{"id":278408,"date":"2021-06-18T17:48:43","date_gmt":"2021-06-18T17:48:43","guid":{"rendered":"https:\/\/www.bhump.org.uk\/?page_id=278408"},"modified":"2021-06-18T17:56:55","modified_gmt":"2021-06-18T17:56:55","slug":"volunteer-application-form","status":"publish","type":"page","link":"https:\/\/www.bhump.org.uk\/si\/volunteer-application-form\/","title":{"rendered":"\u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf \u0d85\u0dba\u0daf\u0dd4\u0db8\u0dca \u0db4\u0dad\u0dca\u0dbb\u0dba"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"278408\" class=\"elementor elementor-278408\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"has_ae_slider elementor-section elementor-top-section elementor-element elementor-element-7a8ac910 elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default\" data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" data-id=\"7a8ac910\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"has_ae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-59f927d7 ae-bg-gallery-type-default\" data-id=\"59f927d7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20c55833 elementor-widget elementor-widget-heading\" data-id=\"20c55833\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf \u0d85\u0dba\u0daf\u0dd4\u0db8\u0dca 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elementor-section elementor-top-section elementor-element elementor-element-1434c5a8 elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default\" data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" data-id=\"1434c5a8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"has_ae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2614ccc5 ae-bg-gallery-type-default\" data-id=\"2614ccc5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-580a88e8 elementor-widget elementor-widget-shortcode\" data-id=\"580a88e8\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><style type=\"text\/css\" id=\"101\" data-form-unique-id=\"86820\" >.arf_form_outer_wrapper.ar_main_div_101 .arf_fieldset .formdescription_style{\n\/*place your css code for form's description*\/\n}<\/style><div class=\"arf_form ar_main_div_101 arf_form_outer_wrapper\" id=\"arffrm_101_container\"><div id=\"arf_message_success_popup\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">\u0db8\u0dd9\u0db8 \u0d85\u0dba\u0daf\u0dd4\u0db8\u0dca\u0db4\u0dad \u0dc3\u0db8\u0dca\u0db4\u0dd4\u0dbb\u0dca\u0dab \u0d9a\u0dd2\u0dbb\u0dd3\u0db8 \u0d9c\u0dd0\u0db1 \u0d94\u0db6\u0da7 \u0dc3\u0dca\u0dad\u0dd4\u0dad\u0dd2\u0dba\u0dd2.<br>\u0dc4\u0dd2\u0dbd\u0dd2\u0db1\u0dca\u0da9\u0db1\u0dca \u0dc3\u0dbb\u0dab\u0dcf\u0d9c\u0dad \u0d86\u0db0\u0dcf\u0dbb\u0d9a \u0d9a\u0dab\u0dca\u0da9\u0dcf\u0dba\u0db8, \u0d9a\u0dd3 \u0dc4\u0dc0\u0dd4\u0dc3\u0dca, 106 \u0dc4\u0dba\u0dd2 \u0dc0\u0dd3\u0daf\u0dd2\u0dba, \u0db6\u0da7\u0dc4\u0dd2\u0dbb \u0da9\u0dca\u200d\u0dbb\u0dda\u0da7\u0db1\u0dca, \u0db8\u0dd2\u0da9\u0dca\u0dbd\u0dca\u0dc3\u0dd9\u0d9a\u0dca\u0dc3\u0dca, \u0dba\u0dd6\u0db6\u0dd3 7 7 \u0db6\u0dd3\u0d9a\u0dd2\u0dba\u0dd4<\/div><\/div><\/div><form enctype=\"multipart\/form-data\" method=\"post\" class=\"arfshowmainform arfpagebreakform\" style=\"\" data-form-id=\"form_m3fbu4\"  novalidate=\"\" data-id=\"86820\"  data-random-id=\"101_kleB6Qmj2p\"  data-submission-key=\"5sMIiH4T\"  data-key-validate=\"false\"  data-popup-id=\"\" action=\"\"><div><script type=\"text\/javascript\" data-cfasync=\"false\">if(window['jQuery']){ if(!window['arf_page_fields']) window['arf_page_fields'] = new Array(); window['arf_page_fields']['101'] = { 0:[123,124,125,126,127,128,129,130,131,132,133,134,135,136,137,138,139,140,141,142,143,144,145,146,147,148,149,150,151,152,153,154,155,156,157,158,159,160,161,162,163,164,], 1: [166,167,168,169,170,171,172,173,174,175,176,177,178,179,180,181,] }; }<\/script><\/div><input type='text' name='arf_filter_input' data-jqvalidate='false' data-random-key='101_kleB6Qmj2p' value='' style='opacity:0 !important;display:none !important;visibility:hidden !important;' \/><input type='hidden' id='arf_ajax_url' value='https:\/\/www.bhump.org.uk\/wp-admin\/admin-ajax.php' \/><input type=\"hidden\" data-jqvalidate=\"false\" class=\"kpress\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" class=\"stime\" value=\"1782393693\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-id=\"nonce_start_time\" class=\"nonce_start_time\" value=\"form_filter_st\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-id=\"nonce_keyboard_press\" class=\"nonce_keyboard_press\" value=\"form_filter_kp\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-id=\"arm_nonce_check\" name=\"arm_nonce_check\" value=\"e80109eea2\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_redirect_url_to\" id=\"arf_redirect_url_to\" value=\"same_tab\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_browser_name\" data-id=\"arf_browser_name\" data-version=\"unknown\" value=\"Unknown\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arforms_nonce\" id=\"arforms_nonce\" value=\"755ad545a4\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_file_token_101\" id=\"arf_file_token_101\" value=\"5lx7hTAMBW\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"upload_field_id_101_86820\" id=\"upload_field_id_101_86820\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfdecimal_separator\" data-id=\"arfdecimal_separator\" value=\".\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfform_date_formate_101\" data-id=\"arfform_date_formate_101\" value=\"MMM D, YYYY\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_key_101\" data-id=\"form_key_101\" value=\"m3fbu4\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_success_message_show_time_101\" data-id=\"arf_success_message_show_time_101\" value=\"3\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_form_hide_after_submit_101\" data-id=\"arf_form_hide_after_submit_101\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"is_form_preview_101\" data-id=\"is_form_preview_101\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_validate_outside_101\" data-id=\"arf_validate_outside_101\" data-validate=\"0\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_validate_outside_101\" data-id=\"arf_is_validate_outside_101\" data-validate=\"0\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_resetform_aftersubmit_101\" data-id=\"arf_is_resetform_aftersubmit_101\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_resetform_outside_101\" data-id=\"arf_is_resetform_outside_101\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_form_enable_cookie_101\" data-id=\"arf_form_enable_cookie_101\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_tooltip_settings_101\" data-id=\"arf_tooltip_settings_101\" class=\"arf_front_tooltip_settings\" data-form-id=\"101\" data-color=\"#FFFFFF\" data-position=\"top\" data-width=\"\" data-bg-color=\"#000000\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_tooltip_error_101\" data-id=\"form_tooltip_error_101\" data-color=\"\" data-position=\"bottom\" value=\"advance\" \/><input type=\"text\" data-jqvalidate=\"false\" name=\"fake_text\" data-id=\"fake_text\" value=\"\" style=\"height:0 !important; margin:0 !important; opacity: 0 !important; filter:alpha(opacity=0); padding:0 !important; width:0 !important; float:left;\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfaction\" value=\"create\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_id\" data-id=\"form_id\" value=\"101\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_data_id\" data-id=\"form_data_id\" value=\"86820\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_key\" data-id=\"form_key\" value=\"m3fbu4\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"is_load_js_and_css_in_all_pages\" data-id=\"is_load_js_and_css_in_all_pages\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_display_type\" data-id=\"form_display_type\" value=\"0|https:\/\/www.bhump.org.uk\/si\/volunteer-application-form\/\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_submit_type\" data-id=\"form_submit_type\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_http_referrer_url\" data-id=\"arf_http_referrer_url\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"entry_key\" value=\"\" \/><div