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        clip: rect(0, 0, 0, 0);\n          white-space: nowrap;\n          border: 0;\n        }\n      <\/style>\n    <link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/themes\/CSS\/5e6b428acc8c4e222d1beb91.css?v=4.1.67326&themeRevisionID=63e6805f64383509e31513f4\"\/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/s\/static\/62692b5b90b\/css\/styles\/payment\/payment_styles.css?4.1.67326\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/s\/static\/62692b5b90b\/css\/styles\/payment\/payment_feature.css?4.1.67326\" \/>\n<style type=\"text\/css\" id=\"form-designer-style\">\n    \/* Injected CSS Code *\/\n*,\n*:after,\n*:before {\n  box-sizing: border-box;\n}\n.form-all {\n  font-family: \"Inter\", sans-serif;\n}\n.main .jotform-form {\n  width: 100%;\n  padding: 0 3%;\n}\n.form-all {\n  display: flex;\n  flex-direction: column;\n  width: 100%;\n  max-width: 752px;\n}\n.form-line-active {\n  background-color: #f1f5ff;\n}\n.form-all {\n  font-size: 16px;\n}\nli.form-line {\n  margin-top: 12px;\n  margin-bottom: 12px;\n}\n.form-line {\n  padding: 12px 10px;\n}\n.supernova .form-all,\n.form-all {\n  border-radius: 20px;\n}\n.form-section:first-child {\n  border-radius: 20px 20px 0 0;\n}\n.form-section:last-child {\n  border-radius: 0 0 20px 20px;\n}\n.form-section {\n  padding: 0px 38px;\n}\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n  background-color: #ffffff;\n}\n.form-label {\n  font-family: \"Inter\", sans-serif;\n}\n.form-line-column {\n  width: calc(50% - 8px);\n}\n.form-checkbox-item label,\n.form-checkbox-item span,\n.form-radio-item label,\n.form-radio-item span {\n  color: #404a64;\n}\n.form-radio-item,\n.form-checkbox-item {\n  padding-bottom: 0px !important;\n}\n.form-radio-item:last-child,\n.form-checkbox-item:last-child {\n  padding-bottom: 0;\n}\n.form-single-column .form-checkbox-item,\n.form-single-column .form-radio-item {\n  width: 100%;\n}\n.form-checkbox-item .editor-container div,\n.form-radio-item .editor-container div {\n  position: relative;\n}\n.form-checkbox-item .editor-container div:before,\n.form-radio-item .editor-container div:before {\n  display: inline-block;\n  vertical-align: middle;\n  left: 0;\n  width: 20px;\n  height: 20px;\n}\n.form-checkbox-item input,\n.form-radio-item input {\n  margin-top: 2px;\n}\n.form-checkbox:checked + label:before,\n.form-checkbox:checked + span:before {\n  background-color: #2e69ff;\n  border-color: #2e69ff;\n}\n.form-radio:checked + label:before,\n.form-radio:checked + span:before {\n  border-color: #2e69ff;\n}\n.form-radio:checked + label:after,\n.form-radio:checked + span:after {\n  background-color: #2e69ff;\n}\n.form-checkbox:hover + label:before,\n.form-checkbox:hover + span:before,\n.form-radio:hover + label:before,\n.form-radio:hover + span:before {\n  border-color: rgba(46, 105, 255, 0.5);\n  box-shadow: 0 0 0 2px rgba(46, 105, 255, 0.25);\n}\n.form-checkbox:focus + label:before,\n.form-checkbox:focus + span:before,\n.form-radio:focus + label:before,\n.form-radio:focus + span:before {\n  border-color: #2e69ff;\n  box-shadow: 0 0 0 3px rgba(46, 105, 255, 0.25);\n}\n.submit-button {\n  font-size: 16px;\n  font-weight: normal;\n  font-family: \"Inter\", sans-serif;\n}\n.submit-button {\n  min-width: 180px;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n  font-family: \"Inter\", sans-serif;\n  font-size: 16px;\n  font-weight: normal;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n  min-width: 128px;\n}\nli[data-type=\"control_image\"] div {\n  text-align: left;\n}\nli[data-type=\"control_image\"] img {\n  border: none;\n  border-width: 0px !important;\n  border-style: solid !important;\n  border-color: false !important;\n}\n.supernova {\n  height: 100%;\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.supernova {\n  background-image: none;\n}\n#stage {\n  background-image: none;\n}\n\/* | *\/\n.form-all {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.form-header-group {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n}\n.header-large h1.form-header {\n  font-size: 2em;\n}\n.header-large h2.form-header {\n  font-size: 1.5em;\n}\n.header-large h3.form-header {\n  font-size: 1.17em;\n}\n.header-large h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-large h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-large h3 + .form-subHeader {\n  font-size: .75em;\n}\n.header-default h1.form-header {\n  font-size: 2em;\n}\n.header-default h2.form-header {\n  font-size: 1.5em;\n}\n.header-default h3.form-header {\n  font-size: 1.17em;\n}\n.header-default h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-default h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-default h3 + .form-subHeader {\n  font-size: .75em;\n}\n.header-small h1.form-header {\n  font-size: 2em;\n}\n.header-small h2.form-header {\n  font-size: 1.5em;\n}\n.header-small h3.form-header {\n  font-size: 1.17em;\n}\n.header-small h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-small h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-small h3 + .form-subHeader {\n  font-size: .75em;\n}\n.form-header-group {\n  text-align: left;\n}\n.form-header-group {\n  font-family: \"Inter\", sans-serif;\n}\ndiv.form-header-group.header-large,\ndiv.form-header-group.hasImage {\n  margin: 0px -38px;\n}\ndiv.form-header-group.header-large,\ndiv.form-header-group.hasImage {\n  padding: 40px 52px;\n}\n.form-header-group .form-header,\n.form-header-group .form-subHeader {\n  color: 0;\n}\n.form-all {\n  position: relative;\n}\n.form-all:before {\n  content: \"\";\n  background-image: url(\"https:\/\/www.jotform.com\/uploads\/aadeba\/form_files\/00410gh.6331b2583e0a48.34448461.png\");\n  display: inline-block;\n  height: 180px;\n  position: absolute;\n  background-size: 720px 180px;\n  background-repeat: no-repeat;\n  width: 100%;\n}\n.form-all { margin-top: 200px; }\n.form-all:before {\n  top: -190px;\n  background-position: top center;\n}\n.form-line-error {\n  overflow: hidden;\n  -webkit-transition-property: none;\n  -moz-transition-property: none;\n  -ms-transition-property: none;\n  -o-transition-property: none;\n  transition-property: none;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #fff4f4;\n}\n.form-line-error .form-error-message {\n  background-color: #f23a3c;\n  clear: both;\n  float: none;\n}\n.form-line-error .form-error-message .form-error-arrow {\n  border-bottom-color: #f23a3c;\n}\n.form-line-error input:not(#coupon-input),\n.form-line-error textarea,\n.form-line-error .form-validation-error {\n  border: 1px solid #f23a3c;\n  box-shadow: 0 0 3px #f23a3c;\n}\n.supernova {\n  background-color: #ffffff;\n}\n.supernova body {\n  background-color: transparent;\n}\n.supernova .form-all,\n.form-all {\n  background-color: #ffffff;\n}\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n  background-color: #ffffff;\n}\n.form-matrix-table tr {\n  border-color: #e6e6e6;\n}\n.form-matrix-table tr:nth-child(2n) {\n  background-color: #f2f2f2;\n}\n.form-all {\n  color: #2c3345;\n}\n.form-label-top,\n.form-label-left,\n.form-label-right,\n.form-html {\n  color: #2c3345;\n}\n.form-line-error {\n  overflow: hidden;\n  -webkit-transition-property: none;\n  -moz-transition-property: none;\n  -ms-transition-property: none;\n  -o-transition-property: none;\n  transition-property: none;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #fff4f4;\n}\n.form-header-group .form-header,\n.form-header-group .form-subHeader {\n  color: 0;\n}\n\n\/*__INSPECT_SEPERATOR__*\/\n#text_83 p.hover {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#cid_83 {\n\n}\n\n#id_83 {\n    top : -40px;\n}\n\n#id_74 {\n\n}\n\n#cid_74 div.form-address-table {\n    width : 320px;\n}\n\n.form-submit-button-flat_round_teal.form-pagebreak-back, .form-submit-button-flat_round_teal.form-pagebreak-next, .form-submit-button-flat_round_teal.submit-button {\n    border : 0px solid #231f20;\n}\n\n#header_86 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#text_81 h4.hover {\n\n}\n\n#id_81 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n.form-checkbox-item hoverSticky label {\n\n}\n\n#id_60 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#form-pagebreak-next_7 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_92 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_9 