{"id":4776,"date":"2017-08-24T22:00:09","date_gmt":"2017-08-25T02:00:09","guid":{"rendered":"http:\/\/www.makivik.org\/hart-application-form-2\/"},"modified":"2017-08-24T22:00:09","modified_gmt":"2017-08-25T02:00:09","slug":"hart-application-form-2","status":"publish","type":"page","link":"https:\/\/www.makivvik.ca\/iu\/hart-application-form-2\/","title":{"rendered":"Hart Application Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\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 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gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_2' style='display:none'><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">\u1405\u146d\u1405\u1550\u1455\u1451\u1449 \u1581\u1466\u14ef\u1450\u1593\u14c4\u1466 \u140a\u1405\u14ea\u14db\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c3\u1466 \u140a\u1555\u1405\u144e\u148d\u144e\u14c2\u1483 \u146e\u14c7\u1405\u152d\u1583\u1550\u144e\u1455\u1405\u1555\u1593\u1466 (\u201cHARPT\u201d)<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/iu\/wp-json\/wp\/v2\/pages\/4776#gf_2' data-formid='2' novalidate>\n        <div id='gf_progressbar_wrapper_2' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_2_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_45\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u1403\u14c4\u14bb\u14aa\u1546\u14d0 \u1405\u155d\u1559\u14d7 \u1405\u146d\u1405\u146d\u1466\u1450?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_45'>\n\t\t\t<li class='gchoice gchoice_2_45_0'>\n\t\t\t\t<input name='input_45' type='radio' value='Adult'  id='choice_2_45_0'    \/>\n\t\t\t\t<label for='choice_2_45_0' id='label_2_45_0' class='gform-field-label gform-field-label--type-inline'>\u1403\u14c4\u14bb\u14aa\u1546\u14d0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_45_1'>\n\t\t\t\t<input name='input_45' type='radio' value='Minor'  id='choice_2_45_1'    \/>\n\t\t\t\t<label for='choice_2_45_1' id='label_2_45_1' class='gform-field-label gform-field-label--type-inline'>\u1405\u146d\u1405\u146d\u1466\u1450?<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_37\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u140a\u1555\u1466\u1450\u14ef\u14aa\u14c2\u1585 A<\/h2><div class='gsection_description' id='gfield_description_2_37'>\u1431\u152d\u1583\u154b\u14f1\u140a\u1550\u1451\u1449 \u1450\u146d\u14ef\u14aa\u152d\u1405\u148d\u144e\u158f\u1466<\/div><\/li><li id=\"field_2_4\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_4'>\u140a\u144e\u14d5\u1550\u157f\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_2_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_5\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_5'>\u140a\u144e\u1593 (\u158f\u1466)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_2_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_6\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'>\u140a\u144e\u1583\u1550\u144e\u1455\u1405\u148d\u144e\u148b\u14bb\u14a5\u152d\u158f\u1466<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_2_6' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_7\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'>\u140a\u14c8\u14c7\u1593\u1455 \u140a\u144e\u14d5\u1550\u157f\u1593 \u1403\u14c5\u14d5\u1550\u14f1\u14c2<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_2_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u140a\u1550\u14c7\u14d7\u14d0\u14c3\u1466\/\u140a\u1591\u144e\u14d8\u14d0\u14c3\u1466<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_9'>\n\t\t\t<li class='gchoice gchoice_2_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='\u140a\u1591\u144e'  id='choice_2_9_0'    \/>\n\t\t\t\t<label for='choice_2_9_0' id='label_2_9_0' class='gform-field-label gform-field-label--type-inline'>\u140a\u1591\u144e<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='\u140a\u1550\u14c7\u1585'  id='choice_2_9_1'    \/>\n\t\t\t\t<label for='choice_2_9_1' id='label_2_9_1' class='gform-field-label gform-field-label--type-inline'>\u140a\u1550\u14c7\u1585<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_10\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u1403\u14c5\u14d5\u1550\u1555\u1593\u1455 \u1405\u14ea\u14d7\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_2_10' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_2_10_2_container'>\n                                            <input type='number' maxlength='2' name='input_10[]' id='input_2_10_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_2_10_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_2_10_1_container'>\n                                        <input type='number' maxlength='2' name='input_10[]' id='input_2_10_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_2_10_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_2_10_3_container'>\n                                        <input type='number' maxlength='4' name='input_10[]' id='input_2_10_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_2_10_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/div><\/li><li id=\"field_2_11\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_11'>\u140a\u14ea\u14da\u1456\u1550\u1555\u146f\u1466 \u14ef\u14da\u144e\u1593 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u1403\u14ea\u14d7\u1593\u1455 \u146d\u144e\u1466\u152a\u144e\u1593 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u140a\u14ea\u14da\u1455\u1550\u1555\u1593\u1455 \u146d\u144e\u1466\u152a\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_2_11' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_12\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_12'>\u14c4\u14c7\u14d5\u1593\u14d7\u14d0\u14c3\u1466<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_2_12' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_13\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_13'>\u14c4\u14c7\u14d5\u1550\u14da\u1593\/\u14c4\u14c7\u1581\u1455\u1405\u152a\u1585<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_2_13' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_14\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_14'>\u14ef\u14da\u144e\u158f\u1466\u1455 \u146d\u144e\u1466\u152a\u144e\u140a\u1431\u158f\u1466<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_2_14' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_15\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_15'>\u14c4\u14c7\u14d5\u1550\u152a\u140a\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_2_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_16\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_16'>\u1405\u14ea\u14d7\u146f\u1466 \u1405\u1584\u14da\u1405\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_2_16' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_17\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_17'>\u1405\u1584\u14da\u1405\u144e\u148b\u140a\u14ea\u14da\u1593<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_2_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_22\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_2_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u1431\u152d\u1583\u154b\u14f1\u140a\u1550\u1450\u1585 \u14c7\u14ea\u14d5\u1593\u1405\u1557\u1585 \u1405\u146f\u140a:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_21'>\n\t\t\t<li class='gchoice gchoice_2_21_0'>\n\t\t\t\t<input name='input_21' type='radio' value='\u1405\u146d\u1405\u1550\u1455\u1451\u1449 \u1581\u1466\u14ef\u1450\u1593\u14c4\u1466 \u140a\u1405\u14ea\u14db\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c2\u14ea\u14da\u1546\u1405\u1466\u14f1\u14c2, \u1472\u144e\u144e\u1455\u1405\u14aa\u1583\u144e\u1405\u1466\u14f1\u14c2\u14d7\u14d0\u14c3\u1466 \u1581\u1466\u14ef\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14da\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c2\u1550\u14c4\u1466 \u1405\u146d\u1405\u1550\u1455\u1450\u14a5 \u14c4\u1466\u144e\u144e\u1455\u1405\u1466\u14f1\u144e\u1483, \u157f\u1450\u1550\u1593\u1546\u152d\u1405\u1466\u14f1\u14c2\u14d7\u14d0\u14c3\u1466 (\u14c7\u14bb\u14a5\u14c2\u14ea\u14d7\u1450\u1546\u152d\u1405\u1466\u14f1\u14c2 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u144e\u148d\u140a\u1550\u1455\u1555\u14c2\u1405\u1466\u14f1\u14c2) \u1405\u146d\u1405\u14a5\u148d\u1466 \u14c8\u14bb\u14aa\u14ef\u14c2\u154b\u1550\u1455\u1405\u14d5\u1550\u14f1\u14c2 \u1433\u1550\u1450\u14c2\u1550\u1439\u14a5\u1583\u1455\u1405\u1466\u14f1\u14c2 \u1581\u1466\u14ef\u1450\u14a5 \u1405\u146d\u1405\u1550\u1455\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14da\u144e\u1455\u1405\u14ef\u14aa\u152a\u14c4\u1466; \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466'  id='choice_2_21_0'    \/>\n\t\t\t\t<label for='choice_2_21_0' id='label_2_21_0' class='gform-field-label gform-field-label--type-inline'>\u1405\u146d\u1405\u1550\u1455\u1451\u1449 \u1581\u1466\u14ef\u1450\u1593\u14c4\u1466 \u140a\u1405\u14ea\u14db\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c2\u14ea\u14da\u1546\u1405\u1466\u14f1\u14c2, \u1472\u144e\u144e\u1455\u1405\u14aa\u1583\u144e\u1405\u1466\u14f1\u14c2\u14d7\u14d0\u14c3\u1466 \u1581\u1466\u14ef\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14da\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c2\u1550\u14c4\u1466 \u1405\u146d\u1405\u1550\u1455\u1450\u14a5 \u14c4\u1466\u144e\u144e\u1455\u1405\u1466\u14f1\u144e\u1483, \u157f\u1450\u1550\u1593\u1546\u152d\u1405\u1466\u14f1\u14c2\u14d7\u14d0\u14c3\u1466 (\u14c7\u14bb\u14a5\u14c2\u14ea\u14d7\u1450\u1546\u152d\u1405\u1466\u14f1\u14c2 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u144e\u148d\u140a\u1550\u1455\u1555\u14c2\u1405\u1466\u14f1\u14c2) \u1405\u146d\u1405\u14a5\u148d\u1466 \u14c8\u14bb\u14aa\u14ef\u14c2\u154b\u1550\u1455\u1405\u14d5\u1550\u14f1\u14c2 \u1433\u1550\u1450\u14c2\u1550\u1439\u14a5\u1583\u1455\u1405\u1466\u14f1\u14c2 \u1581\u1466\u14ef\u1450\u14a5 \u1405\u146d\u1405\u1550\u1455\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14da\u144e\u1455\u1405\u14ef\u14aa\u152a\u14c4\u1466; \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_21_1'>\n\t\t\t\t<input name='input_21' type='radio' value='\u146d\u1591\u155a\u1591\u152a\u1585 \u1405\u146d\u1405\u158f\u1466 \u14c8\u14bb\u14aa\u14ef\u14ef\u14aa\u14d5\u1550\u14f1\u144e\u1483 \u146d\u1591\u155a\u1591\u1466\u14f1\u14c2 \u1581\u1466\u14ef\u1450\u14a5 \u1405\u146d\u1405\u1550\u1455\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14db\u144e\u1455\u1405\u14ef\u14aa\u152a\u14c4\u1466'  id='choice_2_21_1'    \/>\n\t\t\t\t<label for='choice_2_21_1' id='label_2_21_1' class='gform-field-label