{"id":7212,"date":"2020-07-22T04:03:44","date_gmt":"2020-07-22T03:03:44","guid":{"rendered":"https:\/\/gcet.edu.om\/admissions\/%d8%a7%d8%b3%d8%aa%d9%85%d8%a7%d8%b1%d8%a9-%d8%b7%d9%84%d8%a8-%d8%a7%d9%84%d8%a5%d9%84%d8%aa%d8%ad%d8%a7%d9%82\/"},"modified":"2020-07-26T15:22:10","modified_gmt":"2020-07-26T14:22:10","slug":"application-form","status":"publish","type":"page","link":"https:\/\/gcet.edu.om\/ar\/admissions\/application-form\/","title":{"rendered":"\u0627\u0633\u062a\u0645\u0627\u0631\u0629 \u0637\u0644\u0628 \u0627\u0644\u0625\u0644\u062a\u062d\u0627\u0642"},"content":{"rendered":"[vc_row type=&#8221;full_width_background&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; column_direction=&#8221;reverse&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; top_padding=&#8221;5%&#8221; 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width=&#8221;2\/3&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text]\n<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.6\" data-cf-form-id=\"CF5f17acd9e8214\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/gcet.edu.om\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5f17acd9e8214 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5f17acd9e8214_1\" data-form-id=\"CF5f17acd9e8214\" aria-label=\"Application form Arabic\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5f17acd9e8214-tmpl\" data-cfajax=\"CF5f17acd9e8214\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/gcet.edu.om\/ar\/\/cf-api\/CF5f17acd9e8214\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5f17acd9e8214\" name=\"_cf_verify\" value=\"8fd4c27464\"  data-nonce-time=\"1792718771\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ar\/wp-json\/wp\/v2\/pages\/7212\" \/><div id=\"cf2-CF5f17acd9e8214_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5f17acd9e8214\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5f17acd9e8214\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"7212\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Order Number<\/label><input type=\"text\" name=\"order_number\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5f17acd9e8214_1-row-1\"  class=\"row  single\"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_8328268\" class=\"form-group\" 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required type=\"email\" data-field=\"fld_5150682\" class=\" form-control\" id=\"fld_5150682_1\" name=\"fld_5150682\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_5150682Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3743378\" class=\"form-group\" id=\"fld_3743378_1-wrap\">\r\n\t<label id=\"fld_3743378Label\" for=\"fld_3743378_1\" class=\"control-label\">\u0631\u0642\u0645 \u0627\u0644\u0647\u0627\u062a\u0641 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '+99 99 999 9999'\"  required type=\"phone\" data-field=\"fld_3743378\" class=\" form-control\" id=\"fld_3743378_1\" name=\"fld_3743378\" value=\"\" data-type=\"phone\" aria-required=\"true\"   aria-labelledby=\"fld_3743378Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1234018\" class=\"form-group\" id=\"fld_1234018_1-wrap\">\r\n<label id=\"fld_1234018Label\" for=\"fld_1234018_1\" class=\"control-label\">\u0627\u0644\u062c\u0646\u0633 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0630\u0643\u0631\" for=\"fld_1234018_1_opt1770088\"><input type=\"radio\" id=\"fld_1234018_1_opt1770088\" data-field=\"fld_1234018\" class=\"fld_1234018_1 option-required\" name=\"fld_1234018\" value=\"\u0627\u0644\u0628\u0631\u0646\u0627\u0645\u062c \u0627\u0644\u062a\u0623\u0633\u064a\u0633\u064a\"   required=\"required\" data-radio-field=\"fld_1234018_1\" data-type=\"radio\" data-calc-value=\"\u0630\u0643\u0631\" \/>\n\t\t\t\u0630\u0643\u0631\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0627\u0646\u062b\u0649\" for=\"fld_1234018_1_opt1473703\"><input type=\"radio\" id=\"fld_1234018_1_opt1473703\" data-field=\"fld_1234018\" class=\"fld_1234018_1 option-required\" name=\"fld_1234018\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0627\u062a \u0648\u0627\u0644\u0625\u062a\u0635\u0627\u0644\u0627\u062a\"   required=\"required\" data-radio-field=\"fld_1234018_1\" data-type=\"radio\" data-calc-value=\"\u0627\u0646\u062b\u0649\" \/>\n\t\t\t\u0627\u0646\u062b\u0649\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_124916\" class=\"form-group\" id=\"fld_124916_1-wrap\">\r\n\t<label id=\"fld_124916Label\" for=\"fld_124916_1\" class=\"control-label\">\u0627\u0644\u062c\u0646\u0633\u064a\u0629 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_124916\" value=\"\" data-field=\"fld_124916\" class=\"form-control\" id=\"fld_124916_1\"  required=\"required\"  aria-labelledby=\"fld_124916Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Afghanistan\"  data-calc-value=\"Afghanistan\" >\n\t\t\t\t\t\tAfghanistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u00c5land Islands\"  data-calc-value=\"\u00c5land Islands\" >\n\t\t\t\t\t\t\u00c5land Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Albania\"  data-calc-value=\"Albania\" >\n\t\t\t\t\t\tAlbania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Algeria\"  data-calc-value=\"Algeria\" >\n\t\t\t\t\t\tAlgeria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"American Samoa\"  data-calc-value=\"American Samoa\" >\n\t\t\t\t\t\tAmerican Samoa\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Andorra\"  data-calc-value=\"Andorra\" >\n\t\t\t\t\t\tAndorra\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Angola\"  data-calc-value=\"Angola\" >\n\t\t\t\t\t\tAngola\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Anguilla\"  data-calc-value=\"Anguilla\" >\n\t\t\t\t\t\tAnguilla\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Antarctica\"  