{"id":1615,"date":"2021-05-05T14:31:15","date_gmt":"2021-05-05T14:31:15","guid":{"rendered":"http:\/\/hrsg.org.uk\/?page_id=1615"},"modified":"2021-05-10T05:58:53","modified_gmt":"2021-05-10T05:58:53","slug":"volunteer-application-form","status":"publish","type":"page","link":"https:\/\/www.hrsg.org.uk\/bn_bd\/volunteer-application-form\/","title":{"rendered":"\u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995 \u0986\u09ac\u09c7\u09a6\u09a8\u09aa\u09a4\u09cd\u09b0"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1615\" class=\"elementor elementor-1615\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-1be3dbe elementor-section-boxed elementor-section-height-default 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type=\"hidden\" data-jqvalidate=\"false\" name=\"form_data_id\" data-id=\"form_data_id\" value=\"71399\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_key\" data-id=\"form_key\" value=\"kky0gy\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"is_load_js_and_css_in_all_pages\" data-id=\"is_load_js_and_css_in_all_pages\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_display_type\" data-id=\"form_display_type\" value=\"0|https:\/\/www.hrsg.org.uk\/bn_bd\/volunteer-application-form\/\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_submit_type\" data-id=\"form_submit_type\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_http_referrer_url\" data-id=\"arf_http_referrer_url\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"entry_key\" value=\"\" \/><div class=\"allfields\"  style=\"visibility:hidden;height:0;\"><div class=\"arf_fieldset arf_standard_form\" id=\"arf_fieldset_71399\"><div id=\"arf_wizard_table\" class=\"arf_wizard top\"><div class=\"arf_wizard_upper_tab\"><div style=\"width:50.000%;\" id=\"page_nav_1\" class=\"page_break_nav page_nav_selected\">\u09a7\u09be\u09aa 1<\/div><div style=\"width:50.000%; \" id=\"page_nav_2\" class=\"page_break_nav\">\u09a7\u09be\u09aa \u09e8<\/div><\/div><div class=\"arf_wizard_lower_tab\"><div style=\"width:50.000%; padding:0;\" id=\"page_nav_arrow_1\" class=\"page_break_nav page_nav_selected\"><div class=\"arf_current_tab_arrow\"><\/div><\/div><div style=\"width:50.000%;padding:0;\" id=\"page_nav_arrow_2\" class=\"page_break_nav\"><\/div><\/div><\/div><div class='arf_wizard_clear' style='clear:both; height:15px;'><\/div><div id=\"page_0\" class=\"page_break\"><input type=\"hidden\" id=\"arf_repeatable_field_counter_275\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_275\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_437_71399_container\" class=\"arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield  arf_field_437\"  style='width: 100%'  data-field-type=\"select\" data-parent_field=\"275\"><label data-type=\"select\" for=\"field_rqo3yk_71399\" class=\"arf_main_label arf_main_label_18px active\">\u09aa\u09a6\u09c7\u09b0 \u099c\u09a8\u09cd\u09af \u0986\u09ac\u09c7\u09a6\u09a8<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"sltstandard_front controls\"  ><select name=\"item_meta[437]\" data-validation-required-message=\"This field cannot be blank.\" id=\"field_rqo3yk_71399\"  class=\"select_controll_437 arf_required arf_select_controll\"style=\"width:auto;min-width:100px; \" data-size=\"15\" data-default-val=\"\"   ><option value=\"\" selected=\"selected\"  data-content=\"Please select\">\u0985\u09a8\u09c1\u0997\u09cd\u09b0\u09b9 \u0995\u09b0\u09c7 \u09a8\u09bf\u09b0\u09cd\u09ac\u09be\u099a\u09a8 \u0995\u09b0\u09c1\u09a8<\/option><option value=\"Volunteer ESOL Tutor \"  data-content=\"Volunteer ESOL Tutor \">\u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995 ESOL \u099f\u09bf\u0989\u099f\u09b0 <\/option><option value=\"Volunteer Maths Tutor\"  data-content=\"Volunteer Maths Tutor\">\u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995 \u0997\u09a3\u09bf\u09a4 \u09b6\u09bf\u0995\u09cd\u09b7\u0995<\/option><option value=\"Volunteer Web Designer\"  data-content=\"Volunteer Web Designer\">\u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995 \u0993\u09af\u09bc\u09c7\u09ac \u09a1\u09bf\u099c\u09be\u0987\u09a8\u09be\u09b0<\/option><option value=\"BHUMP Volunteer\"  data-content=\"BHUMP Volunteer\">BHUMP 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arf_main_label_18px\">\u09a0\u09bf\u0995\u09be\u09a8\u09be<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[127]\" id=\"field_ic7y9z_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_128_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_128\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"123\"><label data-type=\"email\" for=\"field_4nc36_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09aa\u09a8\u09be\u09b0 \u0987\u09ae\u09c7\u0987\u09b2 \u09a0\u09bf\u0995\u09be\u09a8\u09be<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_4nc36_71399\" name=\"item_meta[128]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  data-validation-regex-regex=\"[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\\.[A-Za-z]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_129_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_phone  top_container  top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_129\"  style='width: 48.07%'  data-field-type=\"phone\" data-parent_field=\"123\"><label data-type=\"phone\" for=\"field_fjcftb_71399\" class=\"arf_main_label arf_main_label_18px\">\u099f\u09c7\u09b2\u09bf\u09ab\u09cb\u09a8 \u09a8\u09ae\u09cd\u09ac\u09b0 (\u09ac\u09be\u09a1\u09bc\u09bf)<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_fjcftb_71399\"name=\"item_meta[129]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_122_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_phone  top_container  top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_122\"  style='width: 48.07%'  data-field-type=\"phone\" data-parent_field=\"123\"><label data-type=\"phone\" for=\"field_6rjqvd_71399\" class=\"arf_main_label arf_main_label_18px\">\u09ae\u09cb\u09ac\u09be\u0987\u09b2 \u09a8\u09ae\u09cd\u09ac\u09b0 (\u09ae\u09cb\u09ac\u09be\u0987\u09b2)<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_6rjqvd_71399\"name=\"item_meta[122]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_156_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_156\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"123\"><label data-type=\"textarea\" for=\"field_rwreh7_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09aa\u09a8\u09bf \u0995\u09cb\u09a5\u09be\u09af\u09bc \u09b9\u09bf\u09b2\u09bf\u0982\u09a1\u09a8 \u09b0\u09bf\u09ab\u09bf\u0989\u099c\u09bf \u09b8\u09be\u09aa\u09cb\u09b0\u09cd\u099f \u0997\u09cd\u09b0\u09c1\u09aa (&quot;HRSG&quot;) \u098f\u09b0 \u099c\u09a8\u09cd\u09af \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u09c0 \u0995\u09b0\u09be\u09b0 \u0995\u09a5\u09be \u09b6\u09c1\u09a8\u09c7\u099b\u09c7\u09a8?