{"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\/km\/volunteer-application-form\/","title":{"rendered":"\u1791\u1798\u17d2\u179a\u1784\u17cb\u1796\u17b6\u1780\u17d2\u1799\u179f\u17bb\u17c6\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f"},"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 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\u1793\u17b7\u1784\u1782\u17d2\u179a\u1794\u178a\u178e\u17d2\u178f\u1794\u17cb\u178a\u17c4\u1799\u1785\u17d2\u1794\u17b6\u1794\u17cb\u1780\u17b6\u179a\u1796\u17b6\u179a\u1791\u17b7\u1793\u17d2\u1793\u1793\u17d0\u1799\u1786\u17d2\u1793\u17b6\u17c6 1998<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-cca1b2a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cca1b2a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-61638b2\" data-id=\"61638b2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3d180cc elementor-widget elementor-widget-shortcode\" data-id=\"3d180cc\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><style type=\"text\/css\" id=\"102\" data-form-unique-id=\"70761\" >.arf_form_outer_wrapper.ar_main_div_102 .arf_fieldset .formdescription_style{\n\/*place your css code for form's description*\/\n}<\/style><div class=\"arf_form ar_main_div_102 arf_form_outer_wrapper\" id=\"arffrm_102_container\"><div id=\"arf_message_success_popup\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">\u179f\u17bc\u1798\u17a2\u179a\u1782\u17bb\u178e\u178a\u17c2\u179b\u1794\u17b6\u1793\u1794\u17c6\u1796\u17c1\u1789\u1796\u17b6\u1780\u17d2\u1799\u179f\u17bb\u17c6\u1793\u17c1\u17c7\u17d4<br>\u1780\u17d2\u179a\u17bb\u1798\u1782\u17b6\u17c6\u1791\u17d2\u179a\u1787\u1793\u1797\u17c0\u179f\u1781\u17d2\u179b\u17bd\u1793\u17a0\u17b8\u179b\u17b8\u1784\u178a\u17bb\u1793\u1795\u17d2\u1791\u17c7\u1783\u17b8\u1795\u17d2\u179b\u17bc\u179c \u17e1\u17e0\u17e6 \u17a0\u17b6\u1799\u179c\u17c9\u17c1\u178a\u179a\u17c9\u17c1\u1793\u178f\u17bb\u1793\u1798\u17b8\u178a\u178a\u17c1\u179f\u179f\u17cd\u1799\u17bc\u1794\u17ca\u17b8 \u17e7 \u17e7 \u1794\u17ca\u17b8\u1783\u17d2\u1799\u17bc<\/div><\/div><\/div><form enctype=\"multipart\/form-data\" method=\"post\" class=\"arfshowmainform arfpagebreakform\" style=\"\" data-form-id=\"form_kky0gy\"  novalidate=\"\" data-id=\"70761\"  data-random-id=\"102_uvHEy58CVJ\"  data-submission-key=\"AhLvhz40\"  data-key-validate=\"false\"  data-popup-id=\"\" action=\"\"><div><script type=\"text\/javascript\" data-cfasync=\"false\">if(window['jQuery']){ if(!window['arf_page_fields']) window['arf_page_fields'] = new Array(); window['arf_page_fields']['102'] = { 0:[122,123,124,125,126,127,128,129,130,131,132,133,134,135,136,137,138,139,140,141,142,143,144,145,146,147,148,149,150,151,152,153,154,155,156,250,251,252,253,254,255,256,], 1: [259,260,261,262,263,264,265,266,267,268,269,270,271,272,275,437,] }; }<\/script><\/div><input type='text' name='arf_filter_input' data-jqvalidate='false' data-random-key='102_uvHEy58CVJ' value='' style='opacity:0 !important;display:none !important;visibility:hidden !important;' \/><input type='hidden' id='arf_ajax_url' value='https:\/\/www.hrsg.org.uk\/wp-admin\/admin-ajax.php' \/><input type=\"hidden\" data-jqvalidate=\"false\" class=\"kpress\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" class=\"stime\" value=\"1792717024\" \/><input type=\"hidden\" 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value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_validate_outside_102\" data-id=\"arf_is_validate_outside_102\" data-validate=\"0\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_resetform_aftersubmit_102\" data-id=\"arf_is_resetform_aftersubmit_102\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_resetform_outside_102\" data-id=\"arf_is_resetform_outside_102\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_form_enable_cookie_102\" data-id=\"arf_form_enable_cookie_102\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_tooltip_settings_102\" data-id=\"arf_tooltip_settings_102\" class=\"arf_front_tooltip_settings\" data-form-id=\"102\" data-color=\"#FFFFFF\" data-position=\"top\" data-width=\"\" data-bg-color=\"#000000\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_tooltip_error_102\" data-id=\"form_tooltip_error_102\" data-color=\"\" data-position=\"bottom\" value=\"advance\" \/><input type=\"text\" data-jqvalidate=\"false\" name=\"fake_text\" data-id=\"fake_text\" value=\"\" style=\"height:0 !important; margin:0 !important; opacity: 0 !important; filter:alpha(opacity=0); padding:0 !important; width:0 !important; float:left;\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfaction\" value=\"create\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_id\" data-id=\"form_id\" value=\"102\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_data_id\" data-id=\"form_data_id\" value=\"70761\" \/><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\/km\/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_70761\"><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\">\u1787\u17c6\u17a0\u17b6\u1793\u1791\u17b8 1<\/div><div style=\"width:50.000%; \" id=\"page_nav_2\" class=\"page_break_nav\">\u1787\u17c6\u17a0\u17b6\u1793\u1791\u17b8 2<\/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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px active\">\u1798\u17bb\u1781\u178f\u17c6\u178e\u17c2\u1784\u178a\u17c2\u179b\u1780\u17c6\u1796\u17bb\u1784\u178a\u17b6\u1780\u17cb\u1796\u17b6\u1780\u17d2\u1799<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_70761\"  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\">\u179f\u17bc\u1798\u1787\u17d2\u179a\u17be\u179f\u179a\u17be\u179f<\/option><option value=\"Volunteer ESOL Tutor \"  data-content=\"Volunteer ESOL Tutor \">\u17a2\u17d2\u1793\u1780\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f ESOL Tutor <\/option><option value=\"Volunteer Maths Tutor\"  data-content=\"Volunteer Maths Tutor\">\u1782\u17d2\u179a\u17bc\u1794\u1784\u17d2\u179a\u17c0\u1793\u1782\u178e\u17b7\u178f\u179c\u17b7\u1791\u17d2\u1799\u17b6\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f<\/option><option value=\"Volunteer Web Designer\"  data-content=\"Volunteer Web Designer\">\u17a2\u17d2\u1793\u1780\u179a\u1785\u1793\u17b6\u1782\u17c1\u17a0\u1791\u17c6\u1796\u17d0\u179a\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f<\/option><option value=\"BHUMP Volunteer\"  data-content=\"BHUMP Volunteer\">\u17a2\u17d2\u1793\u1780\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f BHUMP<\/option><\/select><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_123\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_123\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >\u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u179b\u1798\u17d2\u17a2\u17b7\u178f\u1795\u17d2\u1791\u17b6\u179b\u17cb\u1781\u17d2\u179b\u17bd\u1793<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_124_70761_container\" class=\"arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield frm_first_third arf_field_124\"  style='width: 17.914%'  data-field-type=\"select\" data-parent_field=\"123\"><label data-type=\"select\" for=\"field_tnni26_70761\" class=\"arf_main_label arf_main_label_18px active\">\u1785\u17c6\u178e\u1784\u1787\u17be\u1784<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"sltstandard_front controls\"  ><select name=\"item_meta[124]\" data-validation-required-message=\"This field cannot be blank.