data-calc-value=\"Antarctica\" >\n\t\t\t\t\t\tAntarctica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Antigua and Barbuda\"  data-calc-value=\"Antigua and Barbuda\" >\n\t\t\t\t\t\tAntigua and Barbuda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Argentina\"  data-calc-value=\"Argentina\" >\n\t\t\t\t\t\tArgentina\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Armenia\"  data-calc-value=\"Armenia\" >\n\t\t\t\t\t\tArmenia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Aruba\"  data-calc-value=\"Aruba\" >\n\t\t\t\t\t\tAruba\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Australia\"  data-calc-value=\"Australia\" >\n\t\t\t\t\t\tAustralia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Austria\"  data-calc-value=\"Austria\" >\n\t\t\t\t\t\tAustria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Azerbaijan\"  data-calc-value=\"Azerbaijan\" >\n\t\t\t\t\t\tAzerbaijan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bahamas\"  data-calc-value=\"Bahamas\" >\n\t\t\t\t\t\tBahamas\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bahrain\"  data-calc-value=\"Bahrain\" >\n\t\t\t\t\t\tBahrain\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bangladesh\"  data-calc-value=\"Bangladesh\" >\n\t\t\t\t\t\tBangladesh\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Barbados\"  data-calc-value=\"Barbados\" >\n\t\t\t\t\t\tBarbados\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Belarus\"  data-calc-value=\"Belarus\" >\n\t\t\t\t\t\tBelarus\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Belgium\"  data-calc-value=\"Belgium\" >\n\t\t\t\t\t\tBelgium\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Belize\"  data-calc-value=\"Belize\" >\n\t\t\t\t\t\tBelize\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Benin\"  data-calc-value=\"Benin\" >\n\t\t\t\t\t\tBenin\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bermuda\"  data-calc-value=\"Bermuda\" >\n\t\t\t\t\t\tBermuda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bhutan\"  data-calc-value=\"Bhutan\" >\n\t\t\t\t\t\tBhutan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bolivia, Plurinational State of\"  data-calc-value=\"Bolivia, Plurinational State of\" >\n\t\t\t\t\t\tBolivia, Plurinational State of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bonaire, Sint Eustatius and Saba\"  data-calc-value=\"Bonaire, Sint Eustatius and Saba\" >\n\t\t\t\t\t\tBonaire, Sint Eustatius and Saba\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bosnia and Herzegovina\"  data-calc-value=\"Bosnia and Herzegovina\" >\n\t\t\t\t\t\tBosnia and Herzegovina\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Botswana\"  data-calc-value=\"Botswana\" >\n\t\t\t\t\t\tBotswana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bouvet Island\"  data-calc-value=\"Bouvet Island\" >\n\t\t\t\t\t\tBouvet Island\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Brazil\"  data-calc-value=\"Brazil\" >\n\t\t\t\t\t\tBrazil\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"British Indian Ocean Territory\"  data-calc-value=\"British Indian Ocean Territory\" >\n\t\t\t\t\t\tBritish Indian Ocean Territory\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Brunei Darussalam\"  data-calc-value=\"Brunei Darussalam\" >\n\t\t\t\t\t\tBrunei Darussalam\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bulgaria\"  data-calc-value=\"Bulgaria\" >\n\t\t\t\t\t\tBulgaria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Burkina Faso\"  data-calc-value=\"Burkina Faso\" >\n\t\t\t\t\t\tBurkina Faso\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Burundi\"  data-calc-value=\"Burundi\" >\n\t\t\t\t\t\tBurundi\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cambodia\"  data-calc-value=\"Cambodia\" >\n\t\t\t\t\t\tCambodia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cameroon\"  data-calc-value=\"Cameroon\" >\n\t\t\t\t\t\tCameroon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Canada\"  data-calc-value=\"Canada\" >\n\t\t\t\t\t\tCanada\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cape Verde\"  data-calc-value=\"Cape Verde\" >\n\t\t\t\t\t\tCape Verde\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cayman Islands\"  data-calc-value=\"Cayman Islands\" >\n\t\t\t\t\t\tCayman Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Central African Republic\"  data-calc-value=\"Central African Republic\" >\n\t\t\t\t\t\tCentral African Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Chad\"  data-calc-value=\"Chad\" >\n\t\t\t\t\t\tChad\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Chile\"  data-calc-value=\"Chile\" >\n\t\t\t\t\t\tChile\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"China\"  data-calc-value=\"China\" >\n\t\t\t\t\t\tChina\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Christmas Island\"  data-calc-value=\"Christmas Island\" >\n\t\t\t\t\t\tChristmas Island\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cocos (Keeling) Islands\"  data-calc-value=\"Cocos (Keeling) Islands\" >\n\t\t\t\t\t\tCocos (Keeling) Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Colombia\"  data-calc-value=\"Colombia\" >\n\t\t\t\t\t\tColombia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Comoros\"  data-calc-value=\"Comoros\" >\n\t\t\t\t\t\tComoros\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Congo\"  data-calc-value=\"Congo\" >\n\t\t\t\t\t\tCongo\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Congo, the Democratic Republic of the\"  data-calc-value=\"Congo, the Democratic Republic of the\" >\n\t\t\t\t\t\tCongo, the Democratic Republic of the\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cook Islands\"  data-calc-value=\"Cook Islands\" >\n\t\t\t\t\t\tCook Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Costa