{"id":178043,"date":"2026-06-19T22:18:07","date_gmt":"2026-06-19T21:18:07","guid":{"rendered":"https:\/\/pam.ma\/?page_id=178043"},"modified":"2026-06-21T18:11:23","modified_gmt":"2026-06-21T17:11:23","slug":"candidature-elections","status":"publish","type":"page","link":"https:\/\/pam.ma\/zgh\/candidature-elections\/","title":{"rendered":"candidature-elections"},"content":{"rendered":"\t\t
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\n\t\t\t\t\t\r\n\r\n\r\n \r\n \r\n \u0627\u0633\u062a\u0645\u0627\u0631\u0629 \u0627\u0644\u0627\u0646\u062e\u0631\u0627\u0637<\/title>\r\n <style>\r\n\/* ==========================================\r\n CONTACT FORM 7 - PREMIUM STYLING\r\n ========================================== *\/\r\n\r\n\/* Root Colors *\/\r\n:root {\r\n --primary: #003DA5;\r\n --primary-light: #0052CC;\r\n --background: #FFFFFF;\r\n --card-bg: #F8F9FB;\r\n --text-primary: #1A1A1A;\r\n --text-secondary: #6B7280;\r\n --border: #E5E7EB;\r\n --error: #EF4444;\r\n --success: #22C55E;\r\n}\r\n\r\nhtml {\r\n font-family: 'Tajawal', 'Arial', sans-serif;\r\n}\r\n\r\nbody {\r\n background: linear-gradient(135deg, #001a4d 0%, #003DA5 20%, #0052CC 40%, #0a7dd7 60%, #1B9FFF 80%, #5BBFFF 100%);\r\n min-height: 100vh;\r\n color: var(--text-primary);\r\n line-height: 1.5;\r\n margin: 0;\r\n padding: 0;\r\n}\r\n\r\n\/* Page Background *\/\r\n.registration-wrapper {\r\n min-height: 100vh;\r\n padding: 80px 20px;\r\n position: relative;\r\n display: flex;\r\n align-items: center;\r\n justify-content: center;\r\n}\r\n\r\n.form-container {\r\n max-width: 1100px;\r\n width: 100%;\r\n background: white;\r\n border-radius: 24px;\r\n box-shadow: 0 20px 60px rgba(0, 61, 165, 0.3);\r\n overflow: hidden;\r\n border: 1px solid #F0F4F9;\r\n position: relative;\r\n z-index: 10;\r\n}\r\n\r\n\/* Form Header *\/\r\n.form-header {\r\n background: linear-gradient(135deg, var(--primary) 0%, #0052CC 100%);\r\n padding: 70px 50px;\r\n text-align: center;\r\n color: #FFFFFF;\r\n}\r\n\r\n.header-icon-wrapper {\r\n display: flex;\r\n align-items: center;\r\n justify-content: center;\r\n gap: 20px;\r\n margin-bottom: 30px;\r\n}\r\n\r\n.header-divider {\r\n flex: 0 1 60px;\r\n height: 2px;\r\n background: rgba(255, 255, 255, 0.5);\r\n}\r\n\r\n.header-check-circle {\r\n width: 56px;\r\n height: 56px;\r\n background: rgba(255, 255, 255, 0.2);\r\n border: 2.5px solid white;\r\n border-radius: 50%;\r\n display: flex;\r\n align-items: center;\r\n justify-content: center;\r\n font-size: 32px;\r\n font-weight: bold;\r\n color: white;\r\n flex-shrink: 0;\r\n}\r\n\r\n.form-header h2 {\r\n font-size: 38px;\r\n font-weight: 900;\r\n margin-bottom: 14px;\r\n color: #FFFFFF;\r\n letter-spacing: -0.5px;\r\n line-height: 1.2;\r\n}\r\n\r\n.form-header p {\r\n color: rgba(255, 255, 255, 0.95);\r\n font-size: 16px;\r\n font-weight: 400;\r\n letter-spacing: 0.3px;\r\n margin: 0;\r\n}\r\n\r\n\/* Form Body *\/\r\n.form-body {\r\n padding: 60px 50px;\r\n}\r\n\r\n\/* WPForms Global Styling *\/\r\n.wpcf7 {\r\n direction: rtl;\r\n text-align: right;\r\n}\r\n\r\n.wpcf7-form {\r\n direction: rtl;\r\n}\r\n\r\n\/* Section Styling *\/\r\n.form-section {\r\n margin-bottom: 60px;\r\n padding-bottom: 60px;\r\n border-bottom: 1px solid var(--border);\r\n}\r\n\r\n.form-section:last-child {\r\n border-bottom: none;\r\n margin-bottom: 0;\r\n padding-bottom: 0;\r\n}\r\n\r\n\/* Section Header *\/\r\n.section-header {\r\n display: flex;\r\n align-items: center;\r\n margin-bottom: 40px;\r\n gap: 16px;\r\n padding-bottom: 20px;\r\n border-bottom: 4px solid var(--primary);\r\n}\r\n\r\n.section-header h3 {\r\n font-size: 24px;\r\n font-weight: 800;\r\n color: var(--primary);\r\n margin: 0;\r\n letter-spacing: -0.3px;\r\n}\r\n\r\n\/* Fields Grid - 2 Columns *\/\r\n.fields-grid {\r\n display: grid;\r\n grid-template-columns: 1fr 1fr;\r\n gap: 40px;\r\n}\r\n\r\n.fields-grid-full {\r\n grid-template-columns: 1fr;\r\n}\r\n\r\n\/* Form Group *\/\r\n.wpcf7-form-control-wrap {\r\n display: block;\r\n}\r\n\r\n.form-group {\r\n display: block;\r\n}\r\n\r\n\/* Labels *\/\r\n.wpcf7-form-control-wrap label,\r\n.form-group label {\r\n display: block;\r\n font-size: 16px;\r\n font-weight: 600;\r\n color: var(--text-primary);\r\n margin-bottom: 12px;\r\n letter-spacing: 0.3px;\r\n}\r\n\r\n\/* Input Fields *\/\r\n.wpcf7-text,\r\n.wpcf7-email,\r\n.wpcf7-tel,\r\n.wpcf7-date,\r\n.wpcf7-number,\r\n.wpcf7-textarea,\r\n.wpcf7-select,\r\ninput[type=\"text\"],\r\ninput[type=\"email\"],\r\ninput[type=\"tel\"],\r\ninput[type=\"date\"],\r\ninput[type=\"number\"],\r\ntextarea,\r\nselect {\r\n width: 100%;\r\n padding: 18px 20px;\r\n border: 1.5px solid var(--border);\r\n border-radius: 12px;\r\n font-size: 16px;\r\n font-family: inherit;\r\n background-color: #FAFBFC;\r\n transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);\r\n color: var(--text-primary);\r\n direction: rtl;\r\n text-align: right;\r\n}\r\n\r\n.wpcf7-text::placeholder,\r\ninput[type=\"text\"]::placeholder,\r\ninput[type=\"email\"]::placeholder,\r\ninput[type=\"tel\"]::placeholder,\r\ntextarea::placeholder {\r\n color: #D1D5DB;\r\n font-size: 16px;\r\n}\r\n\r\n\/* Input Focus State *\/\r\n.wpcf7-text:focus,\r\n.wpcf7-email:focus,\r\n.wpcf7-tel:focus,\r\n.wpcf7-date:focus,\r\n.wpcf7-number:focus,\r\n.wpcf7-textarea:focus,\r\n.wpcf7-select:focus,\r\ninput[type=\"text\"]:focus,\r\ninput[type=\"email\"]:focus,\r\ninput[type=\"tel\"]:focus,\r\ninput[type=\"date\"]:focus,\r\ninput[type=\"number\"]:focus,\r\ntextarea:focus,\r\nselect:focus {\r\n outline: none;\r\n border-color: var(--primary);\r\n background-color: white;\r\n box-shadow: 0 0 0 3px rgba(0, 61, 165, 0.08);\r\n}\r\n\r\n\/* Textarea *\/\r\n.wpcf7-textarea,\r\ntextarea {\r\n resize: vertical;\r\n min-height: 160px;\r\n line-height: 1.6;\r\n font-size: 16px;\r\n}\r\n\r\n\/* Select Dropdown *\/\r\n.wpcf7-select,\r\nselect {\r\n appearance: none;\r\n background-image: url('data:image\/svg+xml;utf8,<svg fill=\"%23003DA5\" viewBox=\"0 0 24 24\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M7 10l5 5 5-5z\"\/><\/svg>');\r\n background-repeat: no-repeat;\r\n background-position: 16px center;\r\n background-size: 20px;\r\n padding-right: 50px;\r\n cursor: pointer;\r\n}\r\n\r\n\/* File Upload *\/\r\n.wpcf7-file,\r\ninput[type=\"file\"] {\r\n padding: 0;\r\n border: 2px dashed var(--border);\r\n border-radius: 12px;\r\n padding: 40px 20px;\r\n text-align: center;\r\n background-color: #FAFBFC;\r\n cursor: pointer;\r\n transition: all 0.3s ease;\r\n color: var(--text-secondary);\r\n font-size: 15px;\r\n}\r\n\r\n.wpcf7-file:hover,\r\ninput[type=\"file\"]:hover {\r\n border-color: var(--primary);\r\n background-color: rgba(0, 61, 165, 0.03);\r\n}\r\n\r\n\/* Checkbox *\/\r\n.wpcf7-checkbox input,\r\ninput[type=\"checkbox\"] {\r\n width: 22px;\r\n height: 22px;\r\n margin-left: 12px;\r\n margin-top: 2px;\r\n accent-color: var(--primary);\r\n cursor: pointer;\r\n}\r\n\r\n.wpcf7-checkbox label,\r\n.wpcf7-acceptance label {\r\n display: flex;\r\n align-items: flex-start;\r\n gap: 14px;\r\n cursor: pointer;\r\n font-size: 16px;\r\n color: var(--text-primary);\r\n font-weight: 400;\r\n line-height: 1.6;\r\n margin-bottom: 0;\r\n}\r\n\r\n\/* Submit Button *\/\r\n.wpcf7-submit,\r\ninput[type=\"submit\"],\r\nbutton[type=\"submit\"] {\r\n width: 100%;\r\n padding: 20px 40px;\r\n background: linear-gradient(135deg, var(--primary) 0%, #0a5bcc 100%);\r\n color: white;\r\n border: none;\r\n border-radius: 12px;\r\n font-size: 18px;\r\n font-weight: 900;\r\n cursor: pointer;\r\n transition: all 0.4s cubic-bezier(0.4, 0, 0.2, 1);\r\n margin-top: 50px;\r\n text-transform: none;\r\n font-family: inherit;\r\n letter-spacing: 0.3px;\r\n box-shadow: 0 6px 24px rgba(0, 61, 165, 