\" id=\"field_tnni26_70761\"  class=\"select_controll_124 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\">\u179f\u17bc\u1798\u1787\u17d2\u179a\u17be\u179f\u179a\u17be\u179f<\/option><option value=\"Mr\"  data-content=\"Mr\">\u179b\u17c4\u1780<\/option><option value=\"Mrs\"  data-content=\"Mrs\">\u17a2\u17d2\u1793\u1780\u179f\u17d2\u179a\u17b8<\/option><option value=\"Ms\"  data-content=\"Ms\">\u17a2\u17d2\u1793\u1780\u179f\u17d2\u179a\u17b8<\/option><option value=\"Miss\"  data-content=\"Miss\">\u1780\u1789\u17d2\u1789\u17b6<\/option><\/select><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_125_70761_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_third  arf_inline_field_value  arf_field_125\"  style='width: 37.542%' data-field-type=\"text\" data-parent_field=\"123\" ><label data-type=\"text\" for=\"field_h3a0f3_70761\" class=\"arf_main_label arf_main_label_18px\">\u1793\u17b6\u1798\u178f\u17d2\u179a\u1780\u17bc\u179b<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_h3a0f3_70761\"  name=\"item_meta[125]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_third_middle\"><\/div><div id=\"arf_field_126_70761_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_third  arf_inline_field_value  arf_field_126\"  style='width: 37.398%' data-field-type=\"text\" data-parent_field=\"123\" ><label data-type=\"text\" for=\"field_z1hw4u_70761\" class=\"arf_main_label arf_main_label_18px\">\u1793\u17b6\u1798\u178f\u17d2\u179a\u1780\u17bc\u179b<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_z1hw4u_70761\"  name=\"item_meta[126]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_127_70761_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_127\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"123\"><label data-type=\"textarea\" for=\"field_ic7y9z_70761\" class=\"arf_main_label arf_main_label_18px\">\u17a2\u17b6\u179f\u17d0\u1799\u178a\u17d2\u178b\u17b6\u1793<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[127]\" id=\"field_ic7y9z_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u17a2\u17b6\u179f\u1799\u178a\u17d2\u178b\u17b6\u1793\u17a2\u17ca\u17b8\u1798\u17c2\u179b\u179a\u1794\u179f\u17cb\u17a2\u17d2\u1793\u1780\u17d4<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_4nc36_70761\" 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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u179b\u17c1\u1781\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791 (\u1795\u17d2\u1791\u17c7)<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_fjcftb_70761\"name=\"item_meta[129]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_122_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u179b\u17c1\u1781\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791\u1785\u179b\u17d0\u178f (\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791)<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_6rjqvd_70761\"name=\"item_meta[122]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_156_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u178f\u17be\u17a2\u17d2\u1793\u1780\u1794\u17b6\u1793\u17ae\u17a2\u17c6\u1796\u17b8\u1780\u17b6\u179a\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f\u179f\u1798\u17d2\u179a\u17b6\u1794\u17cb\u1780\u17d2\u179a\u17bb\u1798\u1787\u17c6\u1793\u17bd\u1799\u1787\u1793\u1797\u17c0\u179f\u1781\u17d2\u179b\u17bd\u1793 Hillingdon (&quot;HRSG&quot;) \u1793\u17c5\u17af\u178e\u17b6?<\/label><div class=\"controls\"   ><textarea name=\"item_meta[156]\" id=\"field_rwreh7_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1787\u17c6\u1793\u17b6\u1789 \u1793\u17b7\u1784\u1785\u17c6\u178e\u17b6\u1794\u17cb\u17a2\u17b6\u179a\u1798\u17d2\u1798\u178e\u17cd\u179a\u1794\u179f\u17cb\u17a2\u17d2\u1793\u1780\u17d4<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_155-0-70761\" 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(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-0-70761\" >\u1780\u17b6\u179a\u1794\u1784\u17d2\u179a\u17c0\u1793\u1797\u17b6\u179f\u17b6\u17a2\u1784\u17cb\u1782\u17d2\u179b\u17c1\u179f<\/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_155-1-70761\" value=\"Teaching Maths\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-1-70761\" >\u1780\u17b6\u179a\u1794\u1784\u17d2\u179a\u17c0\u1793\u1782\u178e\u17b7\u178f\u179c\u17b7\u1791\u17d2\u1799\u17b6<\/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_155-2-70761\" value=\"Teaching Life skills, budgeting, etc.\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-2-70761\" >\u1794\u1784\u17d2\u179a\u17c0\u1793\u1787\u17c6\u1793\u17b6\u1789\u1787\u17b8\u179c\u17b7\u178f \u1780\u17b6\u179a\u179a\u17c0\u1794\u1785\u17c6\u1790\u179c\u17b7\u1780\u17b6\u17d4\u179b\u17d4<\/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_155-3-70761\" value=\"Admin \/Clerical\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-3-70761\" >\u17a2\u17d2\u1793\u1780\u1782\u17d2\u179a\u1794\u17cb\u1782\u17d2\u179a\u1784 \/ \u179f\u17d2\u1798\u17c0\u1793<\/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_155-4-70761\" value=\"Arts and Crafts\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-4-70761\" >\u179f\u17b7\u179b\u17d2\u1794\u17c8 \u1793\u17b7\u1784\u179f\u17b7\u1794\u17d2\u1794\u1780\u1798\u17d2\u1798<\/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_155-5-70761\" value=\"Car Owner\/ Driver\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-5-70761\" >\u1798\u17d2\u1785\u17b6\u179f\u17cb\u179a\u1790\u1799\u1793\u17d2\u178f\/\u17a2\u17d2\u1793\u1780\u1794\u17be\u1780\u1794\u179a<\/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_155-6-70761\" value=\"Computer Skills\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-6-70761\" >\u1787\u17c6\u1793\u17b6\u1789\u200b\u1780\u17bb\u17c6\u1796\u17d2\u1799\u17bc\u1791\u17d0\u179a<\/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_155-7-70761\" value=\"Form Filling, CV writing\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-7-70761\" >\u1780\u17b6\u179a\u1794\u17c6\u1796\u17c1\u1789\u1791\u1798\u17d2\u179a\u1784\u17cb\u1794\u17c2\u1794\u1794\u1791 \u1780\u17b6\u179a\u179f\u179a\u179f\u17c1\u179a CV<\/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_155-8-70761\" value=\"Youth Work\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-8-70761\" >\u1780\u17b6\u179a\u1784\u17b6\u179a\u1799\u17bb\u179c\u1787\u1793<\/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_155-9-70761\" value=\"Listening \/Befriending\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-9-70761\" >\u1780\u17b6\u179a\u179f\u17d2\u178f\u17b6\u1794\u17cb \/ \u1798\u17b7\u178f\u17d2\u178f\u1797\u17b6\u1796<\/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_155-10-70761\" value=\"Emotional Support\/ Counselling\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-10-70761\" >\u1780\u17b6\u179a\u1782\u17b6\u17c6\u1791\u17d2\u179a\u1795\u17d2\u1793\u17c2\u1780\u17a2\u17b6\u179a\u1798\u17d2\u1798\u178e\u17cd \/ \u1780\u17b6\u179a\u1794\u17d2\u179a\u17b9\u1780\u17d2\u179f\u17b6<\/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_155-11-70761\" value=\"Other \u2013 Please Specify below\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(70761,[\"\"]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_155-11-70761\" >\u1795\u17d2\u179f\u17c1\u1784\u1791\u17c0\u178f - \u179f\u17bc\u1798\u1794\u1789\u17d2\u1787\u17b6\u1780\u17cb\u1781\u17b6\u1784\u1780\u17d2\u179a\u17c4\u1798<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_152_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1795\u17d2\u179f\u17c1\u1784\u1791\u17c0\u178f<\/label><div class=\"controls\"   ><textarea name=\"item_meta[152]\" id=\"field_z9sxh7_70761\"  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' >\u178a\u17be\u1798\u17d2\u1794\u17b8\u17a2\u17c4\u1799\u1799\u17be\u1784\u17a2\u17b6\u1785\u1794\u17d2\u179a\u17be\u1794\u17d2\u179a\u17b6\u179f\u17cb\u1787\u17c6\u1793\u17b6\u1789 \u1793\u17b7\u1784\u179f\u1798\u178f\u17d2\u1790\u1797\u17b6\u1796\u179a\u1794\u179f\u17cb\u17a2\u17d2\u1793\u1780\u1794\u17b6\u1793\u179b\u17d2\u17a2\u1794\u17c6\u1795\u17bb\u178f \u179f\u17bc\u1798\u1794\u17c6\u1796\u17c1\u1789\u1791\u1798\u17d2\u179a\u1784\u17cb\u1781\u17b6\u1784\u1780\u17d2\u179a\u17c4\u1798\u17d4<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_151_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1794\u1791\u1796\u17b7\u179f\u17c4\u1792\u1793\u17cd\u1787\u17b6\u17a2\u17d2\u1793\u1780\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[151]\" id=\"field_pwtjw3_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u179c\u1782\u17d2\u1782\u179f\u17b7\u1780\u17d2\u179f\u17b6 \u17ac\u1780\u17b6\u179a\u1794\u178e\u17d2\u178f\u17bb\u17c7\u1794\u178e\u17d2\u178f\u17b6\u179b (\u1794\u17d2\u179a\u179f\u17b7\u1793\u1794\u17be\u1796\u17b6\u1780\u17cb\u1796\u17d0\u1793\u17d2\u1792)<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[145]\" id=\"field_ejagh_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1785\u17c6\u178e\u17bc\u179b\u1785\u17b7\u178f\u17d2\u178f \u1793\u17b7\u1784\u1785\u17c6\u178e\u17b6\u1794\u17cb\u17a2\u17b6\u179a\u1798\u17d2\u1798\u178e\u17cd<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[146]\" id=\"field_f47j72_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u17a0\u17c1\u178f\u17bb\u17a2\u17d2\u179c\u17b8\u1794\u17b6\u1793\u1787\u17b6\u17a2\u17d2\u1793\u1780\u1785\u1784\u17cb\u1792\u17d2\u179c\u17be\u1787\u17b6\u17a2\u17d2\u1793\u1780\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f\u1787\u17b6\u1798\u17bd\u1799\u1780\u17d2\u179a\u17bb\u1798\u1782\u17b6\u17c6\u1791\u17d2\u179a\u1787\u1793\u1797\u17c0\u179f\u1781\u17d2\u179b\u17bd\u1793 Hillingdon?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[147]\" id=\"field_ixc2ae_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u178f\u17be\u17a2\u17d2\u1793\u1780\u1798\u17b6\u1793\u1794\u1791\u1796\u17b7\u179f\u17c4\u1792\u1793\u17cd\u17a2\u17d2\u179c\u17b8\u1781\u17d2\u179b\u17c7 \u178a\u17c2\u179b\u17a2\u17b6\u1785\u179a\u17c0\u1794\u1785\u17c6\u17a2\u17d2\u1793\u1780\u17b1\u17d2\u1799\u1792\u17d2\u179c\u17be\u1780\u17b6\u179a\u1787\u17b6\u17a2\u17d2\u1793\u1780\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178a\u1780\u17d2\u1793\u17bb\u1784\u179c\u17b7\u179f\u17d0\u1799\u1787\u1793\u1797\u17c0\u179f\u1781\u17d2\u179b\u17bd\u1793 \u1793\u17b7\u1784\u17a2\u17d2\u1793\u1780\u179f\u17d2\u179c\u17c2\u1784\u179a\u1780\u179f\u17b7\u1791\u17d2\u1792\u17b7\u1787\u17d2\u179a\u1780\u1780\u17c4\u1793\u178a\u17c2\u179b\u1798\u17b7\u1793\u1794\u17b6\u1793\u179a\u17bd\u1798\u178a\u17c6\u178e\u17be\u179a?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[148]\" id=\"field_7z7onk_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u17a0\u17c1\u178f\u17bb\u17a2\u17d2\u179c\u17b8\u1794\u17b6\u1793\u1787\u17b6\u17a2\u17d2\u1793\u1780\u1785\u1784\u17cb\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f\u1787\u17b6\u1798\u17bd\u1799\u1787\u1793\u1797\u17c0\u179f\u1781\u17d2\u179b\u17bd\u1793\u179c\u17d0\u1799\u1780\u17d2\u1798\u17c1\u1784 \u1793\u17b7\u1784\u17a2\u17d2\u1793\u1780\u179f\u17d2\u179c\u17c2\u1784\u179a\u1780\u179f\u17b7\u1791\u17d2\u1792\u17b7\u1787\u17d2\u179a\u1780\u1780\u17c4\u1793?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[149]\" id=\"field_fdif7h_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u17a0\u17c1\u178f\u17bb\u17a2\u17d2\u179c\u17b8\u1794\u17b6\u1793\u1787\u17b6\u17a2\u17d2\u1793\u1780\u1785\u1784\u17cb\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f\u1787\u17b6\u1798\u17bd\u1799\u1787\u1793\u1797\u17c0\u179f\u1781\u17d2\u179b\u17bd\u1793\u179c\u17d0\u1799\u1780\u17d2\u1798\u17c1\u1784 \u1793\u17b7\u1784\u17a2\u17d2\u1793\u1780\u179f\u17d2\u179c\u17c2\u1784\u179a\u1780\u179f\u17b7\u1791\u17d2\u1792\u17b7\u1787\u17d2\u179a\u1780\u1780\u17c4\u1793?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[150]\" id=\"field_rb8ibo_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u178f\u17be\u17a2\u17d2\u1793\u1780\u1785\u1784\u17cb\u1791\u1791\u17bd\u179b\u1794\u17b6\u1793\u17a2\u17d2\u179c\u17b8\u1781\u17d2\u179b\u17c7\u1796\u17b8\u1794\u1791\u1796\u17b7\u179f\u17c4\u1792\u1793\u17cd\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f\u1793\u17c1\u17c7?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[144]\" id=\"field_q4spma_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u178f\u17be\u200b\u17a2\u17d2\u1793\u1780\u200b\u1798\u17b6\u1793\u200b\u1780\u17b6\u179a\u200b\u1795\u17d2\u178a\u1793\u17d2\u1791\u17b6\u1791\u17c4\u179f\u200b\u1796\u17d2\u179a\u17a0\u17d2\u1798\u1791\u178e\u17d2\u178c\u200b\u178e\u17b6\u200b\u1798\u17bd\u1799 (\u1780\u17d2\u179a\u17c5\u200b\u1796\u17b8\u200b\u1794\u1791\u179b\u17d2\u1798\u17be\u179f\u200b\u1794\u17be\u1780\u1794\u179a\u200b\u178f\u17bc\u1785\u178f\u17b6\u1785)? \u1794\u17b6\u1791\/\u1785\u17b6\u179f \u1794\u17d2\u179a\u179f\u17b7\u1793\u1794\u17be\u1794\u17b6\u1791\/\u1785\u17b6\u179f \u179f\u17bc\u1798\u1794\u1789\u17d2\u1787\u17b6\u1780\u17cb\u1780\u17b6\u179b\u1794\u179a\u17b7\u1785\u17d2\u1786\u17c1\u1791 \u1793\u17b7\u1784\u179b\u1780\u17d2\u1781\u178e\u17c8\u1793\u17c3\u1780\u17b6\u179a\u1795\u17d2\u178f\u1793\u17d2\u1791\u17b6\u1791\u17c4\u179f<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[143]\" id=\"field_q97km2_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u178f\u17be\u200b\u17a2\u17d2\u1793\u1780\u200b\u1785\u1784\u17cb\u200b\u1795\u17d2\u178f\u179b\u17cb\u200b\u1796\u17c1\u179b\u200b\u179c\u17c1\u179b\u17b6\u200b\u1794\u17d2\u179a\u17a0\u17c2\u179b\u200b\u1794\u17c9\u17bb\u1793\u17d2\u1798\u17b6\u1793\u200b\u1780\u17d2\u1793\u17bb\u1784\u200b\u1798\u17bd\u1799\u200b\u179f\u1794\u17d2\u178f\u17b6\u17a0\u17cd?<br>\u179f\u17bc\u1798\u1794\u1789\u17d2\u1787\u17b6\u1780\u17cb\u1790\u17d2\u1784\u17c3 \u17ac\u1796\u17c1\u179b\u179c\u17c1\u179b\u17b6\u1787\u17b6\u1780\u17cb\u179b\u17b6\u1780\u17cb<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[142]\" id=\"field_8z5iuc_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u178f\u17be\u17a2\u17d2\u1793\u1780\u1798\u17b6\u1793\u178f\u1798\u17d2\u179a\u17bc\u179c\u1780\u17b6\u179a\u1796\u17b7\u179f\u17c1\u179f\u178e\u17b6\u1798\u17bd\u1799\u178a\u17c2\u179b\u1799\u17be\u1784\u178f\u17d2\u179a\u17bc\u179c\u178a\u17b9\u1784\u1791\u17c1?