class=\"allfields\"  style=\"visibility:hidden;height:0;\"><div class=\"arf_fieldset arf_standard_form\" id=\"arf_fieldset_86820\"><div id=\"arf_wizard_table\" class=\"arf_wizard top\"><div class=\"arf_wizard_upper_tab\"><div style=\"width:50.000%;\" id=\"page_nav_1\" class=\"page_break_nav page_nav_selected\">\u0db4\u0dd2\u0dba\u0dc0\u0dbb 1<\/div><div style=\"width:50.000%; \" id=\"page_nav_2\" class=\"page_break_nav\">\u0db4\u0dd2\u0dba\u0dc0\u0dbb2<\/div><\/div><div class=\"arf_wizard_lower_tab\"><div style=\"width:50.000%; padding:0;\" id=\"page_nav_arrow_1\" class=\"page_break_nav page_nav_selected\"><div class=\"arf_current_tab_arrow\"><\/div><\/div><div style=\"width:50.000%;padding:0;\" id=\"page_nav_arrow_2\" class=\"page_break_nav\"><\/div><\/div><\/div><div class='arf_wizard_clear' style='clear:both; height:15px;'><\/div><div id=\"page_0\" class=\"page_break\"><input type=\"hidden\" id=\"arf_repeatable_field_counter_180\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_180\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_181_86820_container\" class=\"arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield  arf_field_181\"  style='width: 100%'  data-field-type=\"select\" data-parent_field=\"180\"><label data-type=\"select\" for=\"field_5c9nh0_86820\" class=\"arf_main_label arf_main_label_18px active\">\u0dad\u0db1\u0dad\u0dd4\u0dbb \u0dc3\u0db3\u0dc4\u0dcf \u0d85\u0dba\u0daf\u0dd4\u0db8\u0dca \u0d9a\u0dd2\u0dbb\u0dd3\u0db8<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"sltstandard_front controls\"  ><select name=\"item_meta[181]\" data-validation-required-message=\"This field cannot be blank.\" id=\"field_5c9nh0_86820\"  class=\"select_controll_181 arf_required arf_select_controll\"style=\"width:auto;min-width:100px; \" data-size=\"15\" data-default-val=\"\"   ><option value=\"\" selected=\"selected\"  data-content=\"Please select\">Please select<\/option><option value=\"Volunteer ESOL Tutor \"  data-content=\"Volunteer ESOL Tutor \">\u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf ESOL \u0d8b\u0db4\u0daf\u0dda\u0dc1\u0d9a <\/option><option value=\"Volunteer Maths Tutor\"  data-content=\"Volunteer Maths Tutor\">\u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf \u0d9c\u0dab\u0dd2\u0dad \u0d8b\u0db4\u0daf\u0dda\u0dc1\u0d9a<\/option><option value=\"Volunteer Web Designer\"  data-content=\"Volunteer Web Designer\">\u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf \u0dc0\u0dd9\u0db6\u0dca \u0db1\u0dd2\u0dbb\u0dca\u0db8\u0dcf\u0dab\u0d9a\u0dbb\u0dd4<\/option><option value=\"BHUMP Volunteer\"  data-content=\"BHUMP Volunteer\">BHUMP \u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf \u0dc3\u0dda\u0dc0\u0d9a\u0dba\u0dcf<\/option><\/select><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_124\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_124\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >\u0db4\u0dd4\u0daf\u0dca\u0d9c\u0dbd\u0dd2\u0d9a \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_125_86820_container\" class=\"arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield frm_first_third arf_field_125\"  style='width: 17.914%'  data-field-type=\"select\" data-parent_field=\"124\"><label data-type=\"select\" for=\"field_b2gcv4_86820\" class=\"arf_main_label arf_main_label_18px active\">\u0dc1\u0dd3\u0dbb\u0dca\u0dc2\u0dba<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"sltstandard_front controls\"  ><select name=\"item_meta[125]\" data-validation-required-message=\"This field cannot be blank.\" id=\"field_b2gcv4_86820\"  class=\"select_controll_125 arf_required arf_select_controll\"style=\"width:auto;min-width:100px; \" data-size=\"15\" data-default-val=\"\"   ><option value=\"\" selected=\"selected\"  data-content=\"Please select\">Please select<\/option><option value=\"Mr\"  data-content=\"Mr\">\u0db8\u0dc4\u0dad\u0dcf<\/option><option value=\"Mrs\"  data-content=\"Mrs\">\u0db8\u0dc4\u0dad\u0dca\u0db8\u0dd2\u0dba<\/option><option value=\"Ms\"  data-content=\"Ms\">\u0db8\u0dd9\u0db1\u0dd9\u0dc0\u0dd2\u0dba<\/option><option value=\"Miss\"  data-content=\"Miss\">\u0db8\u0dd2\u0dc3\u0dca<\/option><\/select><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_126_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_third  arf_inline_field_value  arf_field_126\"  style='width: 37.542%' data-field-type=\"text\" data-parent_field=\"124\" ><label data-type=\"text\" for=\"field_pnv2s8_86820\" class=\"arf_main_label arf_main_label_18px\">\u0dc0\u0dcf\u0dc3\u0d9c\u0db8<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_pnv2s8_86820\"  name=\"item_meta[126]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_third_middle\"><\/div><div id=\"arf_field_127_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_third  arf_inline_field_value  arf_field_127\"  style='width: 37.398%' data-field-type=\"text\" data-parent_field=\"124\" ><label data-type=\"text\" for=\"field_dfdqtk_86820\" class=\"arf_main_label arf_main_label_18px\">\u0db4\u0dd9\u0dbb \u0db1\u0db8\u0dca<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfdqtk_86820\"  name=\"item_meta[127]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_128_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_128\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"124\"><label data-type=\"textarea\" for=\"field_6bo2un_86820\" class=\"arf_main_label arf_main_label_18px\">\u0dbd\u0dd2\u0db4\u0dd2\u0db1\u0dba\u0db1\u0dca<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[128]\" id=\"field_6bo2un_86820\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_129_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_129\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"124\"><label data-type=\"email\" for=\"field_ezv4dx_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d94\u0dba\u0dcf\u0d9c\u0dda \u0d8a\u0dad\u0dd0\u0db4\u0dd0\u0dbd\u0dca \u0dbd\u0dd2\u0db4\u0dd2\u0db1\u0dba<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_ezv4dx_86820\" name=\"item_meta[129]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  data-validation-regex-regex=\"[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\\.[A-Za-z]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_130_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_phone  top_container  top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_130\"  style='width: 48.07%'  data-field-type=\"phone\" data-parent_field=\"124\"><label data-type=\"phone\" for=\"field_o7qqkd_86820\" class=\"arf_main_label arf_main_label_18px\">\u0daf\u0dd4\u0dbb\u0d9a\u0dae\u0db1 \u0d85\u0d82\u0d9a\u0dba (\u0db1\u0dd2\u0dc0\u0dc3)<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_o7qqkd_86820\"name=\"item_meta[130]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_123_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_phone  top_container  top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_123\"  style='width: 48.07%'  data-field-type=\"phone\" data-parent_field=\"124\"><label data-type=\"phone\" for=\"field_676kzl_86820\" class=\"arf_main_label arf_main_label_18px\">\u0da2\u0d82\u0d9c\u0db8 \u0daf\u0dd4\u0dbb\u0d9a\u0dae\u0db1 \u0d85\u0d82\u0d9a\u0dba (\u0da2\u0d82\u0d9c\u0db8)<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_676kzl_86820\"name=\"item_meta[123]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_157_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_157\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"124\"><label data-type=\"textarea\" for=\"field_e62s42_86820\" class=\"arf_main_label arf_main_label_18px\">Hillingdon Refugee Support Group (&quot;HRSG&quot;) \u0dc3\u0db3\u0dc4\u0dcf \u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf\u0dc0\u0dd9\u0db1\u0dca \u0d89\u0daf\u0dd2\u0dbb\u0dd2\u0db4\u0dad\u0dca \u0dc0\u0dd3\u0db8 \u0d9c\u0dd0\u0db1 \u0d94\u0db6 \u0d85\u0dc3\u0dcf \u0d87\u0dad\u0dca\u0dad\u0dda \u0d9a\u0ddc\u0dc4\u0dd9\u0db1\u0dca\u0daf?