Rica\"  data-calc-value=\"Costa Rica\" >\n\t\t\t\t\t\tCosta Rica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"C\u00f4te d&#039;Ivoire\"  data-calc-value=\"C\u00f4te d&#039;Ivoire\" >\n\t\t\t\t\t\tC\u00f4te d&#039;Ivoire\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Croatia\"  data-calc-value=\"Croatia\" >\n\t\t\t\t\t\tCroatia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cuba\"  data-calc-value=\"Cuba\" >\n\t\t\t\t\t\tCuba\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cura\u00e7ao\"  data-calc-value=\"Cura\u00e7ao\" >\n\t\t\t\t\t\tCura\u00e7ao\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cyprus\"  data-calc-value=\"Cyprus\" >\n\t\t\t\t\t\tCyprus\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Czech Republic\"  data-calc-value=\"Czech Republic\" >\n\t\t\t\t\t\tCzech Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Denmark\"  data-calc-value=\"Denmark\" >\n\t\t\t\t\t\tDenmark\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Djibouti\"  data-calc-value=\"Djibouti\" >\n\t\t\t\t\t\tDjibouti\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Dominica\"  data-calc-value=\"Dominica\" >\n\t\t\t\t\t\tDominica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Dominican Republic\"  data-calc-value=\"Dominican Republic\" >\n\t\t\t\t\t\tDominican Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ecuador\"  data-calc-value=\"Ecuador\" >\n\t\t\t\t\t\tEcuador\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Egypt\"  data-calc-value=\"Egypt\" >\n\t\t\t\t\t\tEgypt\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"El Salvador\"  data-calc-value=\"El Salvador\" >\n\t\t\t\t\t\tEl Salvador\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Equatorial Guinea\"  data-calc-value=\"Equatorial Guinea\" >\n\t\t\t\t\t\tEquatorial Guinea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Eritrea\"  data-calc-value=\"Eritrea\" >\n\t\t\t\t\t\tEritrea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Estonia\"  data-calc-value=\"Estonia\" >\n\t\t\t\t\t\tEstonia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ethiopia\"  data-calc-value=\"Ethiopia\" >\n\t\t\t\t\t\tEthiopia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Falkland Islands (Malvinas)\"  data-calc-value=\"Falkland Islands (Malvinas)\" >\n\t\t\t\t\t\tFalkland Islands (Malvinas)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Faroe Islands\"  data-calc-value=\"Faroe Islands\" >\n\t\t\t\t\t\tFaroe Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Fiji\"  data-calc-value=\"Fiji\" >\n\t\t\t\t\t\tFiji\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Finland\"  data-calc-value=\"Finland\" >\n\t\t\t\t\t\tFinland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"France\"  data-calc-value=\"France\" >\n\t\t\t\t\t\tFrance\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"French Guiana\"  data-calc-value=\"French Guiana\" >\n\t\t\t\t\t\tFrench Guiana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"French Polynesia\"  data-calc-value=\"French Polynesia\" >\n\t\t\t\t\t\tFrench Polynesia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"French Southern Territories\"  data-calc-value=\"French Southern Territories\" >\n\t\t\t\t\t\tFrench Southern Territories\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gabon\"  data-calc-value=\"Gabon\" >\n\t\t\t\t\t\tGabon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gambia\"  data-calc-value=\"Gambia\" >\n\t\t\t\t\t\tGambia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Georgia\"  data-calc-value=\"Georgia\" >\n\t\t\t\t\t\tGeorgia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Germany\"  data-calc-value=\"Germany\" >\n\t\t\t\t\t\tGermany\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ghana\"  data-calc-value=\"Ghana\" >\n\t\t\t\t\t\tGhana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gibraltar\"  data-calc-value=\"Gibraltar\" >\n\t\t\t\t\t\tGibraltar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Greece\"  data-calc-value=\"Greece\" >\n\t\t\t\t\t\tGreece\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Greenland\"  data-calc-value=\"Greenland\" >\n\t\t\t\t\t\tGreenland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Grenada\"  data-calc-value=\"Grenada\" >\n\t\t\t\t\t\tGrenada\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guadeloupe\"  data-calc-value=\"Guadeloupe\" >\n\t\t\t\t\t\tGuadeloupe\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guam\"  data-calc-value=\"Guam\" >\n\t\t\t\t\t\tGuam\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guatemala\"  data-calc-value=\"Guatemala\" >\n\t\t\t\t\t\tGuatemala\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guernsey\"  data-calc-value=\"Guernsey\" >\n\t\t\t\t\t\tGuernsey\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guinea\"  data-calc-value=\"Guinea\" >\n\t\t\t\t\t\tGuinea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guinea-Bissau\"  data-calc-value=\"Guinea-Bissau\" >\n\t\t\t\t\t\tGuinea-Bissau\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guyana\"  data-calc-value=\"Guyana\" >\n\t\t\t\t\t\tGuyana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Haiti\"  data-calc-value=\"Haiti\" >\n\t\t\t\t\t\tHaiti\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Heard Island and McDonald Islands\"  data-calc-value=\"Heard Island and McDonald Islands\" >\n\t\t\t\t\t\tHeard Island and McDonald Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Holy See (Vatican City State)\"  data-calc-value=\"Holy See (Vatican City State)\" >\n\t\t\t\t\t\tHoly See (Vatican City State)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Honduras\"  data-calc-value=\"Honduras\" >\n\t\t\t\t\t\tHonduras\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Hong