{"id":179,"date":"2023-01-22T04:03:37","date_gmt":"2023-01-22T04:03:37","guid":{"rendered":"https:\/\/mywelltality.com\/?page_id=179"},"modified":"2023-03-10T13:44:25","modified_gmt":"2023-03-10T13:44:25","slug":"test-kit-activation","status":"publish","type":"page","link":"https:\/\/mywelltality.com\/en\/test-kit-activation\/","title":{"rendered":"Test Kit Activation"},"content":{"rendered":"<style>.kadence-column_0dd474-1e > .kt-inside-inner-col{padding-top:25px;padding-right:25px;padding-bottom:25px;padding-left:25px;}.kadence-column_0dd474-1e > .kt-inside-inner-col,.kadence-column_0dd474-1e > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_0dd474-1e > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_0dd474-1e > .kt-inside-inner-col{flex-direction:column;}.kadence-column_0dd474-1e > .kt-inside-inner-col > 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value=\" \u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e19\u0e2b\u0e23\u0e37\u0e2d\u0e04\u0e19\u0e23\u0e39\u0e49\u0e08\u0e31\u0e01\u0e41\u0e19\u0e30\u0e19\u0e33\"  id='Advertisement_087994a569c00afa94435192f7d7811d' aria-label='\u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e19\u0e2b\u0e23\u0e37\u0e2d\u0e04\u0e19\u0e23\u0e39\u0e49\u0e08\u0e31\u0e01\u0e41\u0e19\u0e30\u0e19\u0e33' aria-invalid='false' aria-required=false> <span> \u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e19\u0e2b\u0e23\u0e37\u0e2d\u0e04\u0e19\u0e23\u0e39\u0e49\u0e08\u0e31\u0e01\u0e41\u0e19\u0e30\u0e19\u0e33<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='Advertisement_568d01b7d6e0da77dfaf6ea66b0fe9b1'><input  type=\"radio\" name=\"Advertisement\" data-name=\"Advertisement\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e2d\u0e37\u0e48\u0e19\u0e46\"  id='Advertisement_568d01b7d6e0da77dfaf6ea66b0fe9b1' aria-label='\u0e2d\u0e37\u0e48\u0e19\u0e46' aria-invalid='false' 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data-content=\"\u0e01\u0e23\u0e13\u0e35\u0e17\u0e35\u0e48\u0e2a\u0e31\u0e48\u0e07\u0e0b\u0e37\u0e49\u0e2d\u0e0a\u0e38\u0e14\u0e15\u0e23\u0e27\u0e08\u0e21\u0e32\u0e01\u0e01\u0e27\u0e48\u0e32 1 \u0e0a\u0e38\u0e14 \u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e25\u0e07\u0e17\u0e30\u0e40\u0e1a\u0e35\u0e22\u0e19\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e44\u0e14\u0e49\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19 \u0e42\u0e14\u0e22\u0e43\u0e2a\u0e48\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e15\u0e23\u0e27\u0e08\u0e17\u0e31\u0e49\u0e07\u0e2b\u0e21\u0e14\u0e14\u0e49\u0e32\u0e19\u0e25\u0e48\u0e32\u0e07\u0e19\u0e35\u0e49\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_fcd7c97d7213a9e2b3fcff98fd30300b'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19\"  id='input_radio_4_fcd7c97d7213a9e2b3fcff98fd30300b' aria-label='\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19' aria-invalid='false' aria-required=true> <span>\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_5bde05b23af3a41b9cad77a0e3d85707'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22\u0e27\"  id='input_radio_4_5bde05b23af3a41b9cad77a0e3d85707' aria-label='\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22\u0e27' aria-invalid='false' aria-required=true> <span>\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22\u0e27<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_5' id='label_ff_3_input_text_5' aria-label=\"\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" placeholder=\"MW-\" maxlength=\"99999\" data-name=\"input_text_5\" id=\"ff_3_input_text_5\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-type=\"name-element\" data-name=\"names_1\" class=\"has-conditions  ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_1_first_name_' id='label_ff_3_names_1_first_name_' >\u0e0a\u0e37\u0e48\u0e2d\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[first_name]\" id=\"ff_3_names_1_first_name_\" class=\"ff-el-form-control\" placeholder=\"\u0e0a\u0e37\u0e48\u0e2d\u0e08\u0e23\u0e34\u0e07\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_1_last_name_' id='label_ff_3_names_1_last_name_' >\u0e19\u0e32\u0e21\u0e2a\u0e01\u0e38\u0e25<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[last_name]\" id=\"ff_3_names_1_last_name_\" class=\"ff-el-form-control\" placeholder=\"\u0e19\u0e32\u0e21\u0e2a\u0e01\u0e38\u0e25\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e23\u0e32\u0e22\u0e07\u0e32\u0e19\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e40\u0e1b\u0e47\u0e19\u0e20\u0e32\u0e29\u0e32\u0e43\u0e14\">\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e23\u0e32\u0e22\u0e07\u0e32\u0e19\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e40\u0e1b\u0e47\u0e19\u0e20\u0e32\u0e29\u0e32\u0e43\u0e14<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_782522b0d7db2865315b38f77d6219f3'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e44\u0e17\u0e22\"  id='input_radio_2_782522b0d7db2865315b38f77d6219f3' aria-label='\u0e44\u0e17\u0e22' aria-invalid='false' aria-required=true> <span>\u0e44\u0e17\u0e22<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_8a64e91bf9306a23930daceeb71b7140'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29\"  id='input_radio_2_8a64e91bf9306a23930daceeb71b7140' aria-label='\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29' aria-invalid='false' aria-required=true> <span>\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e40\u0e1e\u0e28\">\u0e40\u0e1e\u0e28<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_c03c283e3cc787447653f5e5bd0a736c'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e0a\u0e32\u0e22\"  id='input_radio_3_c03c283e3cc787447653f5e5bd0a736c' aria-label='\u0e0a\u0e32\u0e22' aria-invalid='false' aria-required=true> <span>\u0e0a\u0e32\u0e22<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_5232f03bcbb562d1d70f73fe5a59a292'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e2b\u0e0d\u0e34\u0e07\"  id='input_radio_3_5232f03bcbb562d1d70f73fe5a59a292' aria-label='\u0e2b\u0e0d\u0e34\u0e07' aria-invalid='false' aria-required=true> <span>\u0e2b\u0e0d\u0e34\u0e07<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_6' id='label_ff_3_input_text_6' aria-label=\"\u0e2d\u0e32\u0e22\u0e38\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e2d\u0e32\u0e22\u0e38\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_6\" class=\"ff-el-form-control\" data-name=\"input_text_6\" id=\"ff_3_input_text_6\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_7' id='label_ff_3_input_text_7' aria-label=\"\u0e19\u0e49\u0e33\u0e2b\u0e19\u0e31\u0e01\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e19\u0e49\u0e33\u0e2b\u0e19\u0e31\u0e01\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_7\" class=\"ff-el-form-control\" data-name=\"input_text_7\" id=\"ff_3_input_text_7\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e04\u0e38\u0e13\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e46\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19 \u0e2b\u0e23\u0e37\u0e2d\u0e44\u0e21\u0e48?\">\u0e04\u0e38\u0e13\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e46\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19 \u0e2b\u0e23\u0e37\u0e2d\u0e44\u0e21\u0e48?