{"id":1957,"date":"2023-01-12T11:15:21","date_gmt":"2023-01-12T07:49:37","guid":{"rendered":"https:\/\/site.e-shahrdari.ir\/?page_id=1957"},"modified":"2025-02-16T11:45:02","modified_gmt":"2025-02-16T08:15:02","slug":"%d9%81%d8%b1%d9%85-%d8%ab%d8%a8%d8%aa-%d9%86%d8%a7%d9%85-%d8%a8%d8%a7%d8%b4%da%af%d8%a7%d9%87-%d8%b4%d9%87%d8%b1%d9%88%d9%86%d8%af%db%8c","status":"publish","type":"page","link":"https:\/\/ferdosiyeh.ir\/?page_id=1957","title":{"rendered":"\u0641\u0631\u0645 \u062b\u0628\u062a \u0646\u0627\u0645 \u0628\u0627\u0634\u06af\u0627\u0647 \u0634\u0647\u0631\u0648\u0646\u062f\u06cc"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1957\" class=\"elementor elementor-1957\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-21614ec elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"21614ec\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0415406\" data-id=\"0415406\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e64e578 elementor-widget elementor-widget-shortcode\" data-id=\"e64e578\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<script type=\"text\/javascript\">\n\t\t\t\t                function ir_national_id_72(_this) {\n\t\t\t\t\t                    var field_id = \"72\";\n                    var message1 = \"\u06a9\u062f \u0645\u0644\u06cc \u0641\u0642\u0637 \u0628\u0627\u06cc\u062f \u0628\u0647 \u0635\u0648\u0631\u062a \u0639\u062f\u062f \u0648\u0627\u0631\u062f 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gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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\u0628\u0627\u0634\u06af\u0627\u0647 \u0634\u0647\u0631\u0648\u0646\u062f\u06cc<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_120' class='teeweb-gravity-forms-style' action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1957' data-formid='120' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_120' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_120_4\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_4\" ><h2 class=\"gsection_title\">\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u062e\u0635\u06cc<\/h2><div class='gsection_description' id='gfield_description_120_4'>\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u062e\u0635\u06cc \u062e\u0648\u062f \u0631\u0627 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f<\/div><\/li><li id=\"field_120_57\" class=\"gfield gfield--type-text gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_57\" ><label class='gfield_label gform-field-label' for='input_120_57'>\u0646\u0627\u0645  :<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_120_57' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_65\" class=\"gfield gfield--type-text gf_second_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_65\" ><label class='gfield_label gform-field-label' for='input_120_65'>\u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc :<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_120_65' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_64\" class=\"gfield gfield--type-text gf_third_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_64\" ><label class='gfield_label gform-field-label' for='input_120_64'>\u0646\u0627\u0645 \u067e\u062f\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_64' id='input_120_64' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_72\" class=\"gfield gfield--type-ir_national_id gf_fourth_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gform_ir_national_id\"  data-field-class=\"gform_ir_national_id\" data-js-reload=\"field_120_72\" ><label class='gfield_label gform-field-label' for='input_120_72'>\u06a9\u062f \u0645\u0644\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text ginput_container_ir_national_id\"><input onblur=\"ir_national_id_72(this);\" name=\"input_72\" id=\"input_120_72\" type=\"text\" value=\"\" class=\"ir_national_id small\"    aria-required=\"true\" aria-invalid=\"false\" maxlength='10'  \/><\/div><div class=\"ir_national_id_location\" id=\"ir_national_id_location_72\" style=\"padding-top:5px;\"><\/div><\/li><li id=\"field_120_19\" class=\"gfield gfield--type-text gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_19\" ><label class='gfield_label gform-field-label' for='input_120_19'>\u0622\u062f\u0631\u0633 \u0645\u062d\u0644 \u0633\u06a9\u0648\u0646\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_19' id='input_120_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_68\" class=\"gfield gfield--type-email gf_second_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_68\" ><label class='gfield_label gform-field-label' for='input_120_68'>\u0627\u06cc\u0645\u06cc\u0644<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_68' id='input_120_68' type='email' value='' class='small'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_120_23\" class=\"gfield