gform-field-label--type-inline'>\u146d\u1591\u155a\u1591\u152a\u1585 \u1405\u146d\u1405\u158f\u1466 \u14c8\u14bb\u14aa\u14ef\u14ef\u14aa\u14d5\u1550\u14f1\u144e\u1483 \u146d\u1591\u155a\u1591\u1466\u14f1\u14c2 \u1581\u1466\u14ef\u1450\u14a5 \u1405\u146d\u1405\u1550\u1455\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14db\u144e\u1455\u1405\u14ef\u14aa\u152a\u14c4\u1466<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_19\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_19'>\u140a\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_2_19' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_20\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_20'>\u14c4\u14c7\u14d5\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_2_20' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_46\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u140a\u1555\u1466\u1450\u14ef\u14aa\u14c2\u1585 A<\/h2><div class='gsection_description' id='gfield_description_2_46'>\u1431\u152d\u1583\u154b\u14f1\u140a\u1550\u1450\u1585 (\u1405\u146d\u1405\u146d\u1466\u1451\u1449)<\/div><\/li><li id=\"field_2_74\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/br>\n<b>\u1405\u146d\u1405\u146d\u1466\u1451\u1449 \u140a\u144e\u1593<\/b><\/li><li id=\"field_2_47\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_47'>\u140a\u144e\u14d5\u1550\u157f\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_2_47' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_48\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_48'>\u140a\u144e\u1593 (\u158f\u1466)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_2_48' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u140a\u1550\u14c7\u14d7\u14d0\u14c3\u1466\/\u140a\u1591\u144e\u14d8\u14d0\u14c3\u1466<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_50'>\n\t\t\t<li class='gchoice gchoice_2_50_0'>\n\t\t\t\t<input name='input_50' type='radio' value='\u140a\u1591\u144e'  id='choice_2_50_0'    \/>\n\t\t\t\t<label for='choice_2_50_0' id='label_2_50_0' class='gform-field-label gform-field-label--type-inline'>\u140a\u1591\u144e<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_50_1'>\n\t\t\t\t<input name='input_50' type='radio' value='\u140a\u1550\u14c7\u1585'  id='choice_2_50_1'    \/>\n\t\t\t\t<label for='choice_2_50_1' id='label_2_50_1' class='gform-field-label gform-field-label--type-inline'>\u140a\u1550\u14c7\u1585<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_51\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u1403\u14c5\u14d5\u1550\u1555\u1593\u1455 \u1405\u14ea\u14d7\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_2_51' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_2_51_2_container'>\n                                            <input type='number' maxlength='2' name='input_51[]' id='input_2_51_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_2_51_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_2_51_1_container'>\n                                        <input type='number' maxlength='2' name='input_51[]' id='input_2_51_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_2_51_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_2_51_3_container'>\n                                        <input type='number' maxlength='4' name='input_51[]' id='input_2_51_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_2_51_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/div><\/li><li id=\"field_2_62\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u140a\u14c8\u14c7\u1593<\/h2><div class='gsection_description' id='gfield_description_2_62'>\u1405\u146d\u1405\u146d\u1466\u1451\u1449<\/div><\/li><li id=\"field_2_53\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_53'>\u140a\u144e\u14d5\u1550\u157f\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_2_53' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_54\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_54'>\u140a\u144e\u1593 (\u158f\u1466)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_2_54' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_55\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_55'>\u140a\u14ea\u14da\u1456\u1550\u1555\u146f\u1466 \u14ef\u14da\u144e\u1593 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u1403\u14ea\u14d7\u1593\u1455 \u146d\u144e\u1466\u152a\u144e\u1593 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u140a\u14ea\u14da\u1456\u1550\u1555\u1593\u1455 \u146d\u144e\u1466\u152a\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_2_55' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_56\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_56'>\u14c4\u14c7\u14d5\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_2_56' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_57\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_57'>\u14c4\u14c7\u14d5\u1550\u14da\u1593\/\u14c4\u14c7\u1581\u1455\u1405\u152a\u1585<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_2_57' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_58\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_58'>\u14ef\u14da\u144e\u1593\u1455 \u146d\u144e\u1466\u152a\u144e\u140a\u1431\u158f\u1466<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_2_58' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_59\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_59'>\u14c4\u14c7\u14d5\u1550\u152a\u140a\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_2_59' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_60\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_60'>\u1405\u14ea\u14d7\u146f\u1466 \u1405\u1584\u14da\u1405\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_2_60' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_61\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_61'>\u1405\u1584\u14da\u1405\u144e\u148b\u140a\u14ea\u14da\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_2_61' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_63\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u140a\u1456\u1455\u1593<\/h2><div class='gsection_description' id='gfield_description_2_63'>\u1405\u146d\u1405\u146d\u1466\u1451\u1449<\/div><\/li><li id=\"field_2_65\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_65'>\u140a\u144e\u14d5\u1550\u157f\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_2_65' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_66\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_66'>\u140a\u144e\u1593 (\u158f\u1466)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_2_66' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_67\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_67'>\u140a\u14ea\u14da\u1456\u1550\u1555\u146f\u1466 \u14ef\u14da\u144e\u1593 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u1403\u14ea\u14d7\u1593\u1455 \u146d\u144e\u1466\u152a\u144e\u1593 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u140a\u14ea\u14da\u1456\u1550\u1555\u1593\u1455 \u146d\u14ef\u1466\u152a\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_2_67' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_68\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_68'>\u14c4\u14c7\u14d5\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_2_68' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_69\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_69'>\u14c4\u14c7\u14d5\u1550\u14da\u1593\/\u14c4\u14c7\u1581\u1455\u1405\u152a\u1585<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_2_69' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_70\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_70'>\u14ef\u14da\u144e\u1593\u1455 \u146d\u14ef\u1466\u152a\u144e\u140a\u1431\u158f\u1466<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_2_70' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_71\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_71'>\u14c4\u14c7\u14d5\u1550\u152a\u140a\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_2_71' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_72\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_72'>\u1405\u14ea\u14d7\u146f\u1466 \u1405\u1584\u14da\u1405\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_2_72' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_73\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_73'>\u1405\u1584\u14da\u1405\u144e\u148b\u140a\u14ea\u14da\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_2_73' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_75\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u1472\u14aa\u1528\u1593<\/h2><div class='gsection_description' id='gfield_description_2_75'>\u1405\u146d\u1405\u146d\u1466\u1451\u1449<\/div><\/li><li id=\"field_2_76\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_76'>\u140a\u144e\u14d5\u1550\u157f\u1593<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_2_76' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_77\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_77'>\u140a\u144e\u1593 (\u158f\u1466)<\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_2_77' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_78\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_78'>\u140a\u14ea\u14da\u1456\u1550\u1555\u146f\u1466 \u14ef\u14da\u144e\u1593 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u1403\u14ea\u14d7\u1593\u1455 \u146d\u144e\u1466\u152a\u144e\u1593 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u140a\u14ea\u14da\u1456\u1550\u1555\u1593\u1455 \u146d\u144e\u1466\u152a\u144e\u1593<\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_2_78' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_79\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_79'>\u14c4\u14c7\u14d5\u1593<\/label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_2_79' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_80\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_80'>\u14c4\u14c7\u14d5\u1550\u14da\u1593\/\u14c4\u14c7\u1581\u1455\u1405\u152a\u1585<\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_2_80' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_81\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_81'>\u14ef\u14da\u144e\u1593\u1455 \u146d\u144e\u1466\u152a\u144e\u140a\u1431\u158f\u1466<\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_2_81' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_82\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_82'>\u14c4\u14c7\u14d5\u1550\u152a\u140a\u1593<\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_2_82' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_83\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_83'>\u1405\u14ea\u14d7\u146f\u1466 \u1405\u1584\u14da\u1405\u144e\u1593<\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_2_83' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_84\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_84'>\u1405\u1584\u14da\u1405\u144e\u148b\u140a\u14ea\u14da\u1593<\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_2_84' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_85\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/br>\n<b>\u1431\u152d\u1583\u154b\u14f1\u140a\u1550\u1450\u1585 (\u1405\u146d\u1405\u146d\u1466\u1450\u1585) \u146d\u1591\u155a\u1591\u1466\u14f1\u14c2 \u1581\u1466\u14ef\u1450\u14a5 \u1405\u146d\u1405\u1550\u1455\u1450\u14a7\u1466<\/b><\/li><li id=\"field_2_86\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_86'>\u140a\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_2_86' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_87\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_87'>\u14c4\u14c7\u14d5\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_2_87' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_23\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u140a\u158f\u1550\u1555\u14f4<\/h2><\/li><li id=\"field_2_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u1431\u152d\u1583\u154b\u14f1\u140a\u1550\u1451\u1449 \u140a\u158f\u1550\u1555\u14f4\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_25'><li class='gchoice gchoice_2_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='\u140a\u158f\u1550\u1433\u1593'  id='choice_2_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_25_1' id='label_2_25_1' class='gform-field-label gform-field-label--type-inline'>\u140a\u158f\u1550\u1433\u1593<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_88\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u140a\u144e\u14d5\u1405\u1548\u14ef\u1593 \u140a\u14c8\u14c7\u1593\u1455, \u140a\u1456\u1455\u1593\u1455 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u1472\u14aa\u1528\u1593\u1455 \u1431\u152d\u1583\u154b\u14f1\u140a\u1550\u1451\u1449 (\u1405\u146d\u1405\u146d\u1466\u1451\u1449):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_88'>\n\t\t\t<li class='gchoice gchoice_2_88_0'>\n\t\t\t\t<input name='input_88' type='radio' value='\u140a\u158f\u1550\u1433\u1593'  id='choice_2_88_0'    \/>\n\t\t\t\t<label for='choice_2_88_0' id='label_2_88_0' class='gform-field-label gform-field-label--type-inline'>\u140a\u158f\u1550\u1433\u1593<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_26\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_26'>\u1405\u14ea\u14d7\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_26' id='input_2_26' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_2_26_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_26_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_26' class='gform_hidden' value='https:\/\/www.makivvik.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_2_27' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_2_2_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary'  > Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' data-js='page-field-id-27' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_38\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u140a\u1555\u1466\u1450\u14ef\u14aa\u14c2\u1585 B<\/h2><div class='gsection_description' id='gfield_description_2_38'>\u146d\u14c7\u1405\u14c2\u1550\u14a5\u14c4\u1466 \u14f1\u1550\u1581\u1403\u1455\u1405\u14ef\u14aa\u148d\u144f\u1466<\/div><\/li><li id=\"field_2_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u1450\u14c2\u1528\u148b\u140a\u1583\u1550\u1450\u144e\u1466 \u140a\u1455\u1405\u14ef\u1550\u14a5\u1483 (1) \u146d\u14c7\u1405\u14c2\u1550\u14c5\u1555\u1466 \u140a\u14ea\u14da\u14ef\u14aa\u152a\u1581\u144e\u14d0\u14c3\u1555\u1466 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u146d\u14c7\u1405\u14c2\u1550\u1431\u1466 \u14c7\u14d7\u14c0\u1550\u146f\u1455\u1593\u1455 \u146d\u144e\u1466\u152a\u144e\u1593:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_29'><li class='gchoice gchoice_2_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='\u1526\u14bb\u1505 \u142f \u140a\u14bb\u14aa\u14d7 \u146f\u142f\u1483 \u1455\u1550\u154b\u1593\u1455 \u140a\u158f\u1583\u144e\u148c\u148d\u144e\u1593\u14c4\u1466 \u1431\u1559\u14ea\u14d5\u1581\u144e\u1456\u1550\u1455\u1583\u1455\u1405\u14c2\u1550\u14a7\u1466 \u14ef\u1483\u146d\u1456\u1431\u1449\u1431\u1466 \u146d\u144e\u1466\u152a\u144e\u1593'  id='choice_2_29_1'   aria-describedby=\"gfield_description_2_29\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_2_29_1' id='label_2_29_1' class='gform-field-label gform-field-label--type-inline'>\u1526\u14bb\u1505 \u142f \u140a\u14bb\u14aa\u14d7 \u146f\u142f\u1483 \u1455\u1550\u154b\u1593\u1455 \u140a\u158f\u1583\u144e\u148c\u148d\u144e\u1593\u14c4\u1466 \u1431\u1559\u14ea\u14d5\u1581\u144e\u1456\u1550\u1455\u1583\u1455\u1405\u14c2\u1550\u14a7\u1466 \u14ef\u1483\u146d\u1456\u1431\u1449\u1431\u1466 \u146d\u144e\u1466\u152a\u144e\u1593<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='\u14c4\u14c7\u1557\u1466\u14a5 \u1431\u1559\u14ea\u14d5\u1581\u144e\u1456\u1550\u1455\u1405\u144e\u1405\u1449 \u146d\u144e\u1466\u152a\u144e\u1593'  