0.15);\r\n}\r\n\r\n.wpcf7-submit:hover,\r\ninput[type=\"submit\"]:hover,\r\nbutton[type=\"submit\"]:hover {\r\n background: linear-gradient(135deg, #0052CC 0%, var(--primary) 100%);\r\n box-shadow: 0 12px 36px rgba(0, 61, 165, 0.25);\r\n transform: translateY(-2px);\r\n}\r\n\r\n.wpcf7-submit:active,\r\ninput[type=\"submit\"]:active,\r\nbutton[type=\"submit\"]:active {\r\n transform: scale(0.98);\r\n}\r\n\r\n\/* Validation *\/\r\n.wpcf7-not-valid-tip {\r\n color: #EF4444;\r\n font-size: 14px;\r\n margin-top: 8px;\r\n display: block;\r\n font-weight: 500;\r\n}\r\n\r\n.wpcf7-form-control.wpcf7-not-valid {\r\n border-color: #EF4444 !important;\r\n background-color: rgba(239, 68, 68, 0.03);\r\n}\r\n\r\n\/* Responsive *\/\r\n@media (max-width: 1024px) {\r\n .form-body {\r\n padding: 50px 40px;\r\n }\r\n .form-header {\r\n padding: 50px 40px;\r\n }\r\n .form-header h2 {\r\n font-size: 32px;\r\n }\r\n .fields-grid {\r\n gap: 30px;\r\n }\r\n}\r\n\r\n@media (max-width: 768px) {\r\n .registration-wrapper {\r\n padding: 40px 16px;\r\n }\r\n .form-container {\r\n border-radius: 16px;\r\n }\r\n .form-body {\r\n padding: 40px 24px;\r\n }\r\n .form-header {\r\n padding: 40px 24px;\r\n }\r\n .form-header h2 {\r\n font-size: 28px;\r\n margin-bottom: 12px;\r\n }\r\n .form-header p {\r\n font-size: 15px;\r\n }\r\n .header-icon-wrapper {\r\n gap: 12px;\r\n margin-bottom: 20px;\r\n }\r\n .header-divider {\r\n flex: 0 1 40px;\r\n }\r\n .header-check-circle {\r\n width: 48px;\r\n height: 48px;\r\n font-size: 26px;\r\n }\r\n .form-section {\r\n margin-bottom: 40px;\r\n padding-bottom: 40px;\r\n }\r\n .section-header {\r\n gap: 12px;\r\n margin-bottom: 30px;\r\n }\r\n .section-header h3 {\r\n font-size: 20px;\r\n }\r\n .fields-grid,\r\n .fields-grid-full {\r\n grid-template-columns: 1fr;\r\n gap: 24px;\r\n }\r\n .wpcf7-text,\r\n .wpcf7-email,\r\n .wpcf7-tel,\r\n .wpcf7-date,\r\n input[type=\"text\"],\r\n input[type=\"email\"],\r\n input[type=\"tel\"],\r\n input[type=\"date\"],\r\n textarea,\r\n select {\r\n padding: 14px 16px;\r\n font-size: 16px;\r\n }\r\n .wpcf7-form-control-wrap label,\r\n .form-group label {\r\n font-size: 15px;\r\n }\r\n .wpcf7-submit,\r\n input[type=\"submit\"] {\r\n padding: 16px 32px;\r\n font-size: 16px;\r\n margin-top: 32px;\r\n }\r\n}\r\n\r\n@media (max-width: 480px) {\r\n .form-wrapper {\r\n padding: 24px 12px;\r\n }\r\n .form-body {\r\n padding: 24px 16px;\r\n }\r\n .form-header {\r\n padding: 32px 16px;\r\n }\r\n .form-header h2 {\r\n font-size: 22px;\r\n }\r\n .section-header h3 {\r\n font-size: 18px;\r\n }\r\n}\r\n<\/style>\r\n<\/head>\r\n<body>\r\n <div class=\"registration-wrapper\">\r\n <div class=\"form-container\">\r\n <div class=\"form-header\">\r\n <div class=\"header-icon-wrapper\">\r\n <div class=\"header-divider\"><\/div>\r\n <div class=\"header-check-circle\">\u2713<\/div>\r\n <div class=\"header-divider\"><\/div>\r\n <\/div>\r\n <h2>\u0627\u0633\u062a\u0645\u0627\u0631\u0629 \u0627\u0644\u062a\u0631\u0634\u062d \u0644\u0644\u0627\u0646\u062a\u062e\u0627\u0628\u0627\u062a \u0627\u0644\u062a\u0634\u0631\u064a\u0639\u064a\u0629 \u0628\u0631\u0633\u0645 \u0627\u0644\u062f\u0648\u0627\u0626\u0631 \u0627\u0644\u062c\u0647\u0648\u064a\u0629 \u0644\u0627\u0642\u062a\u0631\u0627\u0639 23 \u0634\u062a\u0646\u0628\u0631 2026<\/h2>\r\n <p>\u064a\u0631\u062c\u0649 \u0645\u0644\u0621 \u062c\u0645\u064a\u0639 \u0627\u0644\u062d\u0642\u0648\u0644 \u0628\u062f\u0642\u0629 \u0648\u0639\u0646\u0627\u064a\u0629<\/p>\r\n <\/div>\r\n\r\n <div class=\"form-body\">\r\n <!-- PASTE YOUR WPFORMS SHORTCODE HERE -->\r\n \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f178063-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"178063\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/zgh\/wp-json\/wp\/v2\/pages\/178043#wpcf7-f178063-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"178063\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f178063-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<!-- SECTION 1: GEOGRAPHIC INFORMATION -->\n<div class=\"form-section\">\n\t<div class=\"section-header\">\n\t\t<h3>\u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u062c\u063a\u0631\u0627\u0641\u064a\u0629\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"fields-grid\">\n\t\t<div>\n\t\t\t<p><label>\u0627\u0644\u062c\u0647\u0629 *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"region\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"region\"><option value=\"\u0627\u062e\u062a\u0631 \u0627\u0644\u062c\u0647\u0629\">\u0627\u062e\u062a\u0631 \u0627\u0644\u062c\u0647\u0629<\/option><option value=\"\u0627\u0644\u0631\u0628\u0627\u0637 \u0633\u0644\u0627 \u0627\u0644\u0642\u0646\u064a\u0637\u0631\u0629\">\u0627\u0644\u0631\u0628\u0627\u0637 \u0633\u0644\u0627 \u0627\u0644\u0642\u0646\u064a\u0637\u0631\u0629<\/option><option value=\"\u0627\u0644\u062f\u0627\u0631 \u0627\u0644\u0628\u064a\u0636\u0627\u0621 \u0633\u0637\u0627\u062a\">\u0627\u0644\u062f\u0627\u0631 \u0627\u0644\u0628\u064a\u0636\u0627\u0621 \u0633\u0637\u0627\u062a<\/option><option value=\"\u062f\u0631\u0639\u0629 \u062a\u0627\u0641\u064a\u0644\u0627\u0644\u062a\">\u062f\u0631\u0639\u0629 \u062a\u0627\u0641\u064a\u0644\u0627\u0644\u062a<\/option><option value=\"\u0633\u0648\u0633 \u0645\u0627\u0633\u0629\">\u0633\u0648\u0633 \u0645\u0627\u0633\u0629<\/option><option value=\"\u0637\u0646\u062c\u0629 \u062a\u0637\u0648\u0627\u0646 \u0627\u0644\u062d\u0633\u064a\u0645\u0629\">\u0637\u0646\u062c\u0629 \u062a\u0637\u0648\u0627\u0646 \u0627\u0644\u062d\u0633\u064a\u0645\u0629<\/option><option value=\"\u0628\u0646\u064a \u0645\u0644\u0627\u0644 \u062e\u0646\u064a\u0641\u0631\u0629\">\u0628\u0646\u064a \u0645\u0644\u0627\u0644 \u062e\u0646\u064a\u0641\u0631\u0629<\/option><option value=\"\u0641\u0627\u0633 \u0645\u0643\u0646\u0627\u0633\">\u0641\u0627\u0633 \u0645\u0643\u0646\u0627\u0633<\/option><option value=\"\u0645\u0631\u0627\u0643\u0634 \u0622\u0633\u0641\u064a\">\u0645\u0631\u0627\u0643\u0634 \u0622\u0633\u0641\u064a<\/option><option value=\"\u0627\u0644\u0634\u0631\u0642\">\u0627\u0644\u0634\u0631\u0642<\/option><option value=\"\u0627\u0644\u0639\u064a\u0648\u0646 \u0627\u0644\u0633\u0627\u0642\u064a\u0629 \u0627\u0644\u062d\u0645\u0631\u0627\u0621\">\u0627\u0644\u0639\u064a\u0648\u0646 \u0627\u0644\u0633\u0627\u0642\u064a\u0629 \u0627\u0644\u062d\u0645\u0631\u0627\u0621<\/option><option value=\"\u0643\u0644\u0645\u064a\u0645 \u0648\u0627\u062f \u0646\u0648\u0646\">\u0643\u0644\u0645\u064a\u0645 \u0648\u0627\u062f \u0646\u0648\u0646<\/option><option value=\"\u0627\u0644\u062f\u0627\u062e\u0644\u0629 \u0648\u0627\u062f\u064a \u0627\u0644\u0630\u0647\u0628\">\u0627\u0644\u062f\u0627\u062e\u0644\u0629 \u0648\u0627\u062f\u064a \u0627\u0644\u0630\u0647\u0628<\/option><option value=\"\u0645\u063a\u0627\u0631\u0628\u0629 \u0627\u0644\u0639\u0627\u0644\u0645\">\u0645\u063a\u0627\u0631\u0628\u0629 \u0627\u0644\u0639\u0627\u0644\u0645<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>\u0627\u0644\u0625\u0642\u0644\u064a\u0645\/\u0627\u0644\u0639\u0645\u0627\u0644\u0629 *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"province\"><option value=\"\">\u0627\u062e\u062a\u0631 \u0627\u0644\u0625\u0642\u0644\u064a\u0645 \u0623\u0648 \u0627\u0644\u0639\u0645\u0627\u0644\u0629<\/option><option value=\"\u0645\u063a\u0627\u0631\u0628\u0629 \u0627\u0644\u0639\u0627\u0644\u0645\">\u0645\u063a\u0627\u0631\u0628\u0629 \u0627\u0644\u0639\u0627\u0644\u0645<\/option><option value=\"\u0627\u0644\u0631\u0628\u0627\u0637\">\u0627\u0644\u0631\u0628\u0627\u0637<\/option><option value=\"\u0633\u0644\u0627\">\u0633\u0644\u0627<\/option><option value=\"\u0627\u0644\u0635\u062e\u064a\u0631\u0627\u062a \u062a\u0645\u0627\u0631\u0629\">\u0627\u0644\u0635\u062e\u064a\u0631\u0627\u062a \u062a\u0645\u0627\u0631\u0629<\/option><option value=\"\u0627\u0644\u0642\u0646\u064a\u0637\u0631\u0629\">\u0627\u0644\u0642\u0646\u064a\u0637\u0631\u0629<\/option><option value=\"\u0627\u0644\u062e\u0645\u064a\u0633\u0627\u062a\">\u0627\u0644\u062e\u0645\u064a\u0633\u0627\u062a<\/option><option value=\"\u0633\u064a\u062f\u064a \u0633\u0644\u064a\u0645\u0627\u0646\">\u0633\u064a\u062f\u064a \u0633\u0644\u064a\u0645\u0627\u0646<\/option><option value=\"\u0633\u064a\u062f\u064a \u0642\u0627\u0633\u0645\">\u0633\u064a\u062f\u064a \u0642\u0627\u0633\u0645<\/option><option value=\"\u0627\u0644\u062f\u0627\u0631 \u0627\u0644\u0628\u064a\u0636\u0627\u0621 -\u0622\u0646\u0641\u0627\">\u0627\u0644\u062f\u0627\u0631 \u0627\u0644\u0628\u064a\u0636\u0627\u0621 -\u0622\u0646\u0641\u0627<\/option><option value=\"\u0627\u0644\u0641\u062f\u0627\u0621 - \u0645\u0631\u0633 \u0627\u0644\u0633\u0644\u0637\u0627\u0646\">\u0627\u0644\u0641\u062f\u0627\u0621 - \u0645\u0631\u0633 \u0627\u0644\u0633\u0644\u0637\u0627\u0646<\/option><option value=\"\u0639\u064a\u0646 \u0627\u0644\u0633\u0628\u0639 - \u0627\u0644\u062d\u064a \u0627\u0644\u0645\u062d\u0645\u062f\u064a\">\u0639\u064a\u0646 \u0627\u0644\u0633\u0628\u0639 - \u0627\u0644\u062d\u064a \u0627\u0644\u0645\u062d\u0645\u062f\u064a<\/option><option value=\"\u0627\u0644\u062d\u064a \u0627\u0644\u062d\u0633\u0646\u064a\">\u0627\u0644\u062d\u064a \u0627\u0644\u062d\u0633\u0646\u064a<\/option><option value=\"\u0639\u064a\u0646 \u0627\u0644\u0634\u0642\">\u0639\u064a\u0646 \u0627\u0644\u0634\u0642<\/option><option value=\"\u0633\u064a\u062f\u064a \u0627\u0644\u0628\u0631\u0646\u0648\u0635\u064a\">\u0633\u064a\u062f\u064a \u0627\u0644\u0628\u0631\u0646\u0648\u0635\u064a<\/option><option value=\"\u0627\u0628\u0646 \u0645\u0633\u064a\u0643\">\u0627\u0628\u0646 \u0645\u0633\u064a\u0643<\/option><option value=\"\u0645\u0648\u0644\u0627\u064a \u0631\u0634\u064a\u062f\">\u0645\u0648\u0644\u0627\u064a \u0631\u0634\u064a\u062f<\/option><option value=\"\u0627\u0644\u0646\u0648\u0627\u0635\u0631\">\u0627\u0644\u0646\u0648\u0627\u0635\u0631<\/option><option value=\"\u0645\u062f\u064a\u0648\u0646\u0629\">\u0645\u062f\u064a\u0648\u0646\u0629<\/option><option value=\"\u0627\u0644\u0645\u062d\u0645\u062f\u064a\u0629\">\u0627\u0644\u0645\u062d\u0645\u062f\u064a\u0629<\/option><option value=\"\u0633\u0637\u0627\u062a\">\u0633\u0637\u0627\u062a<\/option><option value=\"\u0627\u0628\u0646 \u0633\u0644\u064a\u0645\u0627\u0646\">\u0627\u0628\u0646 \u0633\u0644\u064a\u0645\u0627\u0646<\/option><option value=\"\u0628\u0631\u0634\u064a\u062f\">\u0628\u0631\u0634\u064a\u062f<\/option><option value=\"\u0627\u0644\u062c\u062f\u064a\u062f\u0629\">\u0627\u0644\u062c\u062f\u064a\u062f\u0629<\/option><option value=\"\u0633\u064a\u062f\u064a \u0628\u0646\u0648\u0631\">\u0633\u064a\u062f\u064a \u0628\u0646\u0648\u0631<\/option><option value=\"\u0627\u0644\u0631\u0634\u064a\u062f\u064a\u0629\">\u0627\u0644\u0631\u0634\u064a\u062f\u064a\u0629<\/option><option value=\"\u0645\u064a\u062f\u0644\u062a\">\u0645\u064a\u062f\u0644\u062a<\/option><option value=\"\u0648\u0631\u0632\u0627\u0632\u0627\u062a\">\u0648\u0631\u0632\u0627\u0632\u0627\u062a<\/option><option value=\"\u0632\u0627\u0643\u0648\u0631\u0629\">\u0632\u0627\u0643\u0648\u0631\u0629<\/option><option value=\"\u062a\u0646\u063a\u064a\u0631\">\u062a\u0646\u063a\u064a\u0631<\/option><option value=\"\u0623\u0643\u0627\u062f\u064a\u0631 \u0627\u062f\u0627\u0648\u062a\u0646\u0627\u0646\">\u0623\u0643\u0627\u062f\u064a\u0631 \u0627\u062f\u0627\u0648\u062a\u0646\u0627\u0646<\/option><option value=\"\u0627\u0646\u0632\u0643\u0627\u0646 \u0622\u064a\u062a \u0645\u0644\u0648\u0644\">\u0627\u0646\u0632\u0643\u0627\u0646 \u0622\u064a\u062a \u0645\u0644\u0648\u0644<\/option><option value=\"\u0627\u0634\u062a\u0648\u0643\u0629 \u0622\u064a\u062a \u0628\u0627\u0647\u0627\">\u0627\u0634\u062a\u0648\u0643\u0629 \u0622\u064a\u062a \u0628\u0627\u0647\u0627<\/option><option value=\"\u062a\u0627\u0631\u0648\u062f\u0627\u0646\u062a\">\u062a\u0627\u0631\u0648\u062f\u0627\u0646\u062a<\/option><option value=\"\u062a\u0632\u0646\u064a\u062a\">\u062a\u0632\u0646\u064a\u062a<\/option><option value=\"\u0637\u0627\u0637\u0627\">\u0637\u0627\u0637\u0627<\/option><option value=\"\u0627\u0644\u062d\u0633\u064a\u0645\u0629\">\u0627\u0644\u062d\u0633\u064a\u0645\u0629<\/option><option value=\"\u0637\u0646\u062c\u0629 - \u0623\u0635\u064a\u0644\u0629\">\u0637\u0646\u062c\u0629 - \u0623\u0635\u064a\u0644\u0629<\/option><option value=\"\u0627\u0644\u0641\u062d\u0635 \u0627\u0646\u062c\u0631\u0629\">\u0627\u0644\u0641\u062d\u0635 \u0627\u0646\u062c\u0631\u0629<\/option><option value=\"\u062a\u0637\u0648\u0627\u0646\">\u062a\u0637\u0648\u0627\u0646<\/option><option value=\"\u0627\u0644\u0645\u0636\u064a\u0642 - \u0627\u0644\u0641\u0646\u064a\u062f\u0642\">\u0627\u0644\u0645\u0636\u064a\u0642 - \u0627\u0644\u0641\u0646\u064a\u062f\u0642<\/option><option value=\"\u0627\u0644\u0639\u0631\u0627\u0626\u0634\">\u0627\u0644\u0639\u0631\u0627\u0626\u0634<\/option><option value=\"\u0634\u0641\u0634\u0627\u0648\u0646\">\u0634\u0641\u0634\u0627\u0648\u0646<\/option><option value=\"\u0648\u0632\u0627\u0646\">\u0648\u0632\u0627\u0646<\/option><option value=\"\u0628\u0646\u064a \u0645\u0644\u0627\u0644\">\u0628\u0646\u064a \u0645\u0644\u0627\u0644<\/option><option value=\"\u0623\u0632\u064a\u0644\u0627\u0644\">\u0623\u0632\u064a\u0644\u0627\u0644<\/option><option value=\"\u0627\u0644\u0641\u0642\u064a\u0647 \u0628\u0646\u0635\u0627\u0644\u062d\">\u0627\u0644\u0641\u0642\u064a\u0647 \u0628\u0646\u0635\u0627\u0644\u062d<\/option><option value=\"\u062e\u0646\u064a\u0641\u0631\u0629\">\u062e\u0646\u064a\u0641\u0631\u0629<\/option><option value=\"\u062e\u0631\u064a\u0628\u0643\u0629\">\u062e\u0631\u064a\u0628\u0643\u0629<\/option><option value=\"\u0641\u0627\u0633\">\u0641\u0627\u0633<\/option><option value=\"\u0645\u0648\u0644\u0627\u064a \u064a\u0639\u0642\u0648\u0628\">\u0645\u0648\u0644\u0627\u064a \u064a\u0639\u0642\u0648\u0628<\/option><option value=\"\u0635\u0641\u0631\u0648\">\u0635\u0641\u0631\u0648<\/option><option value=\"\u0628\u0648\u0644\u0645\u0627\u0646\">\u0628\u0648\u0644\u0645\u0627\u0646<\/option><option value=\"\u0645\u0643\u0646\u0627\u0633\">\u0645\u0643\u0646\u0627\u0633<\/option><option value=\"\u0627\u0644\u062d\u0627\u062c\u0628\">\u0627\u0644\u062d\u0627\u062c\u0628<\/option><option value=\"\u062a\u0627\u0632\u0629\">\u062a\u0627\u0632\u0629<\/option><option value=\"\u0625\u0641\u0631\u0627\u0646\">\u0625\u0641\u0631\u0627\u0646<\/option><option value=\"\u062a\u0627\u0648\u0646\u0627\u062a\">\u062a\u0627\u0648\u0646\u0627\u062a<\/option><option value=\"\u0645\u0631\u0627\u0643\u0634\">\u0645\u0631\u0627\u0643\u0634<\/option><option value=\"\u0634\u064a\u0634\u0627\u0648\u0629\">\u0634\u064a\u0634\u0627\u0648\u0629<\/option><option value=\"\u0627\u0644\u062d\u0648\u0632\">\u0627\u0644\u062d\u0648\u0632<\/option><option value=\"\u0642\u0644\u0639\u0629 \u0627\u0644\u0633\u0631\u0627\u063a\u0646\u0629\">\u0642\u0644\u0639\u0629 \u0627\u0644\u0633\u0631\u0627\u063a\u0646\u0629<\/option><option value=\"\u0627\u0644\u0635\u0648\u064a\u0631\u0629\">\u0627\u0644\u0635\u0648\u064a\u0631\u0629<\/option><option value=\"\u0627\u0644\u0631\u062d\u0627\u0645\u0646\u0629\">\u0627\u0644\u0631\u062d\u0627\u0645\u0646\u0629<\/option><option value=\"\u0622\u0633\u0641\u064a\">\u0622\u0633\u0641\u064a<\/option><option value=\"\u0627\u0644\u064a\u0648\u0633\u0641\u064a\u0629\">\u0627\u0644\u064a\u0648\u0633\u0641\u064a\u0629<\/option><option value=\"\u062c\u0631\u0627\u062f\u0629\">\u062c\u0631\u0627\u062f\u0629<\/option><option value=\"\u0648\u062c\u062f\u0629\">\u0648\u062c\u062f\u0629<\/option><option