<\/label><div class=\"controls\"   ><textarea name=\"item_meta[157]\" id=\"field_e62s42_86820\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_155\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_155\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_156_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_vertical_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_156\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"155\"><label data-type=\"checkbox\" for=\"field_fxbwf_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d94\u0db6\u0dda \u0d9a\u0dd4\u0dc3\u0dbd\u0dad\u0dcf \u0dc3\u0dc4 \u0dbb\u0dd4\u0da0\u0dd2\u0d9a\u0dad\u0dca\u0dc0\u0dba\u0db1\u0dca<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-0\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-0-86820\" value=\"Teaching English\"    class=\"arf_required\"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-0-86820\" >\u0d89\u0d82\u0d9c\u0dca\u200d\u0dbb\u0dd3\u0dc3\u0dd2 \u0d89\u0d9c\u0dd0\u0db1\u0dca\u0dc0\u0dd3\u0db8<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-1\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-1-86820\" value=\"Teaching Maths\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-1-86820\" >\u0d9c\u0dab\u0dd2\u0dad\u0dba \u0d89\u0d9c\u0dd0\u0db1\u0dca\u0dc0\u0dd3\u0db8<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-2\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-2-86820\" value=\"Teaching Life skills, budgeting, etc.\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-2-86820\" >\u0da2\u0dd3\u0dc0\u0db1 \u0d9a\u0dd4\u0dc3\u0dbd\u0dad\u0dcf \u0d89\u0d9c\u0dd0\u0db1\u0dca\u0dc0\u0dd3\u0db8, \u0d85\u0dba\u0dc0\u0dd0\u0dba\u0d9a\u0dbb\u0dab\u0dba, \u0d86\u0daf\u0dd2\u0dba.<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-3\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-3-86820\" value=\"Admin \/Clerical\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-3-86820\" >\u0db4\u0dbb\u0dd2\u0db4\u0dcf\u0dbd\u0d9a \/ \u0dbd\u0dd2\u0db4\u0dd2\u0d9a\u0dbb\u0dd4<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-4\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-4-86820\" value=\"Arts and Crafts\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-4-86820\" >\u0d9a\u0dbd\u0dcf \u0dc3\u0dc4 \u0d85\u0dad\u0dca\u0d9a\u0db8\u0dca<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-5\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-5-86820\" value=\"Car Owner\/ Driver\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-5-86820\" >\u0db8\u0ddd\u0da7\u0dbb\u0dca \u0dbb\u0dae \u0dc4\u0dd2\u0db8\u0dd2\u0d9a\u0dbb\u0dd4 \/ \u0dbb\u0dd2\u0dba\u0daf\u0dd4\u0dbb\u0dd4<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-6\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-6-86820\" value=\"Computer Skills\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-6-86820\" >\u0db4\u0dbb\u0dd2\u0d9c\u0dab\u0d9a \u0d9a\u0dd4\u0dc3\u0dbd\u0dad\u0dcf<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-7\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-7-86820\" value=\"Form Filling, CV writing\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-7-86820\" >\u0db4\u0ddd\u0dbb\u0db8\u0dba \u0db4\u0dd2\u0dbb\u0dc0\u0dd3\u0db8, CV \u0dbd\u0dd2\u0dc0\u0dd3\u0db8<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-8\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-8-86820\" value=\"Youth Work\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-8-86820\" >\u0dad\u0dbb\u0dd4\u0dab \u0dc0\u0dd0\u0da9<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-9\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-9-86820\" value=\"Listening \/Befriending\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-9-86820\" >\u0dc3\u0dc0\u0db1\u0dca \u0daf\u0dd3\u0db8 \/ \u0db8\u0dd2\u0dad\u0dd4\u0dbb\u0dd4 \u0dc0\u0dd3\u0db8<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-10\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-10-86820\" value=\"Emotional Support\/ Counselling\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-10-86820\" >\u0da0\u0dd2\u0dad\u0dca\u0dad\u0dc0\u0dda\u0d9c\u0dd3\u0dba \u0dc3\u0dc4\u0dba\/\u0d8b\u0db4\u0daf\u0dda\u0dc1\u0db1\u0dba<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-11\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-11-86820\" value=\"Other \u2013 Please Specify below\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(86820,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-11-86820\" >\u0dc0\u0dd9\u0db1\u0dad\u0dca - \u0d9a\u0dbb\u0dd4\u0dab\u0dcf\u0d9a\u0dbb \u0db4\u0dc4\u0dad \u0dc3\u0db3\u0dc4\u0db1\u0dca \u0d9a\u0dbb\u0db1\u0dca\u0db1<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_153_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_153\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"155\"><label data-type=\"textarea\" for=\"field_lfwd0q_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d85\u0db1\u0dd2\u0d9a\u0dca<\/label><div class=\"controls\"   ><textarea name=\"item_meta[153]\" id=\"field_lfwd0q_86820\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_154\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_154\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >\u0d85\u0db4\u0da7 \u0d94\u0db6\u0dda \u0d9a\u0dd4\u0dc3\u0dbd\u0dad\u0dcf \u0dc3\u0dc4 \u0dc4\u0dd0\u0d9a\u0dd2\u0dba\u0dcf\u0dc0\u0db1\u0dca \u0dc0\u0da9\u0dcf\u0dad\u0dca \u0dc4\u0ddc\u0db3\u0dd2\u0db1\u0dca \u0db7\u0dcf\u0dc0\u0dd2\u0dad\u0dcf \u0d9a\u0dc5 \u0dc4\u0dd0\u0d9a\u0dd2 \u0dc0\u0db1 \u0db4\u0dbb\u0dd2\u0daf\u0dd2, \u0d9a\u0dbb\u0dd4\u0dab\u0dcf\u0d9a\u0dbb \u0db4\u0dc4\u0dad \u0db4\u0ddd\u0dbb\u0db8\u0dba \u0dc3\u0db8\u0dca\u0db4\u0dd6\u0dbb\u0dca\u0dab \u0d9a\u0dbb\u0db1\u0dca\u0db1.<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_141\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_141\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >\u0d9a\u0dbb\u0dd4\u0dab\u0dcf\u0d9a\u0dbb \u0da0\u0dbb\u0dd2\u0dad \u0dc3\u0db3\u0dc4\u0db1\u0d9a\u0dca \u0dc3\u0dd0\u0db4\u0dba\u0dd3\u0db8\u0da7 \u0d9a\u0dd0\u0db8\u0dad\u0dd2 \u0dc3\u0dca\u0dc0\u0dcf\u0db0\u0dd3\u0db1 \u0dc0\u0dd2\u0db1\u0dd2\u0dc3\u0dd4\u0dbb\u0dd4\u0dc0\u0db1\u0dca \u0daf\u0dd9\u0daf\u0dd9\u0db1\u0dd9\u0d9a\u0dd4 \u0daf\u0dd9\u0db1\u0dca\u0db1 (\u0db8\u0dda\u0dc0\u0dcf \u0db4\u0dc0\u0dd4\u0dbd\u0dda \u0dc3\u0dcf\u0db8\u0dcf\u0da2\u0dd2\u0d9a\u0dba\u0db1\u0dca \u0db1\u0ddc\u0dc0\u0dd2\u0dba \u0dba\u0dd4\u0dad\u0dd4\u0dba)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_136_86820_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_136\" data-field-type=\"html\" data-parent_field=\"141\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p>\u0dc0\u0dd2\u0db1\u0dd2\u0dc3\u0dd4\u0dbb\u0dd4 1<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_137_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_137\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"141\" ><label data-type=\"text\" for=\"field_9de35o_86820\" class=\"arf_main_label arf_main_label_18px\">\u0db1\u0db8<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_9de35o_86820\"  name=\"item_meta[137]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_138_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_138\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"141\"><label data-type=\"textarea\" for=\"field_5w0f1u_86820\" class=\"arf_main_label arf_main_label_18px\">\u0dbd\u0dd2\u0db4\u0dd2\u0db1\u0dba<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[138]\" id=\"field_5w0f1u_86820\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_139_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_139\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"141\"><label data-type=\"email\" for=\"field_4utwbm_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d8a\u0dad\u0dd0\u0db4\u0dd0\u0dbd\u0dca \u0dbd\u0dd2\u0db4\u0dd2\u0db1\u0dba<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_4utwbm_86820\" name=\"item_meta[139]\"  data-validation-regex-regex=\"[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\\.[A-Za-z]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_140_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_phone  top_container  top_container arfformfield   arf_inline_field_value  arf_field_140\"  style='width: 100%'  data-field-type=\"phone\" data-parent_field=\"141\"><label data-type=\"phone\" for=\"field_k43a2j_86820\" class=\"arf_main_label arf_main_label_18px\">\u0daf\u0dd4\u0dbb\u0d9a\u0dae\u0db1 \u0d85\u0d82\u0d9a\u0dba<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_k43a2j_86820\"name=\"item_meta[140]\" class=\"arf_required\"data-validation-required-message=\"This field cannot be blank.