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[141]\" id=\"field_wegj6g_70761\"  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' >\u179f\u17bc\u1798\u1795\u17d2\u178f\u179b\u17cb\u17a2\u17b6\u1787\u17d2\u1789\u17b6\u1780\u178e\u17d2\u178f\u17b6\u179b\u17af\u1780\u179a\u17b6\u1787\u17d2\u1799\u1796\u17b8\u179a\u1793\u17b6\u1780\u17cb \u178a\u17c2\u179b\u1798\u17b6\u1793\u1794\u17c6\u178e\u1784\u1795\u17d2\u178f\u179b\u17cb\u17af\u1780\u179f\u17b6\u179a\u1799\u17c4\u1784\u178f\u17bd\u17a2\u1780\u17d2\u179f\u179a (\u1791\u17b6\u17c6\u1784\u1793\u17c1\u17c7\u1798\u17b7\u1793\u178f\u17d2\u179a\u17bc\u179c\u1787\u17b6\u179f\u1798\u17b6\u1787\u17b7\u1780\u1782\u17d2\u179a\u17bd\u179f\u17b6\u179a\u1791\u17c1)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_135_70761_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>\u17a2\u17b6\u1787\u17d2\u1789\u17b6\u1780\u178e\u17d2\u178f\u17b6\u179b \u17e1<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_136_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1788\u17d2\u1798\u17c4\u17c7<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_wn09xg_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u17a2\u17b6\u179f\u17d0\u1799\u178a\u17d2\u178b\u17b6\u1793<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[137]\" id=\"field_skcmgo_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u17a2\u17b6\u179f\u17d0\u1799\u200b\u178a\u17d2\u178b\u17b6\u1793\u200b\u17a2\u17ca\u17b8\u200b\u1798\u17c9\u17c1\u200b\u179b<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_5pwrrr_70761\" 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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u179b\u17c1\u1781\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_ekev7s_70761\"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_70761_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>\u17a2\u17b6\u1787\u17d2\u1789\u17b6\u1780\u178e\u17d2\u178f\u17b6\u179b \u17e2<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_134_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1788\u17d2\u1798\u17c4\u17c7<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_tbciaj_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u17a2\u17b6\u179f\u17d0\u1799\u178a\u17d2\u178b\u17b6\u1793<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[132]\" id=\"field_twzrlu_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u17a2\u17b6\u179f\u17d0\u1799\u200b\u178a\u17d2\u178b\u17b6\u1793\u200b\u17a2\u17ca\u17b8\u200b\u1798\u17c9\u17c1\u200b\u179b<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_2ub2ae_70761\" 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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u179b\u17c1\u1781\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_ef28kz_70761\"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=\"\u1794\u1793\u17d2\u1791\u17b6\u1794\u17cb\" \/><\/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_70761_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>\u179f\u1798\u17d2\u1784\u17b6\u178f\u17cb<\/b><\/p><br>\n\n<p><b>\u1780\u17b6\u179a\u1787\u17d2\u179a\u17be\u179f\u179a\u17be\u179f\u17a2\u178f\u17b8\u178f\u1787\u1793\u179b\u17d2\u1798\u17be\u179f<\/b> \u2013 \u1797\u17b6\u1782\u1785\u17d2\u179a\u17be\u1793\u1793\u17c3\u17b1\u1780\u17b6\u179f\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f\u179a\u1794\u179f\u17cb\u1780\u17d2\u179a\u17bb\u1798\u1782\u17b6\u17c6\u1791\u17d2\u179a\u1787\u1793\u1797\u17c0\u179f\u1781\u17d2\u179b\u17bd\u1793 Hillingdon \u1793\u17b9\u1784\u1796\u17b6\u1780\u17cb\u1796\u17d0\u1793\u17d2\u1792\u1793\u17b9\u1784\u1780\u17b6\u179a\u1791\u17c6\u1793\u17b6\u1780\u17cb\u1791\u17c6\u1793\u1784\u178a\u17c4\u1799\u1795\u17d2\u1791\u17b6\u179b\u17cb\u1787\u17b6\u1798\u17bd\u1799\u1799\u17bb\u179c\u1787\u1793\u178a\u17c2\u179b\u1784\u17b6\u1799\u179a\u1784\u1782\u17d2\u179a\u17c4\u17c7\u17d4 \u178a\u17bc\u1785\u1793\u17c1\u17c7 \u1780\u17b6\u179a\u178a\u17b6\u1780\u17cb\u1796\u17b6\u1780\u17d2\u1799\u179f\u17bb\u17c6\u17a2\u17d2\u1793\u1780\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u179b\u17be\u1780\u179b\u17c2\u1784\u1796\u17b8\u1785\u17d2\u1794\u17b6\u1794\u17cb\u179f\u17d2\u178f\u17b6\u179a\u1793\u17b8\u178f\u17b7\u179f\u1798\u17d2\u1794\u1791\u17b6\u17a2\u17d2\u1793\u1780\u1794\u17d2\u179a\u1796\u17d2\u179a\u17b9\u178f\u17d2\u178f\u179b\u17d2\u1798\u17be\u179f\u1786\u17d2\u1793\u17b6\u17c6 1974\u17d4 \u1793\u17c1\u17c7\u1798\u17b6\u1793\u1793\u17d0\u1799\u1790\u17b6\u17a2\u17d2\u1793\u1780\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f\u178a\u17c2\u179b\u1798\u17b6\u1793\u179f\u1780\u17d2\u178f\u17b6\u1793\u17bb\u1796\u179b\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u178f\u1798\u17d2\u179a\u17bc\u179c\u17b1\u17d2\u1799\u1794\u17d2\u179a\u1780\u17b6\u179f\u1796\u17b8\u1780\u17c6\u178e\u178f\u17cb\u178f\u17d2\u179a\u17b6\u1796\u17d2\u179a\u17a0\u17d2\u1798\u1791\u178e\u17d2\u178c\u179a\u1794\u179f\u17cb\u1796\u17bd\u1780\u1782\u17c1\u1791\u17b6\u17c6\u1784\u179f\u17d2\u179a\u17bb\u1784 \u179a\u17bd\u1798\u1791\u17b6\u17c6\u1784\u1780\u17b6\u179a\u1794\u17d2\u179a\u17bb\u1784\u1794\u17d2\u179a\u1799\u17d0\u178f\u17d2\u1793 \u1780\u17b6\u179a\u179f\u17d2\u178f\u17b8\u1794\u1793\u17d2\u1791\u17c4\u179f \u1780\u17b6\u179a\u1796\u17d2\u179a\u1798\u17b6\u1793\u1785\u17bb\u1784\u1780\u17d2\u179a\u17c4\u1799 \u1793\u17b7\u1784\u1780\u17b6\u179a\u1795\u17d2\u178f\u1793\u17d2\u1791\u17b6\u1791\u17c4\u179f\u1796\u17d2\u179a\u17a0\u17d2\u1798\u1791\u178e\u17d2\u178c\u178a\u17c2\u179b\u1785\u17b6\u178f\u17cb\u1790\u17d2\u1793\u17b6\u1780\u17cb\u1787\u17b6 &#039;\u1785\u17c6\u178e\u17b6\u1799&#039; \u1793\u17c5\u1780\u17d2\u179a\u17c4\u1798\u1785\u17d2\u1794\u17b6\u1794\u17cb\u1781\u17b6\u1784\u179b\u17be\u17d4 \u179f\u17bc\u1798\u1794\u17c6\u1796\u17c1\u1789 \u17a0\u17be\u1799\u1785\u17bb\u17c7\u17a0\u178f\u17d2\u1790\u179b\u17c1\u1781\u17b6\u179b\u17be\u1795\u17d2\u1793\u17c2\u1780\u1793\u17c1\u17c7\u17d4 \u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u178a\u17c2\u179b\u1794\u17b6\u1793\u1795\u17d2\u178f\u179b\u17cb\u1793\u17b9\u1784\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u179a\u1780\u17d2\u179f\u17b6\u1791\u17bb\u1780\u1787\u17b6\u179f\u1798\u17d2\u1784\u17b6\u178f\u17cb\u17d4 \u179c\u17b6\u1793\u17b9\u1784\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1794\u1784\u17d2\u17a0\u17b6\u1789\u178a\u179b\u17cb\u1794\u17bb\u1782\u17d2\u1782\u179b\u17b7\u1780 HRSG \u1787\u17b6\u1780\u17cb\u179b\u17b6\u1780\u17cb\u178f\u17c2\u1794\u17c9\u17bb\u178e\u17d2\u178e\u17c4\u17c7 \u1794\u17d2\u179a\u179f\u17b7\u1793\u1794\u17be\/\u1793\u17c5\u1796\u17c1\u179b\u178a\u17c2\u179b\u1796\u17bd\u1780\u1782\u17c1\u1780\u17c6\u1796\u17bb\u1784\u1796\u17b7\u1785\u17b6\u179a\u178e\u17b6\u17a2\u17d2\u1793\u1780\u179f\u1798\u17d2\u179a\u17b6\u1794\u17cb\u17b1\u1780\u17b6\u179f\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f\u1787\u17b6\u1780\u17cb\u179b\u17b6\u1780\u17cb (\u178a\u17c2\u179b\u1787\u17b6\u1780\u1793\u17d2\u179b\u17c2\u1784\u178a\u17c2\u179b\u17a2\u17d2\u1793\u1780\u17a2\u17b6\u1785\u1791\u17b6\u1780\u17cb\u1791\u1784\u1787\u17b6\u1798\u17bd\u1799\u1798\u1793\u17bb\u179f\u17d2\u179f\u179c\u17d0\u1799\u1780\u17d2\u1798\u17c1\u1784\u178a\u17c2\u179b\u1784\u17b6\u1799\u179a\u1784\u1782\u17d2\u179a\u17c4\u17c7)\u17d4\n\n<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_252_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u178f\u17be\u200b\u17a2\u17d2\u1793\u1780\u200b\u1792\u17d2\u179b\u17b6\u1794\u17cb\u200b\u178f\u17d2\u179a\u17bc\u179c\u200b\u1794\u17b6\u1793\u200b\u1780\u17b6\u178f\u17cb\u200b\u1791\u17c4\u179f\u200b\u1793\u17c5\u200b\u178f\u17bb\u179b\u17b6\u1780\u17b6\u179a \u17ac\u200b\u178f\u17d2\u179a\u17bc\u179c\u200b\u1794\u17c9\u17bc\u179b\u17b7\u179f\u200b\u1796\u17d2\u179a\u1798\u17b6\u1793\u200b\u1796\u17b8\u200b\u1794\u1791\u200b\u179b\u17d2\u1798\u17be\u179f\u200b\u178e\u17b6\u200b\u1798\u17bd\u1799\u200b\u178a\u17c2\u179a\u200b\u17ac\u200b\u1791\u17c1?