value=\"\u0628\u0631\u0643\u0627\u0646\">\u0628\u0631\u0643\u0627\u0646<\/option><option value=\"\u062a\u0627\u0648\u0631\u064a\u0631\u062a\">\u062a\u0627\u0648\u0631\u064a\u0631\u062a<\/option><option value=\"\u0641\u062c\u064a\u062c\">\u0641\u062c\u064a\u062c<\/option><option value=\"\u0627\u0644\u0646\u0627\u0636\u0648\u0631\">\u0627\u0644\u0646\u0627\u0636\u0648\u0631<\/option><option value=\"\u062c\u0631\u0633\u064a\u0641\">\u062c\u0631\u0633\u064a\u0641<\/option><option value=\"\u0627\u0644\u062f\u0631\u064a\u0648\u0634\">\u0627\u0644\u062f\u0631\u064a\u0648\u0634<\/option><option value=\"\u0628\u0648\u062c\u062f\u0648\u0631\">\u0628\u0648\u062c\u062f\u0648\u0631<\/option><option value=\"\u0627\u0644\u0639\u064a\u0648\u0646\">\u0627\u0644\u0639\u064a\u0648\u0646<\/option><option value=\"\u0637\u0631\u0641\u0627\u064a\u0629\">\u0637\u0631\u0641\u0627\u064a\u0629<\/option><option value=\"\u0627\u0644\u0633\u0645\u0627\u0631\u0629\">\u0627\u0644\u0633\u0645\u0627\u0631\u0629<\/option><option value=\"\u0633\u064a\u062f\u064a \u0627\u0641\u0646\u064a\">\u0633\u064a\u062f\u064a \u0627\u0641\u0646\u064a<\/option><option value=\"\u0643\u0644\u0645\u064a\u0645\">\u0643\u0644\u0645\u064a\u0645<\/option><option value=\"\u0622\u0633\u0627 - \u0627\u0644\u0632\u0627\u0643\">\u0622\u0633\u0627 - \u0627\u0644\u0632\u0627\u0643<\/option><option value=\"\u0637\u0627\u0646\u0637\u0627\u0646\">\u0637\u0627\u0646\u0637\u0627\u0646<\/option><option value=\"\u0648\u0627\u062f\u064a \u0627\u0644\u0630\u0647\u0628\">\u0648\u0627\u062f\u064a \u0627\u0644\u0630\u0647\u0628<\/option><option value=\"\u0623\u0648\u0633\u0631\u062f\">\u0623\u0648\u0633\u0631\u062f<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"fields-grid-full hidden-field\" id=\"country-residence-field\">\n\t\t\t<p><label>\u0628\u0644\u062f \u0627\u0644\u0625\u0642\u0627\u0645\u0629 (\u062e\u0627\u0635 \u0628\u0645\u063a\u0627\u0631\u0628\u0629 \u0627\u0644\u0639\u0627\u0644\u0645 \u0641\u0642\u0637)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"country-residence\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u0628\u0644\u062f \u0627\u0644\u0625\u0642\u0627\u0645\u0629\" value=\"\" type=\"text\" name=\"country-residence\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<!-- SECTION 2: PERSONAL INFORMATION -->\n<div class=\"form-section\">\n\t<div class=\"section-header\">\n\t\t<h3>\u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0634\u062e\u0635\u064a\u0629\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"fields-grid\">\n\t\t<div>\n\t\t\t<p><label>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0634\u062e\u0635\u064a *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0623\u062f\u062e\u0644 \u0627\u0633\u0645\u0643 \u0627\u0644\u0634\u062e\u0635\u064a\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>\u0627\u0644\u0627\u0633\u0645 \u0627\u0644\u0639\u0627\u0626\u0644\u064a *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0623\u062f\u062e\u0644 \u0627\u0633\u0645\u0643 \u0627\u0644\u0639\u0627\u0626\u0644\u064a\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>\u0631\u0642\u0645 \u0628\u0637\u0627\u0642\u0629 \u0627\u0644\u062a\u0639\u0631\u064a\u0641 \u0627\u0644\u0648\u0637\u0646\u064a\u0629 *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cin\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0623\u062f\u062e\u0644 \u0631\u0642\u0645 \u0627\u0644\u0628\u0637\u0627\u0642\u0629\" value=\"\" type=\"text\" name=\"cin\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>\u062a\u0627\u0631\u064a\u062e \u0627\u0644\u0627\u0632\u062f\u064a\u0627\u062f *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"birth-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birth-date\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"fields-grid-full\">\n\t\t\t<p><label>\u0645\u0643\u0627\u0646 \u0627\u0644\u0627\u0632\u062f\u064a\u0627\u062f *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"birth-place\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"birth-place\"><option value=\"\u0627\u062e\u062a\u0631 \u0645\u0643\u0627\u0646 \u0627\u0644\u0627\u0632\u062f\u064a\u0627\u062f\">\u0627\u062e\u062a\u0631 \u0645\u0643\u0627\u0646 \u0627\u0644\u0627\u0632\u062f\u064a\u0627\u062f<\/option><option value=\"\u0627\u0644\u0631\u0628\u0627\u0637\">\u0627\u0644\u0631\u0628\u0627\u0637<\/option><option value=\"\u0633\u0644\u0627\">\u0633\u0644\u0627<\/option><option value=\"\u0627\u0644\u0635\u062e\u064a\u0631\u0627\u062a \u062a\u0645\u0627\u0631\u0629\">\u0627\u0644\u0635\u062e\u064a\u0631\u0627\u062a \u062a\u0645\u0627\u0631\u0629<\/option><option value=\"\u0627\u0644\u0642\u0646\u064a\u0637\u0631\u0629\">\u0627\u0644\u0642\u0646\u064a\u0637\u0631\u0629<\/option><option value=\"\u0627\u0644\u062e\u0645\u064a\u0633\u0627\u062a\">\u0627\u0644\u062e\u0645\u064a\u0633\u0627\u062a<\/option><option value=\"\u0633\u064a\u062f\u064a \u0633\u0644\u064a\u0645\u0627\u0646\">\u0633\u064a\u062f\u064a \u0633\u0644\u064a\u0645\u0627\u0646<\/option><option value=\"\u0633\u064a\u062f\u064a \u0642\u0627\u0633\u0645\">\u0633\u064a\u062f\u064a \u0642\u0627\u0633\u0645<\/option><option value=\"\u0627\u0644\u062f\u0627\u0631 \u0627\u0644\u0628\u064a\u0636\u0627\u0621 -\u0622\u0646\u0641\u0627\">\u0627\u0644\u062f\u0627\u0631 \u0627\u0644\u0628\u064a\u0636\u0627\u0621 -\u0622\u0646\u0641\u0627<\/option><option value=\"\u0627\u0644\u0641\u062f\u0627\u0621 - \u0645\u0631\u0633 \u0627\u0644\u0633\u0644\u0637\u0627\u0646\">\u0627\u0644\u0641\u062f\u0627\u0621 - \u0645\u0631\u0633 \u0627\u0644\u0633\u0644\u0637\u0627\u0646<\/option><option value=\"\u0639\u064a\u0646 \u0627\u0644\u0633\u0628\u0639 - \u0627\u0644\u062d\u064a \u0627\u0644\u0645\u062d\u0645\u062f\u064a\">\u0639\u064a\u0646 \u0627\u0644\u0633\u0628\u0639 - \u0627\u0644\u062d\u064a \u0627\u0644\u0645\u062d\u0645\u062f\u064a<\/option><option value=\"\u0627\u0644\u062d\u064a \u0627\u0644\u062d\u0633\u0646\u064a\">\u0627\u0644\u062d\u064a \u0627\u0644\u062d\u0633\u0646\u064a<\/option><option value=\"\u0639\u064a\u0646 \u0627\u0644\u0634\u0642\">\u0639\u064a\u0646 \u0627\u0644\u0634\u0642<\/option><option value=\"\u0633\u064a\u062f\u064a \u0627\u0644\u0628\u0631\u0646\u0648\u0635\u064a\">\u0633\u064a\u062f\u064a \u0627\u0644\u0628\u0631\u0646\u0648\u0635\u064a<\/option><option value=\"\u0627\u0628\u0646 \u0645\u0633\u064a\u0643\">\u0627\u0628\u0646 \u0645\u0633\u064a\u0643<\/option><option value=\"\u0645\u0648\u0644\u0627\u064a \u0631\u0634\u064a\u062f\">\u0645\u0648\u0644\u0627\u064a \u0631\u0634\u064a\u062f<\/option><option value=\"\u0627\u0644\u0646\u0648\u0627\u0635\u0631\">\u0627\u0644\u0646\u0648\u0627\u0635\u0631<\/option><option value=\"\u0645\u062f\u064a\u0648\u0646\u0629\">\u0645\u062f\u064a\u0648\u0646\u0629<\/option><option value=\"\u0627\u0644\u0645\u062d\u0645\u062f\u064a\u0629\">\u0627\u0644\u0645\u062d\u0645\u062f\u064a\u0629<\/option><option value=\"\u0633\u0637\u0627\u062a\">\u0633\u0637\u0627\u062a<\/option><option value=\"\u0627\u0628\u0646 \u0633\u0644\u064a\u0645\u0627\u0646\">\u0627\u0628\u0646 \u0633\u0644\u064a\u0645\u0627\u0646<\/option><option value=\"\u0628\u0631\u0634\u064a\u062f\">\u0628\u0631\u0634\u064a\u062f<\/option><option value=\"\u0627\u0644\u062c\u062f\u064a\u062f\u0629\">\u0627\u0644\u062c\u062f\u064a\u062f\u0629<\/option><option value=\"\u0633\u064a\u062f\u064a \u0628\u0646\u0648\u0631\">\u0633\u064a\u062f\u064a \u0628\u0646\u0648\u0631<\/option><option value=\"\u0627\u0644\u0631\u0634\u064a\u062f\u064a\u0629\">\u0627\u0644\u0631\u0634\u064a\u062f\u064a\u0629<\/option><option value=\"\u0645\u064a\u062f\u0644\u062a\">\u0645\u064a\u062f\u0644\u062a<\/option><option value=\"\u0648\u0631\u0632\u0627\u0632\u0627\u062a\">\u0648\u0631\u0632\u0627\u0632\u0627\u062a<\/option><option