<\/label><div class=\"controls\"   ><textarea name=\"item_meta[156]\" id=\"field_rwreh7_71399\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_154\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_154\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_155_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_vertical_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_155\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"154\"><label data-type=\"checkbox\" for=\"field_uzamof_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09aa\u09a8\u09be\u09b0 \u09a6\u0995\u09cd\u09b7\u09a4\u09be \u098f\u09ac\u0982 \u0986\u0997\u09cd\u09b0\u09b9<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-0\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-0-71399\" value=\"Teaching English\"    class=\"arf_required\"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-0-71399\" >\u0987\u0982\u09b0\u09c7\u099c\u09bf \u09b6\u09c7\u0996\u09be\u09a8\u09c7\u09be<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-1\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-1-71399\" value=\"Teaching Maths\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-1-71399\" >\u0997\u09a3\u09bf\u09a4 \u09aa\u09a1\u09bc\u09be\u09a8<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-2\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-2-71399\" value=\"Teaching Life skills, budgeting, etc.\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-2-71399\" >\u099c\u09c0\u09ac\u09a8 \u09a6\u0995\u09cd\u09b7\u09a4\u09be, \u09ac\u09be\u099c\u09c7\u099f \u09b6\u09c7\u0996\u09be\u09a8\u09cb \u0987\u09a4\u09cd\u09af\u09be\u09a6\u09bf\u0964<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-3\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-3-71399\" value=\"Admin \/Clerical\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-3-71399\" >\u0985\u09cd\u09af\u09be\u09a1\u09ae\u09bf\u09a8\/\u0995\u09cd\u09b2\u09be\u09b0\u09bf\u0995\u09be\u09b2<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-4\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-4-71399\" value=\"Arts and Crafts\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-4-71399\" >\u099a\u09be\u09b0\u09c1 \u0993 \u0995\u09be\u09b0\u09c1\u09b6\u09bf\u09b2\u09cd\u09aa<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-5\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-5-71399\" value=\"Car Owner\/ Driver\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-5-71399\" >\u0997\u09be\u09a1\u09bc\u09bf\u09b0 \u09ae\u09be\u09b2\u09bf\u0995\/\u099a\u09be\u09b2\u0995<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-6\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-6-71399\" value=\"Computer Skills\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-6-71399\" >\u0995\u09ae\u09cd\u09aa\u09bf\u0989\u099f\u09be\u09b0 \u09a6\u0995\u09cd\u09b7\u09a4\u09be<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-7\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-7-71399\" value=\"Form Filling, CV writing\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-7-71399\" >\u09ab\u09b0\u09cd\u09ae \u09ab\u09bf\u09b2\u09bf\u0982, \u09b8\u09bf\u09ad\u09bf \u09b2\u09c7\u0996\u09be<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-8\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-8-71399\" value=\"Youth Work\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-8-71399\" >\u09a4\u09be\u09b0\u09c1\u09a3\u09cd\u09af\u09c7\u09b0 \u0995\u09be\u099c<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-9\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-9-71399\" value=\"Listening \/Befriending\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-9-71399\" >\u09b6\u09cb\u09a8\u09be\/\u09ac\u09a8\u09cd\u09a7\u09c1\u09a4\u09cd\u09ac \u0995\u09b0\u09be<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-10\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-10-71399\" value=\"Emotional Support\/ Counselling\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-10-71399\" >\u09ae\u09be\u09a8\u09b8\u09bf\u0995 \u09b8\u09ae\u09b0\u09cd\u09a5\u09a8\/\u0995\u09be\u0989\u09a8\u09cd\u09b8\u09c7\u09b2\u09bf\u0982<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_155-11\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[155][]\" data-type=\"checkbox\" id=\"field_155-11-71399\" value=\"Other \u2013 Please Specify below\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(71399,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-11-71399\" >\u0985\u09a8\u09cd\u09af\u09be\u09a8\u09cd\u09af - \u09a8\u09c0\u099a\u09c7 \u0989\u09b2\u09cd\u09b2\u09c7\u0996 \u0995\u09b0\u09c1\u09a8<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_152_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_152\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"154\"><label data-type=\"textarea\" for=\"field_z9sxh7_71399\" class=\"arf_main_label arf_main_label_18px\">\u0985\u09a8\u09cd\u09af\u09be\u09a8\u09cd\u09af<\/label><div class=\"controls\"   ><textarea name=\"item_meta[152]\" id=\"field_z9sxh7_71399\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_153\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_153\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >\u09af\u09be\u09a4\u09c7 \u0986\u09ae\u09b0\u09be \u0986\u09aa\u09a8\u09be\u09b0 \u09a6\u0995\u09cd\u09b7\u09a4\u09be \u098f\u09ac\u0982 \u0995\u09cd\u09b7\u09ae\u09a4\u09be\u0995\u09c7 \u09b8\u09b0\u09cd\u09ac\u09cb\u09a4\u09cd\u09a4\u09ae\u09ad\u09be\u09ac\u09c7 \u09ac\u09cd\u09af\u09ac\u09b9\u09be\u09b0 \u0995\u09b0\u09a4\u09c7 \u09aa\u09be\u09b0\u09bf, \u0985\u09a8\u09c1\u0997\u09cd\u09b0\u09b9 \u0995\u09b0\u09c7 \u09a8\u09c0\u099a\u09c7\u09b0 \u09ab\u09b0\u09cd\u09ae\u099f\u09bf \u09aa\u09c2\u09b0\u09a3 \u0995\u09b0\u09c1\u09a8\u09f7<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_151_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_151\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_pwtjw3_71399\" class=\"arf_main_label arf_main_label_18px\">\u098f\u0995\u099f\u09bf \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995 \u09b9\u09bf\u09b8\u09be\u09ac\u09c7 \u0985\u09ad\u09bf\u099c\u09cd\u099e\u09a4\u09be<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[151]\" id=\"field_pwtjw3_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_145_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_145\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_ejagh_71399\" class=\"arf_main_label arf_main_label_18px\">\u0995\u09cb\u09b0\u09cd\u09b8 \u09ac\u09be \u09aa\u09cd\u09b0\u09b6\u09bf\u0995\u09cd\u09b7\u09a3 (\u09af\u09a6\u09bf \u09aa\u09cd\u09b0\u09be\u09b8\u0999\u09cd\u0997\u09bf\u0995 \u09b9\u09af\u09bc)<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[145]\" id=\"field_ejagh_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_146_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_146\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_f47j72_71399\" class=\"arf_main_label arf_main_label_18px\">\u09b6\u0996 \u0993 \u0986\u0997\u09cd\u09b0\u09b9<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[146]\" id=\"field_f47j72_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_147_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_147\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_ixc2ae_71399\" class=\"arf_main_label arf_main_label_18px\">\u0995\u09c7\u09a8 \u0986\u09aa\u09a8\u09bf \u09b9\u09bf\u09b2\u09bf\u0982\u09a1\u09a8 \u09b0\u09bf\u09ab\u09bf\u0989\u099c\u09bf \u09b8\u09be\u09aa\u09cb\u09b0\u09cd\u099f \u0997\u09cd\u09b0\u09c1\u09aa\u09c7\u09b0 \u09b8\u09be\u09a5\u09c7 \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995 \u09b9\u09a4\u09c7 \u099a\u09be\u09a8?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[147]\" id=\"field_ixc2ae_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_148_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_148\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_7z7onk_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09aa\u09a8\u09be\u09b0 \u0995\u09cb\u09a8 \u0985\u09ad\u09bf\u099c\u09cd\u099e\u09a4\u09be \u09b9\u09af\u09bc\u09c7\u099b\u09c7 \u09af\u09be \u0986\u09aa\u09a8\u09be\u0995\u09c7 \u09b8\u09be\u09b9\u09be\u09af\u09cd\u09af\u09b9\u09c0\u09a8 \u09b6\u09b0\u09a3\u09be\u09b0\u09cd\u09a5\u09c0 \u098f\u09ac\u0982 \u0986\u09b6\u09cd\u09b0\u09af\u09bc\u09aa\u09cd\u09b0\u09be\u09b0\u09cd\u09a5\u09c0\u09a6\u09c7\u09b0 \u0995\u09cd\u09b7\u09c7\u09a4\u09cd\u09b0\u09c7 \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995 \u09b9\u09bf\u09b8\u09be\u09ac\u09c7 \u0995\u09be\u099c \u0995\u09b0\u09a4\u09c7 \u09aa\u09cd\u09b0\u09b8\u09cd\u09a4\u09c1\u09a4 \u0995\u09b0\u09a4\u09c7 \u09aa\u09be\u09b0\u09c7?