<\/label><div class=\"ff-el-tooltip\" data-content=\"\u0e01\u0e23\u0e13\u0e35\u0e17\u0e35\u0e48\u0e2a\u0e31\u0e48\u0e07\u0e0b\u0e37\u0e49\u0e2d\u0e0a\u0e38\u0e14\u0e15\u0e23\u0e27\u0e08\u0e21\u0e32\u0e01\u0e01\u0e27\u0e48\u0e32 2 \u0e0a\u0e38\u0e14 \u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e25\u0e07\u0e17\u0e30\u0e40\u0e1a\u0e35\u0e22\u0e19\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e44\u0e14\u0e49\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19 \u0e42\u0e14\u0e22\u0e43\u0e2a\u0e48\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e15\u0e23\u0e27\u0e08\u0e17\u0e31\u0e49\u0e07\u0e2b\u0e21\u0e14\u0e14\u0e49\u0e32\u0e19\u0e25\u0e48\u0e32\u0e07\u0e19\u0e35\u0e49\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_baff8d40f98dc9aaa79a2fae11daca03'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19\"  id='input_radio_5_baff8d40f98dc9aaa79a2fae11daca03' aria-label='\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19' aria-invalid='false' aria-required=true> <span>\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_c0d9a3b5acccc2e51eb6f19b4f67f286'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22\u0e27\"  id='input_radio_5_c0d9a3b5acccc2e51eb6f19b4f67f286' aria-label='\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22\u0e27' aria-invalid='false' aria-required=true> <span>\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22\u0e27<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_8' id='label_ff_3_input_text_8' aria-label=\"\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_8\" class=\"ff-el-form-control\" placeholder=\"MW-\" maxlength=\"99999\" data-name=\"input_text_8\" id=\"ff_3_input_text_8\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-type=\"name-element\" data-name=\"names_2\" class=\"has-conditions  ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_2_first_name_' id='label_ff_3_names_2_first_name_' >\u0e0a\u0e37\u0e48\u0e2d\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_2[first_name]\" id=\"ff_3_names_2_first_name_\" class=\"ff-el-form-control\" placeholder=\"\u0e0a\u0e37\u0e48\u0e2d\u0e08\u0e23\u0e34\u0e07\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_2_last_name_' id='label_ff_3_names_2_last_name_' >\u0e19\u0e32\u0e21\u0e2a\u0e01\u0e38\u0e25<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_2[last_name]\" id=\"ff_3_names_2_last_name_\" class=\"ff-el-form-control\" placeholder=\"\u0e19\u0e32\u0e21\u0e2a\u0e01\u0e38\u0e25\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e23\u0e32\u0e22\u0e07\u0e32\u0e19\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e40\u0e1b\u0e47\u0e19\u0e20\u0e32\u0e29\u0e32\u0e43\u0e14\">\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e23\u0e32\u0e22\u0e07\u0e32\u0e19\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e40\u0e1b\u0e47\u0e19\u0e20\u0e32\u0e29\u0e32\u0e43\u0e14<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_339df219984314ea69292ebe8a7e19d5'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e44\u0e17\u0e22\"  id='input_radio_6_339df219984314ea69292ebe8a7e19d5' aria-label='\u0e44\u0e17\u0e22' aria-invalid='false' aria-required=true> <span>\u0e44\u0e17\u0e22<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_19a286e2a6e9aebed5047b4b0561aa52'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29\"  id='input_radio_6_19a286e2a6e9aebed5047b4b0561aa52' aria-label='\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29' aria-invalid='false' aria-required=true> <span>\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e40\u0e1e\u0e28\">\u0e40\u0e1e\u0e28<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_4a7792d3f8764b41341cc87fc362494f'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e0a\u0e32\u0e22\"  id='input_radio_7_4a7792d3f8764b41341cc87fc362494f' aria-label='\u0e0a\u0e32\u0e22' aria-invalid='false' aria-required=true> <span>\u0e0a\u0e32\u0e22<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_7450462bedadf25f5ce0f5fb1b8db43f'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e2b\u0e0d\u0e34\u0e07\"  