <span id='input_1_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_1_2' class='gform-field-label gform-field-label--type-sub '>\u0627\u064a\u0645\u064a\u0644 \u0622\u062f\u0631\u0633<\/label>\n                                    <input class='' type='email' name='input_2' id='input_1_2' value=''     aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_1_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_1_2_2' class='gform-field-label gform-field-label--type-sub '>\u062a\u0643\u0631\u0627\u0631 \u0627\u064a\u0645\u064a\u0644 \u0622\u062f\u0631\u0633<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_1_2_2' value=''     aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_1_5\" class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'>39- \u0634\u0645\u0627\u0631\u0647 \u0645\u0648\u0628\u0627\u064a\u0644 \u0634\u0645\u0627<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_1_5' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><fieldset id=\"field_1_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >40- \u0645\u062a\u0642\u0627\u0636\u06cc \u06a9\u062f\u0627\u0645 \u0639\u0646\u0648\u0627\u0646 \u0634\u063a\u0644\u06cc \u0647\u0633\u062a\u06cc\u062f \u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_60'>\n\t\t\t<div class='gchoice gchoice_1_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633 \u06a9\u0646\u062a\u0631\u0644 \u06a9\u06cc\u0641\u06cc\u062a'  id='choice_1_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_60_0' id='label_1_60_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0634\u0646\u0627\u0633 \u06a9\u0646\u062a\u0631\u0644 \u06a9\u06cc\u0641\u06cc\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='\u062a\u06a9\u0646\u0633\u06cc\u0646 \u0641\u0646\u06cc'  id='choice_1_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_60_1' id='label_1_60_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u06a9\u0646\u0633\u06cc\u0646 \u0641\u0646\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_60_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='\u0633\u0631\u067e\u0631\u0633\u062a \u062a\u0648\u0644\u06cc\u062f'  id='choice_1_60_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_60_2' id='label_1_60_2' class='gform-field-label gform-field-label--type-inline'>\u0633\u0631\u067e\u0631\u0633\u062a \u062a\u0648\u0644\u06cc\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_60_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='\u0628\u0627\u0632\u0631\u0633 \u06a9\u0646\u062a\u0631\u0644 \u06a9\u06cc\u0641\u06cc\u062a'  id='choice_1_60_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_60_3' id='label_1_60_3' class='gform-field-label gform-field-label--type-inline'>\u0628\u0627\u0632\u0631\u0633 \u06a9\u0646\u062a\u0631\u0644 \u06a9\u06cc\u0641\u06cc\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_60_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='\u0627\u0646\u0628\u0627\u0631\u062f\u0627\u0631'  id='choice_1_60_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_60_4' id='label_1_60_4' class='gform-field-label gform-field-label--type-inline'>\u0627\u0646\u0628\u0627\u0631\u062f\u0627\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_60_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value=''  id='choice_1_60_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_60_5' id='label_1_60_5' class='gform-field-label gform-field-label--type-inline'>\u0627\u067e\u0631\u0627\u062a\u0648\u0631 \u062a\u0648\u0644\u06cc\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_60_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='gf_other_choice'  id='choice_1_60_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_60_6' id='label_1_60_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_1_60_other' class='gchoice_other_control' name='input_60_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_61\" class=\"gfield gfield--type-captcha gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_61'>CAPTCHA<\/label><div id='input_1_61' class='ginput_container ginput_recaptcha' data-sitekey='6LeL27oqAAAAAHJC0YyXygTM7duZctzfstitkyb-'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='\u062b\u0628\u062a \u062f\u0631\u062e\u0648\u0627\u0633\u062a'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='postback' \/>\n           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