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\u06af\u0630\u0627\u0634\u062a\u0646 \u06a9\u06cc\u0633\u0647 \u0634\u0646 \u0648 \u062e\u0627\u06a9 \u062c\u0647\u062a \u062c\u0644\u0648\u06af\u06cc\u0631\u06cc \u0627\u0632 \u0627\u0646\u0633\u062f\u0627\u062f \u062c\u0627\u062f\u0647 \u0633\u0631\u0648\u06cc\u0633 \u06a9\u0627\u0646\u0627\u0644\u060c \u0628\u0631 \u0631\u0648\u06cc \u0644\u0648\u0644\u0647 \u0647\u0627\u06cc \u0642\u0633\u0645\u062a \u062e\u0631\u0648\u062c\u06cc \u0636\u0631\u0648\u0631\u062a\u0623 \u0634\u06cc\u0631 \u0642\u0637\u0639 \u0648 \u0648\u0635\u0644 \u0646\u0635\u0628 \u062a\u0627 \u062f\u0631 \u0635\u0648\u0631\u062a \u0627\u0639\u0645\u0627\u0644 \u0646\u0648\u0628\u062a \u0628\u0646\u062f\u06cc \u0622\u0628 \u0627\u062e\u0644\u0627\u0644\u06cc \u062f\u0631 \u062a\u0648\u0632\u06cc\u0639 \u0622\u0628 \u0628\u0648\u062c\u0648\u062f \u0646\u06cc\u0627\u06cc\u062f.<br \/>\n\u0645\u0627\u062f\u0647 (\u06f1\u06f7)<br \/>\n\u06a9\u0634\u0627\u0648\u0631\u0632 \u0645\u062a\u0639\u0647\u062f \u0645\u06cc \u06af\u0631\u062f\u062f \u062c\u0647\u062a \u0645\u0647\u0627\u0631 \u0622\u0628 \u0648 \u0644\u0648\u0644\u0647 \u0627\u0646\u062a\u0642\u0627\u0644 \u0622\u0628 \u062f\u0631 \u062f\u0627\u062e\u0644 \u06a9\u0627\u0646\u0627\u0644 \u0648 \u0634\u0627\u0646\u0647 \u062e\u0627\u06a9\u06cc (\u062c\u0627\u062f\u0647 \u0633\u0631\u0648\u06cc\u0633) \u0627\u0632 \u06af\u0648\u0646\u06cc \u0647\u0627\u06cc \u0634\u0646 \u0648 \u062e\u0627\u06a9 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0646\u0645\u0627\u06cc\u062f \u0648 \u0628\u0647 \u0647\u06cc\u062c \u0648\u062c\u0647 \u0627\u0632 \u0633\u0646\u06af \u0648 \u0628\u0644\u0648\u06a9 \u0647\u0627\u06cc \u0633\u06cc\u0645\u0627\u0646\u06cc \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0646\u0645\u0627\u06cc\u062f.\u062f\u0631 \u063a\u06cc\u0631 \u0627\u06cc\u0646\u0635\u0648\u0631\u062a \u0645\u0633\u0626\u0648\u0644 \u062e\u0633\u0627\u0631\u062a \u0648\u0627\u0631\u062f\u0647 \u0648 \u062c\u0628\u0631\u0627\u0646 \u0647\u0632\u06cc\u0646\u0647 \u0622\u0646 \u06a9\u0634\u0627\u0648\u0631\u0632 \u0628\u0647\u0631\u0647 \u0628\u0631\u062f\u0627\u0631 \u062e\u0648\u0627\u0647\u062f \u0628\u0648\u062f.<br \/>\n\u0645\u0627\u062f\u0647 (\u06f1\u06f8)<br \/>\n\u06a9\u0634\u0627\u0648\u0631\u0632 \u0645\u062a\u0639\u0647\u062f \u0645\u06cc \u06af\u0631\u062f\u062f \u0628\u0647 \u0645\u0646\u0638\u0648\u0631 \u0633\u06cc\u0641\u0648\u0646(\u0645\u06a9\u0634) \u0627\u0632 \u06a9\u0627\u0646\u0627\u0644 \u0627\u0635\u0644\u06cc \u0628\u0647 \u0627\u0632\u0627\u06cc \u0647\u0631 \u0642\u0637\u0639\u0647 \u0686\u0647\u0627\u0631 \u0647\u06a9\u062a\u0627\u0631\u06cc \u062a\u0646\u0647\u0627 \u06cc\u06a9 \u0644\u0648\u0644\u0647 \u067e\u0644\u06cc \u0627\u062a\u0644\u06cc\u0646 \u06f1\u06f1\u06f0 \u0645\u06cc\u0644\u06cc\u0645\u062a\u0631 \u0628\u0631\u0627\u0628\u0631 \u0628\u0627 \u06f4\u0627\u06cc\u0646\u0686 (\u0628\u0627 \u0634\u06cc\u0631 \u0642\u0637\u0639 \u0648 \u0648\u0635\u0644) \u0631\u0627 \u0628\u06a9\u0627\u0631 \u06af\u06cc\u0631\u062f \u0648 \u062f\u0631\u063a\u06cc\u0631 \u0627\u06cc\u0646\u0635\u0648\u0631\u062a \u062a\u0639\u0627\u0648\u0646\u06cc \u062d\u0642 \u0627\u062c\u0631\u0627\u06cc \u0647\u0631\u06af\u0648\u0646\u0647 \u0627\u0642\u062f\u0627\u0645 \u062a\u0646\u0628\u06cc\u0647\u06cc \u0627\u0639\u0645 \u0627\u0632 \u06a9\u0648\u062a\u0627\u0647 \u0648 \u0628\u0644\u0646\u062f \u0645\u062f\u062a \u062a\u0627 \u062c\u0631\u06cc\u0645\u0647 \u0645\u0627\u0644\u06cc \u0631\u0627 \u062f\u0627\u0631\u062f.<br \/>\n\u0645\u0627\u062f\u0647 (\u06f1\u06f9)<br \/>\n\u062d\u0644 \u0627\u062e\u062a\u0644\u0627\u0641 \u062f\u0631 \u0645\u0648\u0627\u0631\u062f \u0628\u0631\u0648\u0632 \u0627\u062e\u062a\u0644\u0627\u0641 \u0627\u0632 \u0637\u0631\u06cc\u0642 \u0645\u062c\u0644\u0633 \u0648 \u0633\u0627\u0632\u0634 \u062f\u0631 \u0645\u0646\u0637\u0642\u0647 \u0648 \u0686\u0646\u0627\u0646\u0686\u0647 \u0627\u06cc\u0646 \u0627\u0645\u0631 \u0645\u06cc\u0633\u0631 \u0646\u0628\u0648\u062f \u0628\u0631 \u0627\u0633\u0627\u0633 \u0642\u0648\u0627\u0646\u06cc\u0646 \u062c\u0645\u0647\u0648\u0631\u06cc \u0627\u0633\u0644\u0627\u0645\u06cc \u062f\u0631 \u0645\u0631\u0627\u062c\u0639 \u0630\u06cc \u0635\u0644\u0627\u062d \u0645\u06cc \u0628\u0627\u0634\u062f<br \/>\n\u0645\u0627\u062f\u0647 (\u06f2\u06f0)<br \/>\n\u0645\u0644\u0627\u06a9 \u067e\u0631\u062f\u0627\u062e\u062a \u0622\u0628 \u0628\u0647\u0627 \u0627\u0631\u0627\u0626\u0647 \u0631\u0633\u06cc\u062f \u0627\u0639\u0645 \u0627\u0632 \u0628\u0627\u0646\u06a9\u06cc \u0648 \u0648\u0635\u0648\u0644 \u0648\u062c\u0647 \u062f\u0633\u062a\u06cc \u0628\u0627 \u0645\u0647\u0631 \u0634\u0631\u06a9\u062a \u062a\u0639\u0627\u0648\u0646\u06cc \u0622\u0628\u06af\u0633\u062a\u0631 \u062c\u0646\u0648\u0628 \u0645\u06cc \u0628\u0627\u0634\u062f \u0648 \u0627\u0646\u0639\u0642\u0627\u062f \u0642\u0631\u0627\u0631\u062f\u0627\u062f \u0648 \u0642\u06cc\u062f \u0645\u0628\u0644\u063a \u0628\u062f\u0648\u0646 \u0627\u0631\u0627\u0626\u0647 \u0631\u0633\u06cc\u062f \u0648\u0635\u0648\u0644 \u0648\u062c\u0647 \u0628\u0647 \u0645\u0639\u0646\u0627\u06cc \u067e\u0631\u062f\u0627\u062e\u062a \u0622\u0628 \u0628\u0647\u0627 \u062a\u0648\u0633\u0637 \u06a9\u0634\u0627\u0648\u0631\u0632 \u0646\u0645\u06cc \u0628\u0627\u0634\u062f<br \/>\n\u0645\u0627\u062f\u0647 (\u06f2\u06f1)<br \/>\n\u062f\u0631 \u0635\u0648\u0631\u062a \u0628\u0631\u0648\u0632 \u06a9\u0645 \u0622\u0628\u06cc \u062f\u0631 \u0634\u0628\u06a9\u0647 \u0648 \u0628\u0631\u0648\u0632 \u062e\u0633\u0627\u0631\u062a \u0628\u0647 \u06a9\u0634\u0627\u0648\u0631\u0632 \u062a\u0639\u0627\u0648\u0646\u06cc \u0628\u0647 \u0639\u0646\u0648\u0627\u0646 \u0646\u0645\u0627\u06cc\u0646\u062f\u0647 \u06a9\u0634\u0627\u0648\u0631\u0632\u0627\u0646 \u0647\u06cc\u0686\u06af\u0648\u0646\u0647 \u0645\u0633\u0626\u0648\u0644\u06cc\u062a\u06cc \u0645\u062a\u0648\u062c\u0647 \u062a\u0639\u0627\u0648\u0646\u06cc \u0646\u0645\u06cc \u0628\u0627\u0634\u062f \u0648 \u0647\u0645\u0686\u0646\u06cc\u0646 \u0627\u06cc\u0646 \u0645\u0648\u0636\u0648\u0639 \u062f\u0631 \u0645\u0648\u0627\u0631\u062f \u0641\u0648\u0631\u0633 \u0645\u0627\u0698\u0648\u0631 (\u0645\u0637\u0627\u0628\u0642 \u0642\u0648\u0627\u0646\u06cc\u0646 \u062c\u0645\u0647\u0648\u0631\u06cc \u0627\u0633\u0644\u0627\u0645\u06cc) \u0648 \u062d\u0648\u0627\u062f\u062b \u0642\u0647\u0631\u06cc \u0648 \u062e\u0627\u0631\u062c \u0627\u0632 \u0627\u062e\u062a\u06cc\u0627\u0631\u0634\u0631\u06a9\u062a \u062a\u0639\u0627\u0648\u0646\u06cc \u06a9\u0647 \u0628\u0647 \u0647\u0631 \u0634\u06a9\u0644 \u0628\u0627\u0639\u062b \u0642\u0637\u0639\u06cc \u0622\u0628 \u0648 \u0648\u0631\u0648\u062f \u062e\u0633\u0627\u0631\u062a \u0628\u0647 \u06a9\u0634\u0627\u0648\u0631\u0632 \u06af\u0631\u062f\u062f \u0646\u06cc\u0632 \u0635\u0627\u062f\u0642 \u0645\u06cc \u0628\u0627\u0634\u062f<br \/>\n\u0645\u0627\u062f\u0647 (\u06f2\u06f2)<br \/>\n\u0634\u0631\u06a9\u062a \u062a\u0639\u0627\u0648\u0646\u06cc \u0645\u0648\u0638\u0641 \u0627\u0633\u062a \u0646\u0647\u0627\u06cc\u062a \u062a\u0644\u0627\u0634 \u062e\u0648\u062f \u0631\u0627 \u062f\u0631 \u062a\u0627\u0645\u06cc\u0646 \u0622\u0628 \u0645\u0648\u0631\u062f \u0646\u06cc\u0627\u0632 \u06a9\u0634\u0627\u0648\u0631\u0632\u0627\u0646(\u0648\u0641\u0642 \u0647\u06cc\u062f\u0631\u0648 \u0645\u062f\u0644 \u0647\u0627\u06cc \u0622\u0628\u06cc\u0627\u0631\u06cc \u0633\u0627\u0632\u0645\u0627\u0646 )\u0648 \u0627\u0646\u062c\u0627\u0645 \u0647\u0645\u0627\u0647\u0646\u06af\u06cc \u0628\u0627 \u0645\u062f\u06cc\u0631\u06cc\u062a \u0634\u0628\u06a9\u0647 \u0633\u062f\u06a9\u0648\u062b\u0631 \u0627\u0632 \u0627\u0628\u062a\u062f\u0627 \u062a\u0627 \u0627\u0646\u0642\u0636\u0627\u06cc \u0642\u0631\u0627\u0631\u062f\u0627\u062f \u0627\u0646\u062c\u0627\u0645 \u062f\u0647\u062f \u0648 \u0647\u0645\u0648\u0627\u0631\u0647 \u062f\u0631 \u0631\u0627\u0633\u062a\u0627\u06cc \u062a\u0627\u0645\u06cc\u0646 \u0645\u0646\u0627\u0641\u0639 \u06a9\u0634\u0627\u0648\u0631\u0632\u0627\u0646 \u0628\u0647 \u0639\u0646\u0648\u0627\u0646 \u0645\u0648\u06a9\u0644\u0627\u0646 \u062e\u0648\u06cc\u0634 \u062a\u0644\u0627\u0634 \u0648 \u0627\u0642\u062f\u0627\u0645 \u0646\u0645\u0627\u06cc\u062f<br \/>\n\u0627\u06cc\u0646 \u0642\u0631\u0627\u0631\u062f\u0627\u062f \u062f\u0631 \u0633\u0647 \u0646\u0633\u062e\u0647 \u062a\u0646\u0638\u06cc\u0645 \u0648 \u0645\u0646\u0639\u0642\u062f \u06af\u0631\u062f\u06cc\u062f\u0647 \u06a9\u0647 \u0647\u0631 \u0646\u0633\u062e\u0647 \u062d\u06a9\u0645 \u0648\u0627\u062d\u062f \u062f\u0627\u0634\u062a\u0647 \u0648 \u0645\u0641\u0627\u062f \u0622\u0646 \u0628\u06cc\u0646 \u0637\u0631\u0641\u06cc\u0646 \u0648 \u0646\u0645\u0627\u06cc\u0646\u062f\u06af\u0627\u0646 \u06cc\u0627 \u0642\u0627\u0626\u0645 \u0645\u0642\u0627\u0645 \u0642\u0627\u0646\u0648\u0646\u06cc \u0622\u0646\u0647\u0627 \u0645\u0639\u062a\u0628\u0631 \u0648 \u0644\u0627\u0632\u0645 \u0627\u0644\u0627\u062c\u0631\u0627 \u0645\u06cc \u0628\u0627\u0634\u062f.