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_10 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_11 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_12 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#sublabel_input_11 {\n\n}\n\n#label_13 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#id_13 {\n\n}\n\n#input_13 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_74 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_69 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#input_69 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#form-pagebreak-back_17 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#form-pagebreak-next_17 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#cid_19 {\n\n}\n\n#text_19 h4.hover {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_18 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_53 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n.undefined strong {\n\n}\n\n#text_58 h4.hover {\n\n}\n\n#label_input_61_0 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#input_2 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#form-pagebreak-back_7 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#id_58 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n.form-html strong {\n\n}\n\n#text_81 strong.hover {\n    font-family : 'Tajawal', sans-serif;\n}\n\n.form-input-wide {\n\n}\n\n.form-html p {\n\n}\n\n#text_83 p.hoverSticky {\n\n}\n\n.form-html {\n\n}\n\n#text_83 {\n\n}\n\n.form-label.form-label-top {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_95 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_94 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n.form-radio-item label {\n\n}\n\n#label_input_95_0 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n#label_input_95_1 {\n    font-family : 'Tajawal', sans-serif;\n}\n\n.form-label.form-label-auto {\n        \n      display: block;\n      float: none;\n      text-align: left;\n      width: 100%;\n    \n      }\n    \/* Injected CSS Code *\/\n<\/style>\n\n<form class=\"jotform-form\" onsubmit=\"return typeof testSubmitFunction !== 'undefined' && testSubmitFunction();\" action=\"https:\/\/submit.jotform.com\/submit\/261523278196463\" method=\"post\" enctype=\"multipart\/form-data\" name=\"form_261523278196463\" id=\"261523278196463\" accept-charset=\"utf-8\" autocomplete=\"on\"><input type=\"hidden\" name=\"formID\" value=\"261523278196463\" \/><input type=\"hidden\" id=\"JWTContainer\" value=\"\" \/><input type=\"hidden\" id=\"cardinalOrderNumber\" value=\"\" \/><input type=\"hidden\" id=\"jsExecutionTracker\" name=\"jsExecutionTracker\" value=\"build-date-1780573588717\" \/><input type=\"hidden\" id=\"submitSource\" name=\"submitSource\" value=\"unknown\" \/><input type=\"hidden\" id=\"submitDate\" name=\"submitDate\" value=\"undefined\" \/><input type=\"hidden\" id=\"buildDate\" name=\"buildDate\" value=\"1780573588717\" \/><input type=\"hidden\" name=\"uploadServerUrl\" value=\"https:\/\/upload.jotform.com\/upload\" \/><input type=\"hidden\" name=\"eventObserver\" value=\"1\" \/>\n  <div id=\"formCoverLogo\" style=\"margin-bottom:10px\" class=\"form-cover-wrapper form-has-cover form-page-cover-image-align-center\">\n    <div class=\"form-page-cover-image-wrapper\" style=\"max-width:752px\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/www.jotform.com\/uploads\/aadeba\/form_files\/00410gh.6331b2583e0a48.34448461.png\" class=\"form-page-cover-image\" width=\"720\" height=\"180\" alt=\"\u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0644\u062f\u0648\u0631\u0629 \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629 (\u0639\u0646 \u0628\u064f\u0639\u062f)\" style=\"aspect-ratio:4\" \/><\/div>\n  <\/div>\n  <div role=\"main\" class=\"form-all\">\n    <ul class=\"form-section page-section\" role=\"presentation\">\n      <li id=\"cid_86\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group header-large\">\n          <div class=\"header-text httac htvam\">\n            <h1 id=\"header_86\" class=\"form-header\" data-component=\"header\">\u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0644\u062f\u0648\u0631\u0629 \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629 (\u0639\u0646 \u0628\u064f\u0639\u062f)<\/h1>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_81\">\n        <div id=\"cid_81\" class=\"form-input-wide\" data-layout=\"full\">\n          <div id=\"text_81\" class=\"form-html\" data-component=\"text\" tabindex=\"-1\">\n            <p style=\"text-align: right;\"><strong>\u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0644\u062f\u0648\u0631\u0629 \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629 (\u0639\u0646 \u0628\u064f\u0639\u062f)<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u0623\u0648\u0644\u0627\u064b: \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u062a\u0639\u0631\u064a\u0641\u064a\u0629 \u0644\u0644\u062f\u0648\u0631\u0629<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u0627\u0644\u062e\u0637\u0629 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u0644\u0644\u0628\u0631\u0646\u0627\u0645\u062c \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u00a0(Online)\u00a0\u0628\u0627\u0644\u062a\u0639\u0627\u0648\u0646 \u0645\u0639 \u0627\u0644\u0627\u062a\u062d\u0627\u062f \u0627\u0644\u062f\u0648\u0644\u064a \u0644\u0644\u062f\u0631\u0627\u062c\u0627\u062a\u00a0(UCI)<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u0627\u0644\u0645\u0633\u062a\u0648\u0649 \u0627\u0644\u0645\u0633\u062a\u0647\u062f\u0641:\u00a0\u0645\u0628\u062a\u062f\u0626<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u0639\u062f\u062f \u0627\u0644\u0645\u0633\u062a\u0641\u064a\u062f\u064a\u0646:\u00a0\u062d\u0633\u0628 \u0627\u0644\u0645\u0642\u0627\u0639\u062f \u0627\u0644\u062a\u064a \u0633\u064a\u062a\u0645 \u062a\u062d\u062f\u064a\u062f\u0647\u0627 \u0645\u0646 \u0627\u0644\u0627\u062a\u062d\u0627\u062f \u0627\u0644\u062f\u0648\u0644\u064a\u00a0<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u0637\u0631\u064a\u0642\u0629 \u0627\u0644\u062d\u0636\u0648\u0631:\u00a0\u0639\u0646 \u0628\u064f\u0639\u062f (\u0645\u0646\u0635\u0629 \/ \u0628\u0631\u0646\u0627\u0645\u062c \u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a)<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u062b\u0627\u0646\u064a\u0627\u064b: \u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u062f\u0648\u0631\u0629<\/strong><\/p>\n            <ul style=\"list-style-type: disc;\">\n              <li style=\"text-align: right;\"><strong>\u0639\u062f\u062f \u0627\u0644\u0633\u0627\u0639\u0627\u062a \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629: (\u064a\u062d\u062f\u062f \u0644\u0627\u062d\u0642\u0627\u064b)<\/strong><\/li>\n              <li style=\"text-align: right;\"><strong>\u0639\u062f\u062f \u0627\u0644\u0623\u064a\u0627\u0645 \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629: (\u064a\u062d\u062f\u062f \u0644\u0627\u062d\u0642\u0627\u064b)<\/strong><\/li>\n            <\/ul>\n            <p style=\"text-align: right;\"><strong>\u062b\u0627\u0644\u062b\u0627\u064b: \u0634\u0631\u0648\u0637 \u0627\u0644\u0642\u0628\u0648\u0644<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>1. \u062a\u0645\u0646\u062d \u0627\u0644\u0623\u0648\u0644\u0648\u064a\u0629 \u0641\u064a \u0627\u0644\u0642\u0628\u0648\u0644 \u0644\u0644\u0639\u0627\u0645\u0644\u064a\u0646 \u062d\u0627\u0644\u064a\u0627\u064b \u0641\u064a \u0645\u062c\u0627\u0644 \u0627\u0644\u062a\u062f\u0631\u064a\u0628 \u0628\u0627\u0644\u0623\u0646\u062f\u064a\u0629\u060c \u0648\u0644\u0644\u0627\u0639\u0628\u064a\u0646 \u0648\u0627\u0644\u0644\u0627\u0639\u0628\u0627\u062a \u0627\u0644\u0645\u0639\u062a\u0645\u062f\u064a\u0646 \u0641\u064a \u0633\u062c\u0644\u0627\u062a \u0627\u0644\u0627\u062a\u062d\u0627\u062f\u00a0<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>2.