\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_134_86820_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_134\" data-field-type=\"html\" data-parent_field=\"141\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p>\u0dc0\u0dd2\u0db1\u0dd2\u0dc3\u0dd4\u0dbb\u0dd4 2<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_135_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_135\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"141\" ><label data-type=\"text\" for=\"field_j76w4a_86820\" class=\"arf_main_label arf_main_label_18px\">\u0db1\u0db8<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_j76w4a_86820\"  name=\"item_meta[135]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_133_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_133\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"141\"><label data-type=\"textarea\" for=\"field_t53ysm_86820\" class=\"arf_main_label arf_main_label_18px\">\u0dbd\u0dd2\u0db4\u0dd2\u0db1\u0dba<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[133]\" id=\"field_t53ysm_86820\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_132_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_132\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"141\"><label data-type=\"email\" for=\"field_cun9oj_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d8a\u0dad\u0dd0\u0db4\u0dd0\u0dbd\u0dca \u0dbd\u0dd2\u0db4\u0dd2\u0db1\u0dba<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_cun9oj_86820\" name=\"item_meta[132]\"  data-validation-regex-regex=\"[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\\.[A-Za-z]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_131_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_phone  top_container  top_container arfformfield   arf_inline_field_value  arf_field_131\"  style='width: 100%'  data-field-type=\"phone\" data-parent_field=\"141\"><label data-type=\"phone\" for=\"field_1kovvw_86820\" class=\"arf_main_label arf_main_label_18px\">\u0daf\u0dd4\u0dbb\u0d9a\u0dae\u0db1 \u0d85\u0d82\u0d9a\u0dba<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_1kovvw_86820\"name=\"item_meta[131]\" class=\"arf_required\"data-validation-required-message=\"This field cannot be blank.\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div top_container\" id=\"arf_submit_div_0\" ><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"\u0d8a\u0dc5\u0d9f\" \/><\/div><div id=\"page_1\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_158\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_158\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_159_86820_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_159\" data-field-type=\"html\" data-parent_field=\"158\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p class=\"center\"><b>\u0dbb\u0dc4\u0dc3\u0dd2\u0d9c\u0dad\u0dba\u0dd2<\/b><\/p><br><br><p><b>\u0dc4\u0dd2\u0da7\u0db4\u0dd4 \u0dc0\u0dd0\u0dbb\u0daf\u0dd2\u0d9a\u0dbb\u0dd4\u0dc0\u0db1\u0dca \u0db6\u0db3\u0dc0\u0dcf \u0d9c\u0dd0\u0db1\u0dd3\u0db8<\/b> \u2013 Hillingdon Refugee Support Group \u0dc4\u0dd2 \u0db6\u0ddc\u0dc4\u0ddd \u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf \u0d85\u0dc0\u0dc3\u0dca\u0dae\u0dcf \u0dc3\u0db3\u0dc4\u0dcf \u0d85\u0dc0\u0daf\u0dcf\u0db1\u0db8\u0da7 \u0dbd\u0d9a\u0dca\u0dc0\u0dd2\u0dba \u0dc4\u0dd0\u0d9a\u0dd2 \u0dad\u0dbb\u0dd4\u0dab \u0dad\u0dbb\u0dd4\u0dab\u0dd2\u0dba\u0db1\u0dca \u0dc3\u0db8\u0d9f \u0d8d\u0da2\u0dd4 \u0dc3\u0db8\u0dca\u0db6\u0db1\u0dca\u0db0\u0dad\u0dcf \u0d87\u0dad\u0dd2 \u0dc0\u0dda.<br>\u0d91\u0db6\u0dd0\u0dc0\u0dd2\u0db1\u0dca, \u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf\u0dc0\u0dd9\u0db1\u0dca \u0d89\u0daf\u0dd2\u0dbb\u0dd2\u0db4\u0dad\u0dca \u0dc0\u0db1 \u0d85\u0dba\u0daf\u0dd4\u0db8\u0dca\u0db4\u0dad\u0dca 1974 \u0dc0\u0dd0\u0dbb\u0daf\u0dd2\u0d9a\u0dbb\u0dd4\u0dc0\u0db1\u0dca \u0db4\u0dd4\u0db1\u0dbb\u0dd4\u0dad\u0dca\u0dae\u0dcf\u0db4\u0db1\u0dba \u0d9a\u0dd2\u0dbb\u0dd3\u0db8\u0dda \u0db4\u0db1\u0dad\u0dd9\u0db1\u0dca \u0db1\u0dd2\u0daf\u0dc4\u0dc3\u0dca \u0d9a\u0dbb \u0d87\u0dad.<br>\u0db8\u0dd9\u0dba\u0dd2\u0db1\u0dca \u0d85\u0daf\u0dc4\u0dc3\u0dca \u0dc0\u0db1\u0dca\u0db1\u0dda, \u0d89\u0dc4\u0dad \u0db1\u0dd3\u0dad\u0dd2 \u0dc3\u0db8\u0dca\u0db4\u0dcf\u0daf\u0db1\u0dba \u0dba\u0da7\u0dad\u0dda &#39;\u0dc0\u0dd2\u0dba\u0daf\u0db8\u0dca \u0d9a\u0dd2\u0dbb\u0dd3\u0db8&#39; \u0dbd\u0dd9\u0dc3 \u0dc0\u0dbb\u0dca\u0d9c\u0dd3\u0d9a\u0dbb\u0dab\u0dba \u0d9a\u0dbb \u0d87\u0dad\u0dd2 \u0d85\u0dc0\u0dc0\u0dcf\u0daf\u0dba\u0db1\u0dca, \u0dad\u0dbb\u0dc0\u0da7\u0dd4 \u0d9a\u0dd2\u0dbb\u0dd3\u0db8\u0dca, \u0d85\u0dc0\u0dc3\u0dcf\u0db1 \u0d85\u0db1\u0dad\u0dd4\u0dbb\u0dd4 \u0d87\u0d9f\u0dc0\u0dd3\u0db8\u0dca \u0dc3\u0dc4 \u0dc3\u0dcf\u0db4\u0dbb\u0dcf\u0db0\u0dd3 \u0dc0\u0dbb\u0daf\u0d9a\u0dbb\u0dd4\u0dc0\u0db1\u0dca \u0d87\u0dad\u0dd4\u0dc5\u0dd4\u0dc0 \u0dc0\u0dd2\u0db7\u0dc0 \u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf \u0dc3\u0dda\u0dc0\u0d9a\u0dba\u0db1\u0dca \u0d94\u0dc0\u0dd4\u0db1\u0dca\u0d9c\u0dda \u0dc3\u0db8\u0dca\u0db4\u0dd6\u0dbb\u0dca\u0dab \u0d85\u0db4\u0dbb\u0dcf\u0db0 \u0dc0\u0dcf\u0dbb\u0dca\u0dad\u0dcf\u0dc0 \u0db4\u0dca\u200d\u0dbb\u0d9a\u0dcf\u0dc1 \u0d9a\u0dc5 \u0dba\u0dd4\u0dad\u0dd4 \u0db6\u0dc0\u0dba\u0dd2.<br>\u0d9a\u0dbb\u0dd4\u0dab\u0dcf\u0d9a\u0dbb \u0db8\u0dd9\u0db8 \u0d9a\u0ddc\u0da7\u0dc3 \u0dc3\u0db8\u0dca\u0db4\u0dd6\u0dbb\u0dca\u0dab \u0d9a\u0dbb \u0d85\u0dad\u0dca\u0dc3\u0db1\u0dca \u0d9a\u0dbb\u0db1\u0dca\u0db1.<br>\u0dc3\u0db4\u0dba\u0db1 \u0dbd\u0daf \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4 \u0dbb\u0dc4\u0dc3\u0dd2\u0d9c\u0dad\u0dc0 \u0dad\u0db6\u0db1\u0dd4 \u0d87\u0dad.<br>\u0d91\u0dba \u0db1\u0dd2\u0dc1\u0dca\u0da0\u0dd2\u0dad HRSG \u0d9a\u0dcf\u0dbb\u0dca\u0dba \u0db8\u0dab\u0dca\u0da9\u0dbd\u0dba\u0da7 \u0dc4\u0dd9\u0dc5\u0dd2\u0daf\u0dbb\u0dc0\u0dca \u0d9a\u0dbb\u0db1\u0dd4 \u0dbd\u0db6\u0db1\u0dca\u0db1\u0dda \u0d94\u0dc0\u0dd4\u0db1\u0dca \u0d94\u0db6\u0dc0 \u0dc0\u0dd2\u0dc1\u0dda\u0dc2\u0dd2\u0dad \u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf \u0d85\u0dc0\u0dc3\u0dca\u0dae\u0dcf \u0dc3\u0db3\u0dc4\u0dcf \u0dc3\u0dbd\u0d9a\u0dcf \u0db6\u0dbd\u0db1 \u0dc0\u0dd2\u0da7 (\u0d94\u0db6 \u0d85\u0dc0\u0daf\u0dcf\u0db1\u0db8\u0da7 \u0dbd\u0d9a\u0dca\u0dc0\u0dd2\u0dba \u0dc4\u0dd0\u0d9a\u0dd2 \u0dad\u0dbb\u0dd4\u0dab\u0dba\u0dd2\u0db1\u0dca \u0dc3\u0db8\u0d9f \u0dc3\u0db8\u0dca\u0db6\u0db1\u0dca\u0db0 \u0dc0\u0dd2\u0dba \u0dc4\u0dd0\u0d9a\u0dd2 \u0dc0\u0dd2\u0da7) \u0db4\u0db8\u0dab\u0dd2.<br><\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_160_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_vertical_radio  arffieldrequired arf_field_type_radio   top_container  top_container arfformfield  arf_field_160\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"158\"><label data-type=\"radio\" for=\"field_w3uqxw_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d9a\u0dd2\u0dc3\u0dd2\u0dba\u0db8\u0dca \u0dc0\u0dbb\u0daf\u0d9a\u0dca \u0dc3\u0db8\u0dca\u0db6\u0db1\u0dca\u0db0\u0dba\u0dd9\u0db1\u0dca \u0d94\u0db6 \u0d9a\u0dc0\u0daf\u0dcf \u0dc4\u0ddd \u0d8b\u0dc3\u0dcf\u0dc0\u0dd2\u0dba\u0d9a\u0daf\u0dd3 \u0dc0\u0dbb\u0daf\u0d9a\u0dbb\u0dd4 \u0dc0\u0dd3 \u0dc4\u0ddd \u0db4\u0ddc\u0dbd\u0dd2\u0dc3\u0dd2\u0dba\u0dd9\u0db1\u0dca \u0d85\u0dc0\u0dc0\u0dcf\u0daf \u0d9a\u0dbb \u0dad\u0dd2\u0db6\u0dda\u0daf?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[160]\" data-type=\"radio\" id=\"field_160-0-86820\" data-unique-id=\"86820\" value=\"Yes\"   class=\"arf_required\" data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_160-0-86820\" class=\"\">\u0d94\u0dc0\u0dca<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[160]\" data-type=\"radio\" id=\"field_160-1-86820\" data-unique-id=\"86820\" value=\"No\"   class=\"arf_required\" style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_160-1-86820\" class=\"\">\u0db1\u0dd0\u0dad<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_161_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_161\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"158\"><label data-type=\"textarea\" for=\"field_xoel3c_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d94\u0dc0\u0dca \u0db1\u0db8\u0dca, \u0d9a\u0dbb\u0dd4\u0dab\u0dcf\u0d9a\u0dbb \u0daf\u0dd2\u0db1(\u0dba) \u0dc3\u0dc4 \u0dc0\u0dbb\u0daf(\u0dc0) \u0dc3\u0dca\u0dc0\u0db7\u0dcf\u0dc0\u0dba \u0d87\u0dad\u0dd4\u0dc5\u0dd4\u0dc0 \u0dc0\u0dd2\u0dc3\u0dca\u0dad\u0dbb \u0daf\u0dd9\u0db1\u0dca\u0db1.