<br \/>\n<br \/>\n\u0639\u0644\u06cc \u06af\u0644\u0633\u062a\u0627\u0646<br \/>\n\u0645\u062f\u06cc\u0631 \u0639\u0627\u0645\u0644 \u0634\u0631\u06a9\u062a \u0622\u0628\u06af\u0633\u062a\u0631 \u062c\u0646\u0648\u0628<br \/>\n<\/div><\/li><li id='field_1_3'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_3' >\u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc \u0645\u062a\u0642\u0627\u0636\u06cc<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_1_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_13'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_13' >\u06a9\u062f \u0645\u0644\u06cc<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_1_13' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_5'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_5' >\u0634\u0645\u0627\u0631\u0647 \u0634\u0646\u0627\u0633\u0646\u0627\u0645\u0647<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_1_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_7'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >\u062a\u0627\u0631\u06cc\u062e \u062a\u0648\u0644\u062f<span class='gfield_required'>*<\/span><\/label><div id='input_1_7' class='ginput_container ginput_container_date'><div class='clear-multi'><div class='gfield_date_dropdown_day ginput_container ginput_container_date' id='input_1_7_2_container'><select name='input_7[]' id='input_1_7_2'   aria-label='\u0631\u0648\u0632'><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' id='input_1_7_1_container'><select name='input_7[]' id='input_1_7_1'   aria-label='\u0645\u0627\u0647'><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' id='input_1_7_3_container'><select name='input_7[]' id='input_1_7_3'   aria-label='\u0633\u0627\u0644'><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_1_8'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_8' >\u0622\u062f\u0631\u0633 \u0645\u062d\u0644 \u0633\u06a9\u0648\u0646\u062a:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_1_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_9'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_9' >\u0634\u0645\u0627\u0631\u0647 \u062a\u0645\u0627\u0633<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_1_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_12'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_12' >\u0646\u0648\u0639 \u062a\u0635\u0631\u0641(\u0645\u0627\u0644\u06a9\u06cc\u062a)<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_1_12' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='\u0645\u0627\u0644\u06a9' >\u0645\u0627\u0644\u06a9<\/option><option value='\u0645\u0633\u062a\u0627\u062c\u0631' >\u0645\u0633\u062a\u0627\u062c\u0631<\/option><\/select><\/div><\/li><li id='field_1_11'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_11' >\u0633\u0646\u062f \u06cc\u0627 \u0627\u062c\u0627\u0631\u0647 \u0646\u0627\u0645\u0647<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_11' id='input_1_11' type='file' class='medium' aria-describedby='validation_message_1_11 live_validation_message_1_11 