{"id":4137,"date":"2018-10-02T07:35:55","date_gmt":"2018-10-02T07:35:55","guid":{"rendered":"http:\/\/www.sru.ac.ir\/arzyabi\/?page_id=4137"},"modified":"2018-11-13T09:54:57","modified_gmt":"2018-11-13T09:54:57","slug":"poll","status":"publish","type":"page","link":"https:\/\/www.sru.ac.ir\/arzyabi\/poll\/","title":{"rendered":"\u0641\u0631\u0645 \u0646\u0638\u0631\u0633\u0646\u062c\u06cc \u0627\u0632 \u0627\u0631\u0628\u0627\u0628 \u0631\u062c\u0648\u0639"},"content":{"rendered":"\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_5' style='display:none'><a id='gf_5' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_5' id='gform_5'  action='\/arzyabi\/wp-json\/wp\/v2\/pages\/4137#gf_5'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>\u0646\u0638\u0631\u0633\u0646\u062c\u06cc \u0627\u0632 \u0627\u0631\u0628\u0627\u0628 \u0631\u062c\u0648\u0639<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below'><li id='field_5_51'  class='gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_51' >\u0648\u0627\u062d\u062f \u0633\u0627\u0632\u0645\u0627\u0646\u06cc (\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f):<\/label><div class='ginput_container ginput_container_select'><select name='input_51' id='input_5_51' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u062d\u0648\u0632\u0647   \u0631\u064a\u0627\u0633\u062a' >\u062d\u0648\u0632\u0647   \u0631\u064a\u0627\u0633\u062a<\/option><option value='\u062f\u0627\u0646\u0634\u0643\u062f\u0647   \u0639\u0644\u0648\u0645  \u067e\u0627\u064a\u0647' >\u062f\u0627\u0646\u0634\u0643\u062f\u0647   \u0639\u0644\u0648\u0645  \u067e\u0627\u064a\u0647<\/option><option value='\u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u062a\u0631\u0628\u064a\u062a  \u0628\u062f\u0646\u064a  \u0648 \u0639\u0644\u0648\u0645  \u0648\u0631\u0632\u0634\u064a' >\u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u062a\u0631\u0628\u064a\u062a  \u0628\u062f\u0646\u064a  \u0648 \u0639\u0644\u0648\u0645  \u0648\u0631\u0632\u0634\u064a<\/option><option value='\u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0639\u0644\u0648\u0645  \u0627\u0646\u0633\u0627\u0646\u064a' >\u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0639\u0644\u0648\u0645  \u0627\u0646\u0633\u0627\u0646\u064a<\/option><option value='\u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0645\u0647\u0646\u062f\u0633\u064a  \u0645\u0639\u0645\u0627\u0631\u064a  \u0648\u0634\u0647\u0631 \u0633\u0627\u0632\u064a' >\u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0645\u0647\u0646\u062f\u0633\u064a  \u0645\u0639\u0645\u0627\u0631\u064a  \u0648\u0634\u0647\u0631 \u0633\u0627\u0632\u064a<\/option><option value='\u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0645\u0647\u0646\u062f\u0633\u064a \u0639\u0645\u0631\u0627\u0646' >\u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0645\u0647\u0646\u062f\u0633\u064a \u0639\u0645\u0631\u0627\u0646<\/option><option value='\u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a  \u0645\u0643\u0627\u0646\u064a\u0643' >\u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a  \u0645\u0643\u0627\u0646\u064a\u0643<\/option><option value='\u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0628\u0631\u0642' >\u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0628\u0631\u0642<\/option><option value='\u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0643\u0627\u0645\u067e\u064a\u0648\u062a\u0631' >\u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0643\u0627\u0645\u067e\u064a\u0648\u062a\u0631<\/option><option value='\u0645\u062f\u064a\u0631\u064a\u062a   \u0637\u0631\u062d   \u0648\u0628\u0631\u0646\u0627\u0645\u0647' >\u0645\u062f\u064a\u0631\u064a\u062a   \u0637\u0631\u062d   \u0648\u0628\u0631\u0646\u0627\u0645\u0647<\/option><option value='\u0645\u062f\u064a\u0631\u064a\u062a  \u0627\u0645\u0648\u0631\u0627\u062f\u0627\u0631\u064a' >\u0645\u062f\u064a\u0631\u064a\u062a  \u0627\u0645\u0648\u0631\u0627\u062f\u0627\u0631\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u064a\u062a  \u0627\u0645\u0648\u0631\u0645\u0627\u0644\u064a' >\u0645\u062f\u064a\u0631\u064a\u062a  \u0627\u0645\u0648\u0631\u0645\u0627\u0644\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646\u062a   \u0627\u062f\u0627\u0631\u064a  _ \u0645\u0627\u0644\u064a' >\u0645\u0639\u0627\u0648\u0646\u062a   \u0627\u062f\u0627\u0631\u064a  _ \u0645\u0627\u0644\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646\u062a   \u067e\u0698\u0648\u0647\u0634\u064a \u0648 \u0641\u0646\u0627\u0648\u0631\u064a' >\u0645\u0639\u0627\u0648\u0646\u062a   \u067e\u0698\u0648\u0647\u0634\u064a \u0648 \u0641\u0646\u0627\u0648\u0631\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646\u062a   \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0645\u0639\u0627\u0648\u0646\u062a   \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646\u062a  \u0622\u0645\u0648\u0632\u0634\u064a \u0648\u062a\u062d\u0635\u064a\u0644\u0627\u062a \u062a\u0643\u0645\u064a\u0644\u064a' >\u0645\u0639\u0627\u0648\u0646\u062a  \u0622\u0645\u0648\u0632\u0634\u064a \u0648\u062a\u062d\u0635\u064a\u0644\u0627\u062a \u062a\u0643\u0645\u064a\u0644\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646\u062a \u0641\u0631\u0647\u0646\u06af\u064a \u0648\u0627\u062c\u062a\u0645\u0627\u0639\u064a' >\u0645\u0639\u0627\u0648\u0646\u062a \u0641\u0631\u0647\u0646\u06af\u064a \u0648\u0627\u062c\u062a\u0645\u0627\u0639\u064a<\/option><option value='\u062d\u0631\u0627\u0633\u062a' >\u062d\u0631\u0627\u0633\u062a<\/option><\/select><\/div><\/li><li id='field_5_53'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_53' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_53' id='input_5_53' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0631\u0626\u064a\u0633 \u06af\u0631\u0648\u0647 \u0627\u0645\u0648\u0631 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646 \u0634\u0627\u0647\u062f \u0648 \u0627\u064a\u062b\u0627\u0631\u06af\u0631' >\u0631\u0626\u064a\u0633 \u06af\u0631\u0648\u0647 \u0627\u0645\u0648\u0631 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646 \u0634\u0627\u0647\u062f \u0648 \u0627\u064a\u062b\u0627\u0631\u06af\u0631<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0631\u0648\u0627\u0628\u0637 \u0639\u0645\u0648\u0645\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0631\u0648\u0627\u0628\u0637 \u0639\u0645\u0648\u0645\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0631\u0632\u064a\u0627\u0628\u064a  \u0639\u0645\u0644\u0643\u0631\u062f\u0648\u067e\u0627\u0633\u062e\u06af\u0648\u064a\u064a  \u0628\u0647  \u0634\u0643\u0627\u064a\u0627\u062a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0631\u0632\u064a\u0627\u0628\u064a  \u0639\u0645\u0644\u0643\u0631\u062f\u0648\u067e\u0627\u0633\u062e\u06af\u0648\u064a\u064a  \u0628\u0647  \u0634\u0643\u0627\u064a\u0627\u062a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646  \u0634\u0627\u0647\u062f\u0648\u0627\u064a\u062b\u0627\u0631\u06af\u0631' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646  \u0634\u0627\u0647\u062f\u0648\u0627\u064a\u062b\u0627\u0631\u06af\u0631<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0631\u0648\u0627\u0628\u0637 \u0639\u0645\u0648\u0645\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0631\u0648\u0627\u0628\u0637 \u0639\u0645\u0648\u0645\u064a<\/option><option value='\u0645\u0633\u0626\u0648\u0644  \u062f\u0641\u062a\u0631' >\u0645\u0633\u0626\u0648\u0644  \u062f\u0641\u062a\u0631<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0645\u062f\u064a\u0631 \u0646\u0638\u0627\u0631\u062a  \u0648 \u0627\u0631\u0632\u064a\u0627\u0628\u064a' >\u0645\u062f\u064a\u0631 \u0646\u0638\u0627\u0631\u062a  \u0648 \u0627\u0631\u0632\u064a\u0627\u0628\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u062d\u0648\u0632\u0647  \u0631\u064a\u0627\u0633\u062a  \u0648\u0631\u0648\u0627\u0628\u0637 \u0639\u0645\u0648\u0645\u064a' >\u0645\u062f\u064a\u0631\u062d\u0648\u0632\u0647  \u0631\u064a\u0627\u0633\u062a  \u0648\u0631\u0648\u0627\u0628\u0637 \u0639\u0645\u0648\u0645\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0622\u0645\u0648\u0632\u0634 \u0647\u0627\u064a \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643\u064a \u0648 \u0622\u0632\u0627\u062f' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0622\u0645\u0648\u0632\u0634 \u0647\u0627\u064a \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643\u064a \u0648 \u0622\u0632\u0627\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0622\u0645\u0648\u0632\u0634 \u0647\u0627\u064a \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643\u064a \u0648 \u0622\u0632\u0627\u062f' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0622\u0645\u0648\u0632\u0634 \u0647\u0627\u064a \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643\u064a \u0648 \u0622\u0632\u0627\u062f<\/option><option value='\u0631\u0626\u064a\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634 \u0647\u0627\u064a \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643\u064a \u0648 \u0622\u0632\u0627\u062f' >\u0631\u0626\u064a\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634 \u0647\u0627\u064a \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643\u064a \u0648 \u0622\u0632\u0627\u062f<\/option><option value='\u0631\u0626\u06cc\u0633 \u062f\u0641\u062a\u0631 \u0647\u0645\u0643\u0627\u0631\u064a \u0647\u0627\u064a \u0639\u0644\u0645\u06cc \u0648 \u0627\u0645\u0648\u0631 \u0628\u064a\u0646 \u0627\u0644\u0645\u0644\u0644' >\u0631\u0626\u06cc\u0633 \u062f\u0641\u062a\u0631 \u0647\u0645\u0643\u0627\u0631\u064a \u0647\u0627\u064a \u0639\u0644\u0645\u06cc \u0648 \u0627\u0645\u0648\u0631 \u0628\u064a\u0646 \u0627\u0644\u0645\u0644\u0644<\/option><option value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0627\u0645\u0648\u0631 \u0628\u06cc\u0646 \u0627\u0644\u0645\u0644\u0644' >\u06a9\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0627\u0645\u0648\u0631 \u0628\u06cc\u0646 \u0627\u0644\u0645\u0644\u0644<\/option><\/select><\/div><\/li><li id='field_5_54'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_54' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_54' id='input_5_54' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0634\u064a\u0645\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0634\u064a\u0645\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0647\u0645\u0627\u0647\u0646\u06af\u064a  \u0648\u067e\u064a\u06af\u064a\u0631\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0647\u0645\u0627\u0647\u0646\u06af\u064a  \u0648\u067e\u064a\u06af\u064a\u0631\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0641\u064a\u0632\u064a\u0643' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0641\u064a\u0632\u064a\u0643<\/option><option value='\u0627\u0646\u0628\u0627\u0631\u062f\u0627\u0631' >\u0627\u0646\u0628\u0627\u0631\u062f\u0627\u0631<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a' >\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0634\u064a\u0645\u064a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0634\u064a\u0645\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0631\u064a\u0627\u0636\u064a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0631\u064a\u0627\u0636\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a' >\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0641\u064a\u0632\u064a\u0643' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0641\u064a\u0632\u064a\u0643<\/option><option value='\u0631\u0626\u064a\u0633  \u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0639\u0644\u0648\u0645  \u067e\u0627\u064a\u0647' >\u0631\u0626\u064a\u0633  \u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0639\u0644\u0648\u0645  \u067e\u0627\u064a\u0647<\/option><option value='\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><\/select><\/div><\/li><li id='field_5_55'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_55' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_5_55' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0641\u0636\u0627\u0647\u0627\u064a  \u0648\u0631\u0632\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0641\u0636\u0627\u0647\u0627\u064a  \u0648\u0631\u0632\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0641\u0636\u0627\u0647\u0627\u064a  \u0648\u0631\u0632\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0641\u0636\u0627\u0647\u0627\u064a  \u0648\u0631\u0632\u0634\u064a<\/option><option value='\u0645\u062f\u0631\u0633' >\u0645\u062f\u0631\u0633<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u062f\u0627\u0631\u064a\u060c \u0645\u0627\u0644\u064a \u0648 \u067e\u0634\u062a\u064a\u0628\u0627\u0646\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u062f\u0627\u0631\u064a\u060c \u0645\u0627\u0644\u064a \u0648 \u067e\u0634\u062a\u064a\u0628\u0627\u0646\u064a<\/option><option value='\u0646\u06af\u0647\u0628\u0627\u0646' >\u0646\u06af\u0647\u0628\u0627\u0646<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u0645\u0633\u0626\u0648\u0644  \u062f\u0641\u062a\u0631' >\u0645\u0633\u0626\u0648\u0644  \u062f\u0641\u062a\u0631<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a' >\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a' >\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a<\/option><option value='\u0631\u0626\u064a\u0633 \u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0639\u0644\u0648\u0645 \u0648\u0631\u0632\u0634\u064a' >\u0631\u0626\u064a\u0633 \u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0639\u0644\u0648\u0645 \u0648\u0631\u0632\u0634\u064a<\/option><option value='\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0631\u0641\u062a\u0627\u0631 \u062d\u0631\u0643\u062a\u064a' >\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0631\u0641\u062a\u0627\u0631 \u062d\u0631\u0643\u062a\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0641\u064a\u0632\u064a\u0648\u0644\u0648\u0698\u064a  \u0648\u0631\u0632\u0634\u064a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0641\u064a\u0632\u064a\u0648\u0644\u0648\u0698\u064a  \u0648\u0631\u0632\u0634\u064a<\/option><option value='' ><\/option><\/select><\/div><\/li><li id='field_5_56'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_56' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_56' id='input_5_56' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u0645\u062f\u0631\u0633' >\u0645\u062f\u0631\u0633<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0645\u062f\u0631\u0633' >\u0645\u062f\u0631\u0633<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a' >\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a<\/option><option value='\u0631\u0626\u064a\u0633  \u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0639\u0644\u0648\u0645  \u0627\u0646\u0633\u0627\u0646\u064a' >\u0631\u0626\u064a\u0633  \u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0639\u0644\u0648\u0645  \u0627\u0646\u0633\u0627\u0646\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0639\u0644\u0648\u0645  \u062a\u0631\u0628\u064a\u062a\u064a  \u0648\u0631\u0648\u0627\u0646\u0634\u0646\u0627\u0633\u064a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0639\u0644\u0648\u0645  \u062a\u0631\u0628\u064a\u062a\u064a  \u0648\u0631\u0648\u0627\u0646\u0634\u0646\u0627\u0633\u064a<\/option><option value='\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0627\u0644\u0647\u064a\u0627\u062a' >\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0627\u0644\u0647\u064a\u0627\u062a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0627\u062f\u0628\u064a\u0627\u062a  \u0641\u0627\u0631\u0633\u064a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0627\u062f\u0628\u064a\u0627\u062a  \u0641\u0627\u0631\u0633\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0632\u0628\u0627\u0646  \u0627\u0646\u06af\u0644\u064a\u0633\u064a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0632\u0628\u0627\u0646  \u0627\u0646\u06af\u0644\u064a\u0633\u064a<\/option><option value='' ><\/option><\/select><\/div><\/li><li id='field_5_57'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_57' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_57' id='input_5_57' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u062f\u0627\u0631\u064a\u060c \u0645\u0627\u0644\u064a \u0648 \u067e\u0634\u062a\u064a\u0628\u0627\u0646\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u062f\u0627\u0631\u064a\u060c \u0645\u0627\u0644\u064a \u0648 \u067e\u0634\u062a\u064a\u0628\u0627\u0646\u064a<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u0645\u062a\u0635\u062f\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a  \u0648\u0628\u0627\u064a\u06af\u0627\u0646\u064a' >\u0645\u062a\u0635\u062f\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a  \u0648\u0628\u0627\u064a\u06af\u0627\u0646\u064a<\/option><option value='\u0645\u0633\u0626\u0648\u0644  \u062f\u0641\u062a\u0631' >\u0645\u0633\u0626\u0648\u0644  \u062f\u0641\u062a\u0631<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a' >\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0645\u0639\u0645\u0627\u0631\u064a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0645\u0639\u0645\u0627\u0631\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0634\u0647\u0631\u0633\u0627\u0632\u064a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0634\u0647\u0631\u0633\u0627\u0632\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0627\u0631\u062a\u0628\u0627\u0637 \u062a\u0635\u0648\u064a\u0631\u064a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0627\u0631\u062a\u0628\u0627\u0637 \u062a\u0635\u0648\u064a\u0631\u064a<\/option><option value='\u0631\u0626\u064a\u0633  \u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0645\u0647\u0646\u062f\u0633\u064a  \u0645\u0639\u0645\u0627\u0631\u064a  \u0648\u0634\u0647\u0631\u0633\u0627\u0632\u064a' >\u0631\u0626\u064a\u0633  \u062f\u0627\u0646\u0634\u0643\u062f\u0647  \u0645\u0647\u0646\u062f\u0633\u064a  \u0645\u0639\u0645\u0627\u0631\u064a  \u0648\u0634\u0647\u0631\u0633\u0627\u0632\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a' >\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='' ><\/option><\/select><\/div><\/li><li id='field_5_58'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_58' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_5_58' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u0645\u062f\u0631\u0633' >\u0645\u062f\u0631\u0633<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a' >\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0646\u0642\u0634\u0647  \u0628\u0631\u062f\u0627\u0631\u064a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0646\u0642\u0634\u0647  \u0628\u0631\u062f\u0627\u0631\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0635\u0646\u0627\u064a\u0639 \u0686\u0648\u0628' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0635\u0646\u0627\u064a\u0639 \u0686\u0648\u0628<\/option><option