id='input_radio_7_7450462bedadf25f5ce0f5fb1b8db43f' aria-label='\u0e2b\u0e0d\u0e34\u0e07' aria-invalid='false' aria-required=true> <span>\u0e2b\u0e0d\u0e34\u0e07<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_9' id='label_ff_3_input_text_9' aria-label=\"\u0e2d\u0e32\u0e22\u0e38\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e2d\u0e32\u0e22\u0e38\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_9\" class=\"ff-el-form-control\" data-name=\"input_text_9\" id=\"ff_3_input_text_9\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_10' id='label_ff_3_input_text_10' aria-label=\"\u0e19\u0e49\u0e33\u0e2b\u0e19\u0e31\u0e01\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e19\u0e49\u0e33\u0e2b\u0e19\u0e31\u0e01\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_10\" class=\"ff-el-form-control\" data-name=\"input_text_10\" id=\"ff_3_input_text_10\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e04\u0e38\u0e13\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e46\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19 \u0e2b\u0e23\u0e37\u0e2d\u0e44\u0e21\u0e48?\">\u0e04\u0e38\u0e13\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e46\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19 \u0e2b\u0e23\u0e37\u0e2d\u0e44\u0e21\u0e48?<\/label><div class=\"ff-el-tooltip\" data-content=\"\u0e01\u0e23\u0e13\u0e35\u0e17\u0e35\u0e48\u0e2a\u0e31\u0e48\u0e07\u0e0b\u0e37\u0e49\u0e2d\u0e0a\u0e38\u0e14\u0e15\u0e23\u0e27\u0e08\u0e21\u0e32\u0e01\u0e01\u0e27\u0e48\u0e32 3 \u0e0a\u0e38\u0e14 \u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e25\u0e07\u0e17\u0e30\u0e40\u0e1a\u0e35\u0e22\u0e19\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e44\u0e14\u0e49\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19 \u0e42\u0e14\u0e22\u0e43\u0e2a\u0e48\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e15\u0e23\u0e27\u0e08\u0e17\u0e31\u0e49\u0e07\u0e2b\u0e21\u0e14\u0e14\u0e49\u0e32\u0e19\u0e25\u0e48\u0e32\u0e07\u0e19\u0e35\u0e49\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_e3ed0dfdb089d7a642a0438c110041d6'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19\"  id='input_radio_8_e3ed0dfdb089d7a642a0438c110041d6' aria-label='\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19' aria-invalid='false' aria-required=true> <span>\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_fc1173ffc197d6cf9d417cc65faedd52'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22\u0e27\"  id='input_radio_8_fc1173ffc197d6cf9d417cc65faedd52' aria-label='\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22\u0e27' aria-invalid='false' aria-required=true> <span>\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22\u0e27<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_11' id='label_ff_3_input_text_11' aria-label=\"\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_11\" class=\"ff-el-form-control\" placeholder=\"MW-\" maxlength=\"99999\" data-name=\"input_text_11\" id=\"ff_3_input_text_11\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-type=\"name-element\" data-name=\"names_3\" class=\"has-conditions  ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_3_first_name_' id='label_ff_3_names_3_first_name_' >\u0e0a\u0e37\u0e48\u0e2d\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_3[first_name]\" id=\"ff_3_names_3_first_name_\" class=\"ff-el-form-control\" placeholder=\"\u0e0a\u0e37\u0e48\u0e2d\u0e08\u0e23\u0e34\u0e07\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_3_last_name_' id='label_ff_3_names_3_last_name_' >\u0e19\u0e32\u0e21\u0e2a\u0e01\u0e38\u0e25<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_3[last_name]\" id=\"ff_3_names_3_last_name_\" class=\"ff-el-form-control\" placeholder=\"\u0e19\u0e32\u0e21\u0e2a\u0e01\u0e38\u0e25\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e23\u0e32\u0e22\u0e07\u0e32\u0e19\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e40\u0e1b\u0e47\u0e19\u0e20\u0e32\u0e29\u0e32\u0e43\u0e14\">\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e23\u0e32\u0e22\u0e07\u0e32\u0e19\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e40\u0e1b\u0e47\u0e19\u0e20\u0e32\u0e29\u0e32\u0e43\u0e14<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_c1a38e184112e41f6716b0e4123219e6'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e44\u0e17\u0e22\"  