Kong\"  data-calc-value=\"Hong Kong\" >\n\t\t\t\t\t\tHong Kong\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Hungary\"  data-calc-value=\"Hungary\" >\n\t\t\t\t\t\tHungary\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Iceland\"  data-calc-value=\"Iceland\" >\n\t\t\t\t\t\tIceland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"India\"  data-calc-value=\"India\" >\n\t\t\t\t\t\tIndia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Indonesia\"  data-calc-value=\"Indonesia\" >\n\t\t\t\t\t\tIndonesia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Iran, Islamic Republic of\"  data-calc-value=\"Iran, Islamic Republic of\" >\n\t\t\t\t\t\tIran, Islamic Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Iraq\"  data-calc-value=\"Iraq\" >\n\t\t\t\t\t\tIraq\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ireland\"  data-calc-value=\"Ireland\" >\n\t\t\t\t\t\tIreland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Isle of Man\"  data-calc-value=\"Isle of Man\" >\n\t\t\t\t\t\tIsle of Man\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Israel\"  data-calc-value=\"Israel\" >\n\t\t\t\t\t\tIsrael\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Italy\"  data-calc-value=\"Italy\" >\n\t\t\t\t\t\tItaly\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Jamaica\"  data-calc-value=\"Jamaica\" >\n\t\t\t\t\t\tJamaica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Japan\"  data-calc-value=\"Japan\" >\n\t\t\t\t\t\tJapan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Jersey\"  data-calc-value=\"Jersey\" >\n\t\t\t\t\t\tJersey\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Jordan\"  data-calc-value=\"Jordan\" >\n\t\t\t\t\t\tJordan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kazakhstan\"  data-calc-value=\"Kazakhstan\" >\n\t\t\t\t\t\tKazakhstan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kenya\"  data-calc-value=\"Kenya\" >\n\t\t\t\t\t\tKenya\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kiribati\"  data-calc-value=\"Kiribati\" >\n\t\t\t\t\t\tKiribati\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Korea, Democratic People&#039;s Republic of\"  data-calc-value=\"Korea, Democratic People&#039;s Republic of\" >\n\t\t\t\t\t\tKorea, Democratic People&#039;s Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Korea, Republic of\"  data-calc-value=\"Korea, Republic of\" >\n\t\t\t\t\t\tKorea, Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kuwait\"  data-calc-value=\"Kuwait\" >\n\t\t\t\t\t\tKuwait\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kyrgyzstan\"  data-calc-value=\"Kyrgyzstan\" >\n\t\t\t\t\t\tKyrgyzstan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lao People&#039;s Democratic Republic\"  data-calc-value=\"Lao People&#039;s Democratic Republic\" >\n\t\t\t\t\t\tLao People&#039;s Democratic Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Latvia\"  data-calc-value=\"Latvia\" >\n\t\t\t\t\t\tLatvia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lebanon\"  data-calc-value=\"Lebanon\" >\n\t\t\t\t\t\tLebanon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lesotho\"  data-calc-value=\"Lesotho\" >\n\t\t\t\t\t\tLesotho\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Liberia\"  data-calc-value=\"Liberia\" >\n\t\t\t\t\t\tLiberia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Libya\"  data-calc-value=\"Libya\" >\n\t\t\t\t\t\tLibya\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Liechtenstein\"  data-calc-value=\"Liechtenstein\" >\n\t\t\t\t\t\tLiechtenstein\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lithuania\"  data-calc-value=\"Lithuania\" >\n\t\t\t\t\t\tLithuania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Luxembourg\"  data-calc-value=\"Luxembourg\" >\n\t\t\t\t\t\tLuxembourg\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Macao\"  data-calc-value=\"Macao\" >\n\t\t\t\t\t\tMacao\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Macedonia, the former Yugoslav Republic of\"  data-calc-value=\"Macedonia, the former Yugoslav Republic of\" >\n\t\t\t\t\t\tMacedonia, the former Yugoslav Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Madagascar\"  data-calc-value=\"Madagascar\" >\n\t\t\t\t\t\tMadagascar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Malawi\"  data-calc-value=\"Malawi\" >\n\t\t\t\t\t\tMalawi\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Malaysia\"  data-calc-value=\"Malaysia\" >\n\t\t\t\t\t\tMalaysia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Maldives\"  data-calc-value=\"Maldives\" >\n\t\t\t\t\t\tMaldives\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mali\"  data-calc-value=\"Mali\" >\n\t\t\t\t\t\tMali\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Malta\"  data-calc-value=\"Malta\" >\n\t\t\t\t\t\tMalta\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Marshall Islands\"  data-calc-value=\"Marshall Islands\" >\n\t\t\t\t\t\tMarshall Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Martinique\"  data-calc-value=\"Martinique\" >\n\t\t\t\t\t\tMartinique\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mauritania\"  data-calc-value=\"Mauritania\" >\n\t\t\t\t\t\tMauritania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mauritius\"  data-calc-value=\"Mauritius\" >\n\t\t\t\t\t\tMauritius\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mayotte\"  data-calc-value=\"Mayotte\" >\n\t\t\t\t\t\tMayotte\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mexico\"  data-calc-value=\"Mexico\" >\n\t\t\t\t\t\tMexico\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Micronesia, Federated States of\"  data-calc-value=\"Micronesia, Federated States of\" >\n\t\t\t\t\t\tMicronesia, Federated States