<\/label><div class=\"controls\"   ><textarea name=\"item_meta[161]\" id=\"field_xoel3c_86820\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_162_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_162\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"158\"><label data-type=\"checkbox\" for=\"field_nsdv01_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d89\u0dc4\u0dad \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4 \u0db1\u0dd2\u0dc0\u0dd0\u0dbb\u0daf\u0dd2 \u0db6\u0dc0 \u0db4\u0dca\u200d\u0dbb\u0d9a\u0dcf\u0dc1 \u0d9a\u0dbb\u0db8\u0dd2<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style\" id=\"frm_checkbox_162-0\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[162][]\" data-type=\"checkbox\" id=\"field_162-0-86820\" value=\"Yes\"    class=\"arf_required\"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  onchange='clearTimeout(__arf_timeout_handle); __arf_timeout_handle = setTimeout(function(){arf_calculate_total(\"m3fbu4\",\"162\",[178,171,159,136,134]);},100);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_162-0-86820\" ><\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_163_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_163\"  style='width: 48.07%' data-field-type=\"text\" data-parent_field=\"158\" ><label data-type=\"text\" for=\"field_6ml0hp_86820\" class=\"arf_main_label arf_main_label_18px\">\u0dc3\u0db8\u0dca\u0db4\u0dd6\u0dbb\u0dca\u0dab \u0db1\u0db8<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_6ml0hp_86820\"  name=\"item_meta[163]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_164_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_date  top_container  top_container arfformfield frm_last_half arf_field_164\"  style='width: 48.07%'  data-field-type=\"date\" data-parent_field=\"158\"><label data-type=\"date\" for=\"field_zltbyd_86820\" class=\"arf_main_label arf_main_label_18px\">\u0daf\u0dd2\u0db1\u0dba<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls arf_date_main_controls\"   ><input type=\"text\" data-date-format=\"MMM D, YYYY\" data-start-date=\"01\/01\/1950 00:00 AM\" data-cl-format=\"YYYY-MM-DD\" data-date-new-format=\"MM\/DD\/YYYY\" data-end-date=\"12\/31\/2050 11:59 PM\" data-default-date=\"\" id=\"field_zltbyd_86820\"    class=\"arf_required frm_date\" data-name='item_meta[164]' data-format='MMM D, YYYY' data-field-options=\"{&quot;required&quot;:&quot;1&quot;,&quot;required_indicator&quot;:&quot;*&quot;,&quot;blank&quot;:&quot;This field cannot be blank.&quot;,&quot;field_width&quot;:&quot;&quot;,&quot;locale&quot;:&quot;en&quot;,&quot;currentdefaultdate&quot;:&quot;&quot;,&quot;name&quot;:&quot;Date&quot;,&quot;default_value&quot;:&quot;&quot;,&quot;description&quot;:&quot;&quot;,&quot;placeholdertext&quot;:&quot;&quot;,&quot;show_time_calendar&quot;:&quot;&quot;,&quot;frm_show_time_calendar_field_indicator&quot;:&quot;&quot;,&quot;clock&quot;:&quot;12&quot;,&quot;step&quot;:&quot;30&quot;,&quot;off_days&quot;:&quot;&quot;,&quot;start_date&quot;:&quot;&quot;,&quot;end_date&quot;:&quot;&quot;,&quot;arf_show_min_current_date&quot;:&quot;0&quot;,&quot;arf_show_max_current_date&quot;:&quot;0&quot;,&quot;arf_tooltip&quot;:&quot;&quot;,&quot;frm_arf_tooltip_field_indicator&quot;:&quot;&quot;,&quot;tooltip_text&quot;:&quot;&quot;,&quot;enable_arf_prefix&quot;:&quot;&quot;,&quot;arf_prefix_icon&quot;:&quot;&quot;,&quot;enable_arf_suffix&quot;:&quot;&quot;,&quot;arf_suffix_icon&quot;:&quot;&quot;,&quot;classes&quot;:&quot;arf_2&quot;,&quot;inner_class&quot;:&quot;arf_2col&quot;,&quot;key&quot;:&quot;zltbyd&quot;,&quot;selectdefaultdate&quot;:&quot;&quot;,&quot;arfnewdateformat&quot;:&quot;&quot;,&quot;css_outer_wrapper&quot;:&quot;&quot;,&quot;css_label&quot;:&quot;&quot;,&quot;css_input_element&quot;:&quot;&quot;,&quot;css_description&quot;:&quot;&quot;,&quot;css_add_icon&quot;:&quot;&quot;,&quot;type&quot;:&quot;date&quot;,&quot;arf_enable_readonly&quot;:&quot;0&quot;,&quot;has_parent&quot;:&quot;1&quot;,&quot;parent_field&quot;:&quot;158&quot;,&quot;parent_field_type&quot;:&quot;section&quot;,&quot;image_position_from&quot;:&quot;top_left&quot;,&quot;clear_on_focus&quot;:&quot;0&quot;,&quot;default_blank&quot;:&quot;0&quot;}\" data-validation-required-message=\"This field cannot be blank.\" \/><input type=\"hidden\" name=\"item_meta[164]\" id=\"field_zltbyd_86820_formatted\" \/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_166\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_166\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >\u0db6\u0db3\u0dc0\u0dcf \u0d9c\u0dd0\u0db1\u0dd3\u0db8\u0dda \u0d85\u0db0\u0dd3\u0d9a\u0dca\u0dc2\u0dab \u0db4\u0ddd\u0dbb\u0db8\u0dba (\u0dbb\u0dc4\u0dc3\u0dca\u200d\u0dba)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_167_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_167\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"166\"><label data-type=\"checkbox\" for=\"field_y9vrl4_86820\" class=\"arf_main_label arf_main_label_18px\">\u0db1\u0dd2\u0dbb\u0dd3\u0d9a\u0dca\u0dc2\u0dab \u0d85\u0dbb\u0db8\u0dd4\u0dab\u0dd4 \u0dc3\u0db3\u0dc4\u0dcf, \u0d9a\u0dbb\u0dd4\u0dab\u0dcf\u0d9a\u0dbb \u0d85\u0db8\u0dd4\u0dab\u0dcf \u0d87\u0dad\u0dd2 \u0dc3\u0db8\u0dcf\u0db1 \u0d85\u0dc0\u0dc3\u0dca\u0dae\u0dcf \u0dc3\u0db8\u0dca\u0db4\u0dd6\u0dbb\u0dca\u0dab \u0d9a\u0dbb\u0db1\u0dca\u0db1.<br>1998 \u0daf\u0dad\u0dca\u0dad \u0d86\u0dbb\u0d9a\u0dca\u0dc2\u0dab \u0db4\u0db1\u0dad\u0da7 \u0d85\u0db1\u0dd4\u0d9a\u0dd6\u0dbd\u0dc0, \u0dc3\u0dca\u0dc0\u0dda\u0da0\u0dca\u0da1\u0dcf \u0dc4\u0dda\u0dad\u0dd6\u0db1\u0dca \u0db8\u0dad \u0dc3\u0dc4 \u0db8\u0dcf \u0dc3\u0db8\u0d9f \u0dc3\u0db8\u0dca\u0db6\u0db1\u0dca\u0db0\u0dc0 \u0dc3\u0dd2\u0da7\u0dd3\u0db8\u0da7 HRSG \u0db8\u0dcf \u0db4\u0dd2\u0dc5\u0dd2\u0db6\u0db3 \u0db4\u0dd4\u0daf\u0dca\u0d9c\u0dbd\u0dd2\u0d9a \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4 \u0dbb\u0db3\u0dc0\u0dcf \u0dad\u0db6\u0dcf \u0d9c\u0dd0\u0db1\u0dd3\u0db8\u0da7 \u0dc3\u0dc4 \u0db7\u0dcf\u0dc0\u0dd2\u0dad\u0dcf \u0d9a\u0dd2\u0dbb\u0dd3\u0db8\u0da7 \u0db8\u0db8 \u0d91\u0d9a\u0d9f \u0dc0\u0dd9\u0db8\u0dd2. \u0db8\u0dd9\u0db8 \u0dba\u0dd9\u0daf\u0dd4\u0db8\u0dda \u0d85\u0da9\u0d82\u0d9c\u0dd4 \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4 \u0d87\u0dad\u0dd4\u0dc5\u0dd4\u0dc0 \u0db8\u0dd9\u0db8 \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4 \u0d85\u0dad\u0dd2\u0db1\u0dca \u0dc3\u0dc4 \u0db4\u0dbb\u0dd2\u0d9c\u0dab\u0d9a \u0d9c\u0ddc\u0db1\u0dd4 \u0dc0\u0dbd \u0d9c\u0db6\u0da9\u0dcf \u0d9a\u0dc5 \u0dc4\u0dd0\u0d9a.<br>\u0db8\u0dd9\u0db8 \u0db4\u0ddd\u0dbb\u0db8\u0dba\u0dda \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4 \u0db1\u0dd2\u0dc0\u0dd0\u0dbb\u0daf\u0dd2 \u0db6\u0dc0 \u0db8\u0db8 \u0dad\u0dc4\u0dc0\u0dd4\u0dbb\u0dd4 \u0d9a\u0dbb\u0db8\u0dd2. HRSG \u0dc3\u0db8\u0d9f \u0db8\u0d9c\u0dda \u0db7\u0dd6\u0db8\u0dd2\u0d9a\u0dcf\u0dc0\u0da7 \u0dc3\u0db8\u0dca\u0db6\u0db1\u0dca\u0db0 \u0dc3\u0db8\u0dc4\u0dbb \u0d9a\u0dcf\u0dbb\u0dca\u0dba\u0dba\u0db1\u0dca \u0dc3\u0d82\u0dc0\u0dda\u0daf\u0dd3 \u0dc3\u0dca\u0dc0\u0db7\u0dcf\u0dc0\u0dba\u0d9a\u0dca \u0dc0\u0dd2\u0dba \u0dc4\u0dd0\u0d9a\u0dd2 \u0db6\u0dc0 \u0db8\u0da7 \u0dc0\u0dd0\u0da7\u0dc4\u0dd9\u0db1 \u0d85\u0dad\u0dbb \u0dc3\u0dd1\u0db8 \u0dc0\u0dd2\u0da7\u0db8 \u0dbb\u0dc4\u0dc3\u0dca\u200d\u0dba\u0db7\u0dcf\u0dc0\u0dba \u0db4\u0dc0\u0dad\u0dca\u0dc0\u0dcf \u0d9c\u0dd0\u0db1\u0dd3\u0db8\u0da7 \u0db8\u0db8 \u0d91\u0d9a\u0d9f \u0dc0\u0dd9\u0db8\u0dd2.