id='input_radio_9_c1a38e184112e41f6716b0e4123219e6' aria-label='\u0e44\u0e17\u0e22' aria-invalid='false' aria-required=true> <span>\u0e44\u0e17\u0e22<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_43b73d5b1e14350b46f70ccb05699819'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29\"  id='input_radio_9_43b73d5b1e14350b46f70ccb05699819' aria-label='\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29' aria-invalid='false' aria-required=true> <span>\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e40\u0e1e\u0e28\">\u0e40\u0e1e\u0e28<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_31bb1f6536e6aeec6e56922f74686391'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e0a\u0e32\u0e22\"  id='input_radio_10_31bb1f6536e6aeec6e56922f74686391' aria-label='\u0e0a\u0e32\u0e22' aria-invalid='false' aria-required=true> <span>\u0e0a\u0e32\u0e22<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_cb5c601ca7b5dccf98aeb70b6187ef9f'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e2b\u0e0d\u0e34\u0e07\"  id='input_radio_10_cb5c601ca7b5dccf98aeb70b6187ef9f' aria-label='\u0e2b\u0e0d\u0e34\u0e07' aria-invalid='false' aria-required=true> <span>\u0e2b\u0e0d\u0e34\u0e07<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_12' id='label_ff_3_input_text_12' aria-label=\"\u0e2d\u0e32\u0e22\u0e38\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e2d\u0e32\u0e22\u0e38\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_12\" class=\"ff-el-form-control\" data-name=\"input_text_12\" id=\"ff_3_input_text_12\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_13' id='label_ff_3_input_text_13' aria-label=\"\u0e19\u0e49\u0e33\u0e2b\u0e19\u0e31\u0e01\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e19\u0e49\u0e33\u0e2b\u0e19\u0e31\u0e01\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_13\" class=\"ff-el-form-control\" data-name=\"input_text_13\" id=\"ff_3_input_text_13\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e04\u0e38\u0e13\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e46\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19 \u0e2b\u0e23\u0e37\u0e2d\u0e44\u0e21\u0e48?\">\u0e04\u0e38\u0e13\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e46\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19 \u0e2b\u0e23\u0e37\u0e2d\u0e44\u0e21\u0e48?<\/label><div class=\"ff-el-tooltip\" data-content=\"\u0e01\u0e23\u0e13\u0e35\u0e17\u0e35\u0e48\u0e2a\u0e31\u0e48\u0e07\u0e0b\u0e37\u0e49\u0e2d\u0e0a\u0e38\u0e14\u0e15\u0e23\u0e27\u0e08\u0e21\u0e32\u0e01\u0e01\u0e27\u0e48\u0e32 4 \u0e0a\u0e38\u0e14 \u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e25\u0e07\u0e17\u0e30\u0e40\u0e1a\u0e35\u0e22\u0e19\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e44\u0e14\u0e49\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19 \u0e42\u0e14\u0e22\u0e43\u0e2a\u0e48\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e15\u0e23\u0e27\u0e08\u0e17\u0e31\u0e49\u0e07\u0e2b\u0e21\u0e14\u0e14\u0e49\u0e32\u0e19\u0e25\u0e48\u0e32\u0e07\u0e19\u0e35\u0e49\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_561b32b72fa328204a68d5e94c9cd026'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19\"  id='input_radio_11_561b32b72fa328204a68d5e94c9cd026' aria-label='\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19' aria-invalid='false' aria-required=true> <span>\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e2d\u0e37\u0e48\u0e19\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e1c\u0e25\u0e43\u0e19\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e40\u0e14\u0e35\u0e22\u0e27\u0e01\u0e31\u0e19<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_6f776a42611719fd076dbf906f480927'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22\"  