of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Moldova, Republic of\"  data-calc-value=\"Moldova, Republic of\" >\n\t\t\t\t\t\tMoldova, Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monaco\"  data-calc-value=\"Monaco\" >\n\t\t\t\t\t\tMonaco\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mongolia\"  data-calc-value=\"Mongolia\" >\n\t\t\t\t\t\tMongolia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Montenegro\"  data-calc-value=\"Montenegro\" >\n\t\t\t\t\t\tMontenegro\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Montserrat\"  data-calc-value=\"Montserrat\" >\n\t\t\t\t\t\tMontserrat\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Morocco\"  data-calc-value=\"Morocco\" >\n\t\t\t\t\t\tMorocco\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mozambique\"  data-calc-value=\"Mozambique\" >\n\t\t\t\t\t\tMozambique\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Myanmar\"  data-calc-value=\"Myanmar\" >\n\t\t\t\t\t\tMyanmar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Namibia\"  data-calc-value=\"Namibia\" >\n\t\t\t\t\t\tNamibia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nauru\"  data-calc-value=\"Nauru\" >\n\t\t\t\t\t\tNauru\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nepal\"  data-calc-value=\"Nepal\" >\n\t\t\t\t\t\tNepal\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Netherlands\"  data-calc-value=\"Netherlands\" >\n\t\t\t\t\t\tNetherlands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"New Caledonia\"  data-calc-value=\"New Caledonia\" >\n\t\t\t\t\t\tNew Caledonia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"New Zealand\"  data-calc-value=\"New Zealand\" >\n\t\t\t\t\t\tNew Zealand\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nicaragua\"  data-calc-value=\"Nicaragua\" >\n\t\t\t\t\t\tNicaragua\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Niger\"  data-calc-value=\"Niger\" >\n\t\t\t\t\t\tNiger\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nigeria\"  data-calc-value=\"Nigeria\" >\n\t\t\t\t\t\tNigeria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Niue\"  data-calc-value=\"Niue\" >\n\t\t\t\t\t\tNiue\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Norfolk Island\"  data-calc-value=\"Norfolk Island\" >\n\t\t\t\t\t\tNorfolk Island\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Northern Mariana Islands\"  data-calc-value=\"Northern Mariana Islands\" >\n\t\t\t\t\t\tNorthern Mariana Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Norway\"  data-calc-value=\"Norway\" >\n\t\t\t\t\t\tNorway\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Oman\"  data-calc-value=\"Oman\" >\n\t\t\t\t\t\tOman\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Pakistan\"  data-calc-value=\"Pakistan\" >\n\t\t\t\t\t\tPakistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Palau\"  data-calc-value=\"Palau\" >\n\t\t\t\t\t\tPalau\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Palestinian Territory, Occupied\"  data-calc-value=\"Palestinian Territory, Occupied\" >\n\t\t\t\t\t\tPalestinian Territory, Occupied\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Panama\"  data-calc-value=\"Panama\" >\n\t\t\t\t\t\tPanama\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Papua New Guinea\"  data-calc-value=\"Papua New Guinea\" >\n\t\t\t\t\t\tPapua New Guinea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Paraguay\"  data-calc-value=\"Paraguay\" >\n\t\t\t\t\t\tParaguay\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Peru\"  data-calc-value=\"Peru\" >\n\t\t\t\t\t\tPeru\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Philippines\"  data-calc-value=\"Philippines\" >\n\t\t\t\t\t\tPhilippines\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Pitcairn\"  data-calc-value=\"Pitcairn\" >\n\t\t\t\t\t\tPitcairn\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Poland\"  data-calc-value=\"Poland\" >\n\t\t\t\t\t\tPoland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Portugal\"  data-calc-value=\"Portugal\" >\n\t\t\t\t\t\tPortugal\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Puerto Rico\"  data-calc-value=\"Puerto Rico\" >\n\t\t\t\t\t\tPuerto Rico\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Qatar\"  data-calc-value=\"Qatar\" >\n\t\t\t\t\t\tQatar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"R\u00e9union\"  data-calc-value=\"R\u00e9union\" >\n\t\t\t\t\t\tR\u00e9union\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Romania\"  data-calc-value=\"Romania\" >\n\t\t\t\t\t\tRomania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Russian Federation\"  data-calc-value=\"Russian Federation\" >\n\t\t\t\t\t\tRussian Federation\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Rwanda\"  data-calc-value=\"Rwanda\" >\n\t\t\t\t\t\tRwanda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Barth\u00e9lemy\"  data-calc-value=\"Saint Barth\u00e9lemy\" >\n\t\t\t\t\t\tSaint Barth\u00e9lemy\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Helena, Ascension and Tristan da Cunha\"  data-calc-value=\"Saint Helena, Ascension and Tristan da Cunha\" >\n\t\t\t\t\t\tSaint Helena, Ascension and Tristan da Cunha\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Kitts and Nevis\"  data-calc-value=\"Saint Kitts and Nevis\" >\n\t\t\t\t\t\tSaint Kitts and Nevis\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Lucia\"  data-calc-value=\"Saint Lucia\" >\n\t\t\t\t\t\tSaint Lucia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Martin (French part)\"  data-calc-value=\"Saint Martin (French part)\" >\n\t\t\t\t\t\tSaint Martin (French part)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Pierre and Miquelon\"  data-calc-value=\"Saint Pierre and Miquelon\" >\n\t\t\t\t\t\tSaint Pierre and Miquelon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Vincent