<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_252-0-70761\" data-unique-id=\"70761\" 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_252-0-70761\" class=\"\">\u1794\u17b6\u1791<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[252]\" data-type=\"radio\" id=\"field_252-1-70761\" data-unique-id=\"70761\" value=\"No\"   class=\"arf_required\" style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_252-1-70761\" class=\"\">\u1791\u17c1<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_253_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1794\u17d2\u179a\u179f\u17b7\u1793\u1794\u17be\u1794\u17b6\u1791\/\u1785\u17b6\u179f \u179f\u17bc\u1798\u1795\u17d2\u178f\u179b\u17cb\u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u179b\u1798\u17d2\u17a2\u17b7\u178f \u179a\u17bd\u1798\u1791\u17b6\u17c6\u1784\u1780\u17b6\u179b\u1794\u179a\u17b7\u1785\u17d2\u1786\u17c1\u1791 \u1793\u17b7\u1784\u179b\u1780\u17d2\u1781\u178e\u17c8\u1793\u17c3\u1794\u1791\u179b\u17d2\u1798\u17be\u179f\u17d4<\/label><div class=\"controls\"   ><textarea name=\"item_meta[253]\" id=\"field_t8gg6c_70761\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_254_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1781\u17d2\u1789\u17bb\u17c6\u179f\u17bc\u1798\u1794\u17d2\u179a\u1780\u17b6\u179f\u1790\u17b6 \u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u1781\u17b6\u1784\u179b\u17be\u1782\u17ba\u178f\u17d2\u179a\u17b9\u1798\u178f\u17d2\u179a\u17bc\u179c\u17d4<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_254-0-70761\" 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_254-0-70761\" ><\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_255_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1788\u17d2\u1798\u17c4\u17c7\u200b\u1796\u17c1\u1789<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_4un1il_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1780\u17b6\u179b\u1794\u179a\u17b7\u1785\u17d2\u1786\u17c1\u1791<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_70761\"    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_70761_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' >\u1791\u1798\u17d2\u179a\u1784\u17cb\u178f\u17d2\u179a\u17bd\u178f\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u1787\u17d2\u179a\u17be\u179f\u179a\u17be\u179f\u1794\u17bb\u1782\u17d2\u1782\u179b\u17b7\u1780 (\u179f\u1798\u17d2\u1784\u17b6\u178f\u17cb)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_260_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u179f\u1798\u17d2\u179a\u17b6\u1794\u17cb\u1782\u17c4\u179b\u1794\u17c6\u178e\u1784\u178f\u17d2\u179a\u17bd\u178f\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799 \u179f\u17bc\u1798\u1794\u17c6\u1796\u17c1\u1789\u17b1\u1780\u17b6\u179f\u179f\u17d2\u1798\u17be\u1782\u17d2\u1793\u17b6\u178a\u17c2\u179b\u1797\u17d2\u1787\u17b6\u1794\u17cb\u1798\u1780\u1787\u17b6\u1798\u17bd\u1799\u17d4 \u178a\u17c4\u1799\u17a2\u1793\u17bb\u179b\u17c4\u1798\u178f\u17b6\u1798\u1785\u17d2\u1794\u17b6\u1794\u17cb\u1780\u17b6\u179a\u1796\u17b6\u179a\u1791\u17b7\u1793\u17d2\u1793\u1793\u17d0\u1799\u1786\u17d2\u1793\u17b6\u17c6 1998 \u1781\u17d2\u1789\u17bb\u17c6\u1799\u179b\u17cb\u1796\u17d2\u179a\u1798\u1790\u17b6 HRSG \u17a2\u17b6\u1785\u179a\u1780\u17d2\u179f\u17b6\u1791\u17bb\u1780 \u1793\u17b7\u1784\u1794\u17d2\u179a\u17be\u1794\u17d2\u179a\u17b6\u179f\u17cb\u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u1795\u17d2\u1791\u17b6\u179b\u17cb\u1781\u17d2\u179b\u17bd\u1793\u17a2\u17c6\u1796\u17b8\u1781\u17d2\u1789\u17bb\u17c6\u179f\u1798\u17d2\u179a\u17b6\u1794\u17cb\u17a0\u17c1\u178f\u17bb\u1795\u179b\u179f\u17d2\u1798\u17d0\u1782\u17d2\u179a\u1785\u17b7\u178f\u17d2\u178f \u1793\u17b7\u1784\u178a\u17be\u1798\u17d2\u1794\u17b8\u179a\u1780\u17d2\u179f\u17b6\u1791\u17c6\u1793\u17b6\u1780\u17cb\u1791\u17c6\u1793\u1784\u1787\u17b6\u1798\u17bd\u1799\u1781\u17d2\u1789\u17bb\u17c6\u17d4 \u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u1793\u17c1\u17c7 \u179a\u17bd\u1798\u1791\u17b6\u17c6\u1784\u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u178a\u17c2\u179b\u1798\u17b6\u1793\u1793\u17c5\u1780\u17d2\u1793\u17bb\u1784\u1780\u1798\u17d2\u1798\u179c\u17b7\u1792\u17b8\u1793\u17c1\u17c7 \u17a2\u17b6\u1785\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u179a\u1780\u17d2\u179f\u17b6\u1791\u17bb\u1780\u1791\u17b6\u17c6\u1784\u17af\u1780\u179f\u17b6\u179a\u179f\u17c0\u179c\u1797\u17c5\u178a\u17c3 \u1793\u17b7\u1784\u1780\u17bb\u17c6\u1796\u17d2\u1799\u17bc\u1791\u17d0\u179a\u17d4 \u1781\u17d2\u1789\u17bb\u17c6\u179f\u17bc\u1798\u1794\u1789\u17d2\u1787\u17b6\u1780\u17cb\u1790\u17b6\u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u1793\u17c5\u179b\u17be\u1791\u1798\u17d2\u179a\u1784\u17cb\u1793\u17c1\u17c7\u1782\u17ba\u178f\u17d2\u179a\u17b9\u1798\u178f\u17d2\u179a\u17bc\u179c\u17d4 \u1781\u17d2\u1789\u17bb\u17c6\u1799\u179b\u17cb\u1790\u17b6\u1780\u17b7\u1785\u17d2\u1785\u1780\u17b6\u179a\u1798\u17bd\u1799\u1785\u17c6\u1793\u17bd\u1793\u178a\u17c2\u179b\u1796\u17b6\u1780\u17cb\u1796\u17d0\u1793\u17d2\u1792\u1793\u17b9\u1784\u178f\u17bd\u1793\u17b6\u1791\u17b8\u179a\u1794\u179f\u17cb\u1781\u17d2\u1789\u17bb\u17c6\u1787\u17b6\u1798\u17bd\u1799 HRSG \u17a2\u17b6\u1785\u1798\u17b6\u1793\u179b\u1780\u17d2\u1781\u178e\u17c8\u179a\u179f\u17be\u1794 \u17a0\u17be\u1799\u1781\u17d2\u1789\u17bb\u17c6\u1799\u179b\u17cb\u1796\u17d2\u179a\u1798\u179a\u1780\u17d2\u179f\u17b6\u1780\u17b6\u179a\u179f\u1798\u17d2\u1784\u17b6\u178f\u17cb\u1782\u17d2\u179a\u1794\u17cb\u1796\u17c1\u179b\u179c\u17c1\u179b\u17b6\u17d4<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_260-0-70761\" 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_260-0-70761\" ><\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_261_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1788\u17d2\u1798\u17c4\u17c7\u200b\u1796\u17c1\u1789<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_s9jh8i_70761\"  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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1780\u17b6\u179b\u1794\u179a\u17b7\u1785\u17d2\u1786\u17c1\u1791<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_70761\"    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_70761_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_70761_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 \u179b\u17be\u1780\u1780\u1798\u17d2\u1796\u179f\u17cb\u17b1\u1780\u17b6\u179f\u179f\u17d2\u1798\u17be\u1782\u17d2\u1793\u17b6<\/p><br>\n<p><b>\u1782\u17c4\u179b\u1793\u1799\u17c4\u1794\u17b6\u1799\u17b1\u1780\u17b6\u179f\u179f\u17d2\u1798\u17be\u1782\u17d2\u1793\u17b6\u1780\u17d2\u1793\u17bb\u1784\u1780\u17b6\u179a\u1787\u17d2\u179a\u17be\u179f\u179a\u17be\u179f \u1793\u17b7\u1784\u1787\u17d2\u179a\u17be\u179f\u179a\u17be\u179f<\/b><\/p>\n\u1791\u1798\u17d2\u179a\u1784\u17cb\u178f\u17d2\u179a\u17bd\u178f\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u1787\u17d2\u179a\u17be\u179f\u179a\u17be\u179f\u1794\u17bb\u1782\u17d2\u1782\u179b\u17b7\u1780 (\u179f\u1798\u17d2\u1784\u17b6\u178f\u17cb) \u1780\u17d2\u179a\u17bb\u1798\u1782\u17b6\u17c6\u1791\u17d2\u179a\u1787\u1793\u1797\u17c0\u179f\u1781\u17d2\u179b\u17bd\u1793 Hillingdon \u1794\u17d2\u178f\u17c1\u1787\u17d2\u1789\u17b6\u1785\u17c6\u1796\u17c4\u17c7\u17b1\u1780\u17b6\u179f\u179f\u17d2\u1798\u17be\u1782\u17d2\u1793\u17b6\u1780\u17d2\u1793\u17bb\u1784\u1780\u17b6\u179a\u1784\u17b6\u179a\u17d4 \u178a\u17be\u1798\u17d2\u1794\u17b8\u1792\u17b6\u1793\u17b6\u1794\u17b6\u1793\u1793\u17bc\u179c\u1794\u17d2\u179a\u179f\u17b7\u1791\u17d2\u1792\u1797\u17b6\u1796\u1793\u17c3\u1782\u17c4\u179b\u1780\u17b6\u179a\u178e\u17cd\u1793\u17c1\u17c7 \u1794\u17c1\u1780\u17d2\u1781\u1787\u1793\u1791\u17b6\u17c6\u1784\u17a2\u179f\u17cb\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u179f\u17d2\u1793\u17be\u179f\u17bb\u17c6\u17b1\u17d2\u1799\u1795\u17d2\u178f\u179b\u17cb\u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u178a\u17bc\u1785\u1781\u17b6\u1784\u1780\u17d2\u179a\u17c4\u1798\u17d4 \u179a\u17b6\u179b\u17cb\u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u178a\u17c2\u179b\u1794\u17b6\u1793\u1795\u17d2\u178f\u179b\u17cb\u1793\u17b9\u1784\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1785\u17b6\u178f\u17cb\u1791\u17bb\u1780\u178a\u17c4\u1799\u1797\u17b6\u1796\u1787\u17bf\u1787\u17b6\u1780\u17cb\u178a\u17cf\u178f\u17b9\u1784\u179a\u17c9\u17b9\u1784\u1794\u17c6\u1795\u17bb\u178f \u17a0\u17be\u1799\u1793\u17b9\u1784\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1794\u17d2\u179a\u17be\u179f\u1798\u17d2\u179a\u17b6\u1794\u17cb\u178f\u17c2\u1782\u17c4\u179b\u1794\u17c6\u178e\u1784\u1793\u17c3\u1780\u17b6\u179a\u178f\u17d2\u179a\u17bd\u178f\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u1794\u17c9\u17bb\u178e\u17d2\u178e\u17c4\u17c7\u17d4\n\n<p><b>\u1780\u17b6\u179a\u178f\u17d2\u179a\u17bd\u178f\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799<\/b><\/p>\n\u1799\u17be\u1784\u1793\u17b9\u1784\u1785\u17b6\u178f\u17cb\u1791\u17bb\u1780\u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u1781\u17b6\u1784\u1780\u17d2\u179a\u17c4\u1798\u1787\u17b6\u1780\u17b6\u179a\u179f\u1798\u17d2\u1784\u17b6\u178f\u17cb \u17a0\u17be\u1799\u1799\u17be\u1784\u179f\u17bc\u1798\u1790\u17d2\u179b\u17c2\u1784\u17a2\u17c6\u178e\u179a\u1782\u17bb\u178e\u1785\u17c6\u1796\u17c4\u17c7\u1780\u17b7\u1785\u17d2\u1785\u179f\u17a0\u1794\u17d2\u179a\u178f\u17b7\u1794\u178f\u17d2\u178f\u17b7\u1780\u17b6\u179a\u179a\u1794\u179f\u17cb\u17a2\u17d2\u1793\u1780\u1780\u17d2\u1793\u17bb\u1784\u1780\u17b6\u179a\u1787\u17bd\u1799\u1799\u17be\u1784\u178f\u17d2\u179a\u17bd\u178f\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u1794\u17d2\u179a\u179f\u17b7\u1791\u17d2\u1792\u1797\u17b6\u1796\u1793\u17c3\u1782\u17c4\u179b\u1793\u1799\u17c4\u1794\u17b6\u1799\u17b1\u1780\u17b6\u179f\u179f\u17d2\u1798\u17be\u1782\u17d2\u1793\u17b6\u179a\u1794\u179f\u17cb\u1799\u17be\u1784\u17d4 \u1796\u17b6\u1780\u17d2\u1799\u179f\u17d2\u1793\u17be\u179f\u17bb\u17c6\u179a\u1794\u179f\u17cb\u17a2\u17d2\u1793\u1780\u1793\u17b9\u1784\u1798\u17b7\u1793\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1794\u17c9\u17c7\u1796\u17b6\u179b\u17cb\u178a\u17c4\u1799\u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u178a\u17c2\u179b\u1794\u17b6\u1793\u1795\u17d2\u178f\u179b\u17cb\u17b1\u17d2\u1799\u1791\u17c1 \u17a0\u17be\u1799\u1793\u17b9\u1784\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1794\u17c6\u1794\u17c2\u1780\u1785\u17c1\u1789\u1796\u17b8\u1791\u1798\u17d2\u179a\u1784\u17cb\u1796\u17b6\u1780\u17d2\u1799\u179f\u17bb\u17c6\u179a\u1794\u179f\u17cb\u17a2\u17d2\u1793\u1780\u1793\u17c5\u179b\u17be\u1794\u1784\u17d2\u1780\u17b6\u1793\u17cb\u178a\u17c3\u17d4<\/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_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u1797\u17c1\u1791<\/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_266-0-70761\" data-unique-id=\"70761\" value=\"Male\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_266-0-70761\" class=\"\">\u1794\u17d2\u179a\u17bb\u179f<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[266]\" data-type=\"radio\" id=\"field_266-1-70761\" data-unique-id=\"70761\" value=\"Female\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_266-1-70761\" class=\"\">\u179f\u17d2\u179a\u17b8<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_267_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u17a2\u17b6\u1799\u17bb<\/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_267-0-70761\" data-unique-id=\"70761\" value=\"16-20\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-0-70761\" 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_267-1-70761\" data-unique-id=\"70761\" value=\"21-30\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-1-70761\" 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_267-2-70761\" data-unique-id=\"70761\" value=\"31-40\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-2-70761\" 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_267-3-70761\" data-unique-id=\"70761\" value=\"41-50\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-3-70761\" 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_267-4-70761\" data-unique-id=\"70761\" value=\"51-60\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-4-70761\" 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_267-5-70761\" data-unique-id=\"70761\" value=\"61-70\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-5-70761\" 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_267-6-70761\" data-unique-id=\"70761\" value=\"71-80\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-6-70761\" 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_267-7-70761\" data-unique-id=\"70761\" value=\"81-90\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_267-7-70761\" class=\"\">81-90<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_268_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u178a\u17be\u1798\u1780\u17c6\u178e\u17be\u178f\u1787\u1793\u1787\u17b6\u178f\u17b7 \u1781\u17d2\u1789\u17bb\u17c6\u1793\u17b9\u1784\u1796\u178e\u17cc\u1793\u17b6\u17a2\u17c6\u1796\u17b8\u178a\u17be\u1798\u1780\u17c6\u178e\u17be\u178f\u1787\u1793\u1787\u17b6\u178f\u17b7\u179a\u1794\u179f\u17cb\u1781\u17d2\u1789\u17bb\u17c6\u178a\u17bc\u1785\u1787\u17b6\u17d6<\/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_268-0-70761\" data-unique-id=\"70761\" value=\"White (English)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-0-70761\" class=\"\">\u179f (\u17a2\u1784\u17cb\u1782\u17d2\u179b\u17c1\u179f)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-1-70761\" data-unique-id=\"70761\" value=\"White (Irish)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-1-70761\" class=\"\">\u179f (\u17a2\u17c0\u179a\u17a1\u1784\u17cb)<\/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_268-2-70761\" data-unique-id=\"70761\" value=\"White (Gypsy) or Irish Traveller\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-2-70761\" class=\"\">\u1787\u1793\u1787\u17b6\u178f\u17b7\u179f\u17d2\u1794\u17c2\u1780\u179f (\u17a0\u17d2\u1782\u17b8\u1794\u179f\u17b8\u179f) \u17ac\u17a2\u17d2\u1793\u1780\u1792\u17d2\u179c\u17be\u178a\u17c6\u178e\u17be\u179a\u17a2\u17c0\u179a\u17a1\u1784\u17cb<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-3-70761\" data-unique-id=\"70761\" value=\"White (Scottish)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-3-70761\" class=\"\">\u179f (\u179f\u17d2\u1780\u17bb\u178f\u17a1\u17c1\u1793)<\/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_268-4-70761\" data-unique-id=\"70761\" value=\"White (Welsh)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-4-70761\" class=\"\">\u179f (\u179c\u17c2\u179b)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-5-70761\" data-unique-id=\"70761\" value=\"Any