gfield--type-text gf_third_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_23\" ><label class='gfield_label gform-field-label' for='input_120_23'>\u062a\u0644\u0641\u0646 \u062b\u0627\u0628\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_23' id='input_120_23' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_63\" class=\"gfield gfield--type-text gf_fourth_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_63\" ><label class='gfield_label gform-field-label' for='input_120_63'>\u062a\u0644\u0641\u0646 \u0647\u0645\u0631\u0627\u0647:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_120_63' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_5\" class=\"gfield gfield--type-radio gfield--type-choice gf_first_quarter gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_5\" ><label class='gfield_label gform-field-label' >\u062c\u0646\u0633\u06cc\u062a:<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_120_5'>\n\t\t\t<li class='gchoice gchoice_120_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='\u0645\u0631\u062f'  id='choice_120_5_0'    \/>\n\t\t\t\t<label for='choice_120_5_0' id='label_120_5_0' class='gform-field-label gform-field-label--type-inline'>\u0645\u0631\u062f<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='\u0632\u0646'  id='choice_120_5_1'    \/>\n\t\t\t\t<label for='choice_120_5_1' id='label_120_5_1' class='gform-field-label gform-field-label--type-inline'>\u0632\u0646<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_58\" class=\"gfield gfield--type-radio gfield--type-choice gf_second_quarter gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_58\" ><label class='gfield_label gform-field-label' >\u0648\u0636\u0639\u06cc\u062a \u062a\u0627\u0647\u0644:<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_120_58'>\n\t\t\t<li class='gchoice gchoice_120_58_0'>\n\t\t\t\t<input name='input_58' type='radio' value='\u0645\u062c\u0631\u062f'  id='choice_120_58_0'    \/>\n\t\t\t\t<label for='choice_120_58_0' id='label_120_58_0' class='gform-field-label gform-field-label--type-inline'>\u0645\u062c\u0631\u062f<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_58_1'>\n\t\t\t\t<input name='input_58' type='radio' value='\u0645\u062a\u0627\u0647\u0644'  id='choice_120_58_1'    \/>\n\t\t\t\t<label for='choice_120_58_1' id='label_120_58_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0627\u0647\u0644<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_54\" class=\"gfield gfield--type-date gfield--input-type-datedropdown gf_third_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_54\" ><label class='gfield_label gform-field-label' >\u062a\u0627\u0631\u06cc\u062e \u062a\u0648\u0644\u062f :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_120_54' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_120_54_2_container'><label for='input_120_54_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u0631\u0648\u0632<\/label><select name='input_54[]' id='input_120_54_2'   aria-required='true'  ><option value=''>\u0631\u0648\u0632<\/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><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_120_54_1_container'><label for='input_120_54_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u0645\u0627\u0647<\/label><select name='input_54[]' id='input_120_54_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_year ginput_container ginput_container_date gform-grid-col' id='input_120_54_3_container'><label for='input_120_54_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u0633\u0627\u0644<\/label><select name='input_54[]' id='input_120_54_3'   aria-required='true'  ><option value=''>\u0633\u0627\u0644<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/div><\/li><li id=\"field_120_24\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_24\" ><h2 class=\"gsection_title\">\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u063a\u0644\u06cc \u0648 \u062a\u062d\u0635\u06cc\u0644\u06cc<\/h2><\/li><li id=\"field_120_47\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_47\" ><label class='gfield_label gform-field-label' >\u0645\u062f\u0631\u06a9 \u062a\u062d\u0635\u06cc\u0644\u06cc<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_120_47'>\n\t\t\t<li class='gchoice gchoice_120_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645'  id='choice_120_47_0'    \/>\n\t\t\t\t<label for='choice_120_47_0' id='label_120_47_0' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_1'>\n\t\t\t\t<input name='input_47' type='radio' value='\u062f\u06cc\u067e\u0644\u0645'  id='choice_120_47_1'    \/>\n\t\t\t\t<label for='choice_120_47_1' id='label_120_47_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_2'>\n\t\t\t\t<input name='input_47' type='radio' value='\u0641\u0648\u0642 \u062f\u06cc\u067e\u0644\u0645'  id='choice_120_47_2'    \/>\n\t\t\t\t<label for='choice_120_47_2' id='label_120_47_2' class='gform-field-label gform-field-label--type-inline'>\u0641\u0648\u0642 \u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_3'>\n\t\t\t\t<input name='input_47' type='radio' value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc'  id='choice_120_47_3'    \/>\n\t\t\t\t<label for='choice_120_47_3' id='label_120_47_3' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_4'>\n\t\t\t\t<input name='input_47' type='radio' value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc \u0627\u0631\u0634\u062f'  id='choice_120_47_4'    \/>\n\t\t\t\t<label for='choice_120_47_4' id='label_120_47_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc \u0627\u0631\u0634\u062f<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_5'>\n\t\t\t\t<input name='input_47' type='radio' value='\u062f\u06a9\u062a\u0631\u0627'  id='choice_120_47_5'    \/>\n\t\t\t\t<label for='choice_120_47_5' id='label_120_47_5' class='gform-field-label gform-field-label--type-inline'>\u062f\u06a9\u062a\u0631\u0627<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_6'>\n\t\t\t\t<input name='input_47' type='radio' value='\u0633\u0627\u06cc\u0631'  id='choice_120_47_6'    \/>\n\t\t\t\t<label for='choice_120_47_6' id='label_120_47_6' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_26\" class=\"gfield gfield--type-text gf_third_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_26\" ><label class='gfield_label gform-field-label' for='input_120_26'>\u0631\u0634\u062a\u0647 \u062a\u062d\u0635\u06cc\u0644\u06cc:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_120_26' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_48\" class=\"gfield gfield--type-text gf_fourth_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_48\" ><label class='gfield_label gform-field-label' for='input_120_48'>\u0639\u0646\u0648\u0627\u0646 \u0634\u063a\u0644:<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_120_48' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_66\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_66\" ><label class='gfield_label gform-field-label' for='input_120_66'>\u062a\u0648\u0636\u06cc\u062d\u0627\u062a \u0636\u0631\u0648\u0631\u06cc \u062f\u0631 \u0645\u0648\u0631\u062f \u0633\u0648\u0627\u0628\u0642 \u0627\u062c\u0631\u0627\u06cc\u06cc<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_66' id='input_120_66' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_52\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_52\" ><h2 class=\"gsection_title\">\u0639\u0644\u0627\u0642\u0645\u0646\u062f\u06cc \u0647\u0627<\/h2><\/li><li id=\"field_120_55\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_3col gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_55\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u062a\u0645\u0627\u06cc\u0644 \u0628\u0647 \u062f\u0631\u06cc\u0627\u0641\u062a \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u062c\u062f\u06cc\u062f \u062f\u0631 \u06a9\u062f\u0627\u0645 \u062d\u0648\u0632\u0647 \u0647\u0627 \u0647\u0633\u062a\u06cc\u062f\u061f<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_120_55'><li class='gchoice gchoice_120_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='\u062f\u0631\u06cc\u0627\u0641\u062a \u062e\u0628\u0631\u0646\u0627\u0645\u0647'  id='choice_120_55_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_1' id='label_120_55_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631\u06cc\u0627\u0641\u062a \u062e\u0628\u0631\u0646\u0627\u0645\u0647<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_55_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.2' type='checkbox'  value='\u0645\u0637\u0628\u0648\u0639\u0627\u062a \u0634\u0647\u0631'  id='choice_120_55_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_2' id='label_120_55_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0637\u0628\u0648\u0639\u0627\u062a \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_55_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.3' type='checkbox'  value='\u062f\u0631\u06cc\u0627\u0641\u062a \u0641\u0631\u0635\u062a\u0647\u0627\u06cc \u0627\u0634\u062a\u063a\u0627\u0644 \u0634\u0647\u0631'  id='choice_120_55_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_3' id='label_120_55_3' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631\u06cc\u0627\u0641\u062a \u0641\u0631\u0635\u062a\u0647\u0627\u06cc \u0627\u0634\u062a\u063a\u0627\u0644 \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_55_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.4' type='checkbox'  value='\u062f\u0631\u06cc\u0627\u0641\u062a \u0641\u0631\u0635\u062a\u0647\u0627\u06cc \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc \u0634\u0647\u0631'  id='choice_120_55_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_4' id='label_120_55_4' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631\u06cc\u0627\u0641\u062a \u0641\u0631\u0635\u062a\u0647\u0627\u06cc \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_55_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.5' type='checkbox'  value='\u062f\u0631\u06cc\u0627\u0641\u062a \u0645\u0646\u0627\u0642\u0635\u0647 \u0647\u0627'  id='choice_120_55_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_5' id='label_120_55_5' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631\u06cc\u0627\u0641\u062a \u0645\u0646\u0627\u0642\u0635\u0647 \u0647\u0627<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_55_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.6' type='checkbox'  value='\u062f\u0631\u06cc\u0627\u0641\u062a \u0645\u0632\u0627\u06cc\u062f\u0647 \u0647\u0627'  id='choice_120_55_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_6' id='label_120_55_6' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631\u06cc\u0627\u0641\u062a \u0645\u0632\u0627\u06cc\u062f\u0647 \u0647\u0627<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_55_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.7' type='checkbox'  value='\u062f\u0631\u06cc\u0627\u0641\u062a \u0645\u0647\u0645\u062a\u0631\u06cc\u0646 \u0645\u0635\u0648\u0628\u0627\u062a \u0634\u0648\u0631\u0627\u06cc \u0634\u0647\u0631'  id='choice_120_55_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_7' id='label_120_55_7' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631\u06cc\u0627\u0641\u062a \u0645\u0647\u0645\u062a\u0631\u06cc\u0646 \u0645\u0635\u0648\u0628\u0627\u062a \u0634\u0648\u0631\u0627\u06cc \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_55_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.8' type='checkbox'  value='\u0631\u0648\u06cc\u062f\u0627\u062f\u0647\u0627\u06cc \u0648\u0631\u0632\u0634\u06cc'  id='choice_120_55_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_8' id='label_120_55_8' class='gform-field-label gform-field-label--type-inline'>\u0631\u0648\u06cc\u062f\u0627\u062f\u0647\u0627\u06cc \u0648\u0631\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_55_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.9' type='checkbox'  value='\u0631\u0648\u06cc\u062f\u0627\u062f\u0647\u0627\u06cc \u0622\u0645\u0648\u0632\u0634\u06cc'  id='choice_120_55_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_9' id='label_120_55_9' class='gform-field-label gform-field-label--type-inline'>\u0631\u0648\u06cc\u062f\u0627\u062f\u0647\u0627\u06cc \u0622\u0645\u0648\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_55_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.11' type='checkbox'  value='\u0631\u0648\u06cc\u062f\u0627\u062f\u0647\u0627\u06cc \u0633\u0645\u06cc\u0646\u0627\u0631\u0647\u0627 \u0648 \u0647\u0645\u0627\u06cc\u0634 \u0647\u0627\u06cc \u0634\u0647\u0631'  id='choice_120_55_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_11' id='label_120_55_11' class='gform-field-label gform-field-label--type-inline'>\u0631\u0648\u06cc\u062f\u0627\u062f\u0647\u0627\u06cc \u0633\u0645\u06cc\u0646\u0627\u0631\u0647\u0627 \u0648 \u0647\u0645\u0627\u06cc\u0634 \u0647\u0627\u06cc \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_55_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.12' type='checkbox'  value='\u0641\u0631\u0635\u062a \u0647\u0627\u06cc \u062a\u062e\u0641\u06cc\u0641'  id='choice_120_55_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_55_12' id='label_120_55_12' class='gform-field-label gform-field-label--type-inline'>\u0641\u0631\u0635\u062a \u0647\u0627\u06cc \u062a\u062e\u0641\u06cc\u0641<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_69\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_3col gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_69\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u062f\u0631 \u06a9\u062f\u0627\u0645 \u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0632\u06cc\u0631 \u0639\u0644\u0627\u0642\u0645\u0646\u062f  \u0628\u0647 \u0634\u0631\u06a9\u062a \u0647\u0633\u062a\u06cc\u062f\u061f<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_120_69'><li class='gchoice gchoice_120_69_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0627\u062c\u062a\u0645\u0627\u0639\u06cc \u0648 \u062e\u06cc\u0631\u06cc\u0647'  id='choice_120_69_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_1' id='label_120_69_1' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0627\u062c\u062a\u0645\u0627\u0639\u06cc \u0648 \u062e\u06cc\u0631\u06cc\u0647<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.2' type='checkbox'  value='\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0639\u0644\u0645\u06cc'  