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[148]\" id=\"field_7z7onk_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_149_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_149\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_fdif7h_71399\" class=\"arf_main_label arf_main_label_18px\">\u0995\u09c7\u09a8 \u0986\u09aa\u09a8\u09bf \u09b8\u0999\u09cd\u0997\u09c0\u09b9\u09c0\u09a8 \u09a4\u09b0\u09c1\u09a3 \u0989\u09a6\u09cd\u09ac\u09be\u09b8\u09cd\u09a4\u09c1 \u098f\u09ac\u0982 \u0986\u09b6\u09cd\u09b0\u09af\u09bc\u09aa\u09cd\u09b0\u09be\u09b0\u09cd\u09a5\u09c0\u09a6\u09c7\u09b0 \u09b8\u09be\u09a5\u09c7 \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995 \u09b9\u09a4\u09c7 \u099a\u09be\u09a8?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[149]\" id=\"field_fdif7h_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_150_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_150\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_rb8ibo_71399\" class=\"arf_main_label arf_main_label_18px\">\u0995\u09c7\u09a8 \u0986\u09aa\u09a8\u09bf \u09b8\u0999\u09cd\u0997\u09c0\u09b9\u09c0\u09a8 \u09a4\u09b0\u09c1\u09a3 \u0989\u09a6\u09cd\u09ac\u09be\u09b8\u09cd\u09a4\u09c1 \u098f\u09ac\u0982 \u0986\u09b6\u09cd\u09b0\u09af\u09bc\u09aa\u09cd\u09b0\u09be\u09b0\u09cd\u09a5\u09c0\u09a6\u09c7\u09b0 \u09b8\u09be\u09a5\u09c7 \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995 \u09b9\u09a4\u09c7 \u099a\u09be\u09a8?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[150]\" id=\"field_rb8ibo_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_144_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_144\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_q4spma_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09aa\u09a8\u09bf \u098f\u0987 \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995 \u0985\u09ad\u09bf\u099c\u09cd\u099e\u09a4\u09be \u09a5\u09c7\u0995\u09c7 \u0995\u09bf \u09b2\u09be\u09ad \u0995\u09b0\u09a4\u09c7 \u099a\u09be\u09a8?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[144]\" id=\"field_q4spma_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_143_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_143\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_q97km2_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09aa\u09a8\u09be\u09b0 \u0995\u09bf \u0995\u09cb\u09a8 \u09ab\u09cc\u099c\u09a6\u09be\u09b0\u09bf \u09a6\u09cb\u09b7\u09c0 \u09b8\u09be\u09ac\u09cd\u09af\u09b8\u09cd\u09a4 \u09b9\u09af\u09bc\u09c7\u099b\u09c7 (\u099b\u09cb\u099f \u09a1\u09cd\u09b0\u09be\u0987\u09ad\u09bf\u0982 \u0985\u09aa\u09b0\u09be\u09a7 \u09ac\u09cd\u09af\u09a4\u09c0\u09a4)? \u09b9\u09cd\u09af\u09be\u0981\/\u09a8\u09be \u09af\u09a6\u09bf \u09b9\u09cd\u09af\u09be\u0981, \u0985\u09a8\u09c1\u0997\u09cd\u09b0\u09b9 \u0995\u09b0\u09c7 \u09aa\u09cd\u09b0\u09a4\u09cd\u09af\u09af\u09bc\u09c7\u09b0 \u09a4\u09be\u09b0\u09bf\u0996 \u098f\u09ac\u0982 \u09aa\u09cd\u09b0\u0995\u09c3\u09a4\u09bf \u0989\u09b2\u09cd\u09b2\u09c7\u0996 \u0995\u09b0\u09c1\u09a8<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[143]\" id=\"field_q97km2_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_142_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_142\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_8z5iuc_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09aa\u09a8\u09bf \u09aa\u09cd\u09b0\u09a4\u09bf \u09b8\u09aa\u09cd\u09a4\u09be\u09b9\u09c7 \u0986\u09a8\u09c1\u09ae\u09be\u09a8\u09bf\u0995 \u0995\u09a4 \u09b8\u09ae\u09af\u09bc \u09a6\u09bf\u09a4\u09c7 \u099a\u09be\u09a8?<br>\u0985\u09a8\u09c1\u0997\u09cd\u09b0\u09b9 \u0995\u09b0\u09c7 \u09a8\u09bf\u09b0\u09cd\u09a6\u09bf\u09b7\u09cd\u099f \u09a6\u09bf\u09a8 \u09ac\u09be \u09b8\u09ae\u09af\u09bc \u09a8\u09bf\u09b0\u09cd\u09a6\u09c7\u09b6 \u0995\u09b0\u09c1\u09a8<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[142]\" id=\"field_8z5iuc_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_141_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_141\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"153\"><label data-type=\"textarea\" for=\"field_wegj6g_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09aa\u09a8\u09be\u09b0 \u0995\u09cb\u09a8 \u09ac\u09bf\u09b6\u09c7\u09b7 \u09aa\u09cd\u09b0\u09af\u09bc\u09cb\u099c\u09a8\u09c0\u09af\u09bc\u09a4\u09be \u0986\u099b\u09c7 \u09af\u09be \u0986\u09ae\u09be\u09a6\u09c7\u09b0 \u09b8\u099a\u09c7\u09a4\u09a8 \u09b9\u0993\u09af\u09bc\u09be \u09a6\u09b0\u0995\u09be\u09b0?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[141]\" id=\"field_wegj6g_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_140\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_140\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >\u0985\u09a8\u09c1\u0997\u09cd\u09b0\u09b9 \u0995\u09b0\u09c7 \u09a6\u09c1\u099f\u09bf \u09b8\u09cd\u09ac\u09be\u09a7\u09c0\u09a8 \u09b0\u09c7\u09ab\u09be\u09b0\u09bf \u09a6\u09bf\u09a8 \u09af\u09be\u09b0\u09be \u098f\u0995\u099f\u09bf \u099a\u09b0\u09bf\u09a4\u09cd\u09b0\u09c7\u09b0 \u09b0\u09c7\u09ab\u09be\u09b0\u09c7\u09a8\u09cd\u09b8 \u09b8\u09b0\u09ac\u09b0\u09be\u09b9 \u0995\u09b0\u09a4\u09c7 \u0987\u099a\u09cd\u099b\u09c1\u0995 \u09b9\u09ac\u09c7 (\u098f\u09b0\u09be \u0985\u09ac\u09b6\u09cd\u09af\u0987 \u09aa\u09b0\u09bf\u09ac\u09be\u09b0\u09c7\u09b0 \u09b8\u09a6\u09b8\u09cd\u09af \u09b9\u09ac\u09c7\u09a8 \u09a8\u09be)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_135_71399_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_135\" data-field-type=\"html\" data-parent_field=\"140\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p>\u09b0\u09c7\u09ab\u09be\u09b0\u09bf \u09e7<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_136_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_136\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"140\" ><label data-type=\"text\" for=\"field_wn09xg_71399\" class=\"arf_main_label arf_main_label_18px\">\u09a8\u09be\u09ae<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_wn09xg_71399\"  name=\"item_meta[136]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_137_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_137\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"140\"><label data-type=\"textarea\" for=\"field_skcmgo_71399\" class=\"arf_main_label arf_main_label_18px\">\u09a0\u09bf\u0995\u09be\u09a8\u09be<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[137]\" id=\"field_skcmgo_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_138_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_138\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"140\"><label data-type=\"email\" for=\"field_5pwrrr_71399\" class=\"arf_main_label arf_main_label_18px\">\u0987\u09ae\u09c7\u0987\u09b2 \u09a0\u09bf\u0995\u09be\u09a8\u09be<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_5pwrrr_71399\" name=\"item_meta[138]\"  data-validation-regex-regex=\"[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\\.