other White background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-5-70761\" class=\"\">\u1795\u17d2\u1791\u17c3\u1781\u17b6\u1784\u1780\u17d2\u179a\u17c4\u1799\u1796\u178e\u17cc\u179f\u1795\u17d2\u179f\u17c1\u1784\u1791\u17c0\u178f\u17d4<\/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_268-6-70761\" data-unique-id=\"70761\" value=\"Asian (Indian)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-6-70761\" class=\"\">\u17a2\u17b6\u179f\u17ca\u17b8 (\u17a5\u178e\u17d2\u178c\u17b6)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-7-70761\" data-unique-id=\"70761\" value=\"Asian (Pakistani)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-7-70761\" class=\"\">\u17a2\u17b6\u179f\u17ca\u17b8 (\u1794\u17c9\u17b6\u1782\u17b8\u179f\u17d2\u1790\u17b6\u1793)<\/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_268-8-70761\" data-unique-id=\"70761\" value=\"Asian (Bangladeshi)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-8-70761\" class=\"\">\u17a2\u17b6\u179f\u17ca\u17b8 (\u1794\u1784\u17cb\u1780\u17d2\u179b\u17b6\u178a\u17c2\u179f)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-9-70761\" data-unique-id=\"70761\" value=\"Asian (Chinese)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-9-70761\" class=\"\">\u17a2\u17b6\u179f\u17ca\u17b8 (\u1785\u17b7\u1793)<\/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_268-10-70761\" data-unique-id=\"70761\" value=\"Any other Asian background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-10-70761\" class=\"\">\u1794\u17d2\u179a\u179c\u178f\u17d2\u178f\u17b7\u17a2\u17b6\u179f\u17ca\u17b8\u1795\u17d2\u179f\u17c1\u1784\u1791\u17c0\u178f\u17d4<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-11-70761\" data-unique-id=\"70761\" value=\"Black (African)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-11-70761\" class=\"\">\u1781\u17d2\u1798\u17c5 (\u17a2\u17b6\u17a0\u17d2\u179a\u17d2\u179c\u17b7\u1780)<\/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_268-12-70761\" data-unique-id=\"70761\" value=\"Black (Caribbean)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-12-70761\" class=\"\">\u1781\u17d2\u1798\u17c5 (\u1780\u17b6\u179a\u17b6\u1794\u17c0\u1793)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-13-70761\" data-unique-id=\"70761\" value=\"Any other Black, African, Caribbean background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-13-70761\" class=\"\">\u1795\u17d2\u1791\u17c3\u1781\u17b6\u1784\u1780\u17d2\u179a\u17c4\u1799\u1781\u17d2\u1798\u17c5 \u17a2\u17b6\u17a0\u17d2\u179a\u17d2\u179c\u17b7\u1780 \u1780\u17b6\u179a\u17b6\u1794\u17c0\u1793<\/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_268-14-70761\" data-unique-id=\"70761\" value=\"Mixed (White and Black Caribbean)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-14-70761\" class=\"\">\u1785\u1798\u17d2\u179a\u17bb\u17c7 (\u179f \u1793\u17b7\u1784\u1781\u17d2\u1798\u17c5 \u1780\u17b6\u179a\u17c9\u17b6\u1794\u17ca\u17b8\u1793)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-15-70761\" data-unique-id=\"70761\" value=\"Mixed (White and Black African)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-15-70761\" class=\"\">\u1785\u1798\u17d2\u179a\u17bb\u17c7 (\u17a2\u17b6\u17a0\u17d2\u179a\u17d2\u179c\u17b7\u1780\u179f \u1793\u17b7\u1784\u1781\u17d2\u1798\u17c5)<\/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_268-16-70761\" data-unique-id=\"70761\" value=\"Mixed (White and Asian)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-16-70761\" class=\"\">\u1785\u1798\u17d2\u179a\u17bb\u17c7 (\u179f \u1793\u17b7\u1784\u17a2\u17b6\u179f\u17ca\u17b8)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-17-70761\" data-unique-id=\"70761\" value=\"Other mixed ethnic background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-17-70761\" class=\"\">\u179f\u17b6\u179c\u178f\u17b6\u1787\u17b6\u178f\u17b7\u179f\u17b6\u179f\u1793\u17cd\u1785\u1798\u17d2\u179a\u17bb\u17c7\u1795\u17d2\u179f\u17c1\u1784\u1791\u17c0\u178f\u17d4<\/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_268-18-70761\" data-unique-id=\"70761\" value=\"Other ethnic background (Arab)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-18-70761\" class=\"\">\u179f\u17b6\u179c\u178f\u17b6\u1787\u1793\u1787\u17b6\u178f\u17b7\u1795\u17d2\u179f\u17c1\u1784\u1791\u17c0\u178f (\u17a2\u17b6\u179a\u17c9\u17b6\u1794\u17cb)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[268]\" data-type=\"radio\" id=\"field_268-19-70761\" data-unique-id=\"70761\" value=\"Any other ethnic background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_268-19-70761\" class=\"\">\u179f\u17b6\u179c\u178f\u17b6\u1787\u1793\u1787\u17b6\u178f\u17b7\u1795\u17d2\u179f\u17c1\u1784\u17d7<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_269_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u179f\u17b6\u179f\u1793\u17b6 \u17ac\u1787\u17c6\u1793\u17bf\u17d6 \u179f\u17bc\u1798\u1794\u1789\u17d2\u1787\u17b6\u1780\u17cb\u17a2\u17c6\u1796\u17b8\u179f\u17b6\u179f\u1793\u17b6 \u17ac\u1787\u17c6\u1793\u17bf\u179a\u1794\u179f\u17cb\u17a2\u17d2\u1793\u1780\u17d4<\/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_269-0-70761\" data-unique-id=\"70761\" value=\"No religion (Atheism)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-0-70761\" class=\"\">\u1782\u17d2\u1798\u17b6\u1793\u179f\u17b6\u179f\u1793\u17b6 (Atheism)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-1-70761\" data-unique-id=\"70761\" value=\"Christianity\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-1-70761\" class=\"\">\u1782\u17d2\u179a\u17b7\u179f\u17d2\u178f\u179f\u17b6\u179f\u1793\u17b6<\/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_269-2-70761\" data-unique-id=\"70761\" value=\"Buddhism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-2-70761\" class=\"\">\u1796\u17bb\u1791\u17d2\u1792\u179f\u17b6\u179f\u1793\u17b6<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-3-70761\" data-unique-id=\"70761\" value=\"Hinduism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-3-70761\" class=\"\">\u1796\u17d2\u179a\u17a0\u17d2\u1798\u1789\u17d2\u1789\u179f\u17b6\u179f\u1793\u17b6<\/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_269-4-70761\" data-unique-id=\"70761\" value=\"Islam\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-4-70761\" class=\"\">\u17a5\u179f\u17d2\u179b\u17b6\u1798<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-5-70761\" data-unique-id=\"70761\" value=\"Judaism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-5-70761\" class=\"\">\u179f\u17b6\u179f\u1793\u17b6\u1799\u17bc\u178a\u17b6<\/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_269-6-70761\" data-unique-id=\"70761\" value=\"Sikhism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-6-70761\" class=\"\">\u179f\u17b6\u179f\u1793\u17b6\u179f\u17ca\u17b8\u1780<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[269]\" data-type=\"radio\" id=\"field_269-7-70761\" data-unique-id=\"70761\" value=\"Other\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-7-70761\" class=\"\">\u1795\u17d2\u179f\u17c1\u1784\u1791\u17c0\u178f<\/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_269-8-70761\" data-unique-id=\"70761\" value=\"I do not wish to disclose my religion\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_269-8-70761\" class=\"\">\u1781\u17d2\u1789\u17bb\u17c6\u200b\u1798\u17b7\u1793\u200b\u1785\u1784\u17cb\u200b\u1794\u1784\u17d2\u17a0\u17b6\u1789\u200b\u179f\u17b6\u179f\u1793\u17b6\u200b\u179a\u1794\u179f\u17cb\u200b\u1781\u17d2\u1789\u17bb\u17c6\u200b\u1791\u17c1\u17d4<\/label><\/div><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_270_70761_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_70761\" class=\"arf_main_label arf_main_label_18px\">\u178f\u17be\u17a2\u17d2\u1793\u1780\u1785\u17b6\u178f\u17cb\u1791\u17bb\u1780\u1781\u17d2\u179b\u17bd\u1793\u17af\u1784\u1790\u17b6\u1796\u17b7\u1780\u17b6\u179a\u178a\u17c2\u179a\u17ac\u1791\u17c1?