extensions_message_1_11' onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span id='extensions_message_1_11' class='screen-reader-text'><\/span><div class='validation_message' id='live_validation_message_1_11'><\/div><\/div><div class='gfield_description' id='gfield_description_1_11'>\u0633\u0646\u062f \u0634\u0648\u0631\u0627\u06cc\u06cc(\u0645\u062d\u0644\u06cc) \u0628\u0627\u06cc\u062f \u0628\u0647 \u062a\u0627\u0626\u06cc\u062f \u0634\u0648\u0631\u0627\u06cc \u0627\u0633\u0644\u0627\u0645\u06cc \u0645\u062d\u0644 \u0648 \u0645\u0631\u06a9\u0632 \u062e\u062f\u0645\u0627\u062a \u06a9\u0634\u0627\u0648\u0631\u0632\u06cc \u062d\u0648\u0632\u0647 \u0631\u0633\u06cc\u062f\u0647 \u0628\u0627\u0634\u062f \u0647\u0645\u0686\u0646\u06cc\u0646 \u0628\u0627\u06cc\u062f \u0627\u0632 \u0633\u0648\u06cc \u0645\u0627\u0644\u06a9 \u0628\u0627 \u0627\u062b\u0631 \u0627\u0646\u06af\u0634\u062a \u06af\u0648\u0627\u0647\u06cc \u0634\u062f\u0647 \u0627\u0632 \u0633\u0648\u06cc \u062f\u0648 \u0646\u0641\u0631 \u0634\u0647\u0648\u062f \u0648 \u0634\u0648\u0631\u0627\u06cc \u0627\u0633\u0644\u0627\u0645\u06cc \u062a\u0627\u0626\u06cc\u062f \u0634\u062f\u0647 \u0628\u0627\u0634\u062f\n<\/div><\/li><li id='field_1_28'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_28' >\u0631\u0633\u06cc\u062f \u067e\u0631\u062f\u0627\u062e\u062a \u06cc\u0627 \u0633\u0646\u062f \u062a\u0636\u0645\u06cc\u0646<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_28' id='input_1_28' type='file' class='medium' aria-describedby='validation_message_1_28 live_validation_message_1_28 extensions_message_1_28' onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span id='extensions_message_1_28' class='screen-reader-text'><\/span><div class='validation_message' id='live_validation_message_1_28'><\/div><\/div><\/li><li id='field_1_10'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_10' >\u0639\u0636\u0648\u06cc\u062a \u062f\u0631 \u062a\u0639\u0627\u0648\u0646\u06cc<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_1_10' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='\u0639\u0636\u0648\u06cc\u062a \u062f\u0627\u0631\u062f' >\u0639\u0636\u0648\u06cc\u062a \u062f\u0627\u0631\u062f<\/option><option value='\u0639\u0636\u0648\u06cc\u062a \u0646\u062f\u0627\u0631\u062f' >\u0639\u0636\u0648\u06cc\u062a \u0646\u062f\u0627\u0631\u062f<\/option><\/select><\/div><\/li><li id='field_1_4'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_4' >\u0641\u0635\u0644 \u0632\u0631\u0627\u0639\u06cc<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_1_4' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_4\"   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><div class='gfield_description' id='gfield_description_1_4'>\u0628\u0647 \u0635\u0648\u0631\u062a \u06a9\u0627\u0645\u0644 \u0642\u06cc\u062f \u0634\u0648\u062f<\/div><\/li><li id='field_1_14'  class='gfield gfield_contains_required field_sublabel_below field_description_below 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