[A-Za-z]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_139_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_phone  top_container  top_container arfformfield   arf_inline_field_value  arf_field_139\"  style='width: 100%'  data-field-type=\"phone\" data-parent_field=\"140\"><label data-type=\"phone\" for=\"field_ekev7s_71399\" class=\"arf_main_label arf_main_label_18px\">\u099f\u09c7\u09b2\u09bf\u09ab\u09cb\u09a8 \u09a8\u09be\u09ae\u09cd\u09ac\u09be\u09b0<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_ekev7s_71399\"name=\"item_meta[139]\" class=\"arf_required\"data-validation-required-message=\"This field cannot be blank.\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_133_71399_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_133\" data-field-type=\"html\" data-parent_field=\"140\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p>\u09b0\u09c7\u09ab\u09be\u09b0\u09bf 2<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_134_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_134\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"140\" ><label data-type=\"text\" for=\"field_tbciaj_71399\" class=\"arf_main_label arf_main_label_18px\">\u09a8\u09be\u09ae<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_tbciaj_71399\"  name=\"item_meta[134]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_132_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_132\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"140\"><label data-type=\"textarea\" for=\"field_twzrlu_71399\" class=\"arf_main_label arf_main_label_18px\">\u09a0\u09bf\u0995\u09be\u09a8\u09be<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[132]\" id=\"field_twzrlu_71399\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_131_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_131\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"140\"><label data-type=\"email\" for=\"field_2ub2ae_71399\" class=\"arf_main_label arf_main_label_18px\">\u0987\u09ae\u09c7\u0987\u09b2 \u09a0\u09bf\u0995\u09be\u09a8\u09be<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_2ub2ae_71399\" name=\"item_meta[131]\"  data-validation-regex-regex=\"[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\\.[A-Za-z]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_130_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_phone  top_container  top_container arfformfield   arf_inline_field_value  arf_field_130\"  style='width: 100%'  data-field-type=\"phone\" data-parent_field=\"140\"><label data-type=\"phone\" for=\"field_ef28kz_71399\" class=\"arf_main_label arf_main_label_18px\">\u099f\u09c7\u09b2\u09bf\u09ab\u09cb\u09a8 \u09a8\u09be\u09ae\u09cd\u09ac\u09be\u09b0<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_ef28kz_71399\"name=\"item_meta[130]\" class=\"arf_required\"data-validation-required-message=\"This field cannot be blank.\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div top_container\" id=\"arf_submit_div_0\" ><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"\u09aa\u09b0\u09ac\u09b0\u09cd\u09a4\u09c0\" \/><\/div><div id=\"page_1\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_250\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_250\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_251_71399_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_251\" data-field-type=\"html\" data-parent_field=\"250\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p class=\"center\"><b>\u0997\u09cb\u09aa\u09a8\u09c0\u09af\u09bc<\/b><\/p><br>\n\n<p><b>\u09aa\u09cd\u09b0\u09be\u0995\u09cd\u09a4\u09a8 \u0985\u09aa\u09b0\u09be\u09a7\u09c0\u09a6\u09c7\u09b0 \u09a8\u09bf\u09af\u09bc\u09cb\u0997<\/b> - \u09b9\u09bf\u09b2\u09bf\u0982\u09a1\u09a8 \u09b0\u09bf\u09ab\u09bf\u0989\u099c\u09bf \u09b8\u09be\u09aa\u09cb\u09b0\u09cd\u099f \u0997\u09cd\u09b0\u09c1\u09aa\u09c7\u09b0 \u09ac\u09c7\u09b6\u09bf\u09b0\u09ad\u09be\u0997 \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u09c0 \u09b8\u09c1\u09af\u09cb\u0997\u0997\u09c1\u09b2\u09bf \u09a6\u09c1\u09b0\u09cd\u09ac\u09b2 \u09a4\u09b0\u09c1\u09a3\u09a6\u09c7\u09b0 \u09b8\u09be\u09a5\u09c7 \u09b8\u09b0\u09be\u09b8\u09b0\u09bf \u09af\u09cb\u0997\u09be\u09af\u09cb\u0997\u09c7\u09b0 \u09b8\u09be\u09a5\u09c7 \u099c\u09a1\u09bc\u09bf\u09a4\u0964 \u09af\u09c7\u09ae\u09a8, \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995\u09c7\u09b0 \u099c\u09a8\u09cd\u09af \u0986\u09ac\u09c7\u09a6\u09a8\u0997\u09c1\u09b2\u09bf \u0985\u09aa\u09b0\u09be\u09a7\u09c0\u09a6\u09c7\u09b0 \u09aa\u09c1\u09a8\u09b0\u09cd\u09ac\u09be\u09b8\u09a8 \u0986\u0987\u09a8 1974 \u09a5\u09c7\u0995\u09c7 \u0985\u09ac\u09cd\u09af\u09be\u09b9\u09a4\u09bf\u09aa\u09cd\u09b0\u09be\u09aa\u09cd\u09a4\u0964 \u098f\u09b0 \u0985\u09b0\u09cd\u09a5 \u09b9\u09b2 \u09b8\u09ae\u09cd\u09ad\u09be\u09ac\u09cd\u09af \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u0995\u09a6\u09c7\u09b0 \u09a4\u09be\u09a6\u09c7\u09b0 \u09b8\u09ae\u09cd\u09aa\u09c2\u09b0\u09cd\u09a3 \u0985\u09aa\u09b0\u09be\u09a7\u09ae\u09c2\u09b2\u0995 \u09b0\u09c7\u0995\u09b0\u09cd\u09a1 \u0998\u09cb\u09b7\u09a3\u09be \u0995\u09b0\u09a4\u09c7 \u09b9\u09ac\u09c7, \u09af\u09be\u09b0 \u09ae\u09a7\u09cd\u09af\u09c7 \u09b8\u09a4\u09b0\u09cd\u0995\u09a4\u09be, \u09a4\u09bf\u09b0\u09b8\u09cd\u0995\u09be\u09b0, \u099a\u09c2\u09a1\u09bc\u09be\u09a8\u09cd\u09a4 \u09b8\u09a4\u09b0\u09cd\u0995\u09a4\u09be \u098f\u09ac\u0982 \u0985\u09aa\u09b0\u09be\u09a7\u09ae\u09c2\u09b2\u0995 \u09b6\u09be\u09b8\u09cd\u09a4\u09bf \u0989\u09aa\u09b0\u09cb\u0995\u09cd\u09a4 \u0986\u0987\u09a8\u09c7\u09b0 \u0985\u09a7\u09c0\u09a8\u09c7 &#039;\u09ac\u09cd\u09af\u09af\u09bc&#039; \u09b9\u09bf\u09b8\u09be\u09ac\u09c7 \u09b6\u09cd\u09b0\u09c7\u09a3\u09c0\u09ac\u09a6\u09cd\u09a7 \u0995\u09b0\u09be \u09b9\u09af\u09bc\u09c7\u099b\u09c7\u0964 \u0985\u09a8\u09c1\u0997\u09cd\u09b0\u09b9 \u0995\u09b0\u09c7 \u098f\u0987 \u09ac\u09bf\u09ad\u09be\u0997\u099f\u09bf \u09b8\u09ae\u09cd\u09aa\u09c2\u09b0\u09cd\u09a3 \u0995\u09b0\u09c1\u09a8 \u098f\u09ac\u0982 \u09b8\u09cd\u09ac\u09be\u0995\u09cd\u09b7\u09b0 \u0995\u09b0\u09c1\u09a8\u0964 \u09aa\u09cd\u09b0\u09a6\u09a4\u09cd\u09a4 \u09a4\u09a5\u09cd\u09af \u0997\u09cb\u09aa\u09a8 \u09b0\u09be\u0996\u09be \u09b9\u09ac\u09c7\u0964 \u098f\u099f\u09bf \u09b6\u09c1\u09a7\u09c1\u09ae\u09be\u09a4\u09cd\u09b0 \u09a8\u09bf\u09b0\u09cd\u09a6\u09bf\u09b7\u09cd\u099f HRSG \u0995\u09b0\u09cd\u09ae\u09c0\u09a6\u09c7\u09b0 \u0995\u09be\u099b\u09c7 \u09aa\u09cd\u09b0\u0995\u09be\u09b6 \u0995\u09b0\u09be \u09b9\u09ac\u09c7 \u09af\u09a6\u09bf\/\u09af\u0996\u09a8 \u09a4\u09be\u09b0\u09be \u0986\u09aa\u09a8\u09be\u0995\u09c7 \u09a8\u09bf\u09b0\u09cd\u09a6\u09bf\u09b7\u09cd\u099f \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u09c0 \u09b8\u09c1\u09af\u09cb\u0997\u09c7\u09b0 \u099c\u09a8\u09cd\u09af \u09ac\u09bf\u09ac\u09c7\u099a\u09a8\u09be \u0995\u09b0\u09c7 (\u09af\u09c7\u0996\u09be\u09a8\u09c7 \u0986\u09aa\u09a8\u09bf \u09b8\u09ae\u09cd\u09ad\u09be\u09ac\u09cd\u09af \u09a6\u09c1\u09b0\u09cd\u09ac\u09b2 \u09af\u09c1\u09ac\u0995\u09a6\u09c7\u09b0 \u09b8\u0982\u09b8\u09cd\u09aa\u09b0\u09cd\u09b6\u09c7 \u0986\u09b8\u09a4\u09c7 \u09aa\u09be\u09b0\u09c7\u09a8)\u0964\n\n<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_252_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_vertical_radio  arffieldrequired arf_field_type_radio   top_container  top_container arfformfield  arf_field_252\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"250\"><label data-type=\"radio\" for=\"field_g5aewe_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09aa\u09a8\u09bf \u0995\u09bf \u0995\u0996\u09a8\u0993 \u0986\u09a6\u09be\u09b2\u09a4\u09c7 \u09a6\u09cb\u09b7\u09c0 \u09b8\u09be\u09ac\u09cd\u09af\u09b8\u09cd\u09a4 \u09b9\u09af\u09bc\u09c7\u099b\u09c7\u09a8 \u09ac\u09be \u0995\u09cb\u09a8\u09cb \u0985\u09aa\u09b0\u09be\u09a7\u09c7\u09b0 \u099c\u09a8\u09cd\u09af \u09aa\u09c1\u09b2\u09bf\u09b6 \u0986\u09aa\u09a8\u09be\u0995\u09c7 \u09b8\u09a4\u09b0\u09cd\u0995 \u0995\u09b0\u09c7\u099b\u09c7\u09a8?