{"id":175,"date":"2024-02-05T19:11:55","date_gmt":"2024-02-05T15:41:55","guid":{"rendered":"https:\/\/rastadot.ir\/forms\/?page_id=175"},"modified":"2024-02-06T14:56:42","modified_gmt":"2024-02-06T11:26:42","slug":"namayesh","status":"publish","type":"page","link":"https:\/\/rastadot.ir\/forms\/namayesh\/","title":{"rendered":"\u0638\u0631\u0641\u06cc\u062a \u06cc\u0627\u0628\u06cc \u06af\u0631\u0648\u0647 \u0647\u0627\u06cc \u0646\u0645\u0627\u06cc\u0634 \u0639\u0631\u0648\u0633\u06a9\u06cc \u0628\u0627\u0634\u06af\u0627\u0647 \u062f\u062e\u062a\u0631\u0627\u0646 \u0631\u0633\u062a\u0627 \u06a9\u0634\u0648\u0631"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"175\" class=\"elementor elementor-175\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-816412b e-flex e-con-boxed e-con e-parent\" data-id=\"816412b\" 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-4525b32 elementor-widget elementor-widget-heading\" data-id=\"4525b32\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.22.0 - 17-06-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title 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this.formElem.find('input[name=\"gform_multi_page_nav_last_page_reached\"]').val() == true;\n                    };\n\n                    this.isAjax = function () {\n                        return this.formElem.attr('target') == 'gform_ajax_frame_' + this.formId;\n                    };\n\n                    this.init();\n\n                }\n\n            })(jQuery);\n\n        <\/script>\n\n\t\t            <script type=\"text\/javascript\">\r\n\t\t\t\t                function ir_national_id_5(_this) {\r\n\t\t\t\t\t                }\r\n            <\/script>\r\n\t\t\t\t\t<div class=\"elementor-shortcode\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var 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class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_49'  action='\/forms\/wp-json\/wp\/v2\/pages\/175#gf_49' data-formid='49' >\n        <div id='gf_progressbar_wrapper_49' class='gf_progressbar_wrapper'>\n        \t<p class=\"gf_progressbar_title\">\u0645\u0631\u062d\u0644\u0647 <span class='gf_step_current_page'>1<\/span> \u0627\u0632 <span class='gf_step_page_count'>2<\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_49_1' class='gform_page ' 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class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_49_4_1_container'><select name='input_4[]' id='input_49_4_1'   aria-required='true'  ><option value=''>\u0645\u0627\u0647<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_49_4_2_container'><select name='input_4[]' id='input_49_4_2'   aria-required='true'  ><option value=''>\u0631\u0648\u0632<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' 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value='1348' >1348<\/option><option value='1347' >1347<\/option><option value='1346' >1346<\/option><option value='1345' >1345<\/option><option value='1344' >1344<\/option><option value='1343' >1343<\/option><option value='1342' >1342<\/option><option value='1341' >1341<\/option><option value='1340' >1340<\/option><option value='1339' >1339<\/option><option value='1338' >1338<\/option><option value='1337' >1337<\/option><option value='1336' >1336<\/option><option value='1335' >1335<\/option><option value='1334' >1334<\/option><option value='1333' >1333<\/option><option value='1332' >1332<\/option><option value='1331' >1331<\/option><option value='1330' >1330<\/option><option value='1329' >1329<\/option><option value='1328' >1328<\/option><option value='1327' >1327<\/option><option value='1326' >1326<\/option><option value='1325' >1325<\/option><option value='1324' >1324<\/option><option value='1323' >1323<\/option><option value='1322' >1322<\/option><option value='1321' 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for='input_49_6' >\u0634\u0645\u0627\u0631\u0647 \u062a\u0645\u0627\u0633<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_49_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_49_11\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_11\"><label class='gfield_label gform-field-label' for='input_49_11' >\u062a\u062d\u0635\u06cc\u0644\u0627\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_49_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_49_7\"  class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_7\"><label class='gfield_label gform-field-label' for='input_49_7' >\u0627\u0633\u062a\u0627\u0646<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_49_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc' >\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc<\/option><option value='\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc' >\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc<\/option><option value='\u0627\u0631\u062f\u0628\u06cc\u0644' >\u0627\u0631\u062f\u0628\u06cc\u0644<\/option><option value='\u0627\u0635\u0641\u0647\u0627\u0646' >\u0627\u0635\u0641\u0647\u0627\u0646<\/option><option value='\u0627\u0644\u0628\u0631\u0632' >\u0627\u0644\u0628\u0631\u0632<\/option><option