id='choice_120_69_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_2' id='label_120_69_2' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0639\u0644\u0645\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.3' type='checkbox'  value='\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0648\u0631\u0632\u0634\u06cc'  id='choice_120_69_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_3' id='label_120_69_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0648\u0631\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.4' type='checkbox'  value='\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0647\u0627\u06cc \u0622\u0645\u0648\u0632\u0634\u06cc'  id='choice_120_69_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_4' id='label_120_69_4' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0647\u0627\u06cc \u0622\u0645\u0648\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.5' type='checkbox'  value='\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0641\u0631\u0647\u0646\u06af\u06cc'  id='choice_120_69_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_5' id='label_120_69_5' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0641\u0631\u0647\u0646\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.6' type='checkbox'  value='\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0645\u0630\u0647\u0628\u06cc'  id='choice_120_69_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_6' id='label_120_69_6' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0645\u0630\u0647\u0628\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.7' type='checkbox'  value='\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u062a\u0628\u0644\u06cc\u063a\u0627\u062a\u06cc'  id='choice_120_69_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_7' id='label_120_69_7' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u062a\u0628\u0644\u06cc\u063a\u0627\u062a\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.8' type='checkbox'  value='\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u06af\u0631\u062f\u0634\u06af\u0631\u06cc'  id='choice_120_69_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_8' id='label_120_69_8' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u06af\u0631\u062f\u0634\u06af\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.9' type='checkbox'  value='\u0634\u0631\u06a9\u062a \u062f\u0631 \u0646\u0638\u0631\u0633\u0646\u062c\u06cc'  id='choice_120_69_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_9' id='label_120_69_9' class='gform-field-label gform-field-label--type-inline'>\u0634\u0631\u06a9\u062a \u062f\u0631 \u0646\u0638\u0631\u0633\u0646\u062c\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.11' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0637\u0631\u062d\u0647\u0627\u06cc \u0627\u0642\u062a\u0635\u0627\u062f\u06cc'  id='choice_120_69_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_11' id='label_120_69_11' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0637\u0631\u062d\u0647\u0627\u06cc \u0627\u0642\u062a\u0635\u0627\u062f\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.12' type='checkbox'  value='\u0645\u0633\u0627\u0628\u0642\u0627\u062a'  id='choice_120_69_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_12' id='label_120_69_12' class='gform-field-label gform-field-label--type-inline'>\u0645\u0633\u0627\u0628\u0642\u0627\u062a<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_69_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.13' type='checkbox'  value='\u0633\u0645\u06cc\u0646\u0627\u0631\u0647\u0627 \u0648 \u0647\u0645\u0627\u06cc\u0634 \u0647\u0627'  id='choice_120_69_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_69_13' id='label_120_69_13' class='gform-field-label gform-field-label--type-inline'>\u0633\u0645\u06cc\u0646\u0627\u0631\u0647\u0627 \u0648 \u0647\u0645\u0627\u06cc\u0634 \u0647\u0627<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_56\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_3col field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_56\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u062f\u0631 \u06a9\u062f\u0627\u0645 \u06a9\u0645\u06cc\u062a\u0647 \u0647\u0627\u06cc \u0632\u06cc\u0631 \u0639\u0644\u0627\u0642\u0645\u0646\u062f  \u0628\u0647  \u0639\u0636\u0648\u06cc\u062a \u0647\u0633\u062a\u06cc\u062f\u061f<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_56'><li class='gchoice gchoice_120_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='\u06a9\u0645\u06cc\u062a\u0647 \u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u06cc'  id='choice_120_56_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_56_1' id='label_120_56_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc\u062a\u0647 \u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_56_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.2' type='checkbox'  value='\u06a9\u0645\u06cc\u062a\u0647 \u0648\u0631\u0632\u0634\u06cc'  id='choice_120_56_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_56_2' id='label_120_56_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc\u062a\u0647 \u0648\u0631\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_56_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.3' type='checkbox'  value='\u06a9\u0645\u06cc\u062a\u0647 \u0622\u0645\u0648\u0632\u0634\u06cc'  id='choice_120_56_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_56_3' id='label_120_56_3' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc\u062a\u0647 \u0622\u0645\u0648\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_56_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.4' type='checkbox'  value='\u06a9\u0645\u06cc\u062a\u0647 \u0641\u0631\u0647\u0646\u06af\u06cc'  id='choice_120_56_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_56_4' id='label_120_56_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc\u062a\u0647 \u0641\u0631\u0647\u0646\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_56_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.5' type='checkbox'  value='\u06a9\u0645\u06cc\u062a\u0647 \u06af\u0631\u062f\u0634\u06af\u0631\u06cc'  id='choice_120_56_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_56_5' id='label_120_56_5' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc\u062a\u0647 \u06af\u0631\u062f\u0634\u06af\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_56_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.6' type='checkbox'  value='\u06a9\u0645\u06cc\u062a\u0647 \u0639\u0645\u0631\u0627\u0646'  id='choice_120_56_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_56_6' id='label_120_56_6' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc\u062a\u0647 \u0639\u0645\u0631\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_56_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.7' type='checkbox'  value='\u06a9\u0645\u06cc\u062a\u0647 \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc \u0648 \u0627\u0634\u062a\u063a\u0627\u0644'  id='choice_120_56_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_56_7' id='label_120_56_7' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc\u062a\u0647 \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc \u0648 \u0627\u0634\u062a\u063a\u0627\u0644<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_56_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.8' type='checkbox'  value='\u06a9\u0645\u06cc\u062a\u0647 \u062f\u0631\u0622\u0645\u062f'  id='choice_120_56_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_56_8' id='label_120_56_8' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc\u062a\u0647 \u062f\u0631\u0622\u0645\u062f<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_70\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_3col field_sublabel_above gfield--no-description 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class='gchoice gchoice_120_70_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.2' type='checkbox'  value='\u0627\u0645\u062f\u0627\u062f \u0648 \u0646\u062c\u0627\u062a'  id='choice_120_70_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_70_2' id='label_120_70_2' class='gform-field-label gform-field-label--type-inline'>\u0627\u0645\u062f\u0627\u062f \u0648 \u0646\u062c\u0627\u062a<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_70_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.3' type='checkbox'  value='\u0645\u0642\u0627\u0628\u0644\u0647 \u0628\u0627 \u062d\u0648\u0627\u062f\u062b'  id='choice_120_70_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_70_3' id='label_120_70_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0642\u0627\u0628\u0644\u0647 \u0628\u0627 \u062d\u0648\u0627\u062f\u062b<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_70_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.4' type='checkbox'  value='\u0622\u0645\u0648\u0632\u0634\u0647\u0627\u06cc \u062a\u0631\u0627\u0641\u06cc\u06a9\u06cc'  id='choice_120_70_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_70_4' id='label_120_70_4' class='gform-field-label gform-field-label--type-inline'>\u0622\u0645\u0648\u0632\u0634\u0647\u0627\u06cc \u062a\u0631\u0627\u0641\u06cc\u06a9\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_67\" class=\"gfield gfield--type-fileupload gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_120_67\" ><label class='gfield_label gform-field-label' for='input_120_67'>\u0628\u0627\u0631\u06af\u0630\u0627\u0631\u06cc \u062a\u0635\u0648\u06cc\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' 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