{"id":1908,"date":"2025-11-25T11:01:47","date_gmt":"2025-11-25T17:01:47","guid":{"rendered":"https:\/\/staging5.nsd.tech\/?page_id=1908"},"modified":"2025-11-25T11:03:19","modified_gmt":"2025-11-25T17:03:19","slug":"nais-client-intake-form","status":"publish","type":"page","link":"https:\/\/staging5.nsd.tech\/ar\/nais-client-intake-form\/","title":{"rendered":"NAIS Client Intake Form"},"content":{"rendered":"<div id=\"cs-content\" class=\"cs-content\"><div class=\"x-section e1908-e1 m1h0-0\"><div class=\"x-row x-container max width e1908-e2 m1h0-1 m1h0-2\"><div class=\"x-row-inner\"><div class=\"x-col e1908-e3 m1h0-3 NsdSpacerSmallAll\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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      <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_426' id='gform_426'  action='\/ar\/wp-json\/wp\/v2\/pages\/1908' data-formid='426' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_426' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_426_106\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your Personal Details<\/h3><\/div><div id=\"field_426_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_1'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_426_1' type='text' value='' class='large' maxlength='50'  tabindex='1'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MIDDLE_NAME gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_3'>Middle Name<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_426_3' type='text' value='' class='large' maxlength='50'  tabindex='2'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_110\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter LAST_NAME gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_110'>Last Name<\/label><div class='ginput_container ginput_container_text'><input name='input_110' id='input_426_110' type='text' value='' class='large' maxlength='50'  tabindex='3'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_111\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter NICK_NAME gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_111'>Preferred\/Other Name<\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_426_111' type='text' value='' class='large' maxlength='50'  tabindex='4' placeholder='(Optional)'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_16\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_16'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_16' id='input_426_16' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='5'  placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_426_16_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_426_16_date_format' class='screen-reader-text'>\u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_426_16' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_426_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MARITAL_STATUS gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_12'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_426_12' class='large gfield_select' tabindex='6'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><\/select><\/div><\/div><div id=\"field_426_120\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_120'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_120' id='input_426_120' class='large gfield_select' tabindex='7'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='X' >Non-Binary<\/option><option value='P' >Prefer not to say<\/option><option value='U' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_426_112\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter DEGREE field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_112'>Level of Education<\/label><div class='ginput_container ginput_container_select'><select name='input_112' id='input_426_112' class='large gfield_select' tabindex='8'    aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >High School or Lower<\/option><option value='0002' >Pre-university\/Post Secondary<\/option><option value='0003' >Certificate\/Diploma\/Apprenticeship<\/option><option value='0004' >Bachelor Degree<\/option><option value='0005' >Master Degree<\/option><option value='0006' >Ph.D.<\/option><option value='0007' >Other<\/option><\/select><\/div><\/div><div id=\"field_426_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half EMAIL gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gpev-field\"  data-field-class=\"gpev-field\" ><label class='gfield_label gform-field-label' for='input_426_5'>Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_426_5' type='email' value='' class='large' tabindex='9'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_426_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter TELE1 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_4'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_426_4' type='text' value='' class='large'   tabindex='10' placeholder='___-___-____' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter PHONENUMBERS field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_119'>Secondary Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_426_119' type='text' value='' class='large'   tabindex='11' placeholder='___-___-____'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_14\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter PRIMARYLANG notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_14'>Native Language<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_426_14' class='large gfield_select' tabindex='12'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='058' >English<\/option><option value='069' >French<\/option><option value='005' >Afrikaans<\/option><option value='009' >Albanian<\/option><option value='010' >Amharic<\/option><option value='013' >Arabic<\/option><option value='014' >Armenian<\/option><option value='024' >Bengali<\/option><option value='029' >Bisaya<\/option><option value='033' >Burmese<\/option><option value='036' >Cantonese<\/option><option value='037' >Catalan<\/option><option value='038' >Cebuano<\/option><option value='044' >Chinese<\/option><option value='226' >Chinese - Simplified<\/option><option value='227' >Chinese - Traditional<\/option><option value='047' >Creole<\/option><option value='048' >Croatian<\/option><option value='049' >Czech<\/option><option value='050' >Danish<\/option><option value='055' >Dutch<\/option><option value='064' >Farsi (Persian)<\/option><option value='316' >Filipino<\/option><option