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[252]\" data-type=\"radio\" id=\"field_252-0-71399\" data-unique-id=\"71399\" value=\"Yes\"   class=\"arf_required\" data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_252-0-71399\" class=\"\">\u09b9\u09cd\u09af\u09be\u0981<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[252]\" data-type=\"radio\" id=\"field_252-1-71399\" data-unique-id=\"71399\" value=\"No\"   class=\"arf_required\" style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_252-1-71399\" class=\"\">\u09a8\u09be<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_253_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_253\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"250\"><label data-type=\"textarea\" for=\"field_t8gg6c_71399\" class=\"arf_main_label arf_main_label_18px\">\u09af\u09a6\u09bf \u09b9\u09cd\u09af\u09be\u0981, \u0985\u09a8\u09c1\u0997\u09cd\u09b0\u09b9 \u0995\u09b0\u09c7 \u09ac\u09bf\u09ac\u09b0\u09a3 \u09a6\u09bf\u09a8, \u09a4\u09be\u09b0\u09bf\u0996(\u0997\u09c1\u09b2\u09bf) \u098f\u09ac\u0982 \u0985\u09aa\u09b0\u09be\u09a7(\u0997\u09c1\u09b2\u09bf) \u098f\u09b0 \u09aa\u09cd\u09b0\u0995\u09c3\u09a4\u09bf \u09b8\u09b9\u09f7<\/label><div class=\"controls\"   ><textarea name=\"item_meta[253]\" id=\"field_t8gg6c_71399\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_254_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_254\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"250\"><label data-type=\"checkbox\" for=\"field_rpr5n5_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09ae\u09bf \u0998\u09cb\u09b7\u09a3\u09be \u0995\u09b0\u099b\u09bf \u0989\u09aa\u09b0\u09c7\u09b0 \u09a4\u09a5\u09cd\u09af \u09b8\u09a0\u09bf\u0995<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style\" id=\"frm_checkbox_254-0\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[254][]\" data-type=\"checkbox\" id=\"field_254-0-71399\" value=\"Yes\"    class=\"arf_required\"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_254-0-71399\" ><\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_255_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_255\"  style='width: 48.07%' data-field-type=\"text\" data-parent_field=\"250\" ><label data-type=\"text\" for=\"field_4un1il_71399\" class=\"arf_main_label arf_main_label_18px\">\u09aa\u09c1\u09b0\u09cb \u09a8\u09be\u09ae<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_4un1il_71399\"  name=\"item_meta[255]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_256_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_date  top_container  top_container arfformfield frm_last_half arf_field_256\"  style='width: 48.07%'  data-field-type=\"date\" data-parent_field=\"250\"><label data-type=\"date\" for=\"field_e9oojr_71399\" class=\"arf_main_label arf_main_label_18px\">\u09a4\u09be\u09b0\u09bf\u0996<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls arf_date_main_controls\"   ><input type=\"text\" data-date-format=\"MMM D, YYYY\" data-start-date=\"01\/01\/1950 00:00 AM\" data-cl-format=\"YYYY-MM-DD\" data-date-new-format=\"MM\/DD\/YYYY\" data-end-date=\"12\/31\/2050 11:59 PM\" data-default-date=\"\" id=\"field_e9oojr_71399\"    class=\"arf_required frm_date\" data-name='item_meta[256]' data-format='MMM D, YYYY' data-field-options=\"{&quot;required&quot;:&quot;1&quot;,&quot;required_indicator&quot;:&quot;*&quot;,&quot;blank&quot;:&quot;This field cannot be blank.&quot;,&quot;field_width&quot;:&quot;&quot;,&quot;locale&quot;:&quot;en&quot;,&quot;currentdefaultdate&quot;:&quot;&quot;,&quot;name&quot;:&quot;Date&quot;,&quot;default_value&quot;:&quot;&quot;,&quot;description&quot;:&quot;&quot;,&quot;placeholdertext&quot;:&quot;&quot;,&quot;show_time_calendar&quot;:&quot;&quot;,&quot;frm_show_time_calendar_field_indicator&quot;:&quot;&quot;,&quot;clock&quot;:&quot;12&quot;,&quot;step&quot;:&quot;30&quot;,&quot;off_days&quot;:&quot;&quot;,&quot;start_date&quot;:&quot;&quot;,&quot;end_date&quot;:&quot;&quot;,&quot;arf_show_min_current_date&quot;:&quot;0&quot;,&quot;arf_show_max_current_date&quot;:&quot;0&quot;,&quot;arf_tooltip&quot;:&quot;&quot;,&quot;frm_arf_tooltip_field_indicator&quot;:&quot;&quot;,&quot;tooltip_text&quot;:&quot;&quot;,&quot;enable_arf_prefix&quot;:&quot;&quot;,&quot;arf_prefix_icon&quot;:&quot;&quot;,&quot;enable_arf_suffix&quot;:&quot;&quot;,&quot;arf_suffix_icon&quot;:&quot;&quot;,&quot;classes&quot;:&quot;arf_2&quot;,&quot;inner_class&quot;:&quot;arf_2col&quot;,&quot;key&quot;:&quot;e9oojr&quot;,&quot;selectdefaultdate&quot;:&quot;&quot;,&quot;arfnewdateformat&quot;:&quot;&quot;,&quot;css_outer_wrapper&quot;:&quot;&quot;,&quot;css_label&quot;:&quot;&quot;,&quot;css_input_element&quot;:&quot;&quot;,&quot;css_description&quot;:&quot;&quot;,&quot;css_add_icon&quot;:&quot;&quot;,&quot;type&quot;:&quot;date&quot;,&quot;arf_enable_readonly&quot;:&quot;0&quot;,&quot;has_parent&quot;:&quot;1&quot;,&quot;parent_field&quot;:&quot;250&quot;,&quot;parent_field_type&quot;:&quot;section&quot;,&quot;image_position_from&quot;:&quot;top_left&quot;,&quot;clear_on_focus&quot;:&quot;0&quot;,&quot;default_blank&quot;:&quot;0&quot;}\" data-validation-required-message=\"This field cannot be blank.\" \/><input type=\"hidden\" name=\"item_meta[256]\" id=\"field_e9oojr_71399_formatted\" \/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_259\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_259\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >\u09a8\u09bf\u09af\u09bc\u09cb\u0997 \u09ae\u09a8\u09bf\u099f\u09b0\u09bf\u0982 \u09ab\u09b0\u09cd\u09ae (\u0997\u09cb\u09aa\u09a8\u09c0\u09af\u09bc)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_260_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_260\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"259\"><label data-type=\"checkbox\" for=\"field_f3iylw_71399\" class=\"arf_main_label arf_main_label_18px\">\u09a8\u09bf\u09b0\u09c0\u0995\u09cd\u09b7\u09a3\u09c7\u09b0 \u0989\u09a6\u09cd\u09a6\u09c7\u09b6\u09cd\u09af\u09c7, \u0985\u09a8\u09c1\u0997\u09cd\u09b0\u09b9 \u0995\u09b0\u09c7 \u09b8\u0982\u09af\u09c1\u0995\u09cd\u09a4 \u09b8\u09ae\u09be\u09a8 \u09b8\u09c1\u09af\u09cb\u0997\u0997\u09c1\u09b2\u09bf \u09b8\u09ae\u09cd\u09aa\u09c2\u09b0\u09cd\u09a3 \u0995\u09b0\u09c1\u09a8\u09f7 \u09a1\u09c7\u099f\u09be \u09b8\u09c1\u09b0\u0995\u09cd\u09b7\u09be \u0986\u0987\u09a8 1998 \u0985\u09a8\u09c1\u09b8\u09be\u09b0\u09c7, \u0986\u09ae\u09bf \u09b8\u09ae\u09cd\u09ae\u09a4 \u09af\u09c7 HRSG \u09b8\u09cd\u09ac\u09c7\u099a\u09cd\u099b\u09be\u09b8\u09c7\u09ac\u09c0 \u0995\u09be\u09b0\u09a3\u09c7 \u098f\u09ac\u0982 \u0986\u09ae\u09be\u09b0 \u09b8\u09be\u09a5\u09c7 \u09af\u09cb\u0997\u09be\u09af\u09cb\u0997 \u09b0\u09be\u0996\u09be\u09b0 \u099c\u09a8\u09cd\u09af \u0986\u09ae\u09be\u09b0 \u09b8\u09ae\u09cd\u09aa\u09b0\u09cd\u0995\u09c7 \u09ac\u09cd\u09af\u0995\u09cd\u09a4\u09bf\u0997\u09a4 \u09a4\u09a5\u09cd\u09af \u09a7\u09be\u09b0\u09a3 \u098f\u09ac\u0982 \u09ac\u09cd\u09af\u09ac\u09b9\u09be\u09b0 \u0995\u09b0\u09a4\u09c7 \u09aa\u09be\u09b0\u09c7\u0964 \u098f\u0987 \u0985\u09cd\u09af\u09be\u09aa\u09cd\u09b2\u09bf\u0995\u09c7\u09b6\u09a8\u099f\u09bf\u09a4\u09c7 \u09a5\u09be\u0995\u09be \u09a4\u09a5\u09cd\u09af \u09b8\u09b9 \u098f\u0987 \u09a4\u09a5\u09cd\u09af\u099f\u09bf \u09ae\u09cd\u09af\u09be\u09a8\u09c1\u09af\u09bc\u09be\u09b2 \u098f\u09ac\u0982 \u0995\u09ae\u09cd\u09aa\u09bf\u0989\u099f\u09be\u09b0 \u0989\u09ad\u09af\u09bc \u09ab\u09be\u0987\u09b2\u09c7\u0987 \u09b8\u0982\u09b0\u0995\u09cd\u09b7\u09a3 \u0995\u09b0\u09be \u09af\u09c7\u09a4\u09c7 \u09aa\u09be\u09b0\u09c7\u0964 \u0986\u09ae\u09bf \u09a8\u09bf\u09b6\u09cd\u099a\u09bf\u09a4 \u0995\u09b0\u099b\u09bf \u09af\u09c7 \u098f\u0987 \u09ab\u09b0\u09cd\u09ae\u09c7\u09b0 \u09a4\u09a5\u09cd\u09af \u09b8\u09a0\u09bf\u0995\u0964 \u0986\u09ae\u09bf \u09ac\u09c1\u099d\u09bf \u09af\u09c7 HRSG-\u098f\u09b0 \u09b8\u09be\u09a5\u09c7 \u0986\u09ae\u09be\u09b0 \u09ad\u09c2\u09ae\u09bf\u0995\u09be\u09b0 \u09b8\u09be\u09a5\u09c7 \u099c\u09a1\u09bc\u09bf\u09a4 \u0995\u09bf\u099b\u09c1 \u0995\u09be\u099c \u09b8\u0982\u09ac\u09c7\u09a6\u09a8\u09b6\u09c0\u09b2 \u09aa\u09cd\u09b0\u0995\u09c3\u09a4\u09bf\u09b0 \u09b9\u09a4\u09c7 \u09aa\u09be\u09b0\u09c7 \u098f\u09ac\u0982 \u0986\u09ae\u09bf \u09b8\u09b0\u09cd\u09ac\u09a6\u09be \u0997\u09cb\u09aa\u09a8\u09c0\u09af\u09bc\u09a4\u09be \u09ac\u099c\u09be\u09af\u09bc \u09b0\u09be\u0996\u09a4\u09c7 \u09b8\u09ae\u09cd\u09ae\u09a4\u0964<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style\" id=\"frm_checkbox_260-0\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[260][]\" data-type=\"checkbox\" id=\"field_260-0-71399\" value=\"Yes\"    class=\"arf_required\"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_260-0-71399\" ><\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_261_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_261\"  style='width: 48.07%' data-field-type=\"text\" data-parent_field=\"259\" ><label data-type=\"text\" for=\"field_s9jh8i_71399\" class=\"arf_main_label arf_main_label_18px\">\u09aa\u09c1\u09b0\u09cb \u09a8\u09be\u09ae<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_s9jh8i_71399\"  name=\"item_meta[261]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_262_71399_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_date  top_container  top_container arfformfield frm_last_half arf_field_262\"  style='width: 48.07%'  data-field-type=\"date\" data-parent_field=\"259\"><label data-type=\"date\" for=\"field_dsqbqc_71399\" class=\"arf_main_label arf_main_label_18px\">\u09a4\u09be\u09b0\u09bf\u0996<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls arf_date_main_controls\"   ><input type=\"text\" data-date-format=\"MMM D, YYYY\" data-start-date=\"01\/01\/1950 00:00 AM\" data-cl-format=\"YYYY-MM-DD\" data-date-new-format=\"MM\/DD\/YYYY\" data-end-date=\"12\/31\/2050 11:59 PM\" data-default-date=\"\" id=\"field_dsqbqc_71399\"    class=\"arf_required frm_date\" data-name='item_meta[262]' data-format='MMM D, YYYY' data-field-options=\"{&quot;required&quot;:&quot;1&quot;,&quot;required_indicator&quot;:&quot;*&quot;,&quot;blank&quot;:&quot;This field cannot be blank.&quot;,&quot;field_width&quot;:&quot;&quot;,&quot;locale&quot;:&quot;en&quot;,&quot;currentdefaultdate&quot;:&quot;&quot;,&quot;name&quot;:&quot;Date&quot;,&quot;default_value&quot;:&quot;&quot;,&quot;description&quot;:&quot;&quot;,&quot;placeholdertext&quot;:&quot;&quot;,&quot;show_time_calendar&quot;:&quot;&quot;,&quot;frm_show_time_calendar_field_indicator&quot;:&quot;&quot;,&quot;clock&quot;:&quot;12&quot;,&quot;step&quot;:&quot;30&quot;,&quot;off_days&quot;:&quot;&quot;,&quot;start_date&quot;:&quot;&quot;,&quot;end_date&quot;:&quot;&quot;,&quot;arf_show_min_current_date&quot;:&quot;0&quot;,&quot;arf_show_max_current_date&quot;:&quot;0&quot;,&quot;arf_tooltip&quot;:&quot;&quot;,&quot;frm_arf_tooltip_field_indicator&quot;:&quot;&quot;,&quot;tooltip_text&quot;:&quot;&quot;,&quot;enable_arf_prefix&quot;:&quot;&quot;,&quot;arf_prefix_icon&quot;:&quot;&quot;,&quot;enable_arf_suffix&quot;:&quot;&quot;,&quot;arf_suffix_icon&quot;:&quot;&quot;,&quot;classes&quot;:&quot;arf_2&quot;,&quot;inner_class&quot;:&quot;arf_2col&quot;,&quot;key&quot;:&quot;dsqbqc&quot;,&quot;selectdefaultdate&quot;:&quot;&quot;,&quot;arfnewdateformat&quot;:&quot;&quot;,&quot;css_outer_wrapper&quot;:&quot;&quot;,&quot;css_label&quot;:&quot;&quot;,&quot;css_input_element&quot;:&quot;&quot;,&quot;css_description&quot;:&quot;&quot;,&quot;css_add_icon&quot;:&quot;&quot;,&quot;type&quot;:&quot;date&quot;,&quot;arf_enable_readonly&quot;:&quot;0&quot;,&quot;has_parent&quot;:&quot;1&quot;,&quot;parent_field&quot;:&quot;259&quot;,&quot;parent_field_type&quot;:&quot;section&quot;,&quot;image_position_from&quot;:&quot;top_left&quot;,&quot;clear_on_focus&quot;:&quot;0&quot;,&quot;default_blank&quot;:&quot;0&quot;}\" data-validation-required-message=\"This field cannot be blank.\" \/><input type=\"hidden\" name=\"item_meta[262]\" id=\"field_dsqbqc_71399_formatted\" \/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_263\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_263\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_264_71399_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_264\" data-field-type=\"html\" data-parent_field=\"263\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p class=\"center\">HRSG \u09b8\u09ae\u09be\u09a8 \u09b8\u09c1\u09af\u09cb\u0997 \u09aa\u09cd\u09b0\u099a\u09be\u09b0 \u0995\u09b0\u09c7<\/p><br>\n<p><b>\u09a8\u09bf\u09af\u09bc\u09cb\u0997 \u0993 \u09a8\u09bf\u09b0\u09cd\u09ac\u09be\u099a\u09a8\u09c7\u09b0 \u0995\u09cd\u09b7\u09c7\u09a4\u09cd\u09b0\u09c7 \u09b8\u09ae\u09be\u09a8 \u09b8\u09c1\u09af\u09cb\u0997 \u09a8\u09c0\u09a4\u09bf<\/b><\/p>\n\u09b0\u09bf\u0995\u09cd\u09b0\u09c1\u099f\u09ae\u09c7\u09a8\u09cd\u099f \u09ae\u09a8\u09bf\u099f\u09b0\u09bf\u0982 \u09ab\u09b0\u09cd\u09ae (\u0997\u09cb\u09aa\u09a8\u09c0\u09af\u09bc) \u09b9\u09bf\u09b2\u09bf\u0982\u09a1\u09a8 \u09b0\u09bf\u09ab\u09bf\u0989\u099c\u09bf \u09b8\u09be\u09aa\u09cb\u09b0\u09cd\u099f \u0997\u09cd\u09b0\u09c1\u09aa \u0995\u09b0\u09cd\u09ae\u09b8\u0982\u09b8\u09cd\u09a5\u09be\u09a8\u09c7 \u09b8\u09ae\u09be\u09a8 \u09b8\u09c1\u09af\u09cb\u0997\u09c7\u09b0 \u099c\u09a8\u09cd\u09af \u09aa\u09cd\u09b0\u09a4\u09bf\u09b6\u09cd\u09b0\u09c1\u09a4\u09bf\u09ac\u09a6\u09cd\u09a7\u0964 \u098f\u0987 \u09a8\u09c0\u09a4\u09bf\u09b0 \u0995\u09be\u09b0\u09cd\u09af\u0995\u09be\u09b0\u09bf\u09a4\u09be \u09a8\u09bf\u09b6\u09cd\u099a\u09bf\u09a4 \u0995\u09b0\u09be\u09b0 \u099c\u09a8\u09cd\u09af, \u09b8\u09ae\u09b8\u09cd\u09a4 \u0986\u09ac\u09c7\u09a6\u09a8\u0995\u09be\u09b0\u09c0\u09a6\u09c7\u09b0 \u09a8\u09bf\u09ae\u09cd\u09a8\u09b2\u09bf\u0996\u09bf\u09a4 \u09a4\u09a5\u09cd\u09af \u09aa\u09cd\u09b0\u09a6\u09be\u09a8 \u0995\u09b0\u09a4\u09c7 \u09ac\u09b2\u09be \u09b9\u09af\u09bc\u09c7\u099b\u09c7\u0964 \u09aa\u09cd\u09b0\u09a6\u09a4\u09cd\u09a4 \u09af\u09c7\u0995\u09cb\u09a8 \u09a4\u09a5\u09cd\u09af\u0995\u09c7 \u0995\u09a0\u09cb\u09b0\u09a4\u09ae \u0986\u09b8\u09cd\u09a5\u09be\u09b0 \u09b8\u09be\u09a5\u09c7 \u09ac\u09bf\u09ac\u09c7\u099a\u09a8\u09be \u0995\u09b0\u09be \u09b9\u09ac\u09c7, \u098f\u09ac\u0982 \u09b6\u09c1\u09a7\u09c1\u09ae\u09be\u09a4\u09cd\u09b0 \u09a8\u09bf\u09b0\u09c0\u0995\u09cd\u09b7\u09a3\u09c7\u09b0 \u0989\u09a6\u09cd\u09a6\u09c7\u09b6\u09cd\u09af\u09c7 \u09ac\u09cd\u09af\u09ac\u09b9\u09be\u09b0 \u0995\u09b0\u09be \u09b9\u09ac\u09c7\u0964\n\n<p><b>\u09ae\u09a8\u09bf\u099f\u09b0\u09bf\u0982<\/b><\/p>\n\u0986\u09ae\u09b0\u09be \u09a8\u09bf\u09ae\u09cd\u09a8\u09b2\u09bf\u0996\u09bf\u09a4 \u09a4\u09a5\u09cd\u09af\u0997\u09c1\u09b2\u09bf\u0995\u09c7 \u0997\u09cb\u09aa\u09a8\u09c0\u09af\u09bc \u09b9\u09bf\u09b8\u09be\u09ac\u09c7 \u09ac\u09bf\u09ac\u09c7\u099a\u09a8\u09be \u0995\u09b0\u09ac \u098f\u09ac\u0982 \u0986\u09ae\u09be\u09a6\u09c7\u09b0 \u09b8\u09ae\u09be\u09a8 \u09b8\u09c1\u09af\u09cb\u0997 \u09a8\u09c0\u09a4\u09bf\u09b0 \u0995\u09be\u09b0\u09cd\u09af\u0995\u09be\u09b0\u09bf\u09a4\u09be \u09a8\u09bf\u09b0\u09c0\u0995\u09cd\u09b7\u09a3 \u0995\u09b0\u09a4\u09c7 \u09b8\u09be\u09b9\u09be\u09af\u09cd\u09af \u0995\u09b0\u09be\u09b0 \u099c\u09a8\u09cd\u09af \u0986\u09ae\u09b0\u09be \u0986\u09aa\u09a8\u09be\u09b0 \u09b8\u09b9\u09af\u09cb\u0997\u09bf\u09a4\u09be\u09b0 \u09aa\u09cd\u09b0\u09b6\u0982\u09b8\u09be \u0995\u09b0\u09ac\u09f7 \u0986\u09aa\u09a8\u09be\u09b0 \u0986\u09ac\u09c7\u09a6\u09a8 \u09aa\u09cd\u09b0\u09a6\u09a4\u09cd\u09a4 \u09a4\u09a5\u09cd\u09af \u09a6\u09cd\u09ac\u09be\u09b0\u09be \u09aa\u09cd\u09b0\u09ad\u09be\u09ac\u09bf\u09a4 \u09b9\u09ac\u09c7 \u09a8\u09be \u098f\u09ac\u0982 \u09aa\u09cd\u09b0\u09be\u09aa\u09cd\u09a4\u09bf\u09b0 \u09b8\u09be\u09a5\u09c7 \u09b8\u09be\u09a5\u09c7 \u0986\u09aa\u09a8\u09be\u09b0 \u0986\u09ac\u09c7\u09a6\u09a8\u09aa\u09a4\u09cd\u09b0 \u09a5\u09c7\u0995\u09c7 \u0986\u09b2\u09be\u09a6\u09be \u0995\u09b0\u09be \u09b9\u09ac\u09c7\u0964<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_265\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_265\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_266_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_266\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"265\"><label data-type=\"radio\" for=\"field_i1vdxu_71399\" class=\"arf_main_label arf_main_label_18px\">\u09b2\u09bf\u0999\u09cd\u0997<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[266]\" data-type=\"radio\" id=\"field_266-0-71399\" data-unique-id=\"71399\" value=\"Male\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_266-0-71399\" class=\"\">\u09aa\u09c1\u09b0\u09c1\u09b7<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[266]\" data-type=\"radio\" id=\"field_266-1-71399\" data-unique-id=\"71399\" value=\"Female\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_266-1-71399\" class=\"\">\u09ae\u09b9\u09bf\u09b2\u09be<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_267_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_267\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"265\"><label data-type=\"radio\" for=\"field_3m35ho_71399\" class=\"arf_main_label arf_main_label_18px\">\u09ac\u09af\u09bc\u09b8<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[267]\" data-type=\"radio\" id=\"field_267-0-71399\" data-unique-id=\"71399\" value=\"16-20\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-0-71399\" class=\"\">16-20<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[267]\" data-type=\"radio\" id=\"field_267-1-71399\" data-unique-id=\"71399\" value=\"21-30\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-1-71399\" class=\"\">21-30<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[267]\" data-type=\"radio\" id=\"field_267-2-71399\" data-unique-id=\"71399\" value=\"31-40\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-2-71399\" class=\"\">31-40<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[267]\" data-type=\"radio\" id=\"field_267-3-71399\" data-unique-id=\"71399\" value=\"41-50\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-3-71399\" class=\"\">41-50<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[267]\" data-type=\"radio\" id=\"field_267-4-71399\" data-unique-id=\"71399\" value=\"51-60\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-4-71399\" class=\"\">51-60<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[267]\" data-type=\"radio\" id=\"field_267-5-71399\" data-unique-id=\"71399\" value=\"61-70\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-5-71399\" class=\"\">61-70<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[267]\" data-type=\"radio\" id=\"field_267-6-71399\" data-unique-id=\"71399\" value=\"71-80\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-6-71399\" class=\"\">71-80<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[267]\" data-type=\"radio\" id=\"field_267-7-71399\" data-unique-id=\"71399\" value=\"81-90\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-7-71399\" class=\"\">81-90<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_268_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_268\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"265\"><label data-type=\"radio\" for=\"field_68v6d9_71399\" class=\"arf_main_label arf_main_label_18px\">\u099c\u09be\u09a4\u09bf\u0997\u09a4 \u0989\u09a4\u09cd\u09b8 \u0986\u09ae\u09bf \u0986\u09ae\u09be\u09b0 \u099c\u09be\u09a4\u09bf\u0997\u09a4 \u0989\u09a4\u09cd\u09b8 \u09ac\u09b0\u09cd\u09a3\u09a8\u09be \u0995\u09b0\u09ac:<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-0-71399\" data-unique-id=\"71399\" value=\"White (English)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-0-71399\" class=\"\">\u09b8\u09be\u09a6\u09be (\u0987\u0982\u09b0\u09c7\u099c\u09bf)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-1-71399\" data-unique-id=\"71399\" value=\"White (Irish)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-1-71399\" class=\"\">\u09b8\u09be\u09a6\u09be (\u0986\u0987\u09b0\u09bf\u09b6)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-2-71399\" data-unique-id=\"71399\" value=\"White (Gypsy) or Irish Traveller\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-2-71399\" class=\"\">\u09b8\u09be\u09a6\u09be (\u099c\u09bf\u09aa\u09b8\u09bf) \u09ac\u09be \u0986\u0987\u09b0\u09bf\u09b6 \u09ad\u09cd\u09b0\u09ae\u09a3\u0995\u09be\u09b0\u09c0<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-3-71399\" data-unique-id=\"71399\" value=\"White (Scottish)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-3-71399\" class=\"\">\u09b8\u09be\u09a6\u09be (\u09b8\u09cd\u0995\u099f\u09bf\u09b6)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-4-71399\" data-unique-id=\"71399\" value=\"White (Welsh)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-4-71399\" class=\"\">\u09b8\u09be\u09a6\u09be (\u0993\u09af\u09bc\u09c7\u09b2\u09b6)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-5-71399\" data-unique-id=\"71399\" value=\"Any other White background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-5-71399\" class=\"\">\u0985\u09a8\u09cd\u09af \u0995\u09cb\u09a8 \u09b8\u09be\u09a6\u09be \u09ac\u09cd\u09af\u09be\u0995\u0997\u09cd\u09b0\u09be\u0989\u09a8\u09cd\u09a1<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-6-71399\" data-unique-id=\"71399\" value=\"Asian (Indian)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-6-71399\" class=\"\">\u098f\u09b6\u09bf\u09af\u09bc\u09be\u09a8 (\u09ad\u09be\u09b0\u09a4\u09c0\u09af\u09bc)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-7-71399\" data-unique-id=\"71399\" value=\"Asian (Pakistani)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-7-71399\" class=\"\">\u098f\u09b6\u09bf\u09af\u09bc\u09be\u09a8 (\u09aa\u09be\u0995\u09bf\u09b8\u09cd\u09a4\u09be\u09a8\u09bf)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-8-71399\" data-unique-id=\"71399\" value=\"Asian (Bangladeshi)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-8-71399\" class=\"\">\u098f\u09b6\u09bf\u09af\u09bc\u09be\u09a8 (\u09ac\u09be\u0982\u09b2\u09be\u09a6\u09c7\u09b6\u09c0)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-9-71399\" data-unique-id=\"71399\" value=\"Asian (Chinese)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-9-71399\" class=\"\">\u098f\u09b6\u09bf\u09af\u09bc\u09be\u09a8 (\u099a\u09c0\u09a8\u09be)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-10-71399\" data-unique-id=\"71399\" value=\"Any other Asian background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-10-71399\" class=\"\">\u0985\u09a8\u09cd\u09af \u0995\u09cb\u09a8 \u098f\u09b6\u09bf\u09af\u09bc\u09be\u09a8 \u09aa\u099f\u09ad\u09c2\u09ae\u09bf<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-11-71399\" data-unique-id=\"71399\" value=\"Black (African)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-11-71399\" class=\"\">\u0995\u09be\u09b2\u09cb (\u0986\u09ab\u09cd\u09b0\u09bf\u0995\u09be\u09a8)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-12-71399\" data-unique-id=\"71399\" value=\"Black (Caribbean)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-12-71399\" class=\"\">\u0995\u09be\u09b2\u09cb (\u0995\u09cd\u09af\u09be\u09b0\u09bf\u09ac\u09bf\u09af\u09bc\u09be\u09a8)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-13-71399\" data-unique-id=\"71399\" value=\"Any other Black, African, Caribbean background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-13-71399\" class=\"\">\u0985\u09a8\u09cd\u09af \u0995\u09cb\u09a8 \u0995\u09be\u09b2\u09cb, \u0986\u09ab\u09cd\u09b0\u09bf\u0995\u09be\u09a8, \u0995\u09cd\u09af\u09be\u09b0\u09bf\u09ac\u09bf\u09af\u09bc\u09be\u09a8 \u09ac\u09cd\u09af\u09be\u0995\u0997\u09cd\u09b0\u09be\u0989\u09a8\u09cd\u09a1<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-14-71399\" data-unique-id=\"71399\" value=\"Mixed (White and Black Caribbean)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-14-71399\" class=\"\">\u09ae\u09bf\u09b6\u09cd\u09b0 (\u09b8\u09be\u09a6\u09be \u098f\u09ac\u0982 \u0995\u09be\u09b2\u09cb \u0995\u09cd\u09af\u09be\u09b0\u09bf\u09ac\u09bf\u09af\u09bc\u09be\u09a8)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-15-71399\" data-unique-id=\"71399\" value=\"Mixed (White and Black African)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-15-71399\" class=\"\">\u09ae\u09bf\u09b6\u09cd\u09b0 (\u09b8\u09be\u09a6\u09be \u098f\u09ac\u0982 \u0995\u09be\u09b2\u09cb \u0986\u09ab\u09cd\u09b0\u09bf\u0995\u09be\u09a8)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-16-71399\" data-unique-id=\"71399\" value=\"Mixed (White and Asian)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-16-71399\" class=\"\">\u09ae\u09bf\u09b6\u09cd\u09b0 (\u09b8\u09be\u09a6\u09be \u098f\u09ac\u0982 \u098f\u09b6\u09bf\u09af\u09bc\u09be\u09a8)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-17-71399\" data-unique-id=\"71399\" value=\"Other mixed ethnic background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-17-71399\" class=\"\">\u0985\u09a8\u09cd\u09af\u09be\u09a8\u09cd\u09af \u09ae\u09bf\u09b6\u09cd\u09b0 \u099c\u09be\u09a4\u09bf\u0997\u09a4 \u09aa\u099f\u09ad\u09c2\u09ae\u09bf<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-18-71399\" data-unique-id=\"71399\" value=\"Other ethnic background (Arab)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-18-71399\" class=\"\">\u0985\u09a8\u09cd\u09af\u09be\u09a8\u09cd\u09af \u099c\u09be\u09a4\u09bf\u0997\u09a4 \u09aa\u099f\u09ad\u09c2\u09ae\u09bf (\u0986\u09b0\u09ac)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-19-71399\" data-unique-id=\"71399\" value=\"Any other ethnic background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-19-71399\" class=\"\">\u0985\u09a8\u09cd\u09af \u0995\u09cb\u09a8\u09cb \u099c\u09be\u09a4\u09bf\u0997\u09a4 \u09aa\u099f\u09ad\u09c2\u09ae\u09bf<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_269_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_269\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"265\"><label data-type=\"radio\" for=\"field_nfqeqd_71399\" class=\"arf_main_label arf_main_label_18px\">\u09a7\u09b0\u09cd\u09ae \u09ac\u09be \u09ac\u09bf\u09b6\u09cd\u09ac\u09be\u09b8: \u0985\u09a8\u09c1\u0997\u09cd\u09b0\u09b9 \u0995\u09b0\u09c7 \u0986\u09aa\u09a8\u09be\u09b0 \u09a7\u09b0\u09cd\u09ae \u09ac\u09be \u09ac\u09bf\u09b6\u09cd\u09ac\u09be\u09b8 \u09a8\u09bf\u09b0\u09cd\u09a6\u09c7\u09b6 \u0995\u09b0\u09c1\u09a8<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-0-71399\" data-unique-id=\"71399\" value=\"No religion (Atheism)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-0-71399\" class=\"\">\u0995\u09cb\u09a8 \u09a7\u09b0\u09cd\u09ae \u09a8\u09c7\u0987 (\u09a8\u09be\u09b8\u09cd\u09a4\u09bf\u0995\u09a4\u09be)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-1-71399\" data-unique-id=\"71399\" value=\"Christianity\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-1-71399\" class=\"\">\u0996\u09cd\u09b0\u09bf\u09b8\u09cd\u099f\u09a7\u09b0\u09cd\u09ae<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-2-71399\" data-unique-id=\"71399\" value=\"Buddhism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-2-71399\" class=\"\">\u09ac\u09cc\u09a6\u09cd\u09a7\u09a7\u09b0\u09cd\u09ae<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-3-71399\" data-unique-id=\"71399\" value=\"Hinduism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-3-71399\" class=\"\">\u09b9\u09bf\u09a8\u09cd\u09a6\u09c1\u09a7\u09b0\u09cd\u09ae<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-4-71399\" data-unique-id=\"71399\" value=\"Islam\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-4-71399\" class=\"\">\u0987\u09b8\u09b2\u09be\u09ae<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-5-71399\" data-unique-id=\"71399\" value=\"Judaism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-5-71399\" class=\"\">\u0987\u09b9\u09c1\u09a6\u09bf \u09a7\u09b0\u09cd\u09ae<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-6-71399\" data-unique-id=\"71399\" value=\"Sikhism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-6-71399\" class=\"\">\u09b6\u09bf\u0996 \u09a7\u09b0\u09cd\u09ae<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-7-71399\" data-unique-id=\"71399\" value=\"Other\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-7-71399\" class=\"\">\u0985\u09a8\u09cd\u09af\u09be\u09a8\u09cd\u09af<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-8-71399\" data-unique-id=\"71399\" value=\"I do not wish to disclose my religion\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-8-71399\" class=\"\">\u0986\u09ae\u09bf \u0986\u09ae\u09be\u09b0 \u09a7\u09b0\u09cd\u09ae \u09aa\u09cd\u09b0\u0995\u09be\u09b6 \u0995\u09b0\u09a4\u09c7 \u099a\u09be\u0987 \u09a8\u09be<\/label><\/div><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_270_71399_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_270\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"265\"><label data-type=\"radio\" for=\"field_85rvhe_71399\" class=\"arf_main_label arf_main_label_18px\">\u0986\u09aa\u09a8\u09bf \u0995\u09bf \u09a8\u09bf\u099c\u09c7\u0995\u09c7 \u09aa\u09cd\u09b0\u09a4\u09bf\u09ac\u09a8\u09cd\u09a7\u09c0 \u09ac\u09b2\u09c7 \u09ae\u09a8\u09c7 \u0995\u09b0\u09c7\u09a8?<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[270]\" data-type=\"radio\" id=\"field_270-0-71399\" data-unique-id=\"71399\" value=\"Yes\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_270-0-71399\" class=\"\">\u09b9\u09cd\u09af\u09be\u0981<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[270]\" data-type=\"radio\" id=\"field_270-1-71399\" data-unique-id=\"71399\" value=\"No\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_270-1-71399\" class=\"\">\u09a8\u09be<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[270]\" data-type=\"radio\" id=\"field_270-2-71399\" 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