value='\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a' >\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0631\u0626\u064a\u0633 \u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0639\u0645\u0631\u0627\u0646' >\u0631\u0626\u064a\u0633 \u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0639\u0645\u0631\u0627\u0646<\/option><option value='\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0633\u0627\u0632\u0647 \u0648 \u0632\u0644\u0632\u0644\u0647' >\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0633\u0627\u0632\u0647 \u0648 \u0632\u0644\u0632\u0644\u0647<\/option><option value='\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0698\u0626\u0648\u062a\u0643\u0646\u064a\u0643 \u0648 \u0622\u0628' >\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0698\u0626\u0648\u062a\u0643\u0646\u064a\u0643 \u0648 \u0622\u0628<\/option><option value='' ><\/option><\/select><\/div><\/li><li id='field_5_59'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_59' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_59' id='input_5_59' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u062a\u0643\u0646\u0633\u064a\u0646 \u0648 \u0627\u0646\u0628\u0627\u0631\u062f\u0627\u0631 \u0643\u0627\u0631\u06af\u0627\u0647' >\u062a\u0643\u0646\u0633\u064a\u0646 \u0648 \u0627\u0646\u0628\u0627\u0631\u062f\u0627\u0631 \u0643\u0627\u0631\u06af\u0627\u0647<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0643\u0627\u0631\u06af\u0627\u0647 \u0648 \u0622\u0632\u0645\u0627\u064a\u0634\u06af\u0627\u0647' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0643\u0627\u0631\u06af\u0627\u0647 \u0648 \u0622\u0632\u0645\u0627\u064a\u0634\u06af\u0627\u0647<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0645\u062a\u0627\u0644\u0648\u0698\u064a \u0648 \u0645\u0648\u0627\u062f' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0645\u062a\u0627\u0644\u0648\u0698\u064a \u0648 \u0645\u0648\u0627\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0645\u0643 \u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u0622\u0645\u0648\u0632\u0634\u064a \u0648 \u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0645\u0643 \u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u0622\u0645\u0648\u0632\u0634\u064a \u0648 \u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u0645\u0633\u0626\u0648\u0644  \u062f\u0641\u062a\u0631' >\u0645\u0633\u0626\u0648\u0644  \u062f\u0641\u062a\u0631<\/option><option value='\u0643\u062a\u0627\u0628\u062f\u0627\u0631' >\u0643\u062a\u0627\u0628\u062f\u0627\u0631<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a' >\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0645\u0643\u0627\u0646\u064a\u0643  \u062e\u0648\u062f\u0631\u0648' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0645\u0643\u0627\u0646\u064a\u0643  \u062e\u0648\u062f\u0631\u0648<\/option><option value='\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0645\u062a\u0627\u0644\u0648\u200d\u0698\u064a \u0648 \u0645\u0648\u0627\u062f' >\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0645\u062a\u0627\u0644\u0648\u200d\u0698\u064a \u0648 \u0645\u0648\u0627\u062f<\/option><option value='\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u062d\u0631\u0627\u0631\u062a\u060c \u0633\u064a\u0627\u0644\u0627\u062a \u0648 \u062a\u0623\u0633\u064a\u0633\u0627\u062a' >\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u062d\u0631\u0627\u0631\u062a\u060c \u0633\u064a\u0627\u0644\u0627\u062a \u0648 \u062a\u0623\u0633\u064a\u0633\u0627\u062a<\/option><option value='\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a' >\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u0631\u0626\u064a\u0633 \u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0645\u0643\u0627\u0646\u064a\u0643' >\u0631\u0626\u064a\u0633 \u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0645\u0643\u0627\u0646\u064a\u0643<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0633\u0627\u062e\u062a  \u0648\u062a\u0648\u0644\u064a\u062f' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0633\u0627\u062e\u062a  \u0648\u062a\u0648\u0644\u064a\u062f<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0637\u0631\u0627\u062d\u064a  \u062c\u0627\u0645\u062f\u0627\u062a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0637\u0631\u0627\u062d\u064a  \u062c\u0627\u0645\u062f\u0627\u062a<\/option><option value='\u0645\u062f\u064a\u0631 \u0643\u0627\u0631\u0622\u0641\u0631\u064a\u0646\u064a \u0648 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0635\u0646\u0639\u062a' >\u0645\u062f\u064a\u0631 \u0643\u0627\u0631\u0622\u0641\u0631\u064a\u0646\u064a \u0648 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0635\u0646\u0639\u062a<\/option><option value='\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a' >\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a<\/option><option value='' ><\/option><\/select><\/div><\/li><li id='field_5_60'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_60' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_60' id='input_5_60' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0642\u062f\u0631\u062a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0642\u062f\u0631\u062a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a' >\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a' >\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0642\u062f\u0631\u062a' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0642\u062f\u0631\u062a<\/option><option value='\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643' >\u0645\u062f\u064a\u0631\u06af\u0631\u0648\u0647  \u0622\u0645\u0648\u0632\u0634\u064a  \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643<\/option><option value='\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u0631\u0626\u064a\u0633 \u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0628\u0631\u0642' >\u0631\u0626\u064a\u0633 \u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0628\u0631\u0642<\/option><\/select><\/div><\/li><li id='field_5_61'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_61' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_61' id='input_5_61' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a' >\u0639\u0636\u0648 \u0647\u064a\u0627\u062a \u0639\u0644\u0645\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0645\u0639\u0627\u0648\u0646 \u0641\u0646\u064a \u0648 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a' >\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648 \u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0646\u0631\u0645 \u0627\u0641\u0632\u0627\u0631' >\u0645\u062f\u064a\u0631 \u06af\u0631\u0648\u0647 \u0622\u0645\u0648\u0632\u0634\u064a \u0646\u0631\u0645 \u0627\u0641\u0632\u0627\u0631<\/option><option value='\u0631\u0626\u064a\u0633 \u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0643\u0627\u0645\u067e\u064a\u0648\u062a\u0631' >\u0631\u0626\u064a\u0633 \u062f\u0627\u0646\u0634\u0643\u062f\u0647 \u0645\u0647\u0646\u062f\u0633\u064a \u0643\u0627\u0645\u067e\u064a\u0648\u062a\u0631<\/option><option value='' ><\/option><\/select><\/div><\/li><li id='field_5_62'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_62' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_62' id='input_5_62' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0622\u0645\u0627\u0631 \u0648 \u0628\u0648\u062f\u062c\u0647' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0622\u0645\u0627\u0631 \u0648 \u0628\u0648\u062f\u062c\u0647<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u062a\u0634\u0643\u064a\u0644\u0627\u062a\u060c \u0628\u0647\u0631\u0647 \u0648\u0631\u064a \u0648 \u062a\u062d\u0648\u0644 \u0627\u062f\u0627\u0631\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u062a\u0634\u0643\u064a\u0644\u0627\u062a\u060c \u0628\u0647\u0631\u0647 \u0648\u0631\u064a \u0648 \u062a\u062d\u0648\u0644 \u0627\u062f\u0627\u0631\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0646\u0638\u0627\u0631\u062a  \u0628\u0631\u067e\u0631\u0648\u0698\u0647  \u0647\u0627\u064a  \u0639\u0645\u0631\u0627\u0646\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0646\u0638\u0627\u0631\u062a  \u0628\u0631\u067e\u0631\u0648\u0698\u0647  \u0647\u0627\u064a  \u0639\u0645\u0631\u0627\u0646\u064a<\/option><\/select><\/div><\/li><li id='field_5_63'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_63' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_63' id='input_5_63' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0627\u062a\u0648\u0645\u0627\u0633\u064a\u0648\u0646 \u0627\u062f\u0627\u0631\u064a \u0648 \u062f\u0628\u064a\u0631\u062e\u0627\u0646\u0647 \u0648 \u0627\u0645\u0648\u0631 \u062f\u0641\u062a\u0631\u064a \u0648 \u0628\u0627\u064a\u06af\u0627\u0646\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0627\u062a\u0648\u0645\u0627\u0633\u064a\u0648\u0646 \u0627\u062f\u0627\u0631\u064a \u0648 \u062f\u0628\u064a\u0631\u062e\u0627\u0646\u0647 \u0648 \u0627\u0645\u0648\u0631 \u062f\u0641\u062a\u0631\u064a \u0648 \u0628\u0627\u064a\u06af\u0627\u0646\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0633\u062a\u062e\u062f\u0627\u0645  \u0648\u062a\u0631\u0641\u064a\u0639\u0627\u062a  \u0627\u0639\u0636\u0627\u0621\u0647\u064a\u0627\u062a  \u0639\u0644\u0645\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0633\u062a\u062e\u062f\u0627\u0645  \u0648\u062a\u0631\u0641\u064a\u0639\u0627\u062a  \u0627\u0639\u0636\u0627\u0621\u0647\u064a\u0627\u062a  \u0639\u0644\u0645\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u062a\u0648\u0645\u0627\u0633\u064a\u0648\u0646 \u0627\u062f\u0627\u0631\u064a \u0648 \u062f\u0628\u064a\u0631\u062e\u0627\u0646\u0647 \u0648 \u0627\u0645\u0648\u0631 \u062f\u0641\u062a\u0631\u064a \u0648 \u0628\u0627\u064a\u06af\u0627\u0646\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u062a\u0648\u0645\u0627\u0633\u064a\u0648\u0646 \u0627\u062f\u0627\u0631\u064a \u0648 \u062f\u0628\u064a\u0631\u062e\u0627\u0646\u0647 \u0648 \u0627\u0645\u0648\u0631 \u062f\u0641\u062a\u0631\u064a \u0648 \u0628\u0627\u064a\u06af\u0627\u0646\u064a<\/option><option value='\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u0643\u0627\u0631\u06af\u0632\u064a\u0646\u064a  \u0648\u0628\u0627\u0632\u0646\u0634\u0633\u062a\u06af\u064a' >\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u0643\u0627\u0631\u06af\u0632\u064a\u0646\u064a  \u0648\u0628\u0627\u0632\u0646\u0634\u0633\u062a\u06af\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0633\u062a\u062e\u062f\u0627\u0645  \u0648\u062a\u0631\u0641\u064a\u0639\u0627\u062a  \u0643\u0627\u0631\u0643\u0646\u0627\u0646  \u063a\u064a\u0631\u0647\u064a\u0627\u062a  \u0639\u0644\u0645\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0633\u062a\u062e\u062f\u0627\u0645  \u0648\u062a\u0631\u0641\u064a\u0639\u0627\u062a  \u0643\u0627\u0631\u0643\u0646\u0627\u0646  \u063a\u064a\u0631\u0647\u064a\u0627\u062a  \u0639\u0644\u0645\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0628\u0627\u0632\u0646\u0634\u0633\u062a\u06af\u064a  \u0648\u0645\u0648\u0638\u0641\u064a\u0646' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0628\u0627\u0632\u0646\u0634\u0633\u062a\u06af\u064a  \u0648\u0645\u0648\u0638\u0641\u064a\u0646<\/option><option value='\u0628\u0627\u064a\u06af\u0627\u0646' >\u0628\u0627\u064a\u06af\u0627\u0646<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0631\u0641\u0627\u0647' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0631\u0641\u0627\u0647<\/option><option value='\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0631\u0641\u0627\u0647 \u0643\u0627\u0631\u0643\u0646\u0627\u0646' >\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0631\u0641\u0627\u0647 \u0643\u0627\u0631\u0643\u0646\u0627\u0646<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u0645\u062a\u0635\u062f\u064a  \u062e\u062f\u0645\u0627\u062a  \u0639\u0645\u0648\u0645\u064a' >\u0645\u062a\u0635\u062f\u064a  \u062e\u062f\u0645\u0627\u062a  \u0639\u0645\u0648\u0645\u064a<\/option><option value='\u0646\u06af\u0647\u0628\u0627\u0646' >\u0646\u06af\u0647\u0628\u0627\u0646<\/option><option value='\u0631\u0627\u0646\u0646\u062f\u0647' >\u0631\u0627\u0646\u0646\u062f\u0647<\/option><\/select><\/div><\/li><li id='field_5_64'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_64' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_64' id='input_5_64' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u062f\u0631\u064a\u0627\u0641\u062a  \u0648\u067e\u0631\u062f\u0627\u062e\u062a' >\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u062f\u0631\u064a\u0627\u0641\u062a  \u0648\u067e\u0631\u062f\u0627\u062e\u062a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0645\u0627\u0644\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0645\u0627\u0644\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0647\u0645\u0627\u0647\u0646\u06af\u064a  \u0648\u067e\u064a\u06af\u064a\u0631\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0647\u0645\u0627\u0647\u0646\u06af\u064a  \u0648\u067e\u064a\u06af\u064a\u0631\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631<\/option><option value='\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0627\u0639\u062a\u0628\u0627\u0631\u0627\u062a' >\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0627\u0639\u062a\u0628\u0627\u0631\u0627\u062a<\/option><option value='\u062d\u0633\u0627\u0628\u062f\u0627\u0631' >\u062d\u0633\u0627\u0628\u062f\u0627\u0631<\/option><option value='\u0645\u062f\u064a\u0631\u0627\u0645\u0648\u0631\u0645\u0627\u0644\u064a' >\u0645\u062f\u064a\u0631\u0627\u0645\u0648\u0631\u0645\u0627\u0644\u064a<\/option><option value='\u062d\u0633\u0627\u0628\u062f\u0627\u0631(\u0643\u0627\u0631\u0634\u0646\u0627\u0633)' >\u062d\u0633\u0627\u0628\u062f\u0627\u0631(\u0643\u0627\u0631\u0634\u0646\u0627\u0633)<\/option><\/select><\/div><\/li><li id='field_5_65'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_65' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_65' id='input_5_65' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u062e\u062f\u0645\u0627\u062a  \u0648\u0646\u0642\u0644\u064a\u0647' >\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u062e\u062f\u0645\u0627\u062a  \u0648\u0646\u0642\u0644\u064a\u0647<\/option><option value='\u0645\u062f\u064a\u0631 \u0627\u0645\u0648\u0631 \u0627\u062f\u0627\u0631\u064a \u0648 \u0645\u0646\u0627\u0628\u0639 \u0627\u0646\u0633\u0627\u0646\u064a' >\u0645\u062f\u064a\u0631 \u0627\u0645\u0648\u0631 \u0627\u062f\u0627\u0631\u064a \u0648 \u0645\u0646\u0627\u0628\u0639 \u0627\u0646\u0633\u0627\u0646\u064a<\/option><option value='\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0627\u0645\u0648\u0631 \u062d\u0642\u0648\u0642\u064a\u060c \u0627\u0645\u0644\u0627\u0643 \u0648 \u0642\u0631\u0627\u0631\u062f\u0627\u062f\u0647\u0627' >\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0627\u0645\u0648\u0631 \u062d\u0642\u0648\u0642\u064a\u060c \u0627\u0645\u0644\u0627\u0643 \u0648 \u0642\u0631\u0627\u0631\u062f\u0627\u062f\u0647\u0627<\/option><option value='\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u062a\u062f\u0627\u0631\u0643\u0627\u062a' >\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u062a\u062f\u0627\u0631\u0643\u0627\u062a<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u062a\u062f\u0627\u0631\u0643\u0627\u062a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u062a\u062f\u0627\u0631\u0643\u0627\u062a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0647\u0645\u0627\u0647\u0646\u06af\u064a  \u0648\u067e\u064a\u06af\u064a\u0631\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0647\u0645\u0627\u0647\u0646\u06af\u064a  \u0648\u067e\u064a\u06af\u064a\u0631\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631<\/option><option value='\u0645\u0633\u0626\u0648\u0644  \u0646\u0642\u0644\u064a\u0647' >\u0645\u0633\u0626\u0648\u0644  \u0646\u0642\u0644\u064a\u0647<\/option><option value='\u0643\u0627\u0631\u067e\u0631\u062f\u0627\u0632 \u0645\u062a\u0635\u062f\u064a \u062a\u062f\u0627\u0631\u0643\u0627\u062a' >\u0643\u0627\u0631\u067e\u0631\u062f\u0627\u0632 \u0645\u062a\u0635\u062f\u064a \u062a\u062f\u0627\u0631\u0643\u0627\u062a<\/option><option value='\u0643\u0627\u0631\u067e\u0631\u062f\u0627\u0632' >\u0643\u0627\u0631\u067e\u0631\u062f\u0627\u0632<\/option><option value='\u0645\u0634\u0627\u0648\u0631\u0645\u0639\u0627\u0648\u0646  \u0627\u062f\u0627\u0631\u064a  \u0648\u0645\u0627\u0644\u064a' >\u0645\u0634\u0627\u0648\u0631\u0645\u0639\u0627\u0648\u0646  \u0627\u062f\u0627\u0631\u064a  \u0648\u0645\u0627\u0644\u064a<\/option><option value='\u062d\u0633\u0627\u0628\u062f\u0627\u0631' >\u062d\u0633\u0627\u0628\u062f\u0627\u0631<\/option><option value='\u067e\u064a\u0634 \u062e\u062f\u0645\u062a' >\u067e\u064a\u0634 \u062e\u062f\u0645\u062a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u0641\u0646\u064a \u0648 \u0639\u0645\u0631\u0627\u0646\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u0641\u0646\u064a \u0648 \u0639\u0645\u0631\u0627\u0646\u064a<\/option><option value='\u0631\u0627\u0646\u0646\u062f\u0647' >\u0631\u0627\u0646\u0646\u062f\u0647<\/option><option value='\u062a\u0643\u0646\u064a\u0633\u064a\u0646  \u062a\u0627\u0633\u064a\u0633\u0627\u062a' >\u062a\u0643\u0646\u064a\u0633\u064a\u0646  \u062a\u0627\u0633\u064a\u0633\u0627\u062a<\/option><option value='\u0631\u0627\u0646\u0646\u062f\u0647  \u0648\u0633\u0627\u0626\u0637 \u0646\u0642\u0644\u064a\u0647  \u0633\u0646\u06af\u064a\u0646  \u062a\u0646\u062f\u0631\u0648' >\u0631\u0627\u0646\u0646\u062f\u0647  \u0648\u0633\u0627\u0626\u0637 \u0646\u0642\u0644\u064a\u0647  \u0633\u0646\u06af\u064a\u0646  \u062a\u0646\u062f\u0631\u0648<\/option><option value='\u0631\u0627\u0646\u0646\u062f\u0647' >\u0631\u0627\u0646\u0646\u062f\u0647<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u0645\u062a\u0635\u062f\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a  \u0648\u0628\u0627\u064a\u06af\u0627\u0646\u064a' >\u0645\u062a\u0635\u062f\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a  \u0648\u0628\u0627\u064a\u06af\u0627\u0646\u064a<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0645\u062f\u064a\u0631 \u067e\u0634\u062a\u064a\u0628\u0627\u0646\u064a \u0648 \u062e\u062f\u0645\u0627\u062a' >\u0645\u062f\u064a\u0631 \u067e\u0634\u062a\u064a\u0628\u0627\u0646\u064a \u0648 \u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0645\u0639\u0627\u0648\u0646  \u0627\u062f\u0627\u0631\u064a  \u0648\u0645\u0627\u0644\u064a' >\u0645\u0639\u0627\u0648\u0646  \u0627\u062f\u0627\u0631\u064a  \u0648\u0645\u0627\u0644\u064a<\/option><\/select><\/div><\/li><li id='field_5_66'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_66' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_66' id='input_5_66' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0641\u0646\u0627\u0648\u0631\u064a  \u0627\u0637\u0644\u0627\u0639\u0627\u062a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0641\u0646\u0627\u0648\u0631\u064a  \u0627\u0637\u0644\u0627\u0639\u0627\u062a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0646\u062a\u0634\u0627\u0631\u0627\u062a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0646\u062a\u0634\u0627\u0631\u0627\u062a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0641\u0646\u0627\u0648\u0631\u064a  \u0627\u0637\u0644\u0627\u0639\u0627\u062a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0641\u0646\u0627\u0648\u0631\u064a  \u0627\u0637\u0644\u0627\u0639\u0627\u062a<\/option><option value='\u0643\u062a\u0627\u0628\u062f\u0627\u0631' >\u0643\u062a\u0627\u0628\u062f\u0627\u0631<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0643\u062a\u0627\u0628\u062e\u0627\u0646\u0647 \u0645\u0631\u0643\u0632\u064a \u0648 \u0645\u0631\u0643\u0632 \u0627\u0633\u0646\u0627\u062f' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0643\u062a\u0627\u0628\u062e\u0627\u0646\u0647 \u0645\u0631\u0643\u0632\u064a \u0648 \u0645\u0631\u0643\u0632 \u0627\u0633\u0646\u0627\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0643\u062a\u0627\u0628\u062e\u0627\u0646\u0647 \u0645\u0631\u0643\u0632\u064a \u0648 \u0645\u0631\u0643\u0632 \u0627\u0633\u0646\u0627\u062f' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0643\u062a\u0627\u0628\u062e\u0627\u0646\u0647 \u0645\u0631\u0643\u0632\u064a \u0648 \u0645\u0631\u0643\u0632 \u0627\u0633\u0646\u0627\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0641\u0646\u0627\u0648\u0631\u064a  \u0627\u0637\u0644\u0627\u0639\u0627\u062a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0641\u0646\u0627\u0648\u0631\u064a  \u0627\u0637\u0644\u0627\u0639\u0627\u062a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u067e\u0698\u0648\u0647\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0645\u0646\u0627\u0628\u0639 \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0645\u0646\u0627\u0628\u0639 \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0643\u0627\u0631\u0622\u0641\u0631\u064a\u0646\u064a \u0648 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u062c\u0627\u0645\u0639\u0647' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0643\u0627\u0631\u0622\u0641\u0631\u064a\u0646\u064a \u0648 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u062c\u0627\u0645\u0639\u0647<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0646\u0627\u0628\u0639 \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0646\u0627\u0628\u0639 \u0627\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0643\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0643\u062a\u0627\u0628\u062e\u0627\u0646\u0647 \u0645\u0631\u0643\u0632\u064a \u0648 \u0645\u0631\u0643\u0632 \u0627\u0633\u0646\u0627\u062f' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0643\u062a\u0627\u0628\u062e\u0627\u0646\u0647 \u0645\u0631\u0643\u0632\u064a \u0648 \u0645\u0631\u0643\u0632 \u0627\u0633\u0646\u0627\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0643\u0627\u0631\u0622\u0641\u0631\u064a\u0646\u064a \u0648 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u062c\u0627\u0645\u0639\u0647' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0643\u0627\u0631\u0622\u0641\u0631\u064a\u0646\u064a \u0648 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u062c\u0627\u0645\u0639\u0647<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0628\u0631\u0646\u0627\u0645\u0647  \u0631\u064a\u0632\u064a  \u067e\u0698\u0648\u0647\u0634  \u0648\u0633\u0646\u062c\u0634  \u0635\u0644\u0627\u062d\u064a\u062a  \u0639\u0644\u0645\u064a  \u0645\u0639\u0644\u0645\u0627\u0646  \u0648\u0645\u062f\u064a\u0631\u0627\u0646' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0628\u0631\u0646\u0627\u0645\u0647  \u0631\u064a\u0632\u064a  \u067e\u0698\u0648\u0647\u0634  \u0648\u0633\u0646\u062c\u0634  \u0635\u0644\u0627\u062d\u064a\u062a  \u0639\u0644\u0645\u064a  \u0645\u0639\u0644\u0645\u0627\u0646  \u0648\u0645\u062f\u064a\u0631\u0627\u0646<\/option><option value='\u0643\u062a\u0627\u0628\u062f\u0627\u0631' >\u0643\u062a\u0627\u0628\u062f\u0627\u0631<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u0645\u0633\u0626\u0648\u0644  \u062f\u0641\u062a\u0631' >\u0645\u0633\u0626\u0648\u0644  \u062f\u0641\u062a\u0631<\/option><option value='\u0645\u0627\u0634\u064a\u0646  \u0646\u0648\u064a\u0633' >\u0645\u0627\u0634\u064a\u0646  \u0646\u0648\u064a\u0633<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0645\u062f\u064a\u0631 \u0641\u0646\u0627\u0648\u0631\u064a \u0627\u0637\u0644\u0627\u0639\u0627\u062a' >\u0645\u062f\u064a\u0631 \u0641\u0646\u0627\u0648\u0631\u064a \u0627\u0637\u0644\u0627\u0639\u0627\u062a<\/option><option value='\u0631\u0626\u064a\u0633 \u0643\u062a\u0627\u0628\u062e\u0627\u0646\u0647 \u0645\u0631\u0643\u0632\u064a\u060c \u0645\u0631\u0643\u0632 \u0627\u0633\u0646\u0627\u062f \u0648 \u0645\u0646\u0627\u0628\u0639 \u0639\u0644\u0645\u064a' >\u0631\u0626\u064a\u0633 \u0643\u062a\u0627\u0628\u062e\u0627\u0646\u0647 \u0645\u0631\u0643\u0632\u064a\u060c \u0645\u0631\u0643\u0632 \u0627\u0633\u0646\u0627\u062f \u0648 \u0645\u0646\u0627\u0628\u0639 \u0639\u0644\u0645\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u0627\u0645\u0648\u0631\u067e\u0698\u0648\u0647\u0634\u064a' >\u0645\u062f\u064a\u0631\u0627\u0645\u0648\u0631\u067e\u0698\u0648\u0647\u0634\u064a<\/option><option value='\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0627\u0646\u062a\u0634\u0627\u0631\u0627\u062a' >\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0627\u0646\u062a\u0634\u0627\u0631\u0627\u062a<\/option><option value='\u0645\u0639\u0627\u0648\u0646 \u067e\u0698\u0648\u0647\u0634 \u0648\u0641\u0646\u0627\u0648\u0631\u064a' >\u0645\u0639\u0627\u0648\u0646 \u067e\u0698\u0648\u0647\u0634 \u0648\u0641\u0646\u0627\u0648\u0631\u064a<\/option><option value='' ><\/option><\/select><\/div><\/li><li id='field_5_67'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_67' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_67' id='input_5_67' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u067e\u0632\u0634\u0643' >\u067e\u0632\u0634\u0643<\/option><option value='\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u062a\u0631\u0628\u064a\u062a  \u0628\u062f\u0646\u064a' >\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u062a\u0631\u0628\u064a\u062a  \u0628\u062f\u0646\u064a<\/option><option value='\u0633\u0631\u067e\u0631\u0633\u062a \u0634\u0628\u0627\u0646\u0647 \u0631\u0648\u0632\u064a \u062e\u0648\u0627\u0628\u06af\u0627\u0647 \u0643\u0627\u0631\u0634\u0646\u0627\u0633' >\u0633\u0631\u067e\u0631\u0633\u062a \u0634\u0628\u0627\u0646\u0647 \u0631\u0648\u0632\u064a \u062e\u0648\u0627\u0628\u06af\u0627\u0647 \u0643\u0627\u0631\u0634\u0646\u0627\u0633<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u062a\u0631\u0628\u064a\u062a  \u0628\u062f\u0646\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u062a\u0631\u0628\u064a\u062a  \u0628\u062f\u0646\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0643\u0645\u064a\u062a\u0647 \u0627\u0646\u0636\u0628\u0627\u0637\u064a \u0648 \u0643\u0645\u0633\u064a\u0648\u0646 \u0645\u0648\u0627\u0631\u062f \u062e\u0627\u0635' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0643\u0645\u064a\u062a\u0647 \u0627\u0646\u0636\u0628\u0627\u0637\u064a \u0648 \u0643\u0645\u0633\u064a\u0648\u0646 \u0645\u0648\u0627\u0631\u062f \u062e\u0627\u0635<\/option><option value='\u0633\u0631\u067e\u0631\u0633\u062a \u0634\u0628\u0627\u0646\u0647 \u0631\u0648\u0632\u064a \u062e\u0648\u0627\u0628\u06af\u0627\u0647 \u0643\u0627\u0631\u0634\u0646\u0627\u0633' >\u0633\u0631\u067e\u0631\u0633\u062a \u0634\u0628\u0627\u0646\u0647 \u0631\u0648\u0632\u064a \u062e\u0648\u0627\u0628\u06af\u0627\u0647 \u0643\u0627\u0631\u0634\u0646\u0627\u0633<\/option><option value='\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0627\u0645\u0648\u0631 \u062e\u0648\u0627\u0628\u06af\u0627\u0647\u0647\u0627\u064a \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646 \u0643\u0627\u0631\u0634\u0646\u0627\u0633' >\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0627\u0645\u0648\u0631 \u062e\u0648\u0627\u0628\u06af\u0627\u0647\u0647\u0627\u064a \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646 \u0643\u0627\u0631\u0634\u0646\u0627\u0633<\/option><option value='\u0631\u0626\u064a\u0633 \u0645\u0631\u0643\u0632 \u0628\u0647\u062f\u0627\u0634\u062a\u060c \u062f\u0631\u0645\u0627\u0646 \u0648 \u0645\u0634\u0627\u0648\u0631\u0647 \u067e\u0632\u0634\u0643' >\u0631\u0626\u064a\u0633 \u0645\u0631\u0643\u0632 \u0628\u0647\u062f\u0627\u0634\u062a\u060c \u062f\u0631\u0645\u0627\u0646 \u0648 \u0645\u0634\u0627\u0648\u0631\u0647 \u067e\u0632\u0634\u0643<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u062e\u0648\u0627\u0628\u06af\u0627\u0647\u0647\u0627\u064a \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646 \u062f\u062e\u062a\u0631' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u062e\u0648\u0627\u0628\u06af\u0627\u0647\u0647\u0627\u064a \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646 \u062f\u062e\u062a\u0631<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0634\u0627\u0648\u0631\u0647' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0634\u0627\u0648\u0631\u0647<\/option><option value='\u0645\u062f\u064a\u0631 \u0627\u0645\u0648\u0631 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0645\u062f\u064a\u0631 \u0627\u0645\u0648\u0631 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u0631\u0641\u0627\u0647  \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646' >\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u0631\u0641\u0627\u0647  \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0627\u0645\u0648\u0631 \u0631\u0641\u0627\u0647\u064a \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0627\u0645\u0648\u0631 \u0631\u0641\u0627\u0647\u064a \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u062a\u0631\u0628\u064a\u062a  \u0628\u062f\u0646\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u062a\u0631\u0628\u064a\u062a  \u0628\u062f\u0646\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0627\u0645\u0648\u0631 \u062e\u0648\u0627\u0628\u06af\u0627\u0647\u0647\u0627\u064a \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a \u062f\u062e\u062a\u0631\u0627\u0646' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0627\u0645\u0648\u0631 \u062e\u0648\u0627\u0628\u06af\u0627\u0647\u0647\u0627\u064a \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a \u062f\u062e\u062a\u0631\u0627\u0646<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0647\u0645\u0627\u0647\u0646\u06af\u064a  \u0648\u067e\u064a\u06af\u064a\u0631\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0647\u0645\u0627\u0647\u0646\u06af\u064a  \u0648\u067e\u064a\u06af\u064a\u0631\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631<\/option><option value='\u062f\u0646\u062f\u0627\u0646\u067e\u0632\u0634\u0643' >\u062f\u0646\u062f\u0627\u0646\u067e\u0632\u0634\u0643<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u067e\u0632\u0634\u0643' >\u067e\u0632\u0634\u0643<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0645\u0639\u0627\u0648\u0646 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a' >\u0645\u0639\u0627\u0648\u0646 \u062f\u0627\u0646\u0634\u062c\u0648\u064a\u064a<\/option><option value='' ><\/option><\/select><\/div><\/li><li id='field_5_68'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_68' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_68' id='input_5_68' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u062e\u062f\u0645\u0627\u062a \u0631\u0627\u064a\u0627\u0646\u0647 \u0627\u064a \u0622\u0645\u0648\u0632\u0634 \u0648 \u062b\u0628\u062a \u0646\u0627\u0645' >\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u062e\u062f\u0645\u0627\u062a \u0631\u0627\u064a\u0627\u0646\u0647 \u0627\u064a \u0622\u0645\u0648\u0632\u0634 \u0648 \u062b\u0628\u062a \u0646\u0627\u0645<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u062e\u062f\u0645\u0627\u062a  \u0622\u0645\u0648\u0632\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u062e\u062f\u0645\u0627\u062a  \u0622\u0645\u0648\u0632\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0633\u0646\u062c\u0634 \u0622\u0645\u0648\u0632\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0633\u0646\u062c\u0634 \u0622\u0645\u0648\u0632\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u062e\u062f\u0645\u0627\u062a \u0631\u0627\u064a\u0627\u0646\u0647 \u0627\u064a \u0622\u0645\u0648\u0632\u0634' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u062e\u062f\u0645\u0627\u062a \u0631\u0627\u064a\u0627\u0646\u0647 \u0627\u064a \u0622\u0645\u0648\u0632\u0634<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u0622\u0645\u0648\u0632\u0634\u064a \u0643\u0627\u0631\u0634\u0646\u0627\u0633\u064a \u0627\u0631\u0634\u062f' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u0622\u0645\u0648\u0632\u0634\u064a \u0643\u0627\u0631\u0634\u0646\u0627\u0633\u064a \u0627\u0631\u0634\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0633\u0646\u062c\u0634 \u0622\u0645\u0648\u0632\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0633\u0646\u062c\u0634 \u0622\u0645\u0648\u0632\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u062f\u0627\u0646\u0634 \u0622\u0645\u0648\u062e\u062a\u06af\u0627\u0646 \u0643\u0627\u0631\u0634\u0646\u0627\u0633\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u062f\u0627\u0646\u0634 \u0622\u0645\u0648\u062e\u062a\u06af\u0627\u0646 \u0643\u0627\u0631\u0634\u0646\u0627\u0633\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u062a\u062d\u0635\u064a\u0644\u0627\u062a  \u062a\u0643\u0645\u064a\u0644\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u062a\u062d\u0635\u064a\u0644\u0627\u062a  \u062a\u0643\u0645\u064a\u0644\u064a<\/option><option value='\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u0627\u0645\u0648\u0631\u0627\u0645\u062a\u062d\u0627\u0646\u0627\u062a  \u0648\u062f\u0627\u0646\u0634  \u0622\u0645\u0648\u062e\u062a\u06af\u0627\u0646' >\u0631\u0626\u064a\u0633  \u0627\u062f\u0627\u0631\u0647  \u0627\u0645\u0648\u0631\u0627\u0645\u062a\u062d\u0627\u0646\u0627\u062a  \u0648\u062f\u0627\u0646\u0634  \u0622\u0645\u0648\u062e\u062a\u06af\u0627\u0646<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646  \u0634\u0627\u0647\u062f \u0648\u0627\u064a\u062b\u0627\u0631\u06af\u0631' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u062f\u0627\u0646\u0634\u062c\u0648\u064a\u0627\u0646  \u0634\u0627\u0647\u062f \u0648\u0627\u064a\u062b\u0627\u0631\u06af\u0631<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u062c\u0630\u0628  \u0648\u062a\u0628\u062f\u064a\u0644  \u0648\u0636\u0639\u064a\u062a  \u0627\u0639\u0636\u0627\u064a  \u0647\u064a\u0626\u062a  \u0639\u0644\u0645\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u062c\u0630\u0628  \u0648\u062a\u0628\u062f\u064a\u0644  \u0648\u0636\u0639\u064a\u062a  \u0627\u0639\u0636\u0627\u064a  \u0647\u064a\u0626\u062a  \u0639\u0644\u0645\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u062c\u0630\u0628  \u0648\u062a\u0628\u062f\u064a\u0644  \u0648\u0636\u0639\u064a\u062a  \u0627\u0639\u0636\u0627\u064a  \u0647\u064a\u0626\u062a  \u0639\u0644\u0645\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u062c\u0630\u0628  \u0648\u062a\u0628\u062f\u064a\u0644  \u0648\u0636\u0639\u064a\u062a  \u0627\u0639\u0636\u0627\u064a  \u0647\u064a\u0626\u062a  \u0639\u0644\u0645\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u0622\u0645\u0648\u0632\u0634\u064a \u062f\u0643\u062a\u0631\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u0622\u0645\u0648\u0632\u0634\u064a \u062f\u0643\u062a\u0631\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u0622\u0645\u0648\u0632\u0634\u064a \u0643\u0627\u0631\u0634\u0646\u0627\u0633\u064a \u0627\u0631\u0634\u062f' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0627\u0645\u0648\u0631 \u0622\u0645\u0648\u0632\u0634\u064a \u0643\u0627\u0631\u0634\u0646\u0627\u0633\u064a \u0627\u0631\u0634\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0627\u0645\u0648\u0631 \u062f\u0627\u0646\u0634 \u0622\u0645\u0648\u062e\u062a\u06af\u0627\u0646 \u062a\u062d\u0635\u064a\u0644\u0627\u062a \u062a\u0643\u0645\u064a\u0644\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0627\u0645\u0648\u0631 \u062f\u0627\u0646\u0634 \u0622\u0645\u0648\u062e\u062a\u06af\u0627\u0646 \u062a\u062d\u0635\u064a\u0644\u0627\u062a \u062a\u0643\u0645\u064a\u0644\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u062e\u062f\u0645\u0627\u062a  \u0622\u0645\u0648\u0632\u0634\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u062e\u062f\u0645\u0627\u062a  \u0622\u0645\u0648\u0632\u0634\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0646\u0642\u0644  \u0648\u0627\u0646\u062a\u0642\u0627\u0644\u0627\u062a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0646\u0642\u0644  \u0648\u0627\u0646\u062a\u0642\u0627\u0644\u0627\u062a<\/option><option value='\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a' >\u0645\u062a\u0635\u062f\u064a \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631\u064a<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><option value='\u0645\u062f\u064a\u0631 \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0633\u0646\u062c\u0634 \u0622\u0645\u0648\u0632\u0634\u064a' >\u0645\u062f\u064a\u0631 \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0633\u0646\u062c\u0634 \u0622\u0645\u0648\u0632\u0634\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a' >\u0645\u062f\u064a\u0631\u0627\u0645\u0648\u0631\u0622\u0645\u0648\u0632\u0634\u064a<\/option><option value='\u0645\u062f\u064a\u0631\u062a\u062d\u0635\u064a\u0644\u0627\u062a  \u062a\u0643\u0645\u064a\u0644\u064a' >\u0645\u062f\u064a\u0631\u062a\u062d\u0635\u064a\u0644\u0627\u062a  \u062a\u0643\u0645\u064a\u0644\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u062a\u062d\u0635\u064a\u0644\u0627\u062a  \u062a\u0643\u0645\u064a\u0644\u064a' >\u0645\u0639\u0627\u0648\u0646  \u0622\u0645\u0648\u0632\u0634\u064a  \u0648\u062a\u062d\u0635\u064a\u0644\u0627\u062a  \u062a\u0643\u0645\u064a\u0644\u064a<\/option><\/select><\/div><\/li><li id='field_5_69'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_69' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_5_69' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0641\u0631\u0647\u0646\u06af\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0627\u0645\u0648\u0631\u0641\u0631\u0647\u0646\u06af\u064a<\/option><option value='\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0627\u0645\u0648\u0631 \u0641\u0631\u0647\u0646\u06af\u064a \u0648 \u0641\u0648\u0642 \u0628\u0631\u0646\u0627\u0645\u0647' >\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0627\u0645\u0648\u0631 \u0641\u0631\u0647\u0646\u06af\u064a \u0648 \u0641\u0648\u0642 \u0628\u0631\u0646\u0627\u0645\u0647<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0637\u0627\u0644\u0639\u0627\u062a\u060c \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0637\u0627\u0644\u0639\u0627\u062a\u060c \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u064a<\/option><option value='\u0645\u0639\u0627\u0648\u0646 \u0641\u0631\u0647\u0646\u06af\u064a \u0648 \u0627\u062c\u062a\u0645\u0627\u0639\u064a' >\u0645\u0639\u0627\u0648\u0646 \u0641\u0631\u0647\u0646\u06af\u064a \u0648 \u0627\u062c\u062a\u0645\u0627\u0639\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0645\u0637\u0627\u0644\u0639\u0627\u062a\u060c \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0645\u0637\u0627\u0644\u0639\u0627\u062a\u060c \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0641\u0648\u0642 \u0628\u0631\u0646\u0627\u0645\u0647' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0641\u0648\u0642 \u0628\u0631\u0646\u0627\u0645\u0647<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0641\u0631\u0647\u0646\u06af\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0645\u0633\u0626\u0648\u0644  \u0627\u0645\u0648\u0631\u0641\u0631\u0647\u0646\u06af\u064a<\/option><option value='\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0645\u0637\u0627\u0644\u0639\u0627\u062a\u060c \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u064a' >\u0631\u0626\u064a\u0633 \u0627\u062f\u0627\u0631\u0647 \u0645\u0637\u0627\u0644\u0639\u0627\u062a\u060c \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0648 \u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u064a<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0647\u0645\u0627\u0647\u0646\u06af\u064a  \u0648\u067e\u064a\u06af\u064a\u0631\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633  \u0647\u0645\u0627\u0647\u0646\u06af\u064a  \u0648\u067e\u064a\u06af\u064a\u0631\u064a  \u0627\u0645\u0648\u0631\u062f\u0641\u062a\u0631<\/option><option value='\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0645\u0637\u0627\u0644\u0639\u0627\u062a \u0648 \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0641\u0631\u0647\u0646\u06af\u064a' >\u0643\u0627\u0631\u0634\u0646\u0627\u0633 \u0645\u0633\u0626\u0648\u0644 \u0645\u0637\u0627\u0644\u0639\u0627\u062a \u0648 \u0628\u0631\u0646\u0627\u0645\u0647 \u0631\u064a\u0632\u064a \u0641\u0631\u0647\u0646\u06af\u064a<\/option><option value='\u062e\u062f\u0645\u0627\u062a' >\u062e\u062f\u0645\u0627\u062a<\/option><\/select><\/div><\/li><li id='field_5_70'  class='gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_70' >\u067e\u0633\u062a \u0633\u0627\u0632\u0645\u0627\u0646\u06cc \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_select'><select name='input_70' id='input_5_70' class='medium gfield_select'    aria-invalid=\"false\"><option value='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f' >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value='\u062d\u0631\u0627\u0633\u062a' >\u062d\u0631\u0627\u0633\u062a<\/option><\/select><\/div><\/li><li id='field_5_16'  class='gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_16' >\u0646\u0627\u0645 \u0634\u062e\u0635 \u0645\u062a\u0635\u062f\u06cc:<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_5_16' type='text' value='' class='medium'     aria-invalid=\"false\" \/><\/div><\/li><li id='field_5_50'  class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_50' >\u0639\u0644\u062a \u0645\u0631\u0627\u062c\u0639\u0647:<\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_5_50' type='text' value='' class='medium'     aria-invalid=\"false\" \/><\/div><\/li><li id='field_5_49'  class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_49' >\u0632\u0645\u0627\u0646 \u0645\u0631\u0627\u062c\u0639\u0647<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_49' id='input_5_49' type='text' value='' class='datepicker medium mdy datepicker_no_icon'   \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_49' class='gform_hidden' value='https:\/\/www.sru.ac.ir\/arzyabi\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_5_32'  class='gfield gf_list_inline gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >1- \u062f\u0641\u0639\u0627\u062a \u0645\u0631\u0627\u062c\u0639\u0647<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_32'><li class='gchoice_5_32_0'><input name='input_32' type='radio' value='\u06cc\u06a9\u0628\u0627\u0631'  id='choice_5_32_0'    \/><label for='choice_5_32_0' id='label_5_32_0'>\u06cc\u06a9\u0628\u0627\u0631<\/label><\/li><li class='gchoice_5_32_1'><input name='input_32' type='radio' value='\u062f\u0648\u0628\u0627\u0631'  id='choice_5_32_1'    \/><label for='choice_5_32_1' id='label_5_32_1'>\u062f\u0648\u0628\u0627\u0631<\/label><\/li><li class='gchoice_5_32_2'><input name='input_32' type='radio' value='\u0633\u0647 \u0628\u0627\u0631'  id='choice_5_32_2'    \/><label for='choice_5_32_2' id='label_5_32_2'>\u0633\u0647 \u0628\u0627\u0631<\/label><\/li><li class='gchoice_5_32_3'><input name='input_32' type='radio' value='\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u0633\u0647 \u0628\u0627\u0631'  id='choice_5_32_3'    \/><label for='choice_5_32_3' id='label_5_32_3'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u0633\u0647 \u0628\u0627\u0631<\/label><\/li><\/ul><\/div><\/li><li id='field_5_5'  class='gfield gf_list_inline gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >2- \u0646\u062d\u0648\u0647 \u06cc \u0645\u0631\u0627\u062c\u0639\u0647<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_5'><li class='gchoice_5_5_1'>\n\t\t\t\t\t\t\t\t<input name='input_5.1' type='checkbox'  value='\u062d\u0636\u0648\u0631\u06cc \u0627\u0635\u0627\u0644\u062a\u0627\u064b'  id='choice_5_5_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_1' id='label_5_5_1'>\u062d\u0636\u0648\u0631\u06cc \u0627\u0635\u0627\u0644\u062a\u0627\u064b<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_5_5_2'>\n\t\t\t\t\t\t\t\t<input name='input_5.2' type='checkbox'  value='\u062d\u0636\u0648\u0631\u06cc \u0648\u06a9\u0627\u0644\u062a\u0627\u064b'  id='choice_5_5_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_2' id='label_5_5_2'>\u062d\u0636\u0648\u0631\u06cc \u0648\u06a9\u0627\u0644\u062a\u0627\u064b<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_5_5_3'>\n\t\t\t\t\t\t\t\t<input name='input_5.3' type='checkbox'  value='\u062a\u0644\u0641\u0646\u06cc'  id='choice_5_5_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_3' id='label_5_5_3'>\u062a\u0644\u0641\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_5_5_4'>\n\t\t\t\t\t\t\t\t<input name='input_5.4' type='checkbox'  value='\u0633\u0627\u0645\u0627\u0646\u0647 \u0627\u06cc'  id='choice_5_5_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_4' id='label_5_5_4'>\u0633\u0627\u0645\u0627\u0646\u0647 \u0627\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_5_35'  class='gfield gf_list_inline gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >3- \u0627\u0637\u0644\u0627\u0639 \u0631\u0633\u0627\u0646\u06cc \u0628\u0631\u0627\u06cc \u0645\u0631\u0627\u062d\u0644\u060c \u0632\u0645\u0627\u0646\u060c \u0645\u062f\u062a \u0648 \u0645\u062f\u0627\u0631\u06a9<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_35'><li class='gchoice_5_35_0'><input name='input_35' type='radio' value='\u0639\u0627\u0644\u06cc'  id='choice_5_35_0'    \/><label for='choice_5_35_0' id='label_5_35_0'>\u0639\u0627\u0644\u06cc<\/label><\/li><li class='gchoice_5_35_1'><input name='input_35' type='radio' value='\u062e\u0648\u0628'  id='choice_5_35_1'    \/><label for='choice_5_35_1' id='label_5_35_1'>\u062e\u0648\u0628<\/label><\/li><li class='gchoice_5_35_2'><input name='input_35' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_5_35_2'    \/><label for='choice_5_35_2' id='label_5_35_2'>\u0645\u062a\u0648\u0633\u0637<\/label><\/li><li class='gchoice_5_35_3'><input name='input_35' type='radio' value='\u0636\u0639\u06cc\u0641'  id='choice_5_35_3'    \/><label for='choice_5_35_3' id='label_5_35_3'>\u0636\u0639\u06cc\u0641<\/label><\/li><\/ul><\/div><\/li><li id='field_5_36'  class='gfield gf_list_inline gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >4- \u062a\u0623\u0645\u06cc\u0646 \u0627\u0646\u062a\u0638\u0627\u0631\u0627\u062a \u062f\u0631 \u0627\u0632\u0627\u06cc \u0627\u0646\u062c\u0627\u0645 \u062e\u062f\u0645\u0627\u062a<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_36'><li class='gchoice_5_36_0'><input name='input_36' type='radio' value='\u0639\u0627\u0644\u06cc'  id='choice_5_36_0'    \/><label for='choice_5_36_0' id='label_5_36_0'>\u0639\u0627\u0644\u06cc<\/label><\/li><li class='gchoice_5_36_1'><input name='input_36' type='radio' value='\u062e\u0648\u0628'  id='choice_5_36_1'    \/><label for='choice_5_36_1' id='label_5_36_1'>\u062e\u0648\u0628<\/label><\/li><li class='gchoice_5_36_2'><input name='input_36' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_5_36_2'    \/><label for='choice_5_36_2' id='label_5_36_2'>\u0645\u062a\u0648\u0633\u0637<\/label><\/li><li class='gchoice_5_36_3'><input name='input_36' type='radio' value='\u0636\u0639\u06cc\u0641'  id='choice_5_36_3'    \/><label for='choice_5_36_3' id='label_5_36_3'>\u0636\u0639\u06cc\u0641<\/label><\/li><\/ul><\/div><\/li><li id='field_5_37'  class='gfield gf_list_inline gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >5- \u062a\u0639\u0627\u0645\u0644 \u0645\u062d\u062a\u0631\u0645\u0627\u0646\u0647 \u062f\u0631 \u0627\u0631\u0627\u0626\u0647 \u062e\u062f\u0645\u0627\u062a<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_37'><li