and the Grenadines\"  data-calc-value=\"Saint Vincent and the Grenadines\" >\n\t\t\t\t\t\tSaint Vincent and the Grenadines\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Samoa\"  data-calc-value=\"Samoa\" >\n\t\t\t\t\t\tSamoa\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"San Marino\"  data-calc-value=\"San Marino\" >\n\t\t\t\t\t\tSan Marino\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sao Tome and Principe\"  data-calc-value=\"Sao Tome and Principe\" >\n\t\t\t\t\t\tSao Tome and Principe\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saudi Arabia\"  data-calc-value=\"Saudi Arabia\" >\n\t\t\t\t\t\tSaudi Arabia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Senegal\"  data-calc-value=\"Senegal\" >\n\t\t\t\t\t\tSenegal\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Serbia\"  data-calc-value=\"Serbia\" >\n\t\t\t\t\t\tSerbia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Seychelles\"  data-calc-value=\"Seychelles\" >\n\t\t\t\t\t\tSeychelles\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sierra Leone\"  data-calc-value=\"Sierra Leone\" >\n\t\t\t\t\t\tSierra Leone\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Singapore\"  data-calc-value=\"Singapore\" >\n\t\t\t\t\t\tSingapore\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sint Maarten (Dutch part)\"  data-calc-value=\"Sint Maarten (Dutch part)\" >\n\t\t\t\t\t\tSint Maarten (Dutch part)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Slovakia\"  data-calc-value=\"Slovakia\" >\n\t\t\t\t\t\tSlovakia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Slovenia\"  data-calc-value=\"Slovenia\" >\n\t\t\t\t\t\tSlovenia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Solomon Islands\"  data-calc-value=\"Solomon Islands\" >\n\t\t\t\t\t\tSolomon Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Somalia\"  data-calc-value=\"Somalia\" >\n\t\t\t\t\t\tSomalia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"South Africa\"  data-calc-value=\"South Africa\" >\n\t\t\t\t\t\tSouth Africa\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"South Georgia and the South Sandwich Islands\"  data-calc-value=\"South Georgia and the South Sandwich Islands\" >\n\t\t\t\t\t\tSouth Georgia and the South Sandwich Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"South Sudan\"  data-calc-value=\"South Sudan\" >\n\t\t\t\t\t\tSouth Sudan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Spain\"  data-calc-value=\"Spain\" >\n\t\t\t\t\t\tSpain\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sri Lanka\"  data-calc-value=\"Sri Lanka\" >\n\t\t\t\t\t\tSri Lanka\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sudan\"  data-calc-value=\"Sudan\" >\n\t\t\t\t\t\tSudan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Suriname\"  data-calc-value=\"Suriname\" >\n\t\t\t\t\t\tSuriname\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Svalbard and Jan Mayen\"  data-calc-value=\"Svalbard and Jan Mayen\" >\n\t\t\t\t\t\tSvalbard and Jan Mayen\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Swaziland\"  data-calc-value=\"Swaziland\" >\n\t\t\t\t\t\tSwaziland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sweden\"  data-calc-value=\"Sweden\" >\n\t\t\t\t\t\tSweden\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Switzerland\"  data-calc-value=\"Switzerland\" >\n\t\t\t\t\t\tSwitzerland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Syrian Arab Republic\"  data-calc-value=\"Syrian Arab Republic\" >\n\t\t\t\t\t\tSyrian Arab Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Taiwan, Province of China\"  data-calc-value=\"Taiwan, Province of China\" >\n\t\t\t\t\t\tTaiwan, Province of China\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tajikistan\"  data-calc-value=\"Tajikistan\" >\n\t\t\t\t\t\tTajikistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tanzania, United Republic of\"  data-calc-value=\"Tanzania, United Republic of\" >\n\t\t\t\t\t\tTanzania, United Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thailand\"  data-calc-value=\"Thailand\" >\n\t\t\t\t\t\tThailand\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Timor-Leste\"  data-calc-value=\"Timor-Leste\" >\n\t\t\t\t\t\tTimor-Leste\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Togo\"  data-calc-value=\"Togo\" >\n\t\t\t\t\t\tTogo\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tokelau\"  data-calc-value=\"Tokelau\" >\n\t\t\t\t\t\tTokelau\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tonga\"  data-calc-value=\"Tonga\" >\n\t\t\t\t\t\tTonga\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Trinidad and Tobago\"  data-calc-value=\"Trinidad and Tobago\" >\n\t\t\t\t\t\tTrinidad and Tobago\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tunisia\"  data-calc-value=\"Tunisia\" >\n\t\t\t\t\t\tTunisia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Turkey\"  data-calc-value=\"Turkey\" >\n\t\t\t\t\t\tTurkey\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Turkmenistan\"  data-calc-value=\"Turkmenistan\" >\n\t\t\t\t\t\tTurkmenistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Turks and Caicos Islands\"  data-calc-value=\"Turks and Caicos Islands\" >\n\t\t\t\t\t\tTurks and Caicos Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuvalu\"  data-calc-value=\"Tuvalu\" >\n\t\t\t\t\t\tTuvalu\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Uganda\"  data-calc-value=\"Uganda\" >\n\t\t\t\t\t\tUganda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ukraine\"  data-calc-value=\"Ukraine\" >\n\t\t\t\t\t\tUkraine\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United Arab Emirates\"  data-calc-value=\"United Arab Emirates\" >\n\t\t\t\t\t\tUnited Arab Emirates\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United