id='choice_2_29_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_29_2' id='label_2_29_2' class='gform-field-label gform-field-label--type-inline'>\u14c4\u14c7\u1557\u1466\u14a5 \u1431\u1559\u14ea\u14d5\u1581\u144e\u1456\u1550\u1455\u1405\u144e\u1405\u1449 \u146d\u144e\u1466\u152a\u144e\u1593<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_29_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.3' type='checkbox'  value='\u140b\u14d0\u14c2\u140a\u14ef\u1405\u1550\u1455\u1405\u148d\u14d0\u14c7\u1405\u144e\u1405\u1449 \u146d\u144e\u1466\u152a\u144e\u1593'  id='choice_2_29_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_29_3' id='label_2_29_3' class='gform-field-label gform-field-label--type-inline'>\u140b\u14d0\u14c2\u140a\u14ef\u1405\u1550\u1455\u1405\u148d\u14d0\u14c7\u1405\u144e\u1405\u1449 \u146d\u144e\u1466\u152a\u144e\u1593<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_29_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.4' type='checkbox'  value='\u1431\u14c7\u14f1\u148d\u14d0\u14c7\u1405\u144e\u1405\u1449 \u146d\u14ef\u1466\u152a\u144e\u1593'  id='choice_2_29_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_29_4' id='label_2_29_4' class='gform-field-label gform-field-label--type-inline'>\u1431\u14c7\u14f1\u148d\u14d0\u14c7\u1405\u144e\u1405\u1449 \u146d\u14ef\u1466\u152a\u144e\u1593<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_29_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.5' type='checkbox'  value='\u140a\u14ef\u158f\u1466: \u14c7\u14ea\u14d5\u158f\u1405\u14bb\u14aa\u1594\u1455 \u140a\u14ea\u14da\u14d7\u148b\u1466'  id='choice_2_29_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_29_5' id='label_2_29_5' class='gform-field-label gform-field-label--type-inline'>\u140a\u14ef\u158f\u1466: \u14c7\u14ea\u14d5\u158f\u1405\u14bb\u14aa\u1594\u1455 \u140a\u14ea\u14da\u14d7\u148b\u1466<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_2_29'>\u140a\u1455\u1405\u14ef\u146d\u14ef\u140a\u14c2 \u1403\u14d5\u148b\u140a\u14d5\u1483<\/div><\/li><li id=\"field_2_30\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_30'>\u1526\u14bb\u1505 \u142f \u140a\u14bb\u14aa\u14d7 \u146f\u142f\u1483 \u1455\u1550\u154b\u1593\u1455 \u140a\u158f\u1583\u144e\u148c\u148d\u144e\u1593\u14c4\u1466 \u1431\u1559\u14ea\u14d5\u1581\u144e\u1456\u1550\u1455\u1583\u1455\u1405\u14c2\u1550\u14a7\u1466 \u14ef\u1483\u146d\u1456\u1431\u1449\u1431\u1466 \u146d\u144e\u1466\u152a\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_2_30' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_31\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_31'>\u14c4\u14c7\u1557\u1466\u14a5 \u1431\u1559\u14ea\u14d5\u1581\u144e\u1456\u1550\u1455\u1405\u144e\u1405\u1449 \u146d\u144e\u1466\u152a\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_2_31' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_32\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_32'>\u140b\u14d0\u14c2\u140a\u14ef\u1405\u1550\u1455\u1405\u148d\u14d0\u14c7\u1405\u144e\u1405\u1449 \u146d\u144e\u1466\u152a\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_2_32' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_33\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_33'>\u1431\u14c7\u14f1\u148d\u14d0\u14c7\u1405\u144e\u1405\u1449 \u146d\u14ef\u1466\u152a\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_2_33' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_34\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_34'>\u140a\u14ef\u158f\u1466: \u14c7\u14ea\u14d5\u158f\u1405\u14bb\u14aa\u1594\u1455 \u140a\u14ea\u14da\u14d7\u148b\u1466:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_2_34' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_35\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_35'>\u146d\u14ef\u1466\u14ef\u148d\u144e\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_2_35' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_36' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_2_36' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_2_3_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary'  > Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' data-js='page-field-id-36' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_39\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u140a\u1555\u1466\u1450\u14ef\u14aa\u14c2\u1585 C<\/h2><div class='gsection_description' id='gfield_description_2_39'>\u140a\u146d\u14d5\u1550\u1455\u1405\u148d\u144f\u1466 \u1583\u14c4\u1403\u14d5\u1593\u144e\u1455\u1405\u148d\u144e\u148b\u148d\u14d0\u14c7\u1455\u158f\u1466<\/div><\/li><li id=\"field_2_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u1472\u1483\u146f\u140a \u14ef\u1483\u146d\u1455\u1472\u14ea\u14d3\u1466 \u14c7\u14ea\u14d5\u1593\u1466 \u1431\u14c2\u140a\u1550\u14c2\u1546\u148d\u14aa\u152d\u1450\u1403\u14d0\u14c7\u14c5\u14d5\u1593\u152a\u1585 (1) \u140a\u1455\u1405\u14ef\u1585 \u1455\u1550\u14f0\u1555\u148b\u14d7\u148d:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_40'>\n\t\t\t<li class='gchoice gchoice_2_40_0'>\n\t\t\t\t<input name='input_40' type='radio' value='\u146e\u14c7\u1405\u152d\u1483\u14f4\u152d\u1550\u1456\u154b\u14c2\u1483 \u14c7\u1595\u14a5\u14c2\u1585 \u1401\u1466\u14ef\u14db\u1550\u1581\u1593 \u14aa\u146d\u155d\u1555\u1405\u1449 \u140a\u14ea\u14da\u1555\u1595\u14aa\u1546\u1593\u14c2\u1466 \u14aa\u14d0\u1450\u1528\u140a\u14a6\u1466\u1450\u14a5\u1466'  id='choice_2_40_0'    \/>\n\t\t\t\t<label for='choice_2_40_0' id='label_2_40_0' class='gform-field-label gform-field-label--type-inline'>\u146e\u14c7\u1405\u152d\u1483\u14f4\u152d\u1550\u1456\u154b\u14c2\u1483 \u14c7\u1595\u14a5\u14c2\u1585 \u1401\u1466\u14ef\u14db\u1550\u1581\u1593 \u14aa\u146d\u155d\u1555\u1405\u1449 \u140a\u14ea\u14da\u1555\u1595\u14aa\u1546\u1593\u14c2\u1466 \u14aa\u14d0\u1450\u1528\u140a\u14a6\u1466\u1450\u14a5\u1466<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_40_1'>\n\t\t\t\t<input name='input_40' type='radio' value='\u140a\u14ea\u14da\u1456\u1550\u1555\u146f\u1466 \u140a\u1405\u14ea\u14da\u144e\u1455\u1405\u1581\u152d\u154b \u146e\u14c7\u1405\u152d\u1466\u14f4\u152d\u1550\u1456\u154b \u1450\u154c\u1550\u144e\u14d7\u148d \u14ef\u14da\u144e\u1466\u14f4\u1472\u14c4\u1466 \u1581\u14db\u14c2 \u140a\u14ea\u14da\u14ef\u14aa\u152a\u14c4\u1466'  id='choice_2_40_1'    \/>\n\t\t\t\t<label for='choice_2_40_1' id='label_2_40_1' class='gform-field-label gform-field-label--type-inline'>\u140a\u14ea\u14da\u1456\u1550\u1555\u146f\u1466 \u140a\u1405\u14ea\u14da\u144e\u1455\u1405\u1581\u152d\u154b \u146e\u14c7\u1405\u152d\u1466\u14f4\u152d\u1550\u1456\u154b \u1450\u154c\u1550\u144e\u14d7\u148d \u14ef\u14da\u144e\u1466\u14f4\u1472\u14c4\u1466 \u1581\u14db\u14c2 \u140a\u14ea\u14da\u14ef\u14aa\u152a\u14c4\u1466<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_41\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u140a\u1555\u1466\u1450\u14ef\u14aa\u14c2\u1585 D<\/h2><div class='gsection_description' id='gfield_description_2_41'>\u1405\u1583\u14bb\u14aa\u1546\u148d\u144f\u1466<\/div><\/li><li id=\"field_2_42\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >\u1405\u1583\u14bb\u14aa\u1546\u1449\u1433\u1593 \u140a\u14ea\u14da\u1455\u1405\u14ef\u14aa\u152a\u14d5\u14ab\u1466 \u1450\u14f4\u1550\u144e\u14ef\u148d\u144e\u1405\u152a\u14d5\u14ab\u14ea\u14d7 \u1455\u155d\u1559\u14c2 \u1455\u1455\u1550\u14f4\u1490\u1550\u14a5 \u1403\u14da\u148b\u152d\u1405\u144e\u1455\u1405\u152a\u14c2\u14ea\u14d7 \u14f1\u14d5\u14c2\u154b\u1550\u14f1\u148b\u1466. \u1405\u1583\u14bb\u14aa\u1546\u1449\u1433\u1593 \u1403\u14d8\u14d0\u14c7\u158f\u14d0\u14c2\u1483 \u140a\u14ea\u14da\u14c2\u140a\u1547\u1550\u14ef\u14aa\u1466\u14ef\u140a\u1546\u140a\u14a5\u1483 \u140a\u158f\u1550\u1555\u1583\u1546\u140a\u14a5\u14ea\u14d7 \u14aa\u14d5\u1490\u1583\u1550\u144e\u14ef\u148d\u144e\u14c2\u14ea\u14d7 \u1450\u1595\u1593\u1555\u1405\u152a\u14c2\u14ea\u14d7 \u140a\u1555\u1583\u144e\u148c\u1466\u144e\u14ef\u14c2\u1550\u14c5\u14d5\u1593\u1466\u14f1\u144e\u1483, \u1455\u1490\u1455\u1490\u14d7 \u146e\u14c7\u1405\u152d\u1550\u1456\u144e\u1455\u1583\u1550\u1433\u1593 \u146e\u14c7\u1405\u152d\u1581\u144e\u14d5\u1546\u1528\u158f\u14d0\u14c2\u1483 \u1581\u1466\u14ef\u1450\u14a5 \u1405\u146d\u1405\u1550\u1455\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14db\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c3\u1466 \u140a\u1555\u1405\u144e\u1583\u144e\u148c\u14d0\u14c2\u1583\u1550\u14c2\u14f4\u14c4\u1466 \u146e\u14c7\u1405\u152d\u1581\u144e\u158f\u14d0\u14c2\u1466 \u140a\u146d\u14d6\u148d\u144e\u1405\u14c2\u140a\u1550\u144e\u14d7\u148b\u1466 \u140a\u1455\u1405\u14ef\u1405\u14c8\u1550\u144e\u152a\u14c2\u1483 \u1581\u1466\u14ef\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14db\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c2\u1550\u14c2\u1483. \u140a\u14bb\u14aa\u14d7\u148b\u140a\u14ea\u14da\u1483 \u140a\u158f\u1550\u1433\u1593 \u14c4\u140a\u1466\u14ef\u14c2\u1550\u14c5\u14d5\u1593\u152a\u14c2\u1483, \u140a\u1450\u1550\u1455\u1405\u14c2\u158f\u14d0\u14c2\u14d7 \u140a\u14ea\u14da\u14ef\u14aa\u152a\u1595\u1591\u1403\u148d\u144e\u1405\u14c2\u158f\u14d0\u14c2\u14d7 \u146d\u14c7\u1405\u14c2\u1550\u14a5\u14c5\u14d5\u1593\u1466\u14f1\u144e\u1483 \u140a\u14ea\u14da\u1581\u144e\u158f\u14d0\u14c2\u1483 \u1431\u152d\u1583\u154b\u14f1\u140a\u1550\u1451\u1449 \u1431\u152d\u1405\u14d7\u144e\u1483 \u146e\u14c7\u1405\u152d\u1581\u144e\u14d5\u1546\u1528\u14c4\u1466 \u1581\u1466\u14ef\u1450\u14a7\u1466 \u1405\u146d\u1405\u1550\u1455\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14da\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c3\u1466 \u140a\u1555\u1405\u144e\u148d\u144e\u14c4\u1466 \u146e\u14c7\u1405\u152d\u1583\u1550\u144e\u1455\u1405\u148d\u144e\u158f\u14d0\u14c4\u1466, \u1455\u1449\u1431\u146f\u140a\u14d7 \u1403\u14d8\u14d0\u14c7\u144e\u1483 \u140a\u1450\u1550\u1455\u1405\u148d\u144e\u1450\u140a\u1583\u14da\u1593\u1466\u14f1\u144e\u1483 \u1403\u14c5\u1449 \u146d\u14c7\u1405\u14c2\u154b\u1548\u144e\u158f\u14d0\u14c2\u1483 \u14f1\u14d5\u144e\u1466\u14ef\u148d\u144e\u1450\u1403\u14d0\u14c7\u1405\u14d7\u144e\u1483, \u1403\u14da\u1405\u152b\u14c2\u1593\u14c2\u14ea\u14d7 \u1403\u14c2\u1550\u14ef\u148d\u144e\u1405\u14d7\u144e\u1483 \u140a\u14bb\u14aa\u14d7 \u14c8\u14bb\u14aa\u14c8\u1550\u1450\u14c2\u1483 \u1403\u14c4\u1466\u144e\u148d\u1466 \u146d\u144e\u1466\u1455\u1405\u14ef\u14aa\u152a\u1466 \u1450\u1595\u1593\u1555\u148b\u14d7\u148b\u1466 \u1431\u1405\u14ef\u1405\u148b\u140a\u14d5\u14d0\u14c2\u1483 \u14aa\u14d5\u1466\u14ef\u140a\u14c2\u1583\u1550\u14d7\u144e\u1483 \u140a\u1450\u1550\u1455\u1405\u14da\u1593\u1466\u14f1\u144e\u1483 \u140a\u146d\u14d6\u148d\u144e\u1405\u14d7\u144e\u1483 \u1431\u152d\u1583\u154b\u14f1\u140a\u1550\u1450\u14a5\u1483.