class='gchoice_5_37_0'><input name='input_37' type='radio' value='\u0639\u0627\u0644\u06cc'  id='choice_5_37_0'    \/><label for='choice_5_37_0' id='label_5_37_0'>\u0639\u0627\u0644\u06cc<\/label><\/li><li class='gchoice_5_37_1'><input name='input_37' type='radio' value='\u062e\u0648\u0628'  id='choice_5_37_1'    \/><label for='choice_5_37_1' id='label_5_37_1'>\u062e\u0648\u0628<\/label><\/li><li class='gchoice_5_37_2'><input name='input_37' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_5_37_2'    \/><label for='choice_5_37_2' id='label_5_37_2'>\u0645\u062a\u0648\u0633\u0637<\/label><\/li><li class='gchoice_5_37_3'><input name='input_37' type='radio' value='\u0636\u0639\u06cc\u0641'  id='choice_5_37_3'    \/><label for='choice_5_37_3' id='label_5_37_3'>\u0636\u0639\u06cc\u0641<\/label><\/li><\/ul><\/div><\/li><li id='field_5_38'  class='gfield gf_list_inline gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >6-  \u062a\u0633\u0644\u0637 \u0648 \u0645\u0647\u0627\u0631\u062a \u06a9\u0627\u0631\u06af\u0632\u0627\u0631 \u062f\u0631 \u0627\u0631\u0627\u0626\u0647 \u062e\u062f\u0645\u062a<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_38'><li class='gchoice_5_38_0'><input name='input_38' type='radio' value='\u0639\u0627\u0644\u06cc'  id='choice_5_38_0'    \/><label for='choice_5_38_0' id='label_5_38_0'>\u0639\u0627\u0644\u06cc<\/label><\/li><li class='gchoice_5_38_1'><input name='input_38' type='radio' value='\u062e\u0648\u0628'  id='choice_5_38_1'    \/><label for='choice_5_38_1' id='label_5_38_1'>\u062e\u0648\u0628<\/label><\/li><li class='gchoice_5_38_2'><input name='input_38' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_5_38_2'    \/><label for='choice_5_38_2' id='label_5_38_2'>\u0645\u062a\u0648\u0633\u0637<\/label><\/li><li class='gchoice_5_38_3'><input name='input_38' type='radio' value='\u0636\u0639\u06cc\u0641'  id='choice_5_38_3'    \/><label for='choice_5_38_3' id='label_5_38_3'>\u0636\u0639\u06cc\u0641<\/label><\/li><\/ul><\/div><\/li><li id='field_5_39'  class='gfield gf_list_inline gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >7- \u062f\u0631 \u062f\u0633\u062a\u0631\u0633 \u0628\u0648\u062f\u0646 \u06a9\u0627\u0631\u06af\u0632\u0627\u0631 \u062d\u06cc\u0646 \u062e\u062f\u0645\u0627\u062a<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_39'><li class='gchoice_5_39_0'><input name='input_39' type='radio' value='\u0639\u0627\u0644\u06cc'  id='choice_5_39_0'    \/><label for='choice_5_39_0' id='label_5_39_0'>\u0639\u0627\u0644\u06cc<\/label><\/li><li class='gchoice_5_39_1'><input name='input_39' type='radio' value='\u062e\u0648\u0628'  id='choice_5_39_1'    \/><label for='choice_5_39_1' id='label_5_39_1'>\u062e\u0648\u0628<\/label><\/li><li class='gchoice_5_39_2'><input name='input_39' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_5_39_2'    \/><label for='choice_5_39_2' id='label_5_39_2'>\u0645\u062a\u0648\u0633\u0637<\/label><\/li><li class='gchoice_5_39_3'><input name='input_39' type='radio' value='\u0636\u0639\u06cc\u0641'  id='choice_5_39_3'    \/><label for='choice_5_39_3' id='label_5_39_3'>\u0636\u0639\u06cc\u0641<\/label><\/li><\/ul><\/div><\/li><li id='field_5_40'  class='gfield gf_list_inline gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >8- \u0633\u0631\u0639\u062a \u0639\u0645\u0644 \u06a9\u0627\u0631\u06af\u0632\u0627\u0631 \u062f\u0631 \u0627\u0631\u0627\u0626\u0647 \u062e\u062f\u0645\u0627\u062a<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_40'><li class='gchoice_5_40_0'><input name='input_40' type='radio' value='\u0639\u0627\u0644\u06cc'  id='choice_5_40_0'    \/><label for='choice_5_40_0' id='label_5_40_0'>\u0639\u0627\u0644\u06cc<\/label><\/li><li class='gchoice_5_40_1'><input name='input_40' type='radio' value='\u062e\u0648\u0628'  id='choice_5_40_1'    \/><label for='choice_5_40_1' id='label_5_40_1'>\u062e\u0648\u0628<\/label><\/li><li class='gchoice_5_40_2'><input name='input_40' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_5_40_2'    \/><label for='choice_5_40_2' id='label_5_40_2'>\u0645\u062a\u0648\u0633\u0637<\/label><\/li><li class='gchoice_5_40_3'><input name='input_40' type='radio' value='\u0636\u0639\u06cc\u0641'  id='choice_5_40_3'    \/><label for='choice_5_40_3' id='label_5_40_3'>\u0636\u0639\u06cc\u0641<\/label><\/li><\/ul><\/div><\/li><li id='field_5_41'  class='gfield gf_list_inline gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >9- \u062a\u0648\u062c\u0647 \u0648 \u062f\u0642\u062a \u06a9\u0627\u0631\u06af\u0632\u0627\u0631 \u062f\u0631 \u0627\u0631\u0627\u0626\u0647 \u062e\u062f\u0645\u0627\u062a<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_41'><li class='gchoice_5_41_0'><input name='input_41' type='radio' value='\u0639\u0627\u0644\u06cc'  id='choice_5_41_0'    \/><label for='choice_5_41_0' id='label_5_41_0'>\u0639\u0627\u0644\u06cc<\/label><\/li><li class='gchoice_5_41_1'><input name='input_41' type='radio' value='\u062e\u0648\u0628'  id='choice_5_41_1'    \/><label for='choice_5_41_1' id='label_5_41_1'>\u062e\u0648\u0628<\/label><\/li><li class='gchoice_5_41_2'><input name='input_41' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_5_41_2'    \/><label for='choice_5_41_2' id='label_5_41_2'>\u0645\u062a\u0648\u0633\u0637<\/label><\/li><li class='gchoice_5_41_3'><input name='input_41' type='radio' value='\u0636\u0639\u06cc\u0641'  id='choice_5_41_3'    \/><label for='choice_5_41_3' id='label_5_41_3'>\u0636\u0639\u06cc\u0641<\/label><\/li><\/ul><\/div><\/li><li id='field_5_42'  class='gfield gf_list_inline gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >10-  \u067e\u06cc\u06af\u06cc\u0631\u06cc \u0648 \u067e\u0627\u0633\u062e\u06af\u0648\u06cc\u06cc \u06a9\u0627\u0631\u06af\u0632\u0627\u0631 \u062f\u0631 \u0627\u0646\u062c\u0627\u0645 \u062e\u062f\u0645\u0627\u062a<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_42'><li class='gchoice_5_42_0'><input name='input_42' type='radio' value='\u0639\u0627\u0644\u06cc'  id='choice_5_42_0'    \/><label for='choice_5_42_0' id='label_5_42_0'>\u0639\u0627\u0644\u06cc<\/label><\/li><li class='gchoice_5_42_1'><input name='input_42' type='radio' value='\u062e\u0648\u0628'  id='choice_5_42_1'    \/><label for='choice_5_42_1' id='label_5_42_1'>\u062e\u0648\u0628<\/label><\/li><li class='gchoice_5_42_2'><input name='input_42' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_5_42_2'    \/><label for='choice_5_42_2' id='label_5_42_2'>\u0645\u062a\u0648\u0633\u0637<\/label><\/li><li class='gchoice_5_42_3'><input name='input_42' type='radio' value='\u0636\u0639\u06cc\u0641'  id='choice_5_42_3'    \/><label for='choice_5_42_3' id='label_5_42_3'>\u0636\u0639\u06cc\u0641<\/label><\/li><\/ul><\/div><\/li><li id='field_5_43'  class='gfield gf_list_inline gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >11- \u062a\u0623\u0645\u06cc\u0646 \u0627\u0645\u06a9\u0627\u0646\u0627\u062a \u0631\u0641\u0627\u0647\u06cc \u062d\u06cc\u0646 \u0627\u0646\u062a\u0638\u0627\u0631 \u0648 \u0645\u0631\u0627\u062c\u0639\u0647<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_43'><li class='gchoice_5_43_0'><input name='input_43' type='radio' value='\u0639\u0627\u0644\u06cc'  id='choice_5_43_0'    \/><label for='choice_5_43_0' id='label_5_43_0'>\u0639\u0627\u0644\u06cc<\/label><\/li><li class='gchoice_5_43_1'><input name='input_43' type='radio' value='\u062e\u0648\u0628'  id='choice_5_43_1'    \/><label for='choice_5_43_1' id='label_5_43_1'>\u062e\u0648\u0628<\/label><\/li><li class='gchoice_5_43_2'><input name='input_43' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_5_43_2'    \/><label for='choice_5_43_2' id='label_5_43_2'>\u0645\u062a\u0648\u0633\u0637<\/label><\/li><li class='gchoice_5_43_3'><input name='input_43' type='radio' value='\u0636\u0639\u06cc\u0641'  id='choice_5_43_3'    \/><label for='choice_5_43_3' id='label_5_43_3'>\u0636\u0639\u06cc\u0641<\/label><\/li><\/ul><\/div><\/li><li id='field_5_45'  class='gfield gf_list_inline gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >12- \u0646\u062d\u0648\u0647 \u0631\u0627\u0647\u0646\u0645\u0627\u06cc\u06cc \u062f\u0631 \u0632\u0645\u0627\u0646 \u0648\u0631\u0648\u062f \u0628\u0647 \u0633\u0627\u062e\u062a\u0645\u0627\u0646 \u0647\u0627\u06cc \u062f\u0627\u0646\u0634\u06af\u0627\u0647<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_45'><li class='gchoice_5_45_0'><input name='input_45' type='radio' value='\u0639\u0627\u0644\u06cc'  id='choice_5_45_0'    \/><label for='choice_5_45_0' id='label_5_45_0'>\u0639\u0627\u0644\u06cc<\/label><\/li><li class='gchoice_5_45_1'><input name='input_45' type='radio' value='\u062e\u0648\u0628'  id='choice_5_45_1'    \/><label for='choice_5_45_1' id='label_5_45_1'>\u062e\u0648\u0628<\/label><\/li><li class='gchoice_5_45_2'><input name='input_45' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_5_45_2'    \/><label for='choice_5_45_2' id='label_5_45_2'>\u0645\u062a\u0648\u0633\u0637<\/label><\/li><li class='gchoice_5_45_3'><input name='input_45' type='radio' value='\u0636\u0639\u06cc\u0641'  id='choice_5_45_3'    \/><label for='choice_5_45_3' id='label_5_45_3'>\u0636\u0639\u06cc\u0641<\/label><\/li><\/ul><\/div><\/li><li id='field_5_46'  class='gfield gf_list_inline gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >13- \u0646\u062d\u0648\u0647 \u0627\u0637\u0644\u0627\u0639 \u0631\u0633\u0627\u0646\u06cc \u0627\u0632 \u0645\u06cc\u0632\u0627\u0646 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