Kingdom\"  data-calc-value=\"United Kingdom\" >\n\t\t\t\t\t\tUnited Kingdom\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United States\"  data-calc-value=\"United States\" >\n\t\t\t\t\t\tUnited States\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United States Minor Outlying Islands\"  data-calc-value=\"United States Minor Outlying Islands\" >\n\t\t\t\t\t\tUnited States Minor Outlying Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Uruguay\"  data-calc-value=\"Uruguay\" >\n\t\t\t\t\t\tUruguay\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Uzbekistan\"  data-calc-value=\"Uzbekistan\" >\n\t\t\t\t\t\tUzbekistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Vanuatu\"  data-calc-value=\"Vanuatu\" >\n\t\t\t\t\t\tVanuatu\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Venezuela, Bolivarian Republic of\"  data-calc-value=\"Venezuela, Bolivarian Republic of\" >\n\t\t\t\t\t\tVenezuela, Bolivarian Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Viet Nam\"  data-calc-value=\"Viet Nam\" >\n\t\t\t\t\t\tViet Nam\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Virgin Islands, British\"  data-calc-value=\"Virgin Islands, British\" >\n\t\t\t\t\t\tVirgin Islands, British\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Virgin Islands, U.S.\"  data-calc-value=\"Virgin Islands, U.S.\" >\n\t\t\t\t\t\tVirgin Islands, U.S.\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wallis and Futuna\"  data-calc-value=\"Wallis and Futuna\" >\n\t\t\t\t\t\tWallis and Futuna\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Western Sahara\"  data-calc-value=\"Western Sahara\" >\n\t\t\t\t\t\tWestern Sahara\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Yemen\"  data-calc-value=\"Yemen\" >\n\t\t\t\t\t\tYemen\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Zambia\"  data-calc-value=\"Zambia\" >\n\t\t\t\t\t\tZambia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Zimbabwe\"  data-calc-value=\"Zimbabwe\" >\n\t\t\t\t\t\tZimbabwe\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2047575\" class=\"form-group\" id=\"fld_2047575_1-wrap\">\r\n<label id=\"fld_2047575Label\" for=\"fld_2047575_1\" class=\"control-label\">\u0627\u0631\u064a\u062f \u0627\u0644\u062a\u0633\u062c\u064a\u0644 \u0641\u064a \u0628\u0631\u0646\u0627\u0645\u062c\u061f <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0627\u0644\u0628\u0631\u0646\u0627\u0645\u062c \u0627\u0644\u062a\u0623\u0633\u064a\u0633\u064a\" for=\"fld_2047575_1_opt1770088\"><input type=\"radio\" id=\"fld_2047575_1_opt1770088\" data-field=\"fld_2047575\" class=\"fld_2047575_1 option-required\" name=\"fld_2047575\" value=\"\u0627\u0644\u0628\u0631\u0646\u0627\u0645\u062c \u0627\u0644\u062a\u0623\u0633\u064a\u0633\u064a\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0627\u0644\u0628\u0631\u0646\u0627\u0645\u062c \u0627\u0644\u062a\u0623\u0633\u064a\u0633\u064a\" \/>\n\t\t\t\u0627\u0644\u0628\u0631\u0646\u0627\u0645\u062c \u0627\u0644\u062a\u0623\u0633\u064a\u0633\u064a\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a\u0627\u062a \u0648\u0627\u0644\u0625\u062a\u0635\u0627\u0644\u0627\u062a\" for=\"fld_2047575_1_opt1473703\"><input type=\"radio\" id=\"fld_2047575_1_opt1473703\" data-field=\"fld_2047575\" class=\"fld_2047575_1 option-required\" name=\"fld_2047575\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 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\u0648\u0627\u0644\u0625\u062a\u0635\u0627\u0644\u0627\u062a\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0623\u062a\u0645\u062a\u0629 \u0648\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0631\u0648\u0628\u0648\u062a\u0627\u062a\" for=\"fld_2047575_1_opt1622760\"><input type=\"radio\" id=\"fld_2047575_1_opt1622760\" data-field=\"fld_2047575\" class=\"fld_2047575_1 option-required\" name=\"fld_2047575\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0623\u062a\u0645\u062a\u0629 \u0648\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0631\u0648\u0628\u0648\u062a\u0627\u062a\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0623\u062a\u0645\u062a\u0629 \u0648\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0631\u0648\u0628\u0648\u062a\u0627\u062a\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0623\u062a\u0645\u062a\u0629 \u0648\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0631\u0648\u0628\u0648\u062a\u0627\u062a\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a 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class=\"fld_2047575_1 option-required\" name=\"fld_2047575\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 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value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 \u0627\u0644\u0633\u064a\u0627\u0631\u0627\u062a)\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 \u0627\u0644\u0633\u064a\u0627\u0631\u0627\u062a)\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 \u0627\u0644\u0633\u064a\u0627\u0631\u0627\u062a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u0645\u064a\u0643\u0627\u062a\u0631\u0648\u0646\u0643\u0633)\" for=\"fld_2047575_1_opt1679454\"><input type=\"radio\" id=\"fld_2047575_1_opt1679454\" data-field=\"fld_2047575\" class=\"fld_2047575_1 option-required\" name=\"fld_2047575\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u0645\u064a\u0643\u0627\u062a\u0631\u0648\u0646\u0643\u0633)\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u0645\u064a\u0643\u0627\u062a\u0631\u0648\u0646\u0643\u0633)\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u0645\u064a\u0643\u0627\u062a\u0631\u0648\u0646\u0643\u0633)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u0627\u0644\u062a\u0635\u0646\u064a\u0639)\" for=\"fld_2047575_1_opt2063159\"><input