<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style\" id=\"frm_checkbox_167-0\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[167][]\" data-type=\"checkbox\" id=\"field_167-0-86820\" value=\"Yes\"    class=\"arf_required\"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  onchange='clearTimeout(__arf_timeout_handle); __arf_timeout_handle = setTimeout(function(){arf_calculate_total(\"m3fbu4\",\"167\",[178,171,159,136,134]);},100);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_167-0-86820\" ><\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_168_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_168\"  style='width: 48.07%' data-field-type=\"text\" data-parent_field=\"166\" ><label data-type=\"text\" for=\"field_47wnp3_86820\" class=\"arf_main_label arf_main_label_18px\">\u0dc3\u0db8\u0dca\u0db4\u0dd6\u0dbb\u0dca\u0dab \u0db1\u0db8<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_47wnp3_86820\"  name=\"item_meta[168]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_169_86820_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_date  top_container  top_container arfformfield frm_last_half arf_field_169\"  style='width: 48.07%'  data-field-type=\"date\" data-parent_field=\"166\"><label data-type=\"date\" for=\"field_ik603a_86820\" class=\"arf_main_label arf_main_label_18px\">\u0daf\u0dd2\u0db1\u0dba<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls arf_date_main_controls\"   ><input type=\"text\" data-date-format=\"MMM D, YYYY\" data-start-date=\"01\/01\/1950 00:00 AM\" data-cl-format=\"YYYY-MM-DD\" data-date-new-format=\"MM\/DD\/YYYY\" data-end-date=\"12\/31\/2050 11:59 PM\" data-default-date=\"\" id=\"field_ik603a_86820\"    class=\"arf_required frm_date\" data-name='item_meta[169]' data-format='MMM D, YYYY' data-field-options=\"{&quot;required&quot;:&quot;1&quot;,&quot;required_indicator&quot;:&quot;*&quot;,&quot;blank&quot;:&quot;This field cannot be blank.&quot;,&quot;field_width&quot;:&quot;&quot;,&quot;locale&quot;:&quot;en&quot;,&quot;currentdefaultdate&quot;:&quot;&quot;,&quot;name&quot;:&quot;Date&quot;,&quot;default_value&quot;:&quot;&quot;,&quot;description&quot;:&quot;&quot;,&quot;placeholdertext&quot;:&quot;&quot;,&quot;show_time_calendar&quot;:&quot;&quot;,&quot;frm_show_time_calendar_field_indicator&quot;:&quot;&quot;,&quot;clock&quot;:&quot;12&quot;,&quot;step&quot;:&quot;30&quot;,&quot;off_days&quot;:&quot;&quot;,&quot;start_date&quot;:&quot;&quot;,&quot;end_date&quot;:&quot;&quot;,&quot;arf_show_min_current_date&quot;:&quot;0&quot;,&quot;arf_show_max_current_date&quot;:&quot;0&quot;,&quot;arf_tooltip&quot;:&quot;&quot;,&quot;frm_arf_tooltip_field_indicator&quot;:&quot;&quot;,&quot;tooltip_text&quot;:&quot;&quot;,&quot;enable_arf_prefix&quot;:&quot;&quot;,&quot;arf_prefix_icon&quot;:&quot;&quot;,&quot;enable_arf_suffix&quot;:&quot;&quot;,&quot;arf_suffix_icon&quot;:&quot;&quot;,&quot;classes&quot;:&quot;arf_2&quot;,&quot;inner_class&quot;:&quot;arf_2col&quot;,&quot;key&quot;:&quot;ik603a&quot;,&quot;selectdefaultdate&quot;:&quot;&quot;,&quot;arfnewdateformat&quot;:&quot;&quot;,&quot;css_outer_wrapper&quot;:&quot;&quot;,&quot;css_label&quot;:&quot;&quot;,&quot;css_input_element&quot;:&quot;&quot;,&quot;css_description&quot;:&quot;&quot;,&quot;css_add_icon&quot;:&quot;&quot;,&quot;type&quot;:&quot;date&quot;,&quot;arf_enable_readonly&quot;:&quot;0&quot;,&quot;has_parent&quot;:&quot;1&quot;,&quot;parent_field&quot;:&quot;166&quot;,&quot;parent_field_type&quot;:&quot;section&quot;,&quot;image_position_from&quot;:&quot;top_left&quot;,&quot;clear_on_focus&quot;:&quot;0&quot;,&quot;default_blank&quot;:&quot;0&quot;}\" data-validation-required-message=\"This field cannot be blank.\" \/><input type=\"hidden\" name=\"item_meta[169]\" id=\"field_ik603a_86820_formatted\" \/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_170\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_170\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_171_86820_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_171\" data-field-type=\"html\" data-parent_field=\"170\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p class=\"center\">HRSG \u0dc3\u0db8\u0dcf\u0db1 \u0d85\u0dc0\u0dc3\u0dca\u0dae\u0dcf \u0db4\u0dca\u0dbb\u0dc0\u0dbb\u0dca\u0db0\u0db1\u0dba \u0d9a\u0dbb\u0dba\u0dd2<\/p><br>\n<p><b>\u0db6\u0db3\u0dc0\u0dcf \u0d9c\u0dd0\u0db1\u0dd3\u0db8\u0dca \u0dc3\u0dc4 \u0dad\u0ddd\u0dbb\u0dcf\u0d9c\u0dd0\u0db1\u0dd3\u0db8\u0dda\u0daf\u0dd3 \u0dc3\u0db8\u0dcf\u0db1 \u0d85\u0dc0\u0dc3\u0dca\u0dae\u0dcf \u0db4\u0dca\u200d\u0dbb\u0dad\u0dd2\u0db4\u0dad\u0dca\u0dad\u0dd2\u0dba<\/b><\/p>\n\u0db6\u0db3\u0dc0\u0dcf \u0d9c\u0dd0\u0db1\u0dd3\u0db8\u0dca \u0d85\u0db0\u0dd3\u0d9a\u0dca\u0dc2\u0dab \u0db4\u0ddd\u0dbb\u0db8\u0dba (\u0dbb\u0dc4\u0dc3\u0dca\u200d\u0dba) \u0dc4\u0dd2\u0dbd\u0dd2\u0db1\u0dca\u0d9c\u0dca\u0da9\u0db1\u0dca \u0dc3\u0dbb\u0dab\u0dcf\u0d9c\u0dad \u0d86\u0db0\u0dcf\u0dbb \u0d9a\u0dab\u0dca\u0da9\u0dcf\u0dba\u0db8 \u0dbb\u0dd0\u0d9a\u0dd2\u0dba\u0dcf \u0db1\u0dd2\u0dba\u0dd4\u0d9a\u0dca\u0dad\u0dd2\u0dba\u0dda \u0dc3\u0db8\u0dcf\u0db1 \u0d85\u0dc0\u0dc3\u0dca\u0dae\u0dcf \u0dc3\u0db3\u0dc4\u0dcf \u0d9a\u0dd0\u0db4\u0dc0\u0dd3 \u0dc3\u0dd2\u0da7\u0dd3.<br>\u0db8\u0dd9\u0db8 \u0db4\u0dca\u200d\u0dbb\u0dad\u0dd2\u0db4\u0dad\u0dca\u0dad\u0dd2\u0dba\u0dda \u0dc3\u0db5\u0dbd\u0dad\u0dcf\u0dc0\u0dba \u0dc3\u0dc4\u0dad\u0dd2\u0d9a \u0d9a\u0dd2\u0dbb\u0dd3\u0db8 \u0dc3\u0db3\u0dc4\u0dcf, \u0db4\u0dc4\u0dad \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4 \u0dc3\u0db4\u0dba\u0db1 \u0dbd\u0dd9\u0dc3 \u0dc3\u0dd2\u0dba\u0dbd\u0dd4\u0db8 \u0d85\u0dba\u0daf\u0dd4\u0db8\u0dca\u0d9a\u0dbb\u0dd4\u0dc0\u0db1\u0dca\u0d9c\u0dd9\u0db1\u0dca \u0d89\u0dbd\u0dca\u0dbd\u0dcf \u0dc3\u0dd2\u0da7\u0dd3.<br>\u0dbd\u0db6\u0dcf \u0daf\u0dd3 \u0d87\u0dad\u0dd2 \u0d95\u0db1\u0dd1\u0db8 \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0d9a\u0dca \u0daf\u0dd0\u0da9\u0dd2 \u0dc0\u0dd2\u0dc1\u0dca\u0dc0\u0dcf\u0dc3\u0dba\u0d9a\u0dd2\u0db1\u0dca \u0dc3\u0dbd\u0d9a\u0db1\u0dd4 \u0dbd\u0db6\u0db1 \u0d85\u0dad\u0dbb, \u0d85\u0db0\u0dd3\u0d9a\u0dca\u0dc2\u0dab \u0d85\u0dbb\u0db8\u0dd4\u0dab \u0dc3\u0db3\u0dc4\u0dcf \u0db4\u0db8\u0dab\u0d9a\u0dca \u0db7\u0dcf\u0dc0\u0dd2\u0dad\u0dcf \u0d9a\u0dbb\u0db1\u0dd4 \u0d87\u0dad.<br><p><b>\u0d85\u0db0\u0dd3\u0d9a\u0dca\u0dc2\u0dab\u0dba<\/b><\/p>\n\u0d85\u0db4\u0dd2 \u0db4\u0dc4\u0dad \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4 \u0dbb\u0dc4\u0dc3\u0dd2\u0d9c\u0dad \u0dbd\u0dd9\u0dc3 \u0dc3\u0dbd\u0d9a\u0db1 \u0d85\u0dad\u0dbb \u0d85\u0db4\u0d9c\u0dda \u0dc3\u0db8\u0dcf\u0db1 \u0d85\u0dc0\u0dc3\u0dca\u0dae\u0dcf \u0db4\u0dca\u200d\u0dbb\u0dad\u0dd2\u0db4\u0dad\u0dca\u0dad\u0dd2\u0dba\u0dda \u0dc3\u0db5\u0dbd\u0dad\u0dcf\u0dc0\u0dba \u0d85\u0db0\u0dd3\u0d9a\u0dca\u200d\u0dc2\u0dab\u0dba \u0d9a\u0dd2\u0dbb\u0dd3\u0db8\u0da7 \u0d85\u0db4\u0da7 \u0d8b\u0daf\u0dc0\u0dd4 \u0d9a\u0dd2\u0dbb\u0dd3\u0db8\u0da7 \u0d94\u0db6\u0d9c\u0dda \u0dc3\u0dc4\u0dba\u0ddd\u0d9c\u0dba \u0d85\u0db4\u0dd2 \u0d85\u0d9c\u0dba \u0d9a\u0dbb\u0db1\u0dca\u0db1\u0dd9\u0db8\u0dd4.<br>\u0d94\u0db6\u0d9c\u0dda \u0d85\u0dba\u0daf\u0dd4\u0db8\u0dca\u0db4\u0dad \u0dc3\u0db4\u0dba\u0dcf \u0d87\u0dad\u0dd2 \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4 \u0dc0\u0dbd\u0da7 \u0db6\u0dbd\u0db4\u0dcf\u0db1\u0dca\u0db1\u0dda \u0db1\u0dd0\u0dad\u0dd2 \u0d85\u0dad\u0dbb \u0dbd\u0dd0\u0db6\u0dd3\u0db8\u0dd9\u0db1\u0dca \u0db4\u0dc3\u0dd4 \u0d94\u0db6\u0d9c\u0dda \u0d85\u0dba\u0daf\u0dd4\u0db8\u0dca\u0db4\u0dad\u0dca\u200d\u0dbb\u0dba\u0dd9\u0db1\u0dca \u0dc0\u0dd9\u0db1\u0dca \u0d9a\u0dbb\u0db1\u0dd4 \u0dbd\u0dd0\u0db6\u0dda.