\u00a0 \u064a\u0642\u0628\u0644 \u0645\u0645\u0627\u0631\u0633\u0648 \u0627\u0644\u0644\u0639\u0628\u0629 \u0645\u0646 \u0627\u0644\u0639\u0627\u0645\u0629 \u0648\u0641\u0642 \u0627\u0644\u0645\u0642\u0627\u0639\u062f \u0627\u0644\u0645\u062a\u0627\u062d\u0629 \u0648\u0628\u0639\u062f \u0627\u0644\u062a\u062d\u0642\u0642 \u0645\u0646 \u0627\u0644\u0623\u0647\u0644\u064a\u0629\u00a0<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>3. \u062a\u0644\u062a\u0632\u0645 \u0627\u0644\u0623\u0646\u062f\u064a\u0629 \u0628\u062a\u0631\u0634\u064a\u062d \u0645\u062f\u0631\u0628\u064a\u0647\u0627\u060c \u0648\u064a\u0639\u062f \u0627\u0644\u062d\u0636\u0648\u0631 \u0625\u0644\u0632\u0627\u0645\u064a\u0627\u064b \u0644\u0636\u0645\u0627\u0646 \u062a\u0637\u0648\u064a\u0631 \u0627\u0644\u0643\u0627\u062f\u0631 \u0627\u0644\u0641\u0646\u064a\u00a0<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>4. \u064a\u062a\u0645 \u062a\u0631\u0634\u064a\u062d \u0627\u0644\u0645\u062a\u062f\u0631\u0628 \u0628\u0639\u062f \u0627\u0644\u062a\u062d\u0642\u0642 \u0645\u0646 \u0627\u0633\u062a\u064a\u0641\u0627\u0626\u0647 \u0644\u062c\u0645\u064a\u0639 \u0627\u0644\u0634\u0631\u0648\u0637 \u0648\u0627\u0644\u0645\u062a\u0637\u0644\u0628\u0627\u062a \u0648\u0627\u0639\u062a\u0645\u0627\u062f \u0623\u0647\u0644\u064a\u062a\u0647 \u0645\u0646 \u0627\u0644\u0627\u062a\u062d\u0627\u062f\u00a0<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>5. \u0627\u0644\u0627\u0644\u062a\u0632\u0627\u0645 \u0628\u0627\u0644\u062d\u0636\u0648\u0631 \u0627\u0644\u0643\u0627\u0645\u0644 \u0644\u0644\u062f\u0648\u0631\u0629 \u0648\u0627\u0633\u062a\u0643\u0645\u0627\u0644 \u062c\u0645\u064a\u0639 \u0645\u062a\u0637\u0644\u0628\u0627\u062a\u0647\u0627\u00a0<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u0631\u0627\u0628\u0639\u0627\u064b: \u0645\u0632\u0627\u064a\u0627 \u0627\u0644\u062f\u0648\u0631\u0629 \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>1. \u0627\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0631\u062e\u0635\u0629 C1 \u0645\u0646 \u0627\u0644\u0627\u062a\u062d\u0627\u062f \u0627\u0644\u062f\u0648\u0644\u064a \u0644\u0644\u062f\u0631\u0627\u062c\u0627\u062a .(UCI)<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>2. \u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0645\u062a\u062f\u0631\u0628 \u0627\u0644\u062d\u0627\u0635\u0644 \u0639\u0644\u0649 \u0627\u0644\u0631\u062e\u0635\u0629 \u0644\u0644\u062a\u0631\u0634\u062d \u0644\u062f\u0648\u0631\u0629 C2 \u0627\u0644\u062f\u0648\u0644\u064a\u0629.<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>3. \u0623\u0648\u0644\u0648\u064a\u0629 \u0627\u0644\u0642\u0628\u0648\u0644 \u0648\u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0644\u062d\u0636\u0648\u0631 \u0627\u0644\u062f\u0648\u0631\u0629 \u0627\u0644\u0645\u062a\u0648\u0633\u0637\u0629 \u0644\u0645\u0639\u0647\u062f \u0625\u0639\u062f\u0627\u062f \u0627\u0644\u0642\u0627\u062f\u0629 \u062e\u0644\u0627\u0644 \u0634\u0647\u0631 \u0623\u063a\u0633\u0637\u0633.<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>4. \u064a\u0639\u062f \u0627\u062c\u062a\u064a\u0627\u0632 \u0647\u0630\u0647 \u0627\u0644\u062f\u0648\u0631\u0629 \u0623\u062d\u062f \u0645\u0639\u0627\u064a\u064a\u0631 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0623\u0633\u0627\u0633\u064a\u0629 \u0644\u0644\u062a\u0642\u062f\u0645 \u0644\u0627\u062e\u062a\u0628\u0627\u0631 \u0627\u0644\u0631\u062e\u0635\u0629 \u0627\u0644\u0645\u0647\u0646\u064a\u0629 \u0644\u0644\u0645\u062f\u0631\u0628\u064a\u0646.<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u062e\u0627\u0645\u0633\u0627\u064b: \u0625\u0631\u0634\u0627\u062f\u0627\u062a \u0627\u0644\u062f\u0648\u0631\u0629 \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u0627\u0644\u062d\u0636\u0648\u0631<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u064a\u0634\u062a\u0631\u0637 \u0627\u0644\u0627\u0644\u062a\u0632\u0627\u0645 \u0628\u062d\u0636\u0648\u0631 \u062c\u0645\u064a\u0639 \u0627\u0644\u062c\u0644\u0633\u0627\u062a \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629 \u0644\u0636\u0645\u0627\u0646 \u0627\u0633\u062a\u064a\u0641\u0627\u0621 \u0645\u062a\u0637\u0644\u0628\u0627\u062a \u0627\u062c\u062a\u064a\u0627\u0632 \u0627\u0644\u062f\u0648\u0631\u0629.<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u0627\u0644\u0627\u0639\u062a\u0630\u0627\u0631 \u0639\u0646 \u0627\u0644\u0645\u0634\u0627\u0631\u0643\u0629<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u064a\u062c\u0628 \u0639\u0644\u0649 \u0627\u0644\u0645\u062a\u062f\u0631\u0628 \u0625\u0634\u0639\u0627\u0631 \u0627\u0644\u0627\u062a\u062d\u0627\u062f \u0641\u064a \u062d\u0627\u0644 \u0627\u0644\u0631\u063a\u0628\u0629 \u0628\u0627\u0644\u0627\u0639\u062a\u0630\u0627\u0631 \u0642\u0628\u0644 \u0628\u062f\u0621 \u0627\u0644\u062f\u0648\u0631\u0629 \u0628\u0648\u0642\u062a \u0645\u0646\u0627\u0633\u0628 \u0644\u062a\u0645\u0643\u064a\u0646 \u062a\u0631\u0634\u064a\u062d \u0628\u062f\u064a\u0644 \u0639\u0646\u062f \u0627\u0644\u062d\u0627\u062c\u0629.<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>\u0627\u0644\u0627\u0646\u0633\u062d\u0627\u0628<\/strong><\/p>\n            <ul style=\"list-style-type: disc; text-align: right;\">\n              <li style=\"text-align: right;\"><strong>\u064a\u0639\u062f \u0627\u0644\u0627\u0646\u0633\u062d\u0627\u0628 \u0645\u0646 \u0627\u0644\u062f\u0648\u0631\u0629 \u0623\u0648 \u0639\u062f\u0645 \u0627\u0633\u062a\u0643\u0645\u0627\u0644 \u0645\u062a\u0637\u0644\u0628\u0627\u062a\u0647\u0627 \u062f\u0648\u0646 \u0639\u0630\u0631 \u0634\u0631\u0639\u064a \u064a\u0642\u0628\u0644\u0647 \u0627\u0644\u0627\u062a\u062d\u0627\u062f \u0645\u062e\u0627\u0644\u0641\u0629 \u062a\u0646\u0638\u064a\u0645\u064a\u0629\u060c \u0648\u064a\u062a\u0631\u062a\u0628 \u0639\u0644\u064a\u0647:<\/strong><\/li>\n              <li style=\"text-align: right;\"><strong>\u0627\u0644\u062d\u0631\u0645\u0627\u0646 \u0645\u0646 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0644\u0645\u062f\u0629 \u0639\u0627\u0645 \u0643\u0627\u0645\u0644.<\/strong><\/li>\n              <li style=\"text-align: right;\"><strong>\u0639\u062f\u0645 \u0627\u0644\u0623\u0647\u0644\u064a\u0629 \u0644\u0644\u0645\u0634\u0627\u0631\u0643\u0629 \u0641\u064a \u0627\u0644\u062f\u0648\u0631\u0627\u062a \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629 \u062e\u0644\u0627\u0644 \u0645\u062f\u0629 \u0627\u0644\u062d\u0631\u0645\u0627\u0646.<\/strong><\/li>\n              <li style=\"text-align: right;\"><strong>\u0627\u0644\u062a\u0623\u062b\u064a\u0631 \u0639\u0644\u0649 \u0627\u0633\u062a\u064a\u0641\u0627\u0621 \u0634\u0631\u0648\u0637 \u0627\u0644\u062a\u0623\u0647\u0644 \u0644\u0644\u062d\u0635\u0648\u0644 \u0639\u0644\u0649 \u0627\u0644\u0631\u062e\u0635\u0629 \u0627\u0644\u0645\u0647\u0646\u064a\u0629.<\/strong><\/li>\n            <\/ul>\n            <p style=\"text-align: right;\"><strong>\u0633\u0627\u062f\u0633\u064b\u0627: \u0627\u0644\u0623\u062d\u0643\u0627\u0645 \u0627\u0644\u0639\u0627\u0645\u0629<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>1. \u064a\u0644\u062a\u0632\u0645 \u0627\u0644\u0645\u062a\u062f\u0631\u0628 \u0628\u0635\u062d\u0629 \u062c\u0645\u064a\u0639 \u0627\u0644\u0628\u064a\u0627\u0646\u0627\u062a \u0648\u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0645\u0642\u062f\u0645\u0629 \u0639\u0646\u062f \u0627\u0644\u062a\u0633\u062c\u064a\u0644\u060c \u0648\u064a\u062d\u062a\u0641\u0638 \u0627\u0644\u0627\u062a\u062d\u0627\u062f \u0628\u0627\u0644\u062d\u0642 \u0641\u064a \u0625\u0644\u063a\u0627\u0621 \u0627\u0644\u0637\u0644\u0628 \u0623\u0648 \u0627\u0633\u062a\u0628\u0639\u0627\u062f\u0647 \u0641 \u062d\u0627\u0644 \u062b\u0628\u0648\u062a \u062a\u0642\u062f\u064a\u0645 \u0645\u0639\u0644\u0648\u0645\u0627\u062a \u063a\u064a\u0631 \u0635\u062d\u064a\u062d\u0629 \u0623\u0648 \u0645\u0636\u0644\u0644\u0629.<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>2. \u0644\u0644\u0627\u062a\u062d\u0627\u062f \u0627\u0644\u062d\u0642 \u0641\u064a \u062a\u0639\u062f\u064a\u0644 \u0623\u0648 \u062a\u062d\u062f\u064a\u062b \u0627\u0644\u0634\u0631\u0648\u0637 \u0648\u0627\u0644\u0645\u062a\u0637\u0644\u0628\u0627\u062a \u0641\u064a \u0623\u064a \u0648\u0642\u062a \u0628\u0645\u0627 \u064a\u062d\u0642\u0642 \u0645\u0635\u0644\u062d\u0629 \u0627\u0644\u0639\u0645\u0644.<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>3.