<\/li><li id=\"field_2_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_43'>\n\t\t\t<li class='gchoice gchoice_2_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='\u140a\u158f\u1433\u1593'  id='choice_2_43_0'    \/>\n\t\t\t\t<label for='choice_2_43_0' id='label_2_43_0' class='gform-field-label gform-field-label--type-inline'>\u140a\u158f\u1433\u1593<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_89\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >\u1405\u1583\u14bb\u14aa\u1546\u148d\u144f\u1466 \u2013 \u1405\u1583\u14bb\u14aa\u1546\u1449\u1433\u1593 \u140a\u14ea\u14da\u1455\u1405\u14ef\u14aa\u152a\u14d5\u14ab\u1466 \u1450\u14f4\u1550\u144e\u14ef\u148d\u144e\u1405\u152a\u14d5\u14ab\u14ea\u14d7 \u1455\u155d\u1559\u14c2 \u1455\u1455\u1550\u14f4\u1490\u1550\u14a5 \u1403\u14da\u148b\u152d\u1405\u144e\u1455\u1405\u152a\u14c2\u14ea\u14d7 \u14f1\u14d5\u14c2\u154b\u1550\u14f1\u148b\u1466. \u1405\u1583\u14bb\u14aa\u1546\u1449\u1433\u1593 \u1403\u14d8\u14d0\u14c7\u158f\u14d0\u14c2\u1483 \u140a\u14ea\u14da\u14c2\u140a\u1547\u1550\u14ef\u14aa\u1466\u14ef\u140a\u1546\u140a\u14a5\u1483 \u140a\u158f\u1550\u1555\u1583\u1546\u140a\u14a5\u14ea\u14d7 \u14aa\u14d5\u1490\u1583\u1550\u144e\u14ef\u148d\u144e\u14c2\u14ea\u14d7 \u1450\u1595\u1593\u1555\u1405\u152a\u14c2\u14ea\u14d7 \u140a\u1555\u1583\u144e\u148c\u1466\u144e\u14ef\u14c2\u1550\u14c5\u14d5\u1593\u1466\u14f1\u144e\u1483, \u1455\u1490\u1455\u1490\u14d7 \u146e\u14c7\u1405\u152d\u1550\u1456\u144e\u1455\u1583\u1550\u1433\u1593 \u146e\u14c7\u1405\u152d\u1581\u144e\u14d5\u1546\u1528\u158f\u14d0\u14c2\u1483 \u1581\u1466\u14ef\u1450\u14a5 \u1405\u146d\u1405\u1550\u1455\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14db\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c3\u1466 \u140a\u1555\u1405\u144e\u1583\u144e\u148c\u14d0\u14c2\u1583\u1550\u14c2\u14f4\u14c4\u1466 \u146e\u14c7\u1405\u152d\u1581\u144e\u158f\u14d0\u14c2\u1466 (\u146d\u14a1\u1490\u1450\u1550\u14f1\u1593 \u1405\u146d\u1405\u146d\u1466\u1450\u14a5\u1483) \u140a\u146d\u14d6\u148d\u144e\u1405\u14c2\u140a\u1550\u144e\u14d7\u148b\u1466 \u140a\u1455\u1405\u14ef\u1405\u14c8\u1550\u144e\u152a\u14c2\u1483 \u1581\u1466\u14ef\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14db\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c2\u1550\u14c2\u1483. \u140a\u14bb\u14aa\u14d7\u148b\u140a\u14ea\u14da\u1483 \u140a\u158f\u1550\u1433\u1593 \u14c4\u140a\u1466\u14ef\u14c2\u1550\u14c5\u14d5\u1593\u152a\u14c2\u1483, \u140a\u1450\u1550\u1455\u1405\u14c2\u158f\u14d0\u14c2\u14d7 \u140a\u14ea\u14da\u14ef\u14aa\u152a\u1595\u1591\u1403\u148d\u144e\u1405\u14c2\u158f\u14d0\u14c2\u14d7 \u146d\u14c7\u1405\u14c2\u1550\u14a5\u14c5\u14d5\u1593\u1466\u14f1\u144e\u1483 \u140a\u14ea\u14da\u1581\u144e\u158f\u14d0\u14c2\u1483 \u1431\u152d\u1583\u154b\u14f1\u140a\u1550\u1451\u1449 (\u1405\u146d\u1405\u146d\u1466\u1451\u1449) \u1431\u152d\u1405\u14d7\u144e\u1483 \u146e\u14c7\u1405\u152d\u1581\u144e\u14d5\u1546\u1528\u14c4\u1466 \u1581\u1466\u14ef\u1450\u14a7\u1466 \u1405\u146d\u1405\u1550\u1455\u1450\u14a7\u1466 \u140a\u1405\u14ea\u14da\u144e\u1455\u1405\u14da\u1405\u1550\u1450\u1555\u14c3\u1466 \u140a\u1555\u1405\u144e\u148d\u144e\u14c4\u1466 \u146e\u14c7\u1405\u152d\u1583\u1550\u144e\u1455\u1405\u148d\u144e\u158f\u14d0\u14c4\u1466, \u1455\u1449\u1431\u146f\u140a\u14d7 \u1403\u14d8\u14d0\u14c7\u144e\u1483 \u140a\u1450\u1550\u1455\u1405\u148d\u144e\u1450\u140a\u1583\u14da\u1593\u1466\u14f1\u144e\u1483 \u1403\u14c5\u1449 \u146d\u14c7\u1405\u14c2\u154b\u1548\u144e\u158f\u14d0\u14c2\u1483 \u14f1\u14d5\u144e\u1466\u14ef\u148d\u144e\u1450\u1403\u14d0\u14c7\u1405\u14d7\u144e\u1483, \u1403\u14da\u1405\u152b\u14c2\u1593\u14c2\u14ea\u14d7 \u1403\u14c2\u1550\u14ef\u148d\u144e\u1405\u14d7\u144e\u1483 \u140a\u14bb\u14aa\u14d7 \u14c8\u14bb\u14aa\u14c8\u1550\u1450\u14c2\u1483 \u1403\u14c4\u1466\u144e\u148d\u1466 \u146d\u144e\u1466\u1455\u1405\u14ef\u14aa\u152a\u1466 \u1450\u1595\u1593\u1555\u148b\u14d7\u148b\u1466 \u1431\u1405\u14ef\u1405\u148b\u140a\u14d5\u14d0\u14c2\u1483 \u14aa\u14d5\u1466\u14ef\u140a\u14c2\u1583\u1550\u14d7\u144e\u1483 \u140a\u1450\u1550\u1455\u1405\u14da\u1593\u1466\u14f1\u144e\u1483 \u140a\u146d\u14d6\u148d\u144e\u1405\u14d7\u144e\u1483 \u1431\u152d\u1583\u154b\u14f1\u140a\u1550\u1450\u14a5\u1483 (\u1405\u146d\u1405\u146d\u1466\u1450\u14a5\u1483).<\/li><li id=\"field_2_90\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_90'>\n\t\t\t<li class='gchoice gchoice_2_90_0'>\n\t\t\t\t<input name='input_90' type='radio' value='\u140a\u158f\u1433\u1593'  id='choice_2_90_0'    \/>\n\t\t\t\t<label for='choice_2_90_0' id='label_2_90_0' class='gform-field-label gform-field-label--type-inline'>\u140a\u158f\u1433\u1593<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_44\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_44'>\u1405\u14ea\u14d7\u1593<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_44' id='input_2_44' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_2_44_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_44_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' 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