<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_172\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_172\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_173_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_173\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_9z9vjc_86820\" class=\"arf_main_label arf_main_label_18px\">\u0dc3\u0dca\u0dad\u0dca\u0dbb\u0dd3 \u0db4\u0dd4\u0dbb\u0dd4\u0dc2 \u0db7\u0dcf\u0dc0\u0dba<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[173]\" data-type=\"radio\" id=\"field_173-0-86820\" data-unique-id=\"86820\" value=\"Male\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_173-0-86820\" class=\"\">\u0db4\u0dd2\u0dbb\u0dd2\u0db8\u0dd2<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[173]\" data-type=\"radio\" id=\"field_173-1-86820\" data-unique-id=\"86820\" value=\"Female\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_173-1-86820\" class=\"\">\u0d9c\u0dd0\u0dc4\u0dd0\u0dab\u0dd4<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_174_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_174\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_f59t2k_86820\" class=\"arf_main_label arf_main_label_18px\">\u0dc0\u0dba\u0dc3<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-0-86820\" data-unique-id=\"86820\" value=\"16-20\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-0-86820\" class=\"\">16-20<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-1-86820\" data-unique-id=\"86820\" value=\"21-30\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-1-86820\" class=\"\">21-30<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-2-86820\" data-unique-id=\"86820\" value=\"31-40\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-2-86820\" class=\"\">31-40<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-3-86820\" data-unique-id=\"86820\" value=\"41-50\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-3-86820\" class=\"\">41-50<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-4-86820\" data-unique-id=\"86820\" value=\"51-60\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-4-86820\" class=\"\">51-60<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-5-86820\" data-unique-id=\"86820\" value=\"61-70\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-5-86820\" class=\"\">61-70<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-6-86820\" data-unique-id=\"86820\" value=\"71-80\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-6-86820\" class=\"\">71-80<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-7-86820\" data-unique-id=\"86820\" value=\"81-90\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-7-86820\" class=\"\">81-90<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_175_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_175\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_8z09pc_86820\" class=\"arf_main_label arf_main_label_18px\">\u0dc0\u0dcf\u0dbb\u0dca\u0d9c\u0dd2\u0d9a \u0dc3\u0db8\u0dca\u0db7\u0dc0\u0dba \u0db8\u0db8 \u0db8\u0d9c\u0dda \u0dc0\u0dcf\u0dbb\u0dca\u0d9c\u0dd2\u0d9a \u0dc3\u0db8\u0dca\u0db7\u0dc0\u0dba \u0dc0\u0dd2\u0dc3\u0dca\u0dad\u0dbb \u0d9a\u0dbb\u0db1\u0dca\u0db1\u0dda:<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-0-86820\" data-unique-id=\"86820\" value=\"White (English)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-0-86820\" class=\"\">\u0dc3\u0dd4\u0daf\u0dd4 (\u0d89\u0d82\u0d9c\u0dca\u0dbb\u0dd3\u0dc3\u0dd2)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-1-86820\" data-unique-id=\"86820\" value=\"White (Irish)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-1-86820\" class=\"\">\u0dc3\u0dd4\u0daf\u0dd4 (\u0d85\u0dba\u0dd2\u0dbb\u0dd2\u0dc2\u0dca)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-2-86820\" data-unique-id=\"86820\" value=\"White (Gypsy) or Irish Traveller\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-2-86820\" class=\"\">\u0dc3\u0dd4\u0daf\u0dd4 (\u0da2\u0dd2\u0db4\u0dca\u0dc3\u0dd3) \u0dc4\u0ddd \u0d85\u0dba\u0dbb\u0dca\u0dbd\u0db1\u0dca\u0dad \u0dc3\u0d82\u0da0\u0dcf\u0dbb\u0d9a\u0dba\u0dcf<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-3-86820\" data-unique-id=\"86820\" value=\"White (Scottish)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-3-86820\" class=\"\">\u0dc3\u0dd4\u0daf\u0dd4 (\u0dc3\u0dca\u0d9a\u0ddc\u0da7\u0dca\u0dbd\u0db1\u0dca\u0dad)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-4-86820\" data-unique-id=\"86820\" value=\"White (Welsh)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-4-86820\" class=\"\">\u0dc3\u0dd4\u0daf\u0dd4 (\u0dc0\u0dda\u0dbd\u0dca\u0dc3\u0dca)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-5-86820\" data-unique-id=\"86820\" value=\"Any other White background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-5-86820\" class=\"\">\u0dc0\u0dd9\u0db1\u0dad\u0dca \u0d95\u0db1\u0dd1\u0db8 \u0dc3\u0dd4\u0daf\u0dd4 \u0db4\u0dc3\u0dd4\u0db6\u0dd2\u0db8\u0d9a\u0dca<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-6-86820\" data-unique-id=\"86820\" value=\"Asian (Indian)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-6-86820\" class=\"\">\u0d86\u0dc3\u0dd2\u0dba\u0dcf\u0db1\u0dd4 (\u0d89\u0db1\u0dca\u0daf\u0dd2\u0dba\u0dcf\u0db1\u0dd4)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-7-86820\" data-unique-id=\"86820\" value=\"Asian (Pakistani)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-7-86820\" class=\"\">\u0d86\u0dc3\u0dd2\u0dba\u0dcf\u0db1\u0dd4 (\u0db4\u0d9a\u0dd2\u0dc3\u0dca\u0dad\u0dcf\u0db1)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-8-86820\" data-unique-id=\"86820\" value=\"Asian (Bangladeshi)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-8-86820\" class=\"\">\u0d86\u0dc3\u0dd2\u0dba\u0dcf\u0db1\u0dd4 (\u0db6\u0d82\u0d9c\u0dca\u0dbd\u0dcf\u0daf\u0dda\u0dc1\u0dd3\u0dba)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-9-86820\" data-unique-id=\"86820\" value=\"Asian (Chinese)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-9-86820\" class=\"\">\u0d86\u0dc3\u0dd2\u0dba\u0dcf\u0db1\u0dd4 (\u0da0\u0dd3\u0db1)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-10-86820\" data-unique-id=\"86820\" value=\"Any other Asian background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-10-86820\" class=\"\">\u0dc0\u0dd9\u0db1\u0dad\u0dca \u0d95\u0db1\u0dd1\u0db8 \u0d86\u0dc3\u0dd2\u0dba\u0dcf\u0db1\u0dd4 \u0db4\u0dc3\u0dd4\u0db6\u0dd2\u0db8\u0d9a\u0dca<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-11-86820\" data-unique-id=\"86820\" value=\"Black (African)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-11-86820\" class=\"\">\u0d9a\u0dc5\u0dd4 (\u0d85\u0db4\u0dca\u200d\u0dbb\u0dd2\u0d9a\u0dcf\u0db1\u0dd4)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-12-86820\" data-unique-id=\"86820\" value=\"Black (Caribbean)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-12-86820\" class=\"\">\u0d9a\u0dc5\u0dd4 (\u0d9a\u0dd0\u0dbb\u0dd2\u0db6\u0dd2\u0dba\u0db1\u0dca)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-13-86820\" data-unique-id=\"86820\" value=\"Any other Black, African, Caribbean background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-13-86820\" class=\"\">\u0dc0\u0dd9\u0db1\u0dad\u0dca \u0d95\u0db1\u0dd1\u0db8 \u0d9a\u0dc5\u0dd4, \u0d85\u0db4\u0dca\u200d\u0dbb\u0dd2\u0d9a\u0dcf\u0db1\u0dd4, \u0d9a\u0dd0\u0dbb\u0dd2\u0db6\u0dd2\u0dba\u0db1\u0dca \u0db4\u0dc3\u0dd4\u0db6\u0dd2\u0db8\u0d9a\u0dca<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-14-86820\" data-unique-id=\"86820\" value=\"Mixed (White and Black Caribbean)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-14-86820\" class=\"\">\u0db8\u0dd2\u0dc1\u0dca\u200d\u0dbb (\u0dc3\u0dd4\u0daf\u0dd4 \u0dc3\u0dc4 \u0d9a\u0dc5\u0dd4 \u0d9a\u0dd0\u0dbb\u0dd2\u0db6\u0dd2\u0dba\u0db1\u0dca)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-15-86820\" data-unique-id=\"86820\" value=\"Mixed (White and Black African)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-15-86820\" class=\"\">\u0db8\u0dd2\u0dc1\u0dca\u200d\u0dbb (\u0dc3\u0dd4\u0daf\u0dd4 \u0dc3\u0dc4 \u0d9a\u0dc5\u0dd4 \u0d85\u0db4\u0dca\u200d\u0dbb\u0dd2\u0d9a\u0dcf\u0db1\u0dd4)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-16-86820\" data-unique-id=\"86820\" value=\"Mixed (White and Asian)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-16-86820\" class=\"\">\u0db8\u0dd2\u0dc1\u0dca\u200d\u0dbb (\u0dc3\u0dd4\u0daf\u0dd4 \u0dc3\u0dc4 \u0d86\u0dc3\u0dd2\u0dba\u0dcf\u0db1\u0dd4)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-17-86820\" data-unique-id=\"86820\" value=\"Other mixed ethnic background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-17-86820\" class=\"\">\u0dc0\u0dd9\u0db1\u0dad\u0dca \u0db8\u0dd2\u0dc1\u0dca\u200d\u0dbb \u0dc0\u0dcf\u0dbb\u0dca\u0d9c\u0dd2\u0d9a \u0db4\u0dc3\u0dd4\u0db6\u0dd2\u0db8<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-18-86820\" data-unique-id=\"86820\" value=\"Other ethnic background (Arab)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-18-86820\" class=\"\">\u0dc0\u0dd9\u0db1\u0dad\u0dca \u0dc0\u0dcf\u0dbb\u0dca\u0d9c\u0dd2\u0d9a \u0db4\u0dc3\u0dd4\u0db6\u0dd2\u0db8 (\u0d85\u0dbb\u0dcf\u0db6\u0dd2)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-19-86820\" data-unique-id=\"86820\" value=\"Any