value=\"\u0632\u0627\u0643\u0648\u0631\u0629\">\u0632\u0627\u0643\u0648\u0631\u0629<\/option><option value=\"\u062a\u0646\u063a\u064a\u0631\">\u062a\u0646\u063a\u064a\u0631<\/option><option value=\"\u0623\u0643\u0627\u062f\u064a\u0631 \u0627\u062f\u0627\u0648\u062a\u0646\u0627\u0646\">\u0623\u0643\u0627\u062f\u064a\u0631 \u0627\u062f\u0627\u0648\u062a\u0646\u0627\u0646<\/option><option value=\"\u0627\u0646\u0632\u0643\u0627\u0646 \u0622\u064a\u062a \u0645\u0644\u0648\u0644\">\u0627\u0646\u0632\u0643\u0627\u0646 \u0622\u064a\u062a \u0645\u0644\u0648\u0644<\/option><option value=\"\u0627\u0634\u062a\u0648\u0643\u0629 \u0622\u064a\u062a \u0628\u0627\u0647\u0627\">\u0627\u0634\u062a\u0648\u0643\u0629 \u0622\u064a\u062a \u0628\u0627\u0647\u0627<\/option><option value=\"\u062a\u0627\u0631\u0648\u062f\u0627\u0646\u062a\">\u062a\u0627\u0631\u0648\u062f\u0627\u0646\u062a<\/option><option value=\"\u062a\u0632\u0646\u064a\u062a\">\u062a\u0632\u0646\u064a\u062a<\/option><option value=\"\u0637\u0627\u0637\u0627\">\u0637\u0627\u0637\u0627<\/option><option value=\"\u0627\u0644\u062d\u0633\u064a\u0645\u0629\">\u0627\u0644\u062d\u0633\u064a\u0645\u0629<\/option><option value=\"\u0637\u0646\u062c\u0629 - \u0623\u0635\u064a\u0644\u0629\">\u0637\u0646\u062c\u0629 - \u0623\u0635\u064a\u0644\u0629<\/option><option value=\"\u0627\u0644\u0641\u062d\u0635 \u0627\u0646\u062c\u0631\u0629\">\u0627\u0644\u0641\u062d\u0635 \u0627\u0646\u062c\u0631\u0629<\/option><option value=\"\u062a\u0637\u0648\u0627\u0646\">\u062a\u0637\u0648\u0627\u0646<\/option><option value=\"\u0627\u0644\u0645\u0636\u064a\u0642 - \u0627\u0644\u0641\u0646\u064a\u062f\u0642\">\u0627\u0644\u0645\u0636\u064a\u0642 - \u0627\u0644\u0641\u0646\u064a\u062f\u0642<\/option><option value=\"\u0627\u0644\u0639\u0631\u0627\u0626\u0634\">\u0627\u0644\u0639\u0631\u0627\u0626\u0634<\/option><option value=\"\u0634\u0641\u0634\u0627\u0648\u0646\">\u0634\u0641\u0634\u0627\u0648\u0646<\/option><option value=\"\u0648\u0632\u0627\u0646\">\u0648\u0632\u0627\u0646<\/option><option value=\"\u0628\u0646\u064a \u0645\u0644\u0627\u0644\">\u0628\u0646\u064a \u0645\u0644\u0627\u0644<\/option><option value=\"\u0623\u0632\u064a\u0644\u0627\u0644\">\u0623\u0632\u064a\u0644\u0627\u0644<\/option><option value=\"\u0627\u0644\u0641\u0642\u064a\u0647 \u0628\u0646\u0635\u0627\u0644\u062d\">\u0627\u0644\u0641\u0642\u064a\u0647 \u0628\u0646\u0635\u0627\u0644\u062d<\/option><option value=\"\u062e\u0646\u064a\u0641\u0631\u0629\">\u062e\u0646\u064a\u0641\u0631\u0629<\/option><option value=\"\u062e\u0631\u064a\u0628\u0643\u0629\">\u062e\u0631\u064a\u0628\u0643\u0629<\/option><option value=\"\u0641\u0627\u0633\">\u0641\u0627\u0633<\/option><option value=\"\u0645\u0648\u0644\u0627\u064a \u064a\u0639\u0642\u0648\u0628\">\u0645\u0648\u0644\u0627\u064a \u064a\u0639\u0642\u0648\u0628<\/option><option value=\"\u0635\u0641\u0631\u0648\">\u0635\u0641\u0631\u0648<\/option><option value=\"\u0628\u0648\u0644\u0645\u0627\u0646\">\u0628\u0648\u0644\u0645\u0627\u0646<\/option><option value=\"\u0645\u0643\u0646\u0627\u0633\">\u0645\u0643\u0646\u0627\u0633<\/option><option value=\"\u0627\u0644\u062d\u0627\u062c\u0628\">\u0627\u0644\u062d\u0627\u062c\u0628<\/option><option value=\"\u062a\u0627\u0632\u0629\">\u062a\u0627\u0632\u0629<\/option><option value=\"\u0625\u0641\u0631\u0627\u0646\">\u0625\u0641\u0631\u0627\u0646<\/option><option value=\"\u062a\u0627\u0648\u0646\u0627\u062a\">\u062a\u0627\u0648\u0646\u0627\u062a<\/option><option value=\"\u0645\u0631\u0627\u0643\u0634\">\u0645\u0631\u0627\u0643\u0634<\/option><option value=\"\u0634\u064a\u0634\u0627\u0648\u0629\">\u0634\u064a\u0634\u0627\u0648\u0629<\/option><option value=\"\u0627\u0644\u062d\u0648\u0632\">\u0627\u0644\u062d\u0648\u0632<\/option><option value=\"\u0642\u0644\u0639\u0629 \u0627\u0644\u0633\u0631\u0627\u063a\u0646\u0629\">\u0642\u0644\u0639\u0629 \u0627\u0644\u0633\u0631\u0627\u063a\u0646\u0629<\/option><option value=\"\u0627\u0644\u0635\u0648\u064a\u0631\u0629\">\u0627\u0644\u0635\u0648\u064a\u0631\u0629<\/option><option value=\"\u0627\u0644\u0631\u062d\u0627\u0645\u0646\u0629\">\u0627\u0644\u0631\u062d\u0627\u0645\u0646\u0629<\/option><option value=\"\u0622\u0633\u0641\u064a\">\u0622\u0633\u0641\u064a<\/option><option value=\"\u0627\u0644\u064a\u0648\u0633\u0641\u064a\u0629\">\u0627\u0644\u064a\u0648\u0633\u0641\u064a\u0629<\/option><option value=\"\u062c\u0631\u0627\u062f\u0629\">\u062c\u0631\u0627\u062f\u0629<\/option><option value=\"\u0648\u062c\u062f\u0629\">\u0648\u062c\u062f\u0629<\/option><option value=\"\u0628\u0631\u0643\u0627\u0646\">\u0628\u0631\u0643\u0627\u0646<\/option><option value=\"\u062a\u0627\u0648\u0631\u064a\u0631\u062a\">\u062a\u0627\u0648\u0631\u064a\u0631\u062a<\/option><option value=\"\u0641\u062c\u064a\u062c\">\u0641\u062c\u064a\u062c<\/option><option value=\"\u0627\u0644\u0646\u0627\u0636\u0648\u0631\">\u0627\u0644\u0646\u0627\u0636\u0648\u0631<\/option><option value=\"\u062c\u0631\u0633\u064a\u0641\">\u062c\u0631\u0633\u064a\u0641<\/option><option value=\"\u0627\u0644\u062f\u0631\u064a\u0648\u0634\">\u0627\u0644\u062f\u0631\u064a\u0648\u0634<\/option><option value=\"\u0628\u0648\u062c\u062f\u0648\u0631\">\u0628\u0648\u062c\u062f\u0648\u0631<\/option><option value=\"\u0627\u0644\u0639\u064a\u0648\u0646\">\u0627\u0644\u0639\u064a\u0648\u0646<\/option><option value=\"\u0637\u0631\u0641\u0627\u064a\u0629\">\u0637\u0631\u0641\u0627\u064a\u0629<\/option><option value=\"\u0627\u0644\u0633\u0645\u0627\u0631\u0629\">\u0627\u0644\u0633\u0645\u0627\u0631\u0629<\/option><option value=\"\u0633\u064a\u062f\u064a \u0627\u0641\u0646\u064a\">\u0633\u064a\u062f\u064a \u0627\u0641\u0646\u064a<\/option><option value=\"\u0643\u0644\u0645\u064a\u0645\">\u0643\u0644\u0645\u064a\u0645<\/option><option value=\"\u0622\u0633\u0627 - \u0627\u0644\u0632\u0627\u0643\">\u0622\u0633\u0627 - \u0627\u0644\u0632\u0627\u0643<\/option><option value=\"\u0637\u0627\u0646\u0637\u0627\u0646\">\u0637\u0627\u0646\u0637\u0627\u0646<\/option><option value=\"\u0648\u0627\u062f\u064a \u0627\u0644\u0630\u0647\u0628\">\u0648\u0627\u062f\u064a \u0627\u0644\u0630\u0647\u0628<\/option><option value=\"\u0623\u0648\u0633\u0631\u062f\">\u0623\u0648\u0633\u0631\u062f<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<!-- SECTION 3: PROFESSIONAL AND ACADEMIC INFORMATION -->\n<div class=\"form-section\">\n\t<div class=\"section-header\">\n\t\t<h3>\u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0645\u0647\u0646\u064a\u0629 \u0648\u0627\u0644\u062f\u0631\u0627\u0633\u064a\u0629\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"fields-grid\">\n\t\t<div>\n\t\t\t<p><label>\u0627\u0644\u0645\u0633\u062a\u0648\u0649 \u0627\u0644\u062f\u0631\u0627\u0633\u064a *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"education-level\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"education-level\"><option value=\"\u0627\u062e\u062a\u0631 \u0627\u0644\u0645\u0633\u062a\u0648\u0649 \u0627\u0644\u062f\u0631\u0627\u0633\u064a\">\u0627\u062e\u062a\u0631 \u0627\u0644\u0645\u0633\u062a\u0648\u0649 \u0627\u0644\u062f\u0631\u0627\u0633\u064a<\/option><option value=\"\u0627\u0628\u062a\u062f\u0627\u0626\u064a\">\u0627\u0628\u062a\u062f\u0627\u0626\u064a<\/option><option value=\"\u0625\u0639\u062f\u0627\u062f\u064a\">\u0625\u0639\u062f\u0627\u062f\u064a<\/option><option value=\"\u062b\u0627\u0646\u0648\u064a\">\u062b\u0627\u0646\u0648\u064a<\/option><option value=\"\u0628\u0627\u0643\u0627\u0644\u0648\u0631\u064a\u0627\">\u0628\u0627\u0643\u0627\u0644\u0648\u0631\u064a\u0627<\/option><option value=\"\u0625\u062c\u0627\u0632\u0629\">\u0625\u062c\u0627\u0632\u0629<\/option><option value=\"\u0645\u0627\u0633\u062a\u0631\">\u0645\u0627\u0633\u062a\u0631<\/option><option