\u00a0 \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0641\u064a \u0627\u0644\u062f\u0648\u0631\u0629 \u0625\u0642\u0631\u0627\u0631\u0627\u064b \u0628\u0627\u0644\u0627\u0637\u0644\u0627\u0639 \u0639\u0644\u0649 \u0627\u0644\u0634\u0631\u0648\u0637 \u0648\u0627\u0644\u0645\u0648\u0627\u0641\u0642\u0629 \u0639\u0644\u064a\u0647\u0627 \u0648\u0627\u0644\u0627\u0644\u062a\u0632\u0627\u0645 \u0628\u062c\u0645\u064a\u0639 \u0645\u0627 \u064a\u0635\u062f\u0631 \u0639\u0646 \u0627\u0644\u0627\u062a\u062d\u0627\u062f \u0645\u0646 \u062a\u0639\u0644\u064a\u0645\u0627\u062a \u0623\u0648 \u062a\u0646\u0638\u064a\u0645\u0627\u062a \u0630\u0627\u062a \u0635\u0644\u0629.<\/strong><\/p>\n            <p style=\"text-align: right;\"><strong>4. \u064a\u062d\u062a\u0641\u0638 \u0627\u0644\u0627\u062a\u062d\u0627\u062f \u0628\u062d\u0642 \u0625\u064a\u0642\u0627\u0641 \u0623\u0648 \u062a\u0623\u062c\u064a\u0644 \u0623\u0648 \u0625\u0644\u063a\u0627\u0621 \u0627\u0644\u062f\u0648\u0631\u0629 \u0639\u0646\u062f \u0627\u0644\u0636\u0631\u0648\u0631\u0629\u060c \u0645\u0639 \u0625\u0634\u0639\u0627\u0631 \u0627\u0644\u0645\u062a\u062f\u0631\u0628\u064a\u0646 \u0639\u0628\u0631 \u0627\u0644\u0648\u0633\u0627\u0626\u0644 \u0627\u0644\u0645\u0639\u062a\u0645\u062f\u0629.<\/strong><\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_checkbox\" id=\"id_60\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_60\" for=\"input_60_0\"> <span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_60\" class=\"form-input-wide jf-required\" data-layout=\"full\">\n          <div class=\"form-single-column\" role=\"group\" aria-required=\"true\" aria-labelledby=\"label_60\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_60_0\" name=\"q60_typeA60[]\" aria-labelledby=\"label_input_60_0\" value=\"\u0623\u0642\u0631 \u0628\u0623\u0646\u0646\u064a \u0627\u0637\u0644\u0639\u062a \u0639\u0644\u0649 \u062c\u0645\u064a\u0639 \u0627\u0644\u0634\u0631\u0648\u0637 \u0648\u0627\u0644\u0623\u062d\u0643\u0627\u0645 \u0648\u0627\u0644\u062a\u0639\u0644\u064a\u0645\u0627\u062a \u0627\u0644\u0648\u0627\u0631\u062f\u0629 \u0623\u0639\u0644\u0627\u0647 \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u064a\u0647\u0627.\" \/><label aria-hidden=\"true\" id=\"label_input_60_0\" for=\"input_60_0\">\u0623\u0642\u0631 \u0628\u0623\u0646\u0646\u064a \u0627\u0637\u0644\u0639\u062a \u0639\u0644\u0649 \u062c\u0645\u064a\u0639 \u0627\u0644\u0634\u0631\u0648\u0637 \u0648\u0627\u0644\u0623\u062d\u0643\u0627\u0645 \u0648\u0627\u0644\u062a\u0639\u0644\u064a\u0645\u0627\u062a \u0627\u0644\u0648\u0627\u0631\u062f\u0629 \u0623\u0639\u0644\u0627\u0647 \u0648\u0623\u0648\u0627\u0641\u0642 \u0639\u0644\u064a\u0647\u0627.<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li id=\"cid_7\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n        <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n          <div class=\"form-pagebreak-back-container\"><button id=\"form-pagebreak-back_7\" type=\"button\" class=\"form-pagebreak-back  form-submit-button-flat_round_teal button-hidden jf-form-buttons\" data-component=\"pagebreak-back\">\u0631\u062c\u0648\u0639<\/button><\/div>\n          <div class=\"form-pagebreak-next-container\"><button id=\"form-pagebreak-next_7\" type=\"button\" class=\"form-pagebreak-next  form-submit-button-flat_round_teal jf-form-buttons\" data-component=\"pagebreak-next\">\u0627\u0644\u062a\u0627\u0644\u064a<\/button><\/div>\n          <div style=\"clear:both\" class=\"pageInfo form-sub-label\" id=\"pageInfo_7\"><\/div>\n        <\/div>\n      <\/li>\n    <\/ul>\n    <ul class=\"form-section page-section\" role=\"presentation\" style=\"display:none;\">\n      <li id=\"cid_98\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group header-default\">\n          <div class=\"header-text httac htvam\">\n            <h2 id=\"header_98\" class=\"form-header\" data-component=\"header\">\u0627\u0644\u0628\u064a\u0627\u0646\u0627\u062a \u0627\u0644\u0634\u062e\u0635\u064a\u0629<\/h2>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_92\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_92\" for=\"input_92\"> \u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u062b\u0644\u0627\u062b\u064a<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_92\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_92\" name=\"q92_input92\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_92\" required=\"\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_9\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_9\" for=\"input_9\"> \u0631\u0642\u0645 \u0627\u0644\u0647\u0648\u064a\u0629 \u0627\u0644\u0648\u0637\u0646\u064a\u0629\/\u0627\u0644\u0625\u0642\u0627\u0645\u0629<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_9\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_9\" name=\"q9_input9\" data-type=\"input-textbox\" class=\"form-textbox validate[required, Numeric, minCharLimit]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" maxLength=\"10\" data-minlength=\"10\" placeholder=\"1xxxxxxxxx\" data-component=\"textbox\" aria-labelledby=\"label_9\" required=\"\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_datetime\" id=\"id_12\"><span class=\"form-label form-label-top form-label-auto\" id=\"label_12\"> \u062a\u0627\u0631\u064a\u062e \u0627\u0644\u0645\u064a\u0644\u0627\u062f<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/span>\n        <div id=\"cid_12\" class=\"form-input-wide jf-required\" data-layout=\"half\">\n          <div data-wrapper-react=\"true\" role=\"group\" aria-labelledby=\"label_12\">\n            <div style=\"display:none\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input class=\"form-textbox validate[required, limitDate]\" id=\"month_12\" name=\"q12_input12[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_12 sublabel_12_month\" value=\"\" \/><span class=\"date-separate\" aria-hidden=\"true\">\u00a0-<\/span><label class=\"form-sub-label\" for=\"month_12\" id=\"sublabel_12_month\" style=\"min-height:13px\">Month<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input class=\"form-textbox validate[required, limitDate]\" id=\"day_12\" name=\"q12_input12[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_12 sublabel_12_day\" value=\"\" \/><span class=\"date-separate\" aria-hidden=\"true\">\u00a0-<\/span><label class=\"form-sub-label\" for=\"day_12\" id=\"sublabel_12_day\" style=\"min-height:13px\">Day<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input class=\"form-textbox validate[required, limitDate]\" id=\"year_12\" name=\"q12_input12[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" data-age=\"\" maxLength=\"4\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_12 sublabel_12_year\" value=\"\" \/><label class=\"form-sub-label\" for=\"year_12\" id=\"sublabel_12_year\" style=\"min-height:13px\">Year<\/label><\/span><\/div><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input class=\"form-textbox validate[required, limitDate, validateLiteDate]\" id=\"lite_mode_12\" type=\"text\" size=\"12\" data-maxlength=\"12\" maxLength=\"12\" data-age=\"\" aria-labelledby=\"label_12 sublabel_12_litemode\" required=\"\" data-format=\"mmddyyyy\" data-seperator=\"-\" placeholder=\"MM-DD-YYYY\" data-placeholder=\"MM-DD-YYYY\" autoComplete=\"off\" value=\"\" \/><button type=\"button\" class=\" newDefaultTheme-dateIcon focusable icon-liteMode\" id=\"input_12_pick\" data-component=\"datetime\" aria-label=\"Choose date\" aria-controls=\"calendar_12\" aria-haspopup=\"dialog\" aria-expanded=\"false\" data-allow-time=\"No\" data-version=\"v2\"><\/button><label class=\"form-sub-label\" for=\"lite_mode_12\" id=\"sublabel_12_litemode\" style=\"min-height:13px\">Date<\/label><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_dropdown\" id=\"id_13\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_13\" for=\"input_13\"> \u0627\u0644\u062c\u0646\u0633<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_13\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <select class=\"form-dropdown validate[required]\" id=\"input_13\" name=\"q13_input13\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"\u0627\u0644\u062c\u0646\u0633\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"\u0630\u0643\u0631 \">\u0630\u0643\u0631 <\/option>\n            <option value=\"\u0627\u0646\u062b\u0649\">\u0627\u0646\u062b\u0649<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_dropdown\" id=\"id_94\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_94\" for=\"input_94\"> \u0627\u0644\u062c\u0646\u0633\u064a\u0629\u00a0<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_94\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <select class=\"form-dropdown validate[required]\" id=\"input_94\" name=\"q94_input94\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"\u0627\u0644\u062c\u0646\u0633\u064a\u0629\u00a0\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"\u0627\u0644\u0645\u0645\u0644\u0643\u0629 \u0627\u0644\u0639\u0631\u0628\u064a\u0629 \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629\">\u0627\u0644\u0645\u0645\u0644\u0643\u0629 \u0627\u0644\u0639\u0631\u0628\u064a\u0629 \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629<\/option>\n            <option value=\"\u0623\u0641\u063a\u0627\u0646\u0633\u062a\u0627\u0646\">\u0623\u0641\u063a\u0627\u0646\u0633\u062a\u0627\u0646<\/option>\n            <option value=\"\u0623\u0644\u0628\u0627\u0646\u064a\u0627\">\u0623\u0644\u0628\u0627\u0646\u064a\u0627<\/option>\n            <option value=\"\u0627\u0644\u062c\u0632\u0627\u0626\u0631\">\u0627\u0644\u062c\u0632\u0627\u0626\u0631<\/option>\n            <option value=\"\u0633\u0627\u0645\u0648\u0627 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629\">\u0633\u0627\u0645\u0648\u0627 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629<\/option>\n            <option value=\"\u0623\u0646\u062f\u0648\u0631\u0627\">\u0623\u0646\u062f\u0648\u0631\u0627<\/option>\n            <option value=\"\u0623\u0646\u063a\u0648\u0644\u0627\">\u0623\u0646\u063a\u0648\u0644\u0627<\/option>\n            <option value=\"\u0623\u0646\u063a\u064a\u0644\u0627\">\u0623\u0646\u063a\u064a\u0644\u0627<\/option>\n            <option value=\"\u0623\u0646\u062a\u064a\u063a\u0648\u0627 \u0648\u0628\u0631\u0628\u0648\u062f\u0627\">\u0623\u0646\u062a\u064a\u063a\u0648\u0627 \u0648\u0628\u0631\u0628\u0648\u062f\u0627<\/option>\n            <option value=\"\u0627\u0644\u0623\u0631\u062c\u0646\u062a\u064a\u0646\">\u0627\u0644\u0623\u0631\u062c\u0646\u062a\u064a\u0646<\/option>\n            <option value=\"\u0623\u0631\u0645\u064a\u0646\u064a\u0627\">\u0623\u0631\u0645\u064a\u0646\u064a\u0627<\/option>\n            <option value=\"\u0623\u0631\u0648\u0628\u0627\">\u0623\u0631\u0648\u0628\u0627<\/option>\n            <option value=\"\u0623\u0633\u062a\u0631\u0627\u0644\u064a\u0627\">\u0623\u0633\u062a\u0631\u0627\u0644\u064a\u0627<\/option>\n            <option value=\"\u0627\u0644\u0646\u0645\u0633\u0627\">\u0627\u0644\u0646\u0645\u0633\u0627<\/option>\n            <option value=\"\u0623\u0630\u0631\u0628\u064a\u062c\u0627\u0646\">\u0623\u0630\u0631\u0628\u064a\u062c\u0627\u0646<\/option>\n            <option value=\"\u062c\u0632\u0631 \u0627\u0644\u0628\u0647\u0627\u0645\u0627\">\u062c\u0632\u0631 \u0627\u0644\u0628\u0647\u0627\u0645\u0627<\/option>\n            <option value=\"\u0627\u0644\u0628\u062d\u0631\u064a\u0646\">\u0627\u0644\u0628\u062d\u0631\u064a\u0646<\/option>\n            <option value=\"\u0628\u0646\u063a\u0644\u0627\u062f\u064a\u0634\">\u0628\u0646\u063a\u0644\u0627\u062f\u064a\u0634<\/option>\n            <option value=\"\u0628\u0631\u0628\u0627\u062f\u0648\u0633\">\u0628\u0631\u0628\u0627\u062f\u0648\u0633<\/option>\n            <option value=\"\u0628\u064a\u0644\u0627\u0631\u0648\u0633\u064a\u0627\">\u0628\u064a\u0644\u0627\u0631\u0648\u0633\u064a\u0627<\/option>\n            <option value=\"\u0628\u0644\u062c\u064a\u0643\u0627\">\u0628\u0644\u062c\u064a\u0643\u0627<\/option>\n            <option value=\"\u0628\u0644\u064a\u0632\">\u0628\u0644\u064a\u0632<\/option>\n            <option value=\"\u0628\u0646\u064a\u0646\">\u0628\u0646\u064a\u0646<\/option>\n            <option value=\"\u0628\u0631\u0645\u0648\u062f\u0627\">\u0628\u0631\u0645\u0648\u062f\u0627<\/option>\n            <option value=\"\u0628\u0648\u062a\u0627\u0646\">\u0628\u0648\u062a\u0627\u0646<\/option>\n            <option value=\"\u0628\u0648\u0644\u064a\u0641\u064a\u0627\">\u0628\u0648\u0644\u064a\u0641\u064a\u0627<\/option>\n            <option value=\"\u0627\u0644\u0628\u0648\u0633\u0646\u0629 \u0648\u0627\u0644\u0647\u0631\u0633\u0643\">\u0627\u0644\u0628\u0648\u0633\u0646\u0629 \u0648\u0627\u0644\u0647\u0631\u0633\u0643<\/option>\n            <option value=\"\u0628\u0648\u062a\u0633\u0648\u0627\u0646\u0627\">\u0628\u0648\u062a\u0633\u0648\u0627\u0646\u0627<\/option>\n            <option value=\"\u0627\u0644\u0628\u0631\u0627\u0632\u064a\u0644\">\u0627\u0644\u0628\u0631\u0627\u0632\u064a\u0644<\/option>\n            <option value=\"\u0628\u0631\u0648\u0646\u0627\u064a\">\u0628\u0631\u0648\u0646\u0627\u064a<\/option>\n            <option value=\"\u0628\u0644\u063a\u0627\u0631\u064a\u0627\">\u0628\u0644\u063a\u0627\u0631\u064a\u0627<\/option>\n            <option value=\"\u0628\u0648\u0631\u0643\u064a\u0646\u0627 \u0641\u0627\u0633\u0648\">\u0628\u0648\u0631\u0643\u064a\u0646\u0627 \u0641\u0627\u0633\u0648<\/option>\n            <option value=\"\u0628\u0648\u0631\u0648\u0646\u062f\u064a\">\u0628\u0648\u0631\u0648\u0646\u062f\u064a<\/option>\n            <option value=\"\u0643\u0645\u0628\u0648\u062f\u064a\u0627\">\u0643\u0645\u0628\u0648\u062f\u064a\u0627<\/option>\n            <option value=\"\u0627\u0644\u0643\u0627\u0645\u064a\u0631\u0648\u0646\">\u0627\u0644\u0643\u0627\u0645\u064a\u0631\u0648\u0646<\/option>\n            <option value=\"\u0643\u0646\u062f\u0627\">\u0643\u0646\u062f\u0627<\/option>\n            <option value=\"\u0627\u0644\u0631\u0623\u0633 \u0627\u0644\u0623\u062e\u0636\u0631\">\u0627\u0644\u0631\u0623\u0633 \u0627\u0644\u0623\u062e\u0636\u0631<\/option>\n            <option value=\"\u062c\u0632\u0631 \u0643\u0627\u064a\u0645\u0627\u0646\">\u062c\u0632\u0631 \u0643\u0627\u064a\u0645\u0627\u0646<\/option>\n            <option value=\"\u062c\u0645\u0647\u0648\u0631\u064a\u0629 \u0627\u0641\u0631\u064a\u0642\u064a\u0627 \u0627\u0644\u0648\u0633\u0637\u0649\">\u062c\u0645\u0647\u0648\u0631\u064a\u0629 \u0627\u0641\u0631\u064a\u0642\u064a\u0627 \u0627\u0644\u0648\u0633\u0637\u0649<\/option>\n            <option value=\"\u062a\u0634\u0627\u062f\">\u062a\u0634\u0627\u062f<\/option>\n            <option value=\"\u062a\u0634\u064a\u0644\u064a\">\u062a\u0634\u064a\u0644\u064a<\/option>\n            <option value=\"\u0627\u0644\u0635\u064a\u0646\">\u0627\u0644\u0635\u064a\u0646<\/option>\n            <option value=\"\u062c\u0632\u064a\u0631\u0629 \u0627\u0644\u0643\u0631\u064a\u0633\u0645\u0627\u0633\">\u062c\u0632\u064a\u0631\u0629 \u0627\u0644\u0643\u0631\u064a\u0633\u0645\u0627\u0633<\/option>\n            <option value=\"\u062c\u0632\u0631 \u0643\u0648\u0643\u0648\u0633 (\u0643\u064a\u0644\u064a\u0646\u063a)\">\u062c\u0632\u0631 \u0643\u0648\u0643\u0648\u0633 (\u0643\u064a\u0644\u064a\u0646\u063a)<\/option>\n            <option value=\"\u0643\u0648\u0644\u0648\u0645\u0628\u064a\u0627\">\u0643\u0648\u0644\u0648\u0645\u0628\u064a\u0627<\/option>\n            <option value=\"\u062c\u0632\u0631 \u0627\u0644\u0642\u0645\u0631\">\u062c\u0632\u0631 \u0627\u0644\u0642\u0645\u0631<\/option>\n            <option value=\"\u0627\u0644\u0643\u0648\u0646\u063a\u0648\">\u0627\u0644\u0643\u0648\u0646\u063a\u0648<\/option>\n            <option value=\"\u062c\u0632\u0631 \u0643\u0648\u0643\">\u062c\u0632\u0631 \u0643\u0648\u0643<\/option>\n            <option value=\"\u0643\u0648\u0633\u062a\u0627 \u0631\u064a\u0643\u0627\">\u0643\u0648\u0633\u062a\u0627 \u0631\u064a\u0643\u0627<\/option>\n            <option value=\"\u0643\u0648\u062a \u062f\u064a\u0641\u0648\u0627\u0631\">\u0643\u0648\u062a \u062f\u064a\u0641\u0648\u0627\u0631<\/option>\n            <option value=\"\u0643\u0631\u0648\u0627\u062a\u064a\u0627\">\u0643\u0631\u0648\u0627\u062a\u064a\u0627<\/option>\n            <option value=\"\u0643\u0648\u0628\u0627\">\u0643\u0648\u0628\u0627<\/option>\n            <option value=\"\u0643\u0648\u0631\u0627\u0643\u0627\u0648\">\u0643\u0648\u0631\u0627\u0643\u0627\u0648<\/option>\n            <option value=\"\u0642\u0628\u0631\u0635\">\u0642\u0628\u0631\u0635<\/option>\n            <option value=\"\u0627\u0644\u062c\u0645\u0647\u0648\u0631\u064a\u0629 \u0627\u0644\u062a\u0634\u064a\u0643\u064a\u0629\">\u0627\u0644\u062c\u0645\u0647\u0648\u0631\u064a\u0629 \u0627\u0644\u062a\u0634\u064a\u0643\u064a\u0629<\/option>\n            <option value=\"\u062c\u0645\u0647\u0648\u0631\u064a\u0629 \u0627\u0644\u0643\u0648\u0646\u063a\u0648 \u0627\u0644\u062f\u064a\u0645\u0648\u0642\u0631\u0627\u0637\u064a\u0629\">\u062c\u0645\u0647\u0648\u0631\u064a\u0629 \u0627\u0644\u0643\u0648\u0646\u063a\u0648 \u0627\u0644\u062f\u064a\u0645\u0648\u0642\u0631\u0627\u0637\u064a\u0629<\/option>\n            <option value=\"\u0627\u0644\u062f\u0646\u0645\u0627\u0631\u0643\">\u0627\u0644\u062f\u0646\u0645\u0627\u0631\u0643<\/option>\n            <option value=\"\u062c\u064a\u0628\u0648\u062a\u064a\">\u062c\u064a\u0628\u0648\u062a\u064a<\/option>\n            <option value=\"\u062f\u0648\u0645\u064a\u0646\u064a\u0643\u0627\">\u062f\u0648\u0645\u064a\u0646\u064a\u0643\u0627<\/option>\n            <option value=\"\u062c\u0645\u0647\u0648\u0631\u064a\u0629 \u0627\u0644\u062f\u0648\u0645\u064a\u0646\u064a\u0643\u0627\u0646\">\u062c\u0645\u0647\u0648\u0631\u064a\u0629 \u0627\u0644\u062f\u0648\u0645\u064a\u0646\u064a\u0643\u0627\u0646<\/option>\n            <option value=\"\u0627\u0644\u0627\u0643\u0648\u0627\u062f\u0648\u0631\">\u0627\u0644\u0627\u0643\u0648\u0627\u062f\u0648\u0631<\/option>\n            <option value=\"\u0645\u0635\u0631\">\u0645\u0635\u0631<\/option>\n            <option 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 <option value=\"\u0627\u0644\u062c\u0645\u0647\u0648\u0631\u064a\u0629 \u0627\u0644\u062a\u0631\u0643\u064a\u0629 \u0644\u0634\u0645\u0627\u0644 \u0642\u0628\u0631\u0635\">\u0627\u0644\u062c\u0645\u0647\u0648\u0631\u064a\u0629 \u0627\u0644\u062a\u0631\u0643\u064a\u0629 \u0644\u0634\u0645\u0627\u0644 \u0642\u0628\u0631\u0635<\/option>\n            <option value=\"\u0634\u0645\u0627\u0644 \u0645\u0627\u0631\u064a\u0627\u0646\u0627\">\u0634\u0645\u0627\u0644 \u0645\u0627\u0631\u064a\u0627\u0646\u0627<\/option>\n            <option value=\"\u0627\u0644\u0646\u0631\u0648\u064a\u062c\">\u0627\u0644\u0646\u0631\u0648\u064a\u062c<\/option>\n            <option value=\"\u0633\u0644\u0637\u0646\u0629 \u0639\u0645\u0627\u0646\">\u0633\u0644\u0637\u0646\u0629 \u0639\u0645\u0627\u0646<\/option>\n            <option value=\"\u0628\u0627\u0643\u0633\u062a\u0627\u0646\">\u0628\u0627\u0643\u0633\u062a\u0627\u0646<\/option>\n            <option value=\"\u0628\u0627\u0644\u0627\u0648\">\u0628\u0627\u0644\u0627\u0648<\/option>\n            <option value=\"\u0641\u0644\u0633\u0637\u064a\u0646\">\u0641\u0644\u0633\u0637\u064a\u0646<\/option>\n            <option value=\"\u0628\u0646\u0645\u0627\">\u0628\u0646\u0645\u0627<\/option>\n            <option value=\"\u0628\u0627\u0628\u0648\u0627 \u063a\u064a\u0646\u064a\u0627 \u0627\u0644\u062c\u062f\u064a\u062f\u0629\">\u0628\u0627\u0628\u0648\u0627 \u063a\u064a\u0646\u064a\u0627 \u0627\u0644\u062c\u062f\u064a\u062f\u0629<\/option>\n            <option value=\"\u0628\u0627\u0631\u0627\u063a\u0648\u0627\u064a\">\u0628\u0627\u0631\u0627\u063a\u0648\u0627\u064a<\/option>\n            <option value=\"\u0628\u064a\u0631\u0648\">\u0628\u064a\u0631\u0648<\/option>\n            <option value=\"\u0641\u064a\u0644\u0628\u064a\u0646\u064a\">\u0641\u064a\u0644\u0628\u064a\u0646\u064a<\/option>\n            <option value=\"\u062c\u0632\u0631 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   <option value=\"\u0631\u0648\u0633\u064a\u0627\">\u0631\u0648\u0633\u064a\u0627<\/option>\n            <option value=\"\u0631\u0648\u0627\u0646\u062f\u0627\">\u0631\u0648\u0627\u0646\u062f\u0627<\/option>\n            <option value=\"\u0633\u0627\u0646\u062a \u0628\u0627\u0631\u062a\u064a\u0644\u064a\u0645\u064a\">\u0633\u0627\u0646\u062a \u0628\u0627\u0631\u062a\u064a\u0644\u064a\u0645\u064a<\/option>\n            <option value=\"\u0633\u0627\u0646\u062a \u0647\u064a\u0644\u0627\u0646\u0629\">\u0633\u0627\u0646\u062a \u0647\u064a\u0644\u0627\u0646\u0629<\/option>\n            <option value=\"\u0633\u0627\u0646\u062a \u0643\u064a\u062a\u0633 \u0648\u0646\u064a\u0641\u064a\u0633\">\u0633\u0627\u0646\u062a \u0643\u064a\u062a\u0633 \u0648\u0646\u064a\u0641\u064a\u0633<\/option>\n            <option value=\"\u0627\u0644\u0642\u062f\u064a\u0633\u0629 \u0644\u0648\u0633\u064a\u0627\">\u0627\u0644\u0642\u062f\u064a\u0633\u0629 \u0644\u0648\u0633\u064a\u0627<\/option>\n            <option value=\"\u0627\u0644\u0642\u062f\u064a\u0633 \u0645\u0627\u0631\u062a\u0646\">\u0627\u0644\u0642\u062f\u064a\u0633 \u0645\u0627\u0631\u062a\u0646<\/option>\n            <option value=\"\u0633\u0627\u0646\u062a \u0628\u064a\u064a\u0631 \u0648\u0645\u064a\u0643\u0644\u0648\u0646\">\u0633\u0627\u0646\u062a \u0628\u064a\u064a\u0631 \u0648\u0645\u064a\u0643\u0644\u0648\u0646<\/option>\n            <option value=\"\u0633\u0627\u0646\u062a \u0641\u0646\u0633\u0646\u062a \u0648\u062c\u0632\u0631 \u063a\u0631\u064a\u0646\u0627\u062f\u064a\u0646\">\u0633\u0627\u0646\u062a \u0641\u0646\u0633\u0646\u062a \u0648\u062c\u0632\u0631 \u063a\u0631\u064a\u0646\u0627\u062f\u064a\u0646<\/option>\n            <option value=\"\u0633\u0627\u0645\u0648\u0627\">\u0633\u0627\u0645\u0648\u0627<\/option>\n            <option value=\"\u0633\u0627\u0646 \u0645\u0627\u0631\u064a\u0646\u0648\">\u0633\u0627\u0646 \u0645\u0627\u0631\u064a\u0646\u0648<\/option>\n            <option value=\"\u0633\u0627\u0648 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value=\"\u0633\u0644\u0648\u0641\u064a\u0646\u064a\u0627\">\u0633\u0644\u0648\u0641\u064a\u0646\u064a\u0627<\/option>\n            <option value=\"\u062c\u0632\u0631 \u0633\u0644\u064a\u0645\u0627\u0646\">\u062c\u0632\u0631 \u0633\u0644\u064a\u0645\u0627\u0646<\/option>\n            <option value=\"\u0627\u0644\u0635\u0648\u0645\u0627\u0644\">\u0627\u0644\u0635\u0648\u0645\u0627\u0644<\/option>\n            <option value=\"\u0623\u0631\u0636 \u0627\u0644\u0635\u0648\u0645\u0627\u0644\">\u0623\u0631\u0636 \u0627\u0644\u0635\u0648\u0645\u0627\u0644<\/option>\n            <option value=\"\u062c\u0646\u0648\u0628 \u0623\u0641\u0631\u064a\u0642\u064a\u0627\">\u062c\u0646\u0648\u0628 \u0623\u0641\u0631\u064a\u0642\u064a\u0627<\/option>\n            <option value=\"\u0623\u0648\u0633\u064a\u062a\u064a\u0627 \u0627\u0644\u062c\u0646\u0648\u0628\u064a\u0629\">\u0623\u0648\u0633\u064a\u062a\u064a\u0627 \u0627\u0644\u062c\u0646\u0648\u0628\u064a\u0629<\/option>\n            <option value=\"\u062c\u0646\u0648\u0628 \u0627\u0644\u0633\u0648\u062f\u0627\u0646\">\u062c\u0646\u0648\u0628 \u0627\u0644\u0633\u0648\u062f\u0627\u0646<\/option>\n            <option value=\"\u0625\u0633\u0628\u0627\u0646\u064a\u0627\">\u0625\u0633\u0628\u0627\u0646\u064a\u0627<\/option>\n            <option value=\"\u0633\u064a\u0631\u064a\u0644\u0627\u0646\u0643\u0627\">\u0633\u064a\u0631\u064a\u0644\u0627\u0646\u0643\u0627<\/option>\n            <option value=\"\u0627\u0644\u0633\u0648\u062f\u0627\u0646\">\u0627\u0644\u0633\u0648\u062f\u0627\u0646<\/option>\n            <option value=\"\u0633\u0648\u0631\u064a\u0646\u0627\u0645\">\u0633\u0648\u0631\u064a\u0646\u0627\u0645<\/option>\n            <option value=\"\u0633\u0641\u0627\u0644\u0628\u0627\u0631\u062f\">\u0633\u0641\u0627\u0644\u0628\u0627\u0631\u062f<\/option>\n            <option value=\"\u0633\u0648\u0627\u062a\u064a\u0646\u064a\">\u0633\u0648\u0627\u062a\u064a\u0646\u064a<\/option>\n            <option value=\"\u0627\u0644\u0633\u0648\u064a\u062f\">\u0627\u0644\u0633\u0648\u064a\u062f<\/option>\n            <option value=\"\u0633\u0648\u064a\u0633\u0631\u0627\">\u0633\u0648\u064a\u0633\u0631\u0627<\/option>\n            <option value=\"\u0633\u0648\u0631\u064a\u0627\">\u0633\u0648\u0631\u064a\u0627<\/option>\n            <option value=\"\u062a\u0627\u064a\u0648\u0627\u0646\">\u062a\u0627\u064a\u0648\u0627\u0646<\/option>\n            <option value=\"\u0637\u0627\u062c\u064a\u0643\u0633\u062a\u0627\u0646\">\u0637\u0627\u062c\u064a\u0643\u0633\u062a\u0627\u0646<\/option>\n            <option value=\"\u062a\u0646\u0632\u0627\u0646\u064a\u0627\">\u062a\u0646\u0632\u0627\u0646\u064a\u0627<\/option>\n            <option value=\"\u062a\u0627\u064a\u0644\u0627\u0646\u062f\">\u062a\u0627\u064a\u0644\u0627\u0646\u062f<\/option>\n            <option value=\"\u062a\u064a\u0645\u0648\u0631 \u0644\u064a\u0634\u062a\u064a\">\u062a\u064a\u0645\u0648\u0631 \u0644\u064a\u0634\u062a\u064a<\/option>\n   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value=\"\u0623\u0648\u0643\u0631\u0627\u0646\u064a\u0627\">\u0623\u0648\u0643\u0631\u0627\u0646\u064a\u0627<\/option>\n            <option