id='input_radio_11_6f776a42611719fd076dbf906f480927' aria-label='\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22' aria-invalid='false' aria-required=true> <span>\u0e44\u0e21\u0e48\u0e21\u0e35 \u0e09\u0e31\u0e19\u0e21\u0e35\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\u0e40\u0e14\u0e35\u0e22<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_14' id='label_ff_3_input_text_14' aria-label=\"\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e2b\u0e21\u0e32\u0e22\u0e40\u0e25\u0e02\u0e0a\u0e38\u0e14\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_14\" class=\"ff-el-form-control\" placeholder=\"MW-\" maxlength=\"99999\" data-name=\"input_text_14\" id=\"ff_3_input_text_14\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-type=\"name-element\" data-name=\"names_4\" class=\"has-conditions  ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_4_first_name_' id='label_ff_3_names_4_first_name_' >\u0e0a\u0e37\u0e48\u0e2d\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_4[first_name]\" id=\"ff_3_names_4_first_name_\" class=\"ff-el-form-control\" placeholder=\"\u0e0a\u0e37\u0e48\u0e2d\u0e08\u0e23\u0e34\u0e07\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_4_last_name_' id='label_ff_3_names_4_last_name_' >\u0e19\u0e32\u0e21\u0e2a\u0e01\u0e38\u0e25<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_4[last_name]\" id=\"ff_3_names_4_last_name_\" class=\"ff-el-form-control\" placeholder=\"\u0e19\u0e32\u0e21\u0e2a\u0e01\u0e38\u0e25\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e23\u0e32\u0e22\u0e07\u0e32\u0e19\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e40\u0e1b\u0e47\u0e19\u0e20\u0e32\u0e29\u0e32\u0e43\u0e14\">\u0e15\u0e49\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e23\u0e32\u0e22\u0e07\u0e32\u0e19\u0e1c\u0e25\u0e15\u0e23\u0e27\u0e08\u0e40\u0e1b\u0e47\u0e19\u0e20\u0e32\u0e29\u0e32\u0e43\u0e14<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_12_e0eca3cdd8a44275232d9927343872e8'><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e44\u0e17\u0e22\"  id='input_radio_12_e0eca3cdd8a44275232d9927343872e8' aria-label='\u0e44\u0e17\u0e22' aria-invalid='false' aria-required=true> <span>\u0e44\u0e17\u0e22<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_12_1fa290f74c7c3318aa5202b9d8c933a3'><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29\"  id='input_radio_12_1fa290f74c7c3318aa5202b9d8c933a3' aria-label='\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29' aria-invalid='false' aria-required=true> <span>\u0e2d\u0e31\u0e07\u0e01\u0e24\u0e29<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u0e40\u0e1e\u0e28\">\u0e40\u0e1e\u0e28<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_13_a58bc2f43c940bd56f4335dd4e63b82f'><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e0a\u0e32\u0e22\"  id='input_radio_13_a58bc2f43c940bd56f4335dd4e63b82f' aria-label='\u0e0a\u0e32\u0e22' aria-invalid='false' aria-required=true> <span>\u0e0a\u0e32\u0e22<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_13_4cd48b653f4fe645cf7d88106bbaeaa2'><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u0e2b\u0e0d\u0e34\u0e07\"  id='input_radio_13_4cd48b653f4fe645cf7d88106bbaeaa2' aria-label='\u0e2b\u0e0d\u0e34\u0e07' aria-invalid='false' aria-required=true> <span>\u0e2b\u0e0d\u0e34\u0e07<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_10\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_15' id='label_ff_3_input_text_15' aria-label=\"\u0e2d\u0e32\u0e22\u0e38\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08\">\u0e2d\u0e32\u0e22\u0e38\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e15\u0e23\u0e27\u0e08<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_15\" class=\"ff-el-form-control\" data-name=\"input_text_15\" id=\"ff_3_input_text_15\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_16' id='label_ff_3_input_text_16' 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