value=\"\u062f\u0643\u062a\u0648\u0631\u0627\u0647\">\u062f\u0643\u062a\u0648\u0631\u0627\u0647<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>\u0627\u0644\u062a\u062e\u0635\u0635<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"specialty\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u0623\u062f\u062e\u0644 \u062a\u062e\u0635\u0635\u0643 (\u0627\u062e\u062a\u064a\u0627\u0631\u064a)\" value=\"\" type=\"text\" name=\"specialty\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"fields-grid-full\">\n\t\t\t<p><label>\u0627\u0644\u0645\u0647\u0646\u0629 *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"profession\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"profession\"><option value=\"\u0627\u062e\u062a\u0631 \u0627\u0644\u0645\u0647\u0646\u0629\">\u0627\u062e\u062a\u0631 \u0627\u0644\u0645\u0647\u0646\u0629<\/option><option value=\"\u0645\u0648\u0638\u0641\u0629 \u0628\u0627\u0644\u0642\u0637\u0627\u0639 \u0627\u0644\u0639\u0627\u0645\">\u0645\u0648\u0638\u0641\u0629 \u0628\u0627\u0644\u0642\u0637\u0627\u0639 \u0627\u0644\u0639\u0627\u0645<\/option><option value=\"\u0645\u0633\u062a\u062e\u062f\u0645\u0629 \u0628\u0627\u0644\u0642\u0637\u0627\u0639 \u0627\u0644\u062e\u0627\u0635\">\u0645\u0633\u062a\u062e\u062f\u0645\u0629 \u0628\u0627\u0644\u0642\u0637\u0627\u0639 \u0627\u0644\u062e\u0627\u0635<\/option><option value=\"\u0625\u0637\u0627\u0631\">\u0625\u0637\u0627\u0631<\/option><option value=\"\u0623\u0633\u062a\u0627\u0630\u0629\">\u0623\u0633\u062a\u0627\u0630\u0629<\/option><option value=\"\u0623\u0633\u062a\u0627\u0630\u0629 \u062c\u0627\u0645\u0639\u064a\u0629\">\u0623\u0633\u062a\u0627\u0630\u0629 \u062c\u0627\u0645\u0639\u064a\u0629<\/option><option value=\"\u0637\u0628\u064a\u0628\u0629\">\u0637\u0628\u064a\u0628\u0629<\/option><option value=\"\u0645\u0647\u0646\u062f\u0633\u0629\">\u0645\u0647\u0646\u062f\u0633\u0629<\/option><option value=\"\u0645\u062d\u0627\u0645\u064a\u0629\">\u0645\u062d\u0627\u0645\u064a\u0629<\/option><option value=\"\u0645\u0642\u0627\u0648\u0644\u0629 \/ \u0645\u0633\u064a\u0631\u0629 \u0634\u0631\u0643\u0629\">\u0645\u0642\u0627\u0648\u0644\u0629 \/ \u0645\u0633\u064a\u0631\u0629 \u0634\u0631\u0643\u0629<\/option><option value=\"\u062a\u0627\u062c\u0631\u0629\">\u062a\u0627\u062c\u0631\u0629<\/option><option value=\"\u0635\u062d\u0641\u064a\u0629 \/ \u0625\u0639\u0644\u0627\u0645\u064a\u0629\">\u0635\u062d\u0641\u064a\u0629 \/ \u0625\u0639\u0644\u0627\u0645\u064a\u0629<\/option><option value=\"\u0637\u0627\u0644\u0628\u0629\">\u0637\u0627\u0644\u0628\u0629<\/option><option value=\"\u0631\u0628\u0629 \u0628\u064a\u062a\">\u0631\u0628\u0629 \u0628\u064a\u062a<\/option><option value=\"\u0645\u062a\u0642\u0627\u0639\u062f\u0629\">\u0645\u062a\u0642\u0627\u0639\u062f\u0629<\/option><option value=\"\u0628\u0627\u062d\u062b\u0629 \u0639\u0646 \u0639\u0645\u0644\">\u0628\u0627\u062d\u062b\u0629 \u0639\u0646 \u0639\u0645\u0644<\/option><option value=\"\u0623\u062e\u0631\u0649\">\u0623\u062e\u0631\u0649<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"fields-grid-full hidden-field\" id=\"profession-other\">\n\t\t\t<p><label>\u0627\u0633\u0645 \u0627\u0644\u0645\u0634\u063a\u0644 \/ \u0627\u0644\u0642\u0637\u0627\u0639 \u0627\u0644\u0645\u0634\u063a\u0644*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"profession-other\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u0627\u0633\u0645 \u0627\u0644\u0645\u0634\u063a\u0644 \/ \u0627\u0644\u0642\u0637\u0627\u0639 \u0627\u0644\u0645\u0634\u063a\u0644\" value=\"\" type=\"text\" name=\"profession-other\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<!-- SECTION 4: CONTACT INFORMATION -->\n<div class=\"form-section\">\n\t<div class=\"section-header\">\n\t\t<h3>\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u062a\u0648\u0627\u0635\u0644\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"fields-grid\">\n\t\t<div>\n\t\t\t<p><label>\u0631\u0642\u0645 \u0627\u0644\u0647\u0627\u062a\u0641 *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0623\u062f\u062e\u0644 \u0631\u0642\u0645 \u0627\u0644\u0647\u0627\u062a\u0641\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>\u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"example@email.com\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"fields-grid-full\">\n\t\t\t<p><label>\u0627\u0644\u0639\u0646\u0648\u0627\u0646 \u0627\u0644\u0634\u062e\u0635\u064a<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"\u0623\u062f\u062e\u0644 \u0639\u0646\u0648\u0627\u0646\u0643 \u0627\u0644\u0643\u0627\u0645\u0644 (\u0627\u062e\u062a\u064a\u0627\u0631\u064a)\" name=\"address\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<!-- SECTION 5: MEMBERSHIP INFORMATION -->\n<div class=\"form-section\">\n\t<div class=\"section-header\">\n\t\t<h3>\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0627\u0646\u062e\u0631\u0627\u0637\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"fields-grid\">\n\t\t<div>\n\t\t\t<p><label>\u062a\u0627\u0631\u064a\u062e \u0627\u0644\u0627\u0646\u062e\u0631\u0627\u0637 \u0628\u0627\u0644\u062d\u0632\u0628 *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"membership-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"membership-date\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>\u0631\u0642\u0645 \u0628\u0637\u0627\u0642\u0629 \u0627\u0644\u0627\u0646\u062e\u0631\u0627\u0637 *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"membership-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0623\u062f\u062e\u0644 \u0631\u0642\u0645 \u0627\u0644\u0628\u0637\u0627\u0642\u0629\" value=\"\" type=\"text\" name=\"membership-number\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div>\n\t\t\t<p><label>\u0627\u0644\u0635\u0641\u0629 \u062f\u0627\u062e\u0644 \u0647\u064a\u0627\u0643\u0644 \u0627\u0644\u062d\u0632\u0628 *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"party-position\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"party-position\"><option value=\"\u0627\u062e\u062a\u0631 \u0627\u0644\u0635\u0641\u0629\">\u0627\u062e\u062a\u0631 \u0627\u0644\u0635\u0641\u0629<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0623\u0645\u0627\u0646\u0629 \u0645\u062d\u0644\u064a\u0629\">\u0639\u0636\u0648\u0629 \u0623\u0645\u0627\u0646\u0629 \u0645\u062d\u0644\u064a\u0629<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0623\u0645\u0627\u0646\u0629 \u0625\u0642\u0644\u064a\u0645\u064a\u0629\">\u0639\u0636\u0648\u0629 \u0623\u0645\u0627\u0646\u0629 \u0625\u0642\u0644\u064a\u0645\u064a\u0629<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u062c\u0644\u0633 \u0627\u0644\u0625\u0642\u0644\u064a\u0645\u064a\">\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u062c\u0644\u0633 \u0627\u0644\u0625\u0642\u0644\u064a\u0645\u064a<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u062c\u0644\u0633 \u0627\u0644\u062c\u0647\u0648\u064a\">\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u062c\u0644\u0633 \u0627\u0644\u062c\u0647\u0648\u064a<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0623\u0645\u0627\u0646\u0629 \u062c\u0647\u0648\u064a\u0629\">\u0639\u0636\u0648\u0629 \u0623\u0645\u0627\u0646\u0629 \u062c\u0647\u0648\u064a\u0629<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u062c\u0644\u0633 \u0627\u0644\u0648\u0637\u0646\u064a \u0644\u0644\u062d\u0632\u0628\">\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u062c\u0644\u0633 \u0627\u0644\u0648\u0637\u0646\u064a \u0644\u0644\u062d\u0632\u0628<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u0643\u062a\u0628 \u0627\u0644\u0633\u064a\u0627\u0633\u064a\">\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u0643\u062a\u0628 \u0627\u0644\u0633\u064a\u0627\u0633\u064a<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u0643\u062a\u0628 \u0627\u0644\u0645\u062c\u0644\u0633 \u0627\u0644\u0648\u0637\u0646\u064a \u0644\u0645\u0646\u0638\u0645\u0629 \u0627\u0644\u0634\u0628\u0627\u0628\">\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u0643\u062a\u0628 \u0627\u0644\u0645\u062c\u0644\u0633 \u0627\u0644\u0648\u0637\u0646\u064a \u0644\u0645\u0646\u0638\u0645\u0629 \u0627\u0644\u0634\u0628\u0627\u0628<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u0643\u062a\u0628 \u0627\u0644\u062a\u0646\u0641\u064a\u0630\u064a \u0644\u0645\u0646\u0638\u0645\u0629 \u0627\u0644\u0634\u0628\u0627\u0628\">\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u0643\u062a\u0628 \u0627\u0644\u062a\u0646\u0641\u064a\u0630\u064a \u0644\u0645\u0646\u0638\u0645\u0629 \u0627\u0644\u0634\u0628\u0627\u0628<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u062c\u0644\u0633 \u0627\u0644\u0648\u0637\u0646\u064a \u0644\u0645\u0646\u0638\u0645\u0629 \u0627\u0644\u0646\u0633\u0627\u0621\">\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u062c\u0644\u0633 \u0627\u0644\u0648\u0637\u0646\u064a \u0644\u0645\u0646\u0638\u0645\u0629 \u0627\u0644\u0646\u0633\u0627\u0621<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u0643\u062a\u0628 \u0627\u0644\u062a\u0646\u0641\u064a\u0630\u064a \u0644\u0645\u0646\u0638\u0645\u0629 \u0627\u0644\u0646\u0633\u0627\u0621\">\u0639\u0636\u0648\u0629 \u0627\u0644\u0645\u0643\u062a\u0628 \u0627\u0644\u062a\u0646\u0641\u064a\u0630\u064a \u0644\u0645\u0646\u0638\u0645\u0629 \u0627\u0644\u0646\u0633\u0627\u0621<\/option><option value=\"\u0623\u062e\u0631\u0649\">\u0623\u062e\u0631\u0649<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"fields-grid-full hidden-field\" id=\"party-position-other\">\n\t\t\t<p><label>\u0625\u0636\u0627\u0641\u0627\u062a<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"party-position-other\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"party-position-other\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"fields-grid-full\">\n\t\t\t<p><label>\u0627\u0644\u0635\u0641\u0629 \u0627\u0644\u0627\u0646\u062a\u062e\u0627\u0628\u064a\u0629 *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"electoral-position\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"electoral-position\"><option value=\"\u0627\u062e\u062a\u0631 \u0627\u0644\u0635\u0641\u0629 \u0627\u0644\u0627\u0646\u062a\u062e\u0627\u0628\u064a\u0629\">\u0627\u062e\u062a\u0631 \u0627\u0644\u0635\u0641\u0629 \u0627\u0644\u0627\u0646\u062a\u062e\u0627\u0628\u064a\u0629<\/option><option value=\"\u0645\u0633\u062a\u0634\u0627\u0631\u0629 \u062c\u0645\u0627\u0639\u064a\u0629\">\u0645\u0633\u062a\u0634\u0627\u0631\u0629 \u062c\u0645\u0627\u0639\u064a\u0629<\/option><option value=\"\u0645\u0633\u062a\u0634\u0627\u0631\u0629 \u062c\u0647\u0648\u064a\u0629\">\u0645\u0633\u062a\u0634\u0627\u0631\u0629 \u062c\u0647\u0648\u064a\u0629<\/option><option value=\"\u0631\u0626\u064a\u0633\u0629 \u062c\u0645\u0627\u0639\u0629\">\u0631\u0626\u064a\u0633\u0629 \u062c\u0645\u0627\u0639\u0629<\/option><option value=\"\u0631\u0626\u064a\u0633\u0629 \u0645\u0642\u0627\u0637\u0639\u0629\">\u0631\u0626\u064a\u0633\u0629 \u0645\u0642\u0627\u0637\u0639\u0629<\/option><option value=\"\u0639\u0636\u0648\u0629 \u0628\u063a\u0631\u0641\u0629 \u0645\u0647\u0646\u064a\u0629\">\u0639\u0636\u0648\u0629 \u0628\u063a\u0631\u0641\u0629 \u0645\u0647\u0646\u064a\u0629<\/option><option value=\"\u0631\u0626\u064a\u0633\u0629 \u063a\u0631\u0641\u0629 \u0645\u0647\u0646\u064a\u0629\">\u0631\u0626\u064a\u0633\u0629 \u063a\u0631\u0641\u0629 \u0645\u0647\u0646\u064a\u0629<\/option><option value=\"\u0631\u0626\u064a\u0633\u0629 \u0645\u062c\u0645\u0648\u0639\u0629 \u0627\u0644\u062c\u0645\u0627\u0639\u0627\u062a\">\u0631\u0626\u064a\u0633\u0629 \u0645\u062c\u0645\u0648\u0639\u0629 \u0627\u0644\u062c\u0645\u0627\u0639\u0627\u062a<\/option><option value=\"\u0623\u062e\u0631\u0649\">\u0623\u062e\u0631\u0649<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"fields-grid-full hidden-field\" id=\"electoral-position-other\">\n\t\t\t<p><label>\u0625\u0636\u0627\u0641\u0627\u062a<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"electoral-position-other\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"electoral-position-other\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<!-- SECTION 6: ATTACHMENTS -->\n<div class=\"form-section\">\n\t<div class=\"section-header\">\n\t\t<h3>\u0627\u0644\u0645\u0631\u0641\u0642\u0627\u062a\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"fields-grid-full\">\n\t\t<div>\n\t\t\t<p><label>\u0635\u0648\u0631\u0629 \u0634\u0645\u0633\u064a\u0629 \u062d\u062f\u064a\u062b\u0629 \u0627\u0644\u0639\u0647\u062f (\u0627\u062e\u062a\u064a\u0627\u0631\u064a\u0629)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"photo\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png\" aria-invalid=\"false\" type=\"file\" name=\"photo\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<!-- SECTION 7: ADDITIONAL INFORMATION -->\n<div class=\"form-section\">\n\t<div class=\"section-header\">\n\t\t<h3>\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0625\u0636\u0627\u0641\u064a\u0629\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"fields-grid-full\">\n\t\t<div>\n\t\t\t<p><label>\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0625\u0636\u0627\u0641\u064a\u0629 (\u0627\u062e\u062a\u064a\u0627\u0631\u064a\u0629)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"additional-info\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"\u0623\u0636\u0641 \u0623\u064a \u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0625\u0636\u0627\u0641\u064a\u0629...\" name=\"additional-info\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<!-- SECTION 8: ACCEPTANCE -->\n<div class=\"form-section\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"acceptance[]\" value=\"\u0623\u0635\u0631\u062d \u0628\u0635\u062d\u0629 \u062c\u0645\u064a\u0639 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0645\u062f\u0644\u0649 \u0628\u0647\u0627 \u0648\u0627\u0644\u062a\u0632\u0645 \u0628\u0642\u0648\u0627\u0646\u064a\u0646 \u0627\u0644\u062d\u0632\u0628\" \/><span class=\"wpcf7-list-item-label\">\u0623\u0635\u0631\u062d \u0628\u0635\u062d\u0629 \u062c\u0645\u064a\u0639 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0627\u0644\u0645\u062f\u0644\u0649 \u0628\u0647\u0627 \u0648\u0627\u0644\u062a\u0632\u0645 \u0628\u0642\u0648\u0627\u0646\u064a\u0646 \u0627\u0644\u062d\u0632\u0628<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u0625\u0631\u0633\u0627\u0644 \u0627\u0644\u0637\u0644\u0628\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n<script>\r\ndocument.addEventListener('DOMContentLoaded', function() {\r\n \/\/ ========== VALIDATION CHAMPS ==========\r\n \r\n \/\/ CIN : Majuscules + lettres\/chiffres uniquement\r\n const cinField = document.querySelector('input[name=\"cin\"]');\r\n if (cinField) {\r\n cinField.addEventListener('input', function() {\r\n let value = this.value.toUpperCase();\r\n value = value.replace(\/[^A-Z0-9]\/g, '');\r\n const letters = (value.match(\/[A-Z]\/g) || []).join('').substring(0, 2);\r\n const numbers = (value.match(\/[0-9]\/g) || []).join('').substring(0, 6);\r\n this.value = letters + numbers;\r\n });\r\n }\r\n\r\n \/\/ T\u00e9l\u00e9phone : chiffres uniquement\r\n const phoneField = document.querySelector('input[name=\"phone\"]');\r\n if (phoneField) {\r\n phoneField.addEventListener('input', function() {\r\n this.value = this.value.replace(\/\\D\/g, '');\r\n });\r\n }\r\n\r\n \/\/ ========== COUNTRY RESIDENCE FIELD - MAX 2 WORDS ==========\r\n const countryResidenceField = document.querySelector('input[name=\"country-residence\"]');\r\n if (countryResidenceField) {\r\n countryResidenceField.addEventListener('input', function() {\r\n