other ethnic background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-19-86820\" class=\"\">\u0dc0\u0dd9\u0db1\u0dad\u0dca \u0d95\u0db1\u0dd1\u0db8 \u0dc0\u0dcf\u0dbb\u0dca\u0d9c\u0dd2\u0d9a \u0db4\u0dc3\u0dd4\u0db6\u0dd2\u0db8\u0d9a\u0dca<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_176_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_176\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_mcq04e_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d86\u0d9c\u0db8 \u0dc4\u0ddd \u0dc0\u0dd2\u0dc1\u0dca\u0dc0\u0dcf\u0dc3\u0dba:<br>\u0d9a\u0dbb\u0dd4\u0dab\u0dcf\u0d9a\u0dbb \u0d94\u0db6\u0dda \u0d86\u0d9c\u0db8 \u0dc4\u0ddd \u0dc0\u0dd2\u0dc1\u0dca\u0dc0\u0dcf\u0dc3\u0dba \u0daf\u0d9a\u0dca\u0dc0\u0db1\u0dca\u0db1<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-0-86820\" data-unique-id=\"86820\" value=\"No religion (Atheism)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-0-86820\" class=\"\">\u0d86\u0d9c\u0db8\u0d9a\u0dca \u0db1\u0dd0\u0dad (\u0d85\u0daf\u0dda\u0dc0\u0dc0\u0dcf\u0daf\u0dba)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-1-86820\" data-unique-id=\"86820\" value=\"Christianity\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-1-86820\" class=\"\">\u0d9a\u0dca\u0dbb\u0dd2\u0dc3\u0dca\u0dad\u0dd2\u0dba\u0dcf\u0db1\u0dd2 \u0db0\u0dbb\u0dca\u0db8\u0dba<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-2-86820\" data-unique-id=\"86820\" value=\"Buddhism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-2-86820\" class=\"\">\u0db6\u0dd4\u0daf\u0dca\u0db0\u0dcf\u0d9c\u0db8<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-3-86820\" data-unique-id=\"86820\" value=\"Hinduism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-3-86820\" class=\"\">\u0dc4\u0dd2\u0db1\u0dca\u0daf\u0dd4 \u0d86\u0d9c\u0db8<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-4-86820\" data-unique-id=\"86820\" value=\"Islam\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-4-86820\" class=\"\">\u0d89\u0dc3\u0dca\u0dbd\u0dcf\u0db8\u0dca<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-5-86820\" data-unique-id=\"86820\" value=\"Judaism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-5-86820\" class=\"\">\u0dba\u0dd4\u0daf\u0dd9\u0dc0\u0dca \u0d86\u0d9c\u0db8<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-6-86820\" data-unique-id=\"86820\" value=\"Sikhism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-6-86820\" class=\"\">\u0dc3\u0dd2\u0d9a\u0dca \u0d86\u0d9c\u0db8<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-7-86820\" data-unique-id=\"86820\" value=\"Other\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-7-86820\" class=\"\">\u0d85\u0db1\u0dd2\u0d9a\u0dca<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-8-86820\" data-unique-id=\"86820\" value=\"I do not wish to disclose my religion\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-8-86820\" class=\"\">\u0db8\u0db8 \u0db8\u0d9c\u0dda \u0d86\u0d9c\u0db8 \u0dc4\u0dd9\u0dc5\u0dd2 \u0d9a\u0dd2\u0dbb\u0dd3\u0db8\u0da7 \u0d9a\u0dd0\u0db8\u0dad\u0dd2 \u0db1\u0dd0\u0dc4\u0dd0<\/label><\/div><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_177_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_177\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_zulg38_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d94\u0db6 \u0d86\u0db6\u0dcf\u0db0\u0dd2\u0dad\u0dba\u0dd9\u0d9a\u0dd4 \u0dbd\u0dd9\u0dc3 \u0dc3\u0dbd\u0d9a\u0db1\u0dc0\u0dcf\u0daf?<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[177]\" data-type=\"radio\" id=\"field_177-0-86820\" data-unique-id=\"86820\" value=\"Yes\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_177-0-86820\" class=\"\">\u0d94\u0dc0\u0dca<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[177]\" data-type=\"radio\" id=\"field_177-1-86820\" data-unique-id=\"86820\" value=\"No\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_177-1-86820\" class=\"\">\u0db1\u0dd0\u0dad<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[177]\" data-type=\"radio\" id=\"field_177-2-86820\" data-unique-id=\"86820\" value=\"I do not wish to disclose this information                \"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_177-2-86820\" class=\"\">\u0db8\u0dd9\u0db8 \u0dad\u0ddc\u0dbb\u0dad\u0dd4\u0dbb\u0dd4 \u0dc4\u0dd9\u0dc5\u0dd2 \u0d9a\u0dd2\u0dbb\u0dd3\u0db8\u0da7 \u0db8\u0dcf \u0d9a\u0dd0\u0db8\u0dad\u0dd2 \u0db1\u0dd0\u0dad                <\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_178_86820_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_178\" data-field-type=\"html\" data-parent_field=\"172\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p>\u0db8\u0dd9\u0db8 \u0db4\u0dca\u200d\u0dbb\u0dc1\u0dca\u0db1\u0dba\u0da7 \u0db4\u0dd2\u0dc5\u0dd2\u0dad\u0dd4\u0dbb\u0dd4 \u0dc3\u0db4\u0dba\u0db1 \u0dc0\u0dd2\u0da7, \u0d86\u0db6\u0dcf\u0db0\u0dd2\u0dad\u0db7\u0dcf\u0dc0\u0dba \u0dc0\u0dd9\u0db1\u0dc3\u0dca \u0d9a\u0ddc\u0da7 \u0dc3\u0dd0\u0dbd\u0d9a\u0dd3\u0db8\u0dda \u0db4\u0db1\u0dad \u0dba\u0da7\u0dad\u0dda 1995, \u0d86\u0db6\u0dcf\u0db0\u0dba\u0d9a\u0dca \u0dbd\u0dd9\u0dc3 \u0d85\u0dbb\u0dca\u0dae \u0daf\u0d9a\u0dca\u0dc0\u0dcf \u0d87\u0dad\u0dca\u0dad\u0dda \u0dc3\u0dcf\u0db8\u0dcf\u0db1\u0dca\u200d\u0dba \u0d91\u0daf\u0dd2\u0db1\u0dd9\u0daf\u0dcf \u0d9a\u0dca\u200d\u0dbb\u0dd2\u0dba\u0dcf\u0d9a\u0dcf\u0dbb\u0d9a\u0db8\u0dca \u0dc3\u0dd2\u0daf\u0dd4 \u0d9a\u0dd2\u0dbb\u0dd3\u0db8\u0da7 \u0d94\u0db6\u0da7 \u0d87\u0dad\u0dd2 \u0dc4\u0dd0\u0d9a\u0dd2\u0dba\u0dcf\u0dc0 \u0d9a\u0dd9\u0dbb\u0dd9\u0dc4\u0dd2 \u0dc3\u0dd0\u0dbd\u0d9a\u0dd2\u0dba \u0dba\u0dd4\u0dad\u0dd4 \u0dc4\u0dcf \u0daf\u0dd2\u0d9c\u0dd4 \u0d9a\u0dcf\u0dbd\u0dd3\u0db1 \u0d85\u0dc4\u0dd2\u0dad\u0d9a\u0dbb \u0db6\u0dbd\u0db4\u0dd1\u0db8\u0d9a\u0dca \u0d87\u0dad\u0dd2 \u0d9a\u0dbb\u0db1 \u201c\u0db8\u0dcf\u0db1\u0dc3\u0dd2\u0d9a \u0dc4\u0ddd \u0dc1\u0dcf\u0dbb\u0dd3\u0dbb\u0dd2\u0d9a\u201d \u0d86\u0db6\u0dcf\u0db0\u0dba\u0d9a\u0dca \u0dbd\u0dd9\u0dc3 \u0db6\u0dc0 \u0d9a\u0dbb\u0dd4\u0dab\u0dcf\u0dc0\u0dd9\u0db1\u0dca \u0dc3\u0dbd\u0d9a\u0db1\u0dca\u0db1.<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_179_86820_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_179\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_girqb7_86820\" class=\"arf_main_label arf_main_label_18px\">\u0d9a\u0dbb\u0dd4\u0dab\u0dcf\u0d9a\u0dbb \u0d94\u0db6\u0d9c\u0dda \u0d86\u0db6\u0dcf\u0db0\u0dd2\u0dad\u0db7\u0dcf\u0dc0\u0dba \u0dc0\u0dd2\u0dc3\u0dca\u0dad\u0dbb \u0d9a\u0dbb\u0db1 \u0dba\u0dd9\u0daf\u0dd4\u0db8 \u0dc3\u0db3\u0dc4\u0db1\u0dca \u0d9a\u0dbb\u0db1\u0dca\u0db1:<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[179]\" data-type=\"radio\" id=\"field_179-0-86820\" data-unique-id=\"86820\" value=\"Dyslexia\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_179-0-86820\" class=\"\">\u0da9\u0dd2\u0dc3\u0dca\u0dbd\u0dd9\u0d9a\u0dca\u0dc3\u0dd2\u0dba\u0dcf<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[179]\" data-type=\"radio\" id=\"field_179-1-86820\" data-unique-id=\"86820\" value=\"Sight impediment\/blind\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_179-1-86820\" class=\"\">\u0db4\u0dd9\u0db1\u0dd3\u0db8\u0dda \u0db6\u0dcf\u0db0\u0dcf\u0dc0\/\u0d85\u0db1\u0dca\u0db0 \u0dc0\u0dd3\u0db8<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[179]\" data-type=\"radio\" id=\"field_179-2-86820\" data-unique-id=\"86820\" value=\"Hearing impediment\/deaf\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_179-2-86820\" class=\"\">\u0dc1\u0dca\u200d\u0dbb\u0dc0\u0dab\u0dcf\u0db6\u0dcf\u0db0\/\u0db6\u0dd2\u0dc4\u0dd2\u0dbb\u0dd2<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[179]\" data-type=\"radio\" id=\"field_179-3-86820\" data-unique-id=\"86820\" value=\"Wheelchair user\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_179-3-86820\" class=\"\">\u0dbb\u0ddd\u0daf \u0db4\u0dd4\u0da7\u0dd4 \u0db7\u0dcf\u0dc0\u0dd2\u0dad\u0dcf \u0d9a\u0dbb\u0db1\u0dca\u0db1\u0dcf<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[179]\" data-type=\"radio\" id=\"field_179-4-86820\" data-unique-id=\"86820\" value=\"Other mobility issues\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_179-4-86820\" 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