<\/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_270-0-70761\" data-unique-id=\"70761\" value=\"Yes\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_270-0-70761\" class=\"\">\u1794\u17b6\u1791<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[270]\" data-type=\"radio\" id=\"field_270-1-70761\" data-unique-id=\"70761\" value=\"No\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_270-1-70761\" class=\"\">\u1791\u17c1<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[270]\" data-type=\"radio\" id=\"field_270-2-70761\" data-unique-id=\"70761\" value=\"I do not wish to disclose this information                \"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_270-2-70761\" class=\"\">\u1781\u17d2\u1789\u17bb\u17c6\u200b\u1798\u17b7\u1793\u200b\u1785\u1784\u17cb\u200b\u1794\u1784\u17d2\u17a0\u17b6\u1789\u200b\u1796\u17d0\u178f\u17cc\u1798\u17b6\u1793\u200b\u1793\u17c1\u17c7\u200b\u1791\u17c1\u17d4                <\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_271_70761_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_271\" data-field-type=\"html\" data-parent_field=\"265\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p>\u1793\u17c5\u1796\u17c1\u179b\u1786\u17d2\u179b\u17be\u1799\u179f\u17c6\u178e\u17bd\u179a\u1793\u17c1\u17c7 \u179f\u17bc\u1798\u1785\u17c6\u178e\u17b6\u17c6\u1790\u17b6 \u1793\u17c5\u1780\u17d2\u179a\u17c4\u1798\u1785\u17d2\u1794\u17b6\u1794\u17cb\u179f\u17d2\u178f\u17b8\u1796\u17b8\u1780\u17b6\u179a\u179a\u17be\u179f\u17a2\u17be\u1784\u1796\u17b7\u1780\u17b6\u179a\u1797\u17b6\u1796\u1786\u17d2\u1793\u17b6\u17c6 1995 \u1796\u17b7\u1780\u17b6\u179a\u1797\u17b6\u1796\u1798\u17bd\u1799\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1780\u17c6\u178e\u178f\u17cb\u1790\u17b6\u1787\u17b6 &quot;\u1796\u17b7\u1780\u17b6\u179a\u1797\u17b6\u1796\u1795\u17d2\u179b\u17bc\u179c\u1785\u17b7\u178f\u17d2\u178f \u17ac\u1795\u17d2\u179b\u17bc\u179c\u1780\u17b6\u1799&quot; \u178a\u17c2\u179b\u1798\u17b6\u1793\u1795\u179b\u1794\u17c9\u17c7\u1796\u17b6\u179b\u17cb\u1799\u17c9\u17b6\u1784\u1792\u17d2\u1784\u1793\u17cb\u1792\u17d2\u1784\u179a \u1793\u17b7\u1784\u1799\u17bc\u179a\u17a2\u1784\u17d2\u179c\u17c2\u1784\u1791\u17c5\u179b\u17be\u179f\u1798\u178f\u17d2\u1790\u1797\u17b6\u1796\u179a\u1794\u179f\u17cb\u17a2\u17d2\u1793\u1780\u1780\u17d2\u1793\u17bb\u1784\u1780\u17b6\u179a\u17a2\u1793\u17bb\u179c\u178f\u17d2\u178f\u179f\u1780\u1798\u17d2\u1798\u1797\u17b6\u1796\u1794\u17d2\u179a\u1785\u17b6\u17c6\u1790\u17d2\u1784\u17c3\u1792\u1798\u17d2\u1798\u178f\u17b6\u17d4<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_272_70761_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_272\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"265\"><label data-type=\"radio\" for=\"field_elc75g_70761\" class=\"arf_main_label arf_main_label_18px\">\u179f\u17bc\u1798\u1785\u1784\u17d2\u17a2\u17bb\u179b\u1794\u1784\u17d2\u17a0\u17b6\u1789\u1790\u17b6\u1796\u17b6\u1780\u17d2\u1799\u178e\u17b6\u178a\u17c2\u179b\u1796\u17b7\u1796\u178e\u17cc\u1793\u17b6\u17a2\u17c6\u1796\u17b8\u1796\u17b7\u1780\u17b6\u179a\u1797\u17b6\u1796\u179a\u1794\u179f\u17cb\u17a2\u17d2\u1793\u1780\u17d6<\/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[272]\" data-type=\"radio\" id=\"field_272-0-70761\" data-unique-id=\"70761\" value=\"Dyslexia\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_272-0-70761\" class=\"\">\u1787\u17c6\u1784\u17ba\u1781\u17d2\u179c\u17c7\u1788\u17b6\u1798<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[272]\" data-type=\"radio\" id=\"field_272-1-70761\" data-unique-id=\"70761\" value=\"Sight impediment\/blind\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_272-1-70761\" class=\"\">\u1796\u17b7\u1780\u17b6\u179a\u1797\u17d2\u1793\u17c2\u1780 \/ \u1796\u17b7\u1780\u17b6\u179a\u1797\u17d2\u1793\u17c2\u1780<\/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[272]\" data-type=\"radio\" id=\"field_272-2-70761\" data-unique-id=\"70761\" value=\"Hearing impediment\/deaf\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_272-2-70761\" class=\"\">\u1780\u17b6\u179a\u179a\u17c6\u1781\u17b6\u1793\u178a\u179b\u17cb\u1780\u17b6\u179a\u179f\u17d2\u178f\u17b6\u1794\u17cb \/ \u1790\u17d2\u179b\u1784\u17cb<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[272]\" data-type=\"radio\" id=\"field_272-3-70761\" data-unique-id=\"70761\" value=\"Wheelchair user\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_272-3-70761\" class=\"\">\u17a2\u17d2\u1793\u1780\u1794\u17d2\u179a\u17be\u1794\u17d2\u179a\u17b6\u179f\u17cb\u179a\u1791\u17c1\u17c7\u179a\u17bb\u1789<\/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[272]\" data-type=\"radio\" id=\"field_272-4-70761\" data-unique-id=\"70761\" value=\"Other mobility issues\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_272-4-70761\" class=\"\">\u1794\u1789\u17d2\u17a0\u17b6\u1785\u179b\u17d0\u178f\u1795\u17d2\u179f\u17c1\u1784\u1791\u17c0\u178f\u17d4<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[272]\" data-type=\"radio\" id=\"field_272-5-70761\" data-unique-id=\"70761\" value=\"Mental Health Condition\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_272-5-70761\" class=\"\">\u179f\u17d2\u1790\u17b6\u1793\u1797\u17b6\u1796\u179f\u17bb\u1781\u1797\u17b6\u1796\u1795\u17d2\u179b\u17bc\u179c\u1785\u17b7\u178f\u17d2\u178f<\/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[272]\" data-type=\"radio\" id=\"field_272-6-70761\" data-unique-id=\"70761\" value=\"Disability \"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_272-6-70761\" class=\"\">\u1796\u17b7\u1780\u17b6\u179a\u1797\u17b6\u1796 <\/label><\/div><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style=\"clear:both;height:1px;\">&nbsp;<\/div><\/div><!-- page_break && page_0--><div class=\"arfsubmitbutton top_container\" id=\"page_last\" style=\"display:none;\"><div class=\"arf_submit_div  top_container\"><input type=\"button\" value=\"\u1798\u17bb\u1793\" style=\"display:none;\" name=\"previous\" data-id=\"previous_last\" class=\"previous_btn\" onclick=\"go_previous('0', '102', 'no', 'kky0gy', '70761');\"  \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"1\" name=\"last_page_id\" data-id=\"last_page_id\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"1\" name=\"is_submit_form_102\" data-id=\"is_submit_form_102\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-last=\"1\" value=\"1\" name=\"last_show_page_102\" data-id=\"last_show_page_102\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"1\" data-val=\"1\" data-hide=\",\" data-max=\"1\" name=\"submit_form_102\" data-id=\"submit_form_102\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\",\" name=\"get_hidden_pages_102\" data-id=\"get_hidden_pages_102\" \/><button class=\"arf_submit_btn  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