value='\u0627\u06cc\u0644\u0627\u0645' >\u0627\u06cc\u0644\u0627\u0645<\/option><option value='\u0628\u0648\u0634\u0647\u0631' >\u0628\u0648\u0634\u0647\u0631<\/option><option value='\u062a\u0647\u0631\u0627\u0646' >\u062a\u0647\u0631\u0627\u0646<\/option><option value='\u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc' >\u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc<\/option><option value='\u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc' >\u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc<\/option><option value='\u062e\u0648\u0632\u0633\u062a\u0627\u0646' >\u062e\u0648\u0632\u0633\u062a\u0627\u0646<\/option><option value='\u0632\u0646\u062c\u0627\u0646' >\u0632\u0646\u062c\u0627\u0646<\/option><option value='\u0633\u0645\u0646\u0627\u0646' >\u0633\u0645\u0646\u0627\u0646<\/option><option value='\u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646' >\u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646<\/option><option value='\u0641\u0627\u0631\u0633' >\u0641\u0627\u0631\u0633<\/option><option value='\u0642\u0632\u0648\u06cc\u0646' >\u0642\u0632\u0648\u06cc\u0646<\/option><option value='\u0642\u0645' >\u0642\u0645<\/option><option value='\u06a9\u0631\u062f\u0633\u062a\u0627\u0646' >\u06a9\u0631\u062f\u0633\u062a\u0627\u0646<\/option><option value='\u06a9\u0631\u0645\u0627\u0646' >\u06a9\u0631\u0645\u0627\u0646<\/option><option value='\u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647' >\u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647<\/option><option value='\u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f' >\u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f<\/option><option value='\u06af\u0644\u0633\u062a\u0627\u0646' >\u06af\u0644\u0633\u062a\u0627\u0646<\/option><option value='\u06af\u06cc\u0644\u0627\u0646' >\u06af\u06cc\u0644\u0627\u0646<\/option><option value='\u0644\u0631\u0633\u062a\u0627\u0646' >\u0644\u0631\u0633\u062a\u0627\u0646<\/option><option value='\u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646' >\u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646<\/option><option value='\u0645\u0631\u06a9\u0632\u06cc' >\u0645\u0631\u06a9\u0632\u06cc<\/option><option value='\u0647\u0631\u0645\u0632\u06af\u0627\u0646' >\u0647\u0631\u0645\u0632\u06af\u0627\u0646<\/option><option value='\u0647\u0645\u062f\u0627\u0646' >\u0647\u0645\u062f\u0627\u0646<\/option><option value='\u06cc\u0632\u062f' >\u06cc\u0632\u062f<\/option><\/select><\/div><\/div><div id=\"field_49_8\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_8\"><label class='gfield_label gform-field-label' for='input_49_8' >\u0634\u0647\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_49_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_49_10\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_10\"><label class='gfield_label gform-field-label' for='input_49_10' >\u0622\u062f\u0631\u0633<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_49_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_49_12' class='gform_next_button gform-theme-button button' value='\u0628\u0639\u062f\u06cc'  onclick='jQuery(\"#gform_target_page_number_49\").val(\"2\");  jQuery(\"#gform_49\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_49\").val(\"2\");  jQuery(\"#gform_49\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_49_2' class='gform_page' data-js='page-field-id-12' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_49_2' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_49_13\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_13\"><legend class='gfield_label gform-field-label'  >\u0634\u0645\u0627 \u0686\u0642\u062f\u0631 \u0627\u0647\u0644 \u062e\u0648\u0627\u0646\u062f\u0646 \u06a9\u062a\u0627\u0628\u200c\u0647\u0627\u06cc \u0641\u0627\u0646\u062a\u0632\u06cc- \u062a\u062e\u06cc\u0644\u06cc \u0648 \u062f\u06cc\u062f\u0646 \u0627\u0646\u06cc\u0645\u06cc\u0634\u0646\u200c\u0647\u0627 \u0647\u0633\u062a\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_49_13'>\n\t\t\t<div class='gchoice gchoice_49_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='\u0643\u0645'  id='choice_49_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_49_13_0' id='label_49_13_0' class='gform-field-label gform-field-label--type-inline'>\u0643\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_49_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_49_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_49_13_1' id='label_49_13_1' 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_49_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_49_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_49_13_2' id='label_49_13_2' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_49_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_49_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_49_13_3' id='label_49_13_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_49_14\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_14\"><legend class='gfield_label gform-field-label'  >\u0634\u0645\u0627 \u0628\u0647 \u062f\u0646\u06cc\u0627\u06cc \u0641\u0627\u0646\u062a\u0632\u06cc \u062a\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0639\u0644\u0627\u0642\u0647 \u062f\u0627\u0631\u06cc\u062f \u06cc\u0627 \u062c\u0647\u0627\u0646 \u0648\u0627\u0642\u0639\u06cc\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_49_14'>\n\t\t\t<div class='gchoice gchoice_49_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u0641\u0627\u0646\u062a\u0632\u06cc'  id='choice_49_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_49_14_0' id='label_49_14_0' class='gform-field-label gform-field-label--type-inline'>\u0641\u0627\u0646\u062a\u0632\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_49_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u0648\u0627\u0642\u0639\u06cc'  id='choice_49_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_49_14_1' id='label_49_14_1' class='gform-field-label gform-field-label--type-inline'>\u0648\u0627\u0642\u0639\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_49_16\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_16\"><label class='gfield_label gform-field-label' for='input_49_16' >\u062c\u0627\u0644\u0628\u200c\u062a\u0631\u06cc\u0646 \u0641\u06cc\u0644\u0645 \u06cc\u0627 \u0628\u0631\u0646\u0627\u0645\u0647 \u062a\u0644\u0648\u06cc\u0632\u06cc\u0648\u0646\u06cc \u0639\u0631\u0648\u0633\u06a9\u06cc \u06cc\u0627 \u0646\u0645\u0627\u06cc\u0634 \u0639\u0631\u0648\u0633\u06a9\u06cc \u06a9\u0647 \u062f\u06cc\u062f\u0647\u200c\u0627\u06cc \u0686\u0647 \u0628\u0648\u062f\u0647 \u0627\u0633\u062a\u061f<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_49_16' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_49_17\"  class=\"gfield gfield--type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_17\"><label class='gfield_label gform-field-label' for='input_49_17' >\u0627\u0632 \u06f1 \u062a\u0627 \u06f1\u06f0 \u0686\u0642\u062f\u0631 \u0628\u0647 \u062a\u0626\u0627\u062a\u0631 \u0648 \u0646\u0645\u0627\u06cc\u0634 \u0639\u0631\u0648\u0633\u06a9\u06cc \u0639\u0644\u0627\u0642\u0647 \u0645\u0646\u062f\u06cc\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_17' id='input_49_17' type='text'    value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_49_17\" \/><div class='gfield_description instruction ' id='gfield_instruction_49_17'>Please enter a number from <strong>1<\/strong> to <strong>10<\/strong>.<\/div><\/div><\/div><div id=\"field_49_18\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_18\"><label class='gfield_label gform-field-label' for='input_49_18' >\u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u062a\u062c\u0631\u0628\u0647 \u0634\u0631\u06a9\u062a \u062f\u0631 \u06cc\u06a9 \u06af\u0631\u0648\u0647 \u0646\u0645\u0627\u06cc\u0634 \u0639\u0631\u0648\u0633\u06a9\u06cc \u06cc\u0627 \u0646\u0645\u0627\u06cc\u0634 \u0631\u0627 \u062f\u0627\u0634\u062a\u0647\u200c\u0627\u06cc\u061f \u0686\u0647 \u0648\u0638\u06cc\u0641\u0647\u200c\u0627\u06cc \u0628\u0647 \u0639\u0647\u062f\u0647 \u0634\u0645\u0627 \u0628\u0648\u062f\u0647\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_49_18' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_49_19\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_19\"><label class='gfield_label gform-field-label' for='input_49_19' >\u0686\u0647 \u0686\u06cc\u0632\u06cc \u062f\u0631 \u0646\u0645\u0627\u06cc\u0634 \u0639\u0631\u0648\u0633\u06a9\u06cc \u0628\u0631\u0627\u06cc \u062a\u0648 \u062c\u0630\u0627\u0628 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_49_19' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_49_20\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_49_20\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0641\u06a9\u0631 \u0645\u06cc\u200c\u06a9\u0646\u06cc \u0628\u0647 \u06a9\u062f\u0627\u0645 \u06cc\u06a9 \u0627\u0632 \u0634\u0627\u062e\u0647\u200c\u0647\u0627\u06cc \u0646\u0645\u0627\u06cc\u0634 \u0639\u0631\u0648\u0633\u06a9\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0639\u0644\u0627\u0642\u0647 \u0645\u0646\u062f\u06cc \u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_49_20'><div class='gchoice gchoice_49_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='\u06a9\u0627\u0631\u06af\u0631\u062f\u0627\u0646\u06cc'  id='choice_49_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_49_20_1' id='label_49_20_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u06af\u0631\u062f\u0627\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_49_20_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.2' type='checkbox'  value='\u0628\u0627\u0632\u06cc \u062f\u0647\u0646\u062f\u06af\u06cc \u0639\u0631\u0648\u0633\u06a9'  id='choice_49_20_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_49_20_2' id='label_49_20_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0627\u0632\u06cc \u062f\u0647\u0646\u062f\u06af\u06cc \u0639\u0631\u0648\u0633\u06a9<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_49_20_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.3' type='checkbox'  value='\u0635\u062f\u0627\u067e\u06cc\u0634\u06af\u06cc \u0639\u0631\u0648\u0633\u06a9'  id='choice_49_20_3'   \/>\n\t\t\t\t\t\t\t\t<label 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