value=\"\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629\">\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629<\/option>\n            <option value=\"\u0627\u0644\u0625\u0645\u0627\u0631\u0627\u062a \u0627\u0644\u0639\u0631\u0628\u064a\u0629 \u0627\u0644\u0645\u062a\u062d\u062f\u0629\">\u0627\u0644\u0625\u0645\u0627\u0631\u0627\u062a \u0627\u0644\u0639\u0631\u0628\u064a\u0629 \u0627\u0644\u0645\u062a\u062d\u062f\u0629<\/option>\n            <option value=\"\u0627\u0644\u0645\u0645\u0644\u0643\u0629 \u0627\u0644\u0645\u062a\u062d\u062f\u0629\">\u0627\u0644\u0645\u0645\u0644\u0643\u0629 \u0627\u0644\u0645\u062a\u062d\u062f\u0629<\/option>\n            <option value=\"\u0623\u0648\u0631\u0648\u063a\u0648\u0627\u064a\">\u0623\u0648\u0631\u0648\u063a\u0648\u0627\u064a<\/option>\n            <option value=\"\u0623\u0648\u0632\u0628\u0643\u0633\u062a\u0627\u0646\">\u0623\u0648\u0632\u0628\u0643\u0633\u062a\u0627\u0646<\/option>\n            <option value=\"\u0641\u0627\u0646\u0648\u0627\u062a\u0648\">\u0641\u0627\u0646\u0648\u0627\u062a\u0648<\/option>\n            <option value=\"\u0645\u062f\u064a\u0646\u0629 \u0627\u0644\u0641\u0627\u062a\u064a\u0643\u0627\u0646\">\u0645\u062f\u064a\u0646\u0629 \u0627\u0644\u0641\u0627\u062a\u064a\u0643\u0627\u0646<\/option>\n            <option value=\"\u0641\u0646\u0632\u0648\u064a\u0644\u0627\">\u0641\u0646\u0632\u0648\u064a\u0644\u0627<\/option>\n            <option value=\"\u0641\u064a\u062a\u0646\u0627\u0645\">\u0641\u064a\u062a\u0646\u0627\u0645<\/option>\n            <option value=\"\u062c\u0632\u0631 \u0641\u064a\u0631\u062c\u0646 \u0627\u0644\u0628\u0631\u064a\u0637\u0627\u0646\u064a\u0629\">\u062c\u0632\u0631 \u0641\u064a\u0631\u062c\u0646 \u0627\u0644\u0628\u0631\u064a\u0637\u0627\u0646\u064a\u0629<\/option>\n            <option value=\"\u062c\u0632\u064a\u0631\u0629 \u0622\u064a\u0644 \u0623\u0648\u0641 \u0645\u0627\u0646\">\u062c\u0632\u064a\u0631\u0629 \u0622\u064a\u0644 \u0623\u0648\u0641 \u0645\u0627\u0646<\/option>\n            <option value=\"\u062c\u0632\u0631 \u0641\u064a\u0631\u062c\u0646 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629\">\u062c\u0632\u0631 \u0641\u064a\u0631\u062c\u0646 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629<\/option>\n            <option value=\"\u0648\u0627\u0644\u064a\u0633 \u0648\u0641\u0648\u062a\u0648\u0646\u0627\">\u0648\u0627\u0644\u064a\u0633 \u0648\u0641\u0648\u062a\u0648\u0646\u0627<\/option>\n            <option value=\"\u0627\u0644\u0635\u062d\u0631\u0627\u0621 \u0627\u0644\u063a\u0631\u0628\u064a\u0629\">\u0627\u0644\u0635\u062d\u0631\u0627\u0621 \u0627\u0644\u063a\u0631\u0628\u064a\u0629<\/option>\n            <option value=\"\u0627\u0644\u064a\u0645\u0646\">\u0627\u0644\u064a\u0645\u0646<\/option>\n            <option value=\"\u0632\u0627\u0645\u0628\u064a\u0627\">\u0632\u0627\u0645\u0628\u064a\u0627<\/option>\n            <option value=\"\u0632\u064a\u0645\u0628\u0627\u0628\u0648\u064a\">\u0632\u064a\u0645\u0628\u0627\u0628\u0648\u064a<\/option>\n            <option value=\"\u0627\u062e\u0631\u0649\">\u0627\u062e\u0631\u0649<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li id=\"cid_99\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n        <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n          <div class=\"form-pagebreak-back-container\"><button id=\"form-pagebreak-back_99\" type=\"button\" class=\"form-pagebreak-back  form-submit-button-flat_round_teal jf-form-buttons\" data-component=\"pagebreak-back\">\u0631\u062c\u0648\u0639<\/button><\/div>\n          <div class=\"form-pagebreak-next-container\"><button id=\"form-pagebreak-next_99\" type=\"button\" class=\"form-pagebreak-next  form-submit-button-flat_round_teal jf-form-buttons\" data-component=\"pagebreak-next\">\u0627\u0644\u062a\u0627\u0644\u064a<\/button><\/div>\n          <div style=\"clear:both\" class=\"pageInfo form-sub-label\" id=\"pageInfo_99\"><\/div>\n        <\/div>\n      <\/li>\n    <\/ul>\n    <ul class=\"form-section page-section\" role=\"presentation\" style=\"display:none;\">\n      <li id=\"cid_100\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group header-default\">\n          <div class=\"header-text httac htvam\">\n            <h2 id=\"header_100\" class=\"form-header\" data-component=\"header\">\u0628\u064a\u0627\u0646\u0627\u062a \u0627\u0644\u062a\u0648\u0627\u0635\u0644<\/h2>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_10\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_10\" for=\"input_10\"> \u0631\u0642\u0645 \u0627\u0644\u062c\u0648\u0627\u0644<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_10\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_10\" name=\"q10_input10\" data-type=\"input-textbox\" class=\"form-textbox validate[required, Numeric, minCharLimit]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" maxLength=\"10\" data-minlength=\"10\" placeholder=\"05xxxxxxxx\" data-component=\"textbox\" aria-labelledby=\"label_10\" required=\"\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_email\" id=\"id_11\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_11\" for=\"input_11\"> \u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_11\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"email\" id=\"input_11\" name=\"q11_input11\" class=\"form-textbox validate[required, Email]\" data-defaultvalue=\"\" autoComplete=\"section-input_11 email\" style=\"width:310px\" size=\"310\" data-component=\"email\" aria-labelledby=\"label_11 sublabel_input_11\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_11\" id=\"sublabel_input_11\" style=\"min-height:13px\">example@example.com<\/label><\/span> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_18\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_18\" for=\"input_18\"> \u0631\u0642\u0645 \u0627\u0644\u0639\u0636\u0648\u064a\u0629 \u0641\u064a \u0627\u0644\u0627\u062a\u062d\u0627\u062f (\u0625\u0646 \u0648\u062c\u062f) <\/label>\n        <div id=\"cid_18\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_18\" name=\"q18_input18\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_18\" value=\"\" \/> <\/div>\n      <\/li>\n      <li id=\"cid_101\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n        <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n          <div class=\"form-pagebreak-back-container\"><button id=\"form-pagebreak-back_101\" type=\"button\" class=\"form-pagebreak-back  form-submit-button-flat_round_teal jf-form-buttons\" data-component=\"pagebreak-back\">\u0631\u062c\u0648\u0639<\/button><\/div>\n          <div class=\"form-pagebreak-next-container\"><button id=\"form-pagebreak-next_101\" type=\"button\" class=\"form-pagebreak-next  form-submit-button-flat_round_teal jf-form-buttons\" data-component=\"pagebreak-next\">\u0627\u0644\u062a\u0627\u0644\u064a<\/button><\/div>\n          <div style=\"clear:both\" class=\"pageInfo form-sub-label\" id=\"pageInfo_101\"><\/div>\n        <\/div>\n      <\/li>\n    <\/ul>\n    <ul class=\"form-section page-section\" role=\"presentation\" style=\"display:none;\">\n      <li id=\"cid_102\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group header-default\">\n          <div class=\"header-text httac htvam\">\n            <h2 id=\"header_102\" class=\"form-header\" data-component=\"header\">\u0627\u0644\u0628\u064a\u0627\u0646\u0627\u062a \u0627\u0644\u0645\u0647\u0646\u064a\u0629<\/h2>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_103\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_103\" for=\"input_103\"> \u0627\u0644\u0648\u0638\u064a\u0641\u0629<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_103\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_103\" name=\"q103_input103\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_103\" required=\"\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_104\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_104\" for=\"input_104\"> \u0627\u0644\u0646\u0627\u062f\u064a<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_104\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_104\" name=\"q104_input104\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_104\" required=\"\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_105\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_105\" for=\"input_105\"> \u062c\u0647\u0629 \u0627\u0644\u0639\u0645\u0644<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_105\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_105\" name=\"q105_input105\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_105\" required=\"\" value=\"\" \/> <\/div>\n      <\/li>\n      <li id=\"cid_106\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n        <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n          <div class=\"form-pagebreak-back-container\"><button id=\"form-pagebreak-back_106\" type=\"button\" class=\"form-pagebreak-back  form-submit-button-flat_round_teal jf-form-buttons\" data-component=\"pagebreak-back\">\u0631\u062c\u0648\u0639<\/button><\/div>\n          <div class=\"form-pagebreak-next-container\"><button id=\"form-pagebreak-next_106\" type=\"button\" class=\"form-pagebreak-next  form-submit-button-flat_round_teal jf-form-buttons\" data-component=\"pagebreak-next\">\u0627\u0644\u062a\u0627\u0644\u064a<\/button><\/div>\n          <div style=\"clear:both\" class=\"pageInfo form-sub-label\" id=\"pageInfo_106\"><\/div>\n        <\/div>\n      <\/li>\n    <\/ul>\n    <ul class=\"form-section page-section\" role=\"presentation\" style=\"display:none;\">\n      <li id=\"cid_107\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group header-default\">\n          <div class=\"header-text httac htvam\">\n            <h2 id=\"header_107\" class=\"form-header\" data-component=\"header\">\u0631\u0641\u0639 \u0627\u0644\u0645\u0633\u062a\u0646\u062f\u0627\u062a<\/h2>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_fileupload\" id=\"id_109\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_109\" for=\"input_109\"> \u0635\u0648\u0631\u0629 \u0627\u0644\u0647\u0648\u064a\u0629 \u0627\u0644\u0648\u0637\u0646\u064a\u0629 \/ \u0627\u0644\u0625\u0642\u0627\u0645\u0629<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_109\" class=\"form-input-wide jf-required\" data-layout=\"full\">\n          <div class=\"jfQuestion-fields\" data-wrapper-react=\"true\">\n            <div class=\"jfField isFilled\">\n              <div class=\"jfUpload-wrapper\">\n                <div class=\"jfUpload-container\">\n                  <div class=\"jfUpload-button-container\">\n                    <div class=\"jfUpload-button\" aria-hidden=\"true\" tabindex=\"0\" style=\"display:none\" data-version=\"v2\">\u0627\u0633\u062d\u0628 \u0627\u0644\u0645\u0644\u0641 \u0648\u0623\u0641\u0644\u062a\u0647 \u0647\u0646\u0627<div class=\"jfUpload-heading forDesktop\">Drag and drop files here<\/div>\n                      <div class=\"jfUpload-heading forMobile\">Choose a file<\/div>\n                    <\/div>\n                  <\/div>\n                <\/div>\n                <div class=\"jfUpload-files-container\">\n                  <div class=\"validate[multipleUpload]\"><input type=\"file\" id=\"input_109\" name=\"q109_fileUpload[]\" multiple=\"\" class=\"form-upload-multiple validate[required]\" data-imagevalidate=\"yes\" data-file-accept=\"pdf, jpg, jpeg, png, gif\" data-limit-file-size=\"Yes\" data-file-maxsize=\"10854\" data-file-minsize=\"0\" data-file-limit=\"\" data-component=\"fileupload\" required=\"\" aria-label=\"\u0627\u0633\u062d\u0628 \u0627\u0644\u0645\u0644\u0641 \u0648\u0623\u0641\u0644\u062a\u0647 \u0647\u0646\u0627\" \/><\/div>\n                <\/div>\n              <\/div>\n              <div data-wrapper-react=\"true\"><\/div>\n            <\/div><span style=\"display:none\" class=\"cancelText\">Cancel<\/span><span style=\"display:none\" class=\"ofText\">of<\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_fileupload\" id=\"id_110\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_110\" for=\"input_110\"> \u0635\u0648\u0631\u0629 \u0634\u062e\u0635\u064a\u0629 \u062d\u062f\u064a\u062b\u0629<span class=\"form-required\" aria-hidden=\"true\">*<\/span> <\/label>\n        <div id=\"cid_110\" class=\"form-input-wide jf-required\" data-layout=\"full\">\n          <div class=\"jfQuestion-fields\" data-wrapper-react=\"true\">\n            <div class=\"jfField isFilled\">\n              <div class=\"jfUpload-wrapper\">\n                <div class=\"jfUpload-container\">\n                  <div class=\"jfUpload-button-container\">\n                    <div class=\"jfUpload-button\" aria-hidden=\"true\" tabindex=\"0\" style=\"display:none\" data-version=\"v2\">\u0627\u0633\u062d\u0628 \u0627\u0644\u0645\u0644\u0641 \u0648\u0623\u0641\u0644\u062a\u0647 \u0647\u0646\u0627.<div class=\"jfUpload-heading forDesktop\">Drag and drop files here<\/div>\n                      <div class=\"jfUpload-heading forMobile\">Choose a file<\/div>\n                    <\/div>\n                  <\/div>\n                <\/div>\n                <div class=\"jfUpload-files-container\">\n                  <div class=\"validate[multipleUpload]\"><input type=\"file\" id=\"input_110\" name=\"q110_input110[]\" multiple=\"\" class=\"form-upload-multiple validate[required]\" data-imagevalidate=\"yes\" data-file-accept=\"pdf, jpg, jpeg, png, gif\" data-limit-file-size=\"Yes\" data-file-maxsize=\"10854\" data-file-minsize=\"0\" data-file-limit=\"\" data-component=\"fileupload\" required=\"\" aria-label=\"\u0627\u0633\u062d\u0628 \u0627\u0644\u0645\u0644\u0641 \u0648\u0623\u0641\u0644\u062a\u0647 \u0647\u0646\u0627.\" \/><\/div>\n                <\/div>\n              <\/div>\n              <div data-wrapper-react=\"true\"><\/div>\n            <\/div><span style=\"display:none\" class=\"cancelText\">Cancel<\/span><span style=\"display:none\" class=\"ofText\">of<\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_2\">\n        <div id=\"cid_2\" class=\"form-input-wide\" data-layout=\"full\">\n          <div data-align=\"auto\" class=\"form-buttons-wrapper form-buttons-auto   jsTest-button-wrapperField\"><button id=\"input_2\" type=\"submit\" class=\"form-submit-button form-submit-button-flat_round_teal submit-button jf-form-buttons jsTest-submitField legacy-submit\" data-component=\"button\" data-content=\"\">\u0627\u0631\u0633\u0627\u0644\u00a0<\/button><\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">Should be Empty: <input type=\"text\" name=\"website\" value=\"\" type=\"hidden\" \/><\/li>\n    <\/ul>\n  <\/div>\n  <script>\n    JotForm.showJotFormPowered = \"0\";\n  <\/script>\n  <script>\n    JotForm.poweredByText = \"Powered by Jotform\";\n  <\/script><input type=\"hidden\" class=\"simple_spc\" id=\"simple_spc\" name=\"simple_spc\" value=\"261523278196463\" \/>\n  <script type=\"text\/javascript\">\n    var all_spc = document.querySelectorAll(\"form[id='261523278196463'] .si\" + \"mple\" + \"_spc\");\n    for (var i = 0; i < all_spc.length; i++)\n    {\n      all_spc[i].value = \"261523278196463-261523278196463\";\n    }\n  <\/script>\n<\/form>\n<div id=\"sr-status-message\" class=\"sr-only\" role=\"status\" aria-live=\"polite\" style=\"font-size: 0;\"><\/div><script type=\"text\/javascript\">JotForm.ownerView=true;<\/script><script type=\"text\/javascript\">JotForm.isNewSACL=true;<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0644\u062f\u0648\u0631\u0629 \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629 (\u0639\u0646 \u0628\u064f\u0639\u062f) \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0644\u0644\u062f\u0648\u0631\u0629 \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u0629 (\u0639\u0646 \u0628\u064f\u0639\u062f) \u0623\u0648\u0644\u0627\u064b: \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u062a\u0639\u0631\u064a\u0641\u064a\u0629 \u0644\u0644\u062f\u0648\u0631\u0629 \u0627\u0644\u062e\u0637\u0629 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u0644\u0644\u0628\u0631\u0646\u0627\u0645\u062c \u0627\u0644\u062a\u062f\u0631\u064a\u0628\u064a\u00a0(Online)\u00a0\u0628\u0627\u0644\u062a\u0639\u0627\u0648\u0646 \u0645\u0639 \u0627\u0644\u0627\u062a\u062d\u0627\u062f \u0627\u0644\u062f\u0648\u0644\u064a \u0644\u0644\u062f\u0631\u0627\u062c\u0627\u062a\u00a0(UCI) \u0627\u0644\u0645\u0633\u062a\u0648\u0649 \u0627\u0644\u0645\u0633\u062a\u0647\u062f\u0641:\u00a0\u0645\u0628\u062a\u062f\u0626 \u0639\u062f\u062f \u0627\u0644\u0645\u0633\u062a\u0641\u064a\u062f\u064a\u0646:\u00a0\u062d\u0633\u0628 \u0627\u0644\u0645\u0642\u0627\u0639\u062f \u0627\u0644\u062a\u064a \u0633\u064a\u062a\u0645 \u062a\u062d\u062f\u064a\u062f\u0647\u0627 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