const words = this.value.trim().split(\/\\s+\/);\r\n if (words.length > 2) {\r\n this.value = words.slice(0, 2).join(' ');\r\n }\r\n });\r\n }\r\n\r\n \/\/ ========== LIMIT TO 4 WORDS - profession-other, party-position-other, electoral-position-other ==========\r\n const fieldsLimit4Words = [\r\n 'profession-other',\r\n 'party-position-other',\r\n 'electoral-position-other'\r\n ];\r\n\r\n fieldsLimit4Words.forEach(fieldName => {\r\n const field = document.querySelector(`input[name=\"${fieldName}\"]`);\r\n if (field) {\r\n field.addEventListener('input', function() {\r\n const words = this.value.trim().split(\/\\s+\/);\r\n if (words.length > 4) {\r\n this.value = words.slice(0, 4).join(' ');\r\n }\r\n });\r\n }\r\n });\r\n\r\n \/\/ ========== D\u00c9PENDANCES R\u00c9GIONS -> PROVINCES ==========\r\n \r\n const regionProvinceMap = {\r\n \"\u0627\u0644\u0631\u0628\u0627\u0637 \u0633\u0644\u0627 \u0627\u0644\u0642\u0646\u064a\u0637\u0631\u0629\": [\"\u0627\u0644\u0631\u0628\u0627\u0637\", \"\u0633\u0644\u0627\", \"\u0627\u0644\u0635\u062e\u064a\u0631\u0627\u062a \u062a\u0645\u0627\u0631\u0629\", \"\u0627\u0644\u0642\u0646\u064a\u0637\u0631\u0629\", \"\u0627\u0644\u062e\u0645\u064a\u0633\u0627\u062a\", \"\u0633\u064a\u062f\u064a \u0633\u0644\u064a\u0645\u0627\u0646\", \"\u0633\u064a\u062f\u064a \u0642\u0627\u0633\u0645\"],\r\n \"\u0627\u0644\u062f\u0627\u0631 \u0627\u0644\u0628\u064a\u0636\u0627\u0621 \u0633\u0637\u0627\u062a\": [\"\u0627\u0644\u062f\u0627\u0631 \u0627\u0644\u0628\u064a\u0636\u0627\u0621 -\u0622\u0646\u0641\u0627\", \"\u0627\u0644\u0641\u062f\u0627\u0621 - \u0645\u0631\u0633 \u0627\u0644\u0633\u0644\u0637\u0627\u0646\", \"\u0639\u064a\u0646 \u0627\u0644\u0633\u0628\u0639 - \u0627\u0644\u062d\u064a \u0627\u0644\u0645\u062d\u0645\u062f\u064a\", \"\u0627\u0644\u062d\u064a \u0627\u0644\u062d\u0633\u0646\u064a\", \"\u0639\u064a\u0646 \u0627\u0644\u0634\u0642\", \"\u0633\u064a\u062f\u064a \u0627\u0644\u0628\u0631\u0646\u0648\u0635\u064a\", \"\u0627\u0628\u0646 \u0645\u0633\u064a\u0643\", \"\u0645\u0648\u0644\u0627\u064a \u0631\u0634\u064a\u062f\", \"\u0627\u0644\u0646\u0648\u0627\u0635\u0631\", \"\u0645\u062f\u064a\u0648\u0646\u0629\", \"\u0627\u0644\u0645\u062d\u0645\u062f\u064a\u0629\", \"\u0633\u0637\u0627\u062a\", \"\u0627\u0628\u0646 \u0633\u0644\u064a\u0645\u0627\u0646\", \"\u0628\u0631\u0634\u064a\u062f\", \"\u0627\u0644\u062c\u062f\u064a\u062f\u0629\", \"\u0633\u064a\u062f\u064a \u0628\u0646\u0648\u0631\"],\r\n \"\u062f\u0631\u0639\u0629 \u062a\u0627\u0641\u064a\u0644\u0627\u0644\u062a\": [\"\u0627\u0644\u0631\u0634\u064a\u062f\u064a\u0629\", \"\u0645\u064a\u062f\u0644\u062a\", \"\u0648\u0631\u0632\u0627\u0632\u0627\u062a\", \"\u0632\u0627\u0643\u0648\u0631\u0629\", \"\u062a\u0646\u063a\u064a\u0631\"],\r\n \"\u0633\u0648\u0633 \u0645\u0627\u0633\u0629\": [\"\u0623\u0643\u0627\u062f\u064a\u0631 \u0627\u062f\u0627\u0648\u062a\u0646\u0627\u0646\", \"\u0627\u0646\u0632\u0643\u0627\u0646 \u0622\u064a\u062a \u0645\u0644\u0648\u0644\", \"\u0627\u0634\u062a\u0648\u0643\u0629 \u0622\u064a\u062a \u0628\u0627\u0647\u0627\", \"\u062a\u0627\u0631\u0648\u062f\u0627\u0646\u062a\", \"\u062a\u0632\u0646\u064a\u062a\", \"\u0637\u0627\u0637\u0627\"],\r\n \"\u0637\u0646\u062c\u0629 \u062a\u0637\u0648\u0627\u0646 \u0627\u0644\u062d\u0633\u064a\u0645\u0629\": [\"\u0627\u0644\u062d\u0633\u064a\u0645\u0629\", \"\u0637\u0646\u062c\u0629 - \u0623\u0635\u064a\u0644\u0629\", \"\u0627\u0644\u0641\u062d\u0635 \u0627\u0646\u062c\u0631\u0629\", \"\u062a\u0637\u0648\u0627\u0646\", \"\u0627\u0644\u0645\u0636\u064a\u0642 - \u0627\u0644\u0641\u0646\u064a\u062f\u0642\", \"\u0627\u0644\u0639\u0631\u0627\u0626\u0634\", \"\u0634\u0641\u0634\u0627\u0648\u0646\", \"\u0648\u0632\u0627\u0646\"],\r\n \"\u0628\u0646\u064a \u0645\u0644\u0627\u0644 \u062e\u0646\u064a\u0641\u0631\u0629\": [\"\u0628\u0646\u064a \u0645\u0644\u0627\u0644\", \"\u0623\u0632\u064a\u0644\u0627\u0644\", \"\u0627\u0644\u0641\u0642\u064a\u0647 \u0628\u0646\u0635\u0627\u0644\u062d\", \"\u062e\u0646\u064a\u0641\u0631\u0629\", \"\u062e\u0631\u064a\u0628\u0643\u0629\"],\r\n \"\u0641\u0627\u0633 \u0645\u0643\u0646\u0627\u0633\": [\"\u0641\u0627\u0633\", \"\u0645\u0648\u0644\u0627\u064a \u064a\u0639\u0642\u0648\u0628\", \"\u0635\u0641\u0631\u0648\", \"\u0628\u0648\u0644\u0645\u0627\u0646\", \"\u0645\u0643\u0646\u0627\u0633\", \"\u0627\u0644\u062d\u0627\u062c\u0628\", \"\u062a\u0627\u0632\u0629\", \"\u0625\u0641\u0631\u0627\u0646\", \"\u062a\u0627\u0648\u0646\u0627\u062a\"],\r\n \"\u0645\u0631\u0627\u0643\u0634 \u0622\u0633\u0641\u064a\": [\"\u0645\u0631\u0627\u0643\u0634\", \"\u0634\u064a\u0634\u0627\u0648\u0629\", \"\u0627\u0644\u062d\u0648\u0632\", \"\u0642\u0644\u0639\u0629 \u0627\u0644\u0633\u0631\u0627\u063a\u0646\u0629\", \"\u0627\u0644\u0635\u0648\u064a\u0631\u0629\", \"\u0627\u0644\u0631\u062d\u0627\u0645\u0646\u0629\", \"\u0622\u0633\u0641\u064a\", \"\u0627\u0644\u064a\u0648\u0633\u0641\u064a\u0629\"],\r\n \"\u0627\u0644\u0634\u0631\u0642\": [\"\u0648\u062c\u062f\u0629\", \"\u062c\u0631\u0627\u062f\u0629\", \"\u0628\u0631\u0643\u0627\u0646\", \"\u062a\u0627\u0648\u0631\u064a\u0631\u062a\", \"\u0641\u062c\u064a\u062c\", \"\u0627\u0644\u0646\u0627\u0636\u0648\u0631\", \"\u062c\u0631\u0633\u064a\u0641\", \"\u0627\u0644\u062f\u0631\u064a\u0648\u0634\"],\r\n \"\u0627\u0644\u0639\u064a\u0648\u0646 \u0627\u0644\u0633\u0627\u0642\u064a\u0629 \u0627\u0644\u062d\u0645\u0631\u0627\u0621\": [\"\u0628\u0648\u062c\u062f\u0648\u0631\", \"\u0627\u0644\u0639\u064a\u0648\u0646\", \"\u0637\u0631\u0641\u0627\u064a\u0629\", \"\u0627\u0644\u0633\u0645\u0627\u0631\u0629\"],\r\n \"\u0643\u0644\u0645\u064a\u0645 \u0648\u0627\u062f \u0646\u0648\u0646\": [\"\u0633\u064a\u062f\u064a \u0627\u0641\u0646\u064a\", \"\u0643\u0644\u0645\u064a\u0645\", \"\u0622\u0633\u0627 - \u0627\u0644\u0632\u0627\u0643\", \"\u0637\u0627\u0646\u0637\u0627\u0646\"],\r\n \"\u0627\u0644\u062f\u0627\u062e\u0644\u0629 \u0648\u0627\u062f\u064a \u0627\u0644\u0630\u0647\u0628\": [\"\u0648\u0627\u062f\u064a \u0627\u0644\u0630\u0647\u0628\", \"\u0623\u0648\u0633\u0631\u062f\"]\r\n };\r\n\r\n const regionSelect = document.querySelector('select[name=\"region\"]');\r\n const provinceSelect = document.querySelector('select[name=\"province\"]');\r\n const countryResidenceContainer = document.getElementById('country-residence-field');\r\n\r\n if (regionSelect && provinceSelect) {\r\n regionSelect.addEventListener('change', function() {\r\n const selectedRegion = this.value;\r\n const provinces = regionProvinceMap[selectedRegion] || [];\r\n \r\n if (selectedRegion === '\u0645\u063a\u0627\u0631\u0628\u0629 \u0627\u0644\u0639\u0627\u0644\u0645') {\r\n if (countryResidenceContainer) {\r\n countryResidenceContainer.classList.add('show');\r\n countryResidenceContainer.classList.remove('disabled');\r\n }\r\n provinceSelect.innerHTML = '<option value=\"\">\u0627\u062e\u062a\u0631 \u0627\u0644\u0625\u0642\u0644\u064a\u0645 \u0623\u0648 \u0627\u0644\u0639\u0645\u0627\u0644\u0629<\/option>';\r\n provinceSelect.disabled = true;\r\n } else {\r\n if (countryResidenceContainer) {\r\n countryResidenceContainer.classList.remove('show');\r\n countryResidenceContainer.classList.add('disabled');\r\n }\r\n provinceSelect.disabled = false;\r\n provinceSelect.innerHTML = '<option value=\"\">\u0627\u062e\u062a\u0631 \u0627\u0644\u0625\u0642\u0644\u064a\u0645 \u0623\u0648 \u0627\u0644\u0639\u0645\u0627\u0644\u0629<\/option>';\r\n provinces.forEach(province => {\r\n const option = document.createElement('option');\r\n option.value = province;\r\n option.textContent = province;\r\n provinceSelect.appendChild(option);\r\n });\r\n }\r\n });\r\n }\r\n\r\n \/\/ ========== CHAMPS CONDITIONNELS 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