type=\"radio\" id=\"fld_2047575_1_opt2063159\" data-field=\"fld_2047575\" class=\"fld_2047575_1 option-required\" name=\"fld_2047575\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u0627\u0644\u062a\u0635\u0646\u064a\u0639)\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u0627\u0644\u062a\u0635\u0646\u064a\u0639)\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u0647\u0646\u062f\u0633\u0629 \u0627\u0644\u0645\u064a\u0643\u0627\u0646\u064a\u0643\u064a\u0629 \u0648\u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 (\u0627\u0644\u062a\u0635\u0646\u064a\u0639)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u062e\u062f\u0645\u0627\u062a \u0627\u0644\u0645\u0628\u0627\u0646\u064a\" for=\"fld_2047575_1_opt1850807\"><input type=\"radio\" id=\"fld_2047575_1_opt1850807\" data-field=\"fld_2047575\" class=\"fld_2047575_1 option-required\" name=\"fld_2047575\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u062e\u062f\u0645\u0627\u062a \u0627\u0644\u0645\u0628\u0627\u0646\u064a\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u062e\u062f\u0645\u0627\u062a \u0627\u0644\u0645\u0628\u0627\u0646\u064a\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0647\u0646\u062f\u0633\u0629 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 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\u0648\u0627\u0644\u0623\u062f\u0644\u0629 \u0627\u0644\u062c\u0646\u0627\u0626\u064a\u0629\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0627\u0644\u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0623\u0645\u0646 \u0627\u0644\u062d\u0627\u0633\u0628\u0627\u062a \u0648\u0627\u0644\u0623\u062f\u0644\u0629 \u0627\u0644\u062c\u0646\u0627\u0626\u064a\u0629\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0627\u0644\u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0623\u0645\u0646 \u0627\u0644\u062d\u0627\u0633\u0628\u0627\u062a \u0648\u0627\u0644\u0623\u062f\u0644\u0629 \u0627\u0644\u062c\u0646\u0627\u0626\u064a\u0629\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0627\u0644\u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a\" for=\"fld_2047575_1_opt1336029\"><input type=\"radio\" id=\"fld_2047575_1_opt1336029\" data-field=\"fld_2047575\" class=\"fld_2047575_1 option-required\" name=\"fld_2047575\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0627\u0644\u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0627\u0644\u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0627\u0644\u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a (\u0627\u0644\u0630\u0643\u0627\u0621 \u0627\u0644\u0627\u0635\u0637\u0646\u0627\u0639\u064a)\" for=\"fld_2047575_1_opt1410725\"><input type=\"radio\" id=\"fld_2047575_1_opt1410725\" data-field=\"fld_2047575\" class=\"fld_2047575_1 option-required\" name=\"fld_2047575\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a (\u0627\u0644\u0630\u0643\u0627\u0621 \u0627\u0644\u0627\u0635\u0637\u0646\u0627\u0639\u064a)\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a (\u0627\u0644\u0630\u0643\u0627\u0621 \u0627\u0644\u0627\u0635\u0637\u0646\u0627\u0639\u064a)\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a (\u0627\u0644\u0630\u0643\u0627\u0621 \u0627\u0644\u0627\u0635\u0637\u0646\u0627\u0639\u064a)\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a (\u0627\u0644\u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u0630\u0643\u064a\u0629)\" for=\"fld_2047575_1_opt1392153\"><input type=\"radio\" id=\"fld_2047575_1_opt1392153\" data-field=\"fld_2047575\" class=\"fld_2047575_1 option-required\" name=\"fld_2047575\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a (\u0627\u0644\u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u0630\u0643\u064a\u0629)\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a (\u0627\u0644\u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u0630\u0643\u064a\u0629)\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0639\u0644\u0648\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a (\u0627\u0644\u0623\u062c\u0647\u0632\u0629 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data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0639\u0644\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a \u0644\u0644\u0623\u0639\u0645\u0627\u0644\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0639\u0644\u0645 \u0627\u0644\u062d\u0627\u0633\u0628 \u0627\u0644\u0622\u0644\u064a \u0644\u0644\u0623\u0639\u0645\u0627\u0644\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 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option-required\" name=\"fld_2047575\" value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 \u0648\u0625\u062f\u0627\u0631\u0629 \u0627\u0644\u0637\u0627\u0642\u0629\"   required=\"required\" data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 \u0648\u0625\u062f\u0627\u0631\u0629 \u0627\u0644\u0637\u0627\u0642\u0629\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u062a\u0643\u0646\u0648\u0644\u0648\u062c\u064a\u0627 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data-radio-field=\"fld_2047575_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u062a\u062e\u0637\u064a\u0637 \u0627\u0644\u062d\u0636\u0631\u064a \u0648\u0627\u0644\u0623\u0642\u0644\u064a\u0645\u064a\" \/>\n\t\t\t\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a \u0627\u0644\u062a\u062e\u0637\u064a\u0637 \u0627\u0644\u062d\u0636\u0631\u064a \u0648\u0627\u0644\u0623\u0642\u0644\u064a\u0645\u064a\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0643\u0627\u0644\u0648\u0631\u064a\u0648\u0633 \u0639\u0644\u0648\u0645 \u0645\u0639 \u0645\u0631\u062a\u0628\u0629 \u0627\u0644\u0634\u0631\u0641 \u0641\u064a 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