value='074' >German<\/option><option value='077' >Gujarati<\/option><option value='237' >Hiligaynon<\/option><option value='083' >Hindi<\/option><option value='086' >Hungarian<\/option><option value='244' >Ilican<\/option><option value='245' >Ilocano<\/option><option value='246' >Indonesian<\/option><option value='090' >Italian<\/option><option value='247' >Itsekiri<\/option><option value='092' >Japanese<\/option><option value='099' >Karen<\/option><option value='104' >Kinyarwanda<\/option><option value='108' >Korean<\/option><option value='121' >Malagasy<\/option><option value='123' >Malayalam<\/option><option value='127' >Mandarin<\/option><option value='129' >Marathi<\/option><option value='266' >Mizo<\/option><option value='133' >Nepali<\/option><option value='144' >Other Middle Eastern Languages<\/option><option value='154' >Pashto<\/option><option value='150' >Polish<\/option><option value='151' >Portuguese<\/option><option value='153' >Punjabi<\/option><option value='155' >Romanian<\/option><option value='156' >Russian<\/option><option value='160' >Serbian<\/option><option value='293' >Shona<\/option><option value='170' >Sinhalese<\/option><option value='172' >Slovene<\/option><option value='173' >Somali<\/option><option value='176' >Spanish<\/option><option value='178' >Swahili<\/option><option value='181' >Tagalog<\/option><option value='182' >Tamil<\/option><option value='185' >Telugu<\/option><option value='186' >Thai<\/option><option value='189' >Tigrigna<\/option><option value='194' >Turkish<\/option><option value='197' >Ukrainian<\/option><option value='199' >Urdu<\/option><option value='202' >Vietnamese<\/option><option value='209' >Yoruba<\/option><option value='001' >Acholi<\/option><option value='002' >Ada<\/option><option value='003' >Affar<\/option><option value='004' >Afghan<\/option><option value='006' >Aka<\/option><option value='007' >Akan<\/option><option value='212' >Aklanon<\/option><option value='008' >Akra<\/option><option value='213' >American Sign Language (ASL)<\/option><option value='011' >Anuak (Anywa)<\/option><option value='214' >Aran<\/option><option value='015' >Ashanti<\/option><option value='215' >Assamese<\/option><option value='016' >Assyrian<\/option><option value='017' >Azeri<\/option><option value='018' >Bahasa Indonesian<\/option><option value='216' >Balochi<\/option><option value='019' >Bambara<\/option><option value='340' >Bamileke \/ Ghomala<\/option><option value='330' >Banso<\/option><option value='020' >Bantu<\/option><option value='217' >Baule<\/option><option value='218' >Belarusian<\/option><option value='021' >Belen<\/option><option value='022' >Bemba<\/option><option value='023' >Bembe<\/option><option value='025' >Beni<\/option><option value='219' >Benin<\/option><option value='026' >Berber<\/option><option value='320' >Beti<\/option><option value='027' >Bhari<\/option><option value='220' >Bicol\/Bikol\/Bicolano<\/option><option value='221' >Bijaiya<\/option><option value='222' >Bilen<\/option><option value='028' >Bini<\/option><option value='030' >Bissa<\/option><option value='223' >Bontok<\/option><option value='224' >Braille (translation only)<\/option><option value='031' >Breton<\/option><option value='032' >Bulgarian<\/option><option value='341' >Burji \/ Bembala \/ Bambala \/ Daashi<\/option><option value='034' >Busan<\/option><option value='035' >Busango<\/option><option value='039' >Chakma<\/option><option value='040' >Chaldean<\/option><option value='041' >Chaocho<\/option><option value='225' >Chavacano<\/option><option value='042' >Chichewa<\/option><option value='043' >Chin<\/option><option value='228' >Chiuchow<\/option><option value='045' >Chiyao<\/option><option value='046' >Chowchau<\/option><option value='229' >Concani<\/option><option value='325' >Cree<\/option><option value='338' >Dagaare<\/option><option value='051' >Dari<\/option><option value='336' >Daza \/ Dazaga \/ Tebu<\/option><option value='053' >Dinka<\/option><option value='054' >Dioula<\/option><option value='230' >Dzongkha<\/option><option value='056' >Edo<\/option><option value='057' >Efik<\/option><option value='321' >Esan<\/option><option value='059' >Estonian<\/option><option value='060' >Ewe<\/option><option value='062' >Fang<\/option><option value='063' >Fanti<\/option><option value='333' >Fe&#039;fe \/ Fe&#039;efe&#039;e \/ Nufi \/ Bafang<\/option><option value='065' >Finnish<\/option><option value='066' >Flemish<\/option><option value='231' >Foochow<\/option><option value='067' >Fouki<\/option><option value='068' >Foullah<\/option><option value='070' >Fukinese<\/option><option value='071' >Fulani<\/option><option value='072' >Ga<\/option><option value='073' >Gaelic<\/option><option value='232' >Georgian<\/option><option value='323' >Grebo\/Krumen<\/option><option value='075' >Greek<\/option><option value='076' >Guerze<\/option><option value='233' >Hainam<\/option><option value='234' >Hakha Chin<\/option><option value='078' >Hakka<\/option><option value='235' >Harara<\/option><option value='236' >Harary<\/option><option value='079' >Hargar<\/option><option value='080' >Hassanya<\/option><option value='081' >Hausa<\/option><option value='082' >Hebrew<\/option><option value='084' >Hindko<\/option><option value='085' >Hokkin<\/option><option value='238' >Ibibio<\/option><option value='087' >Ibo<\/option><option value='239' >Icelandic<\/option><option value='334' >Idoma<\/option><option value='240' >Igbo<\/option><option value='241' >Igorot<\/option><option value='242' >Ijaw<\/option><option value='243' >Ika<\/option><option value='088' >Ilongo<\/option><option value='089' >Ishan<\/option><option value='248' >Ivbiosakon<\/option><option value='091' >Izi<\/option><option value='249' >Jarai<\/option><option value='093' >Javanese<\/option><option value='324' >Jingpo<\/option><option value='094' >Jolay<\/option><option value='012' >Juba Arabic<\/option><option value='095' >Kacchi<\/option><option value='250' >Kakwa<\/option><option value='096' >Kanarese<\/option><option value='097' >Kandahari<\/option><option value='098' >Kankani<\/option><option value='251' >Kannada<\/option><option value='252' >Kapampangan<\/option><option value='253' >Kashmiri<\/option><option value='254' >Kazakh<\/option><option value='342' >Kenyang \/ Nyang \/ Banyang \/ Manyang<\/option><option value='100' >Khmer<\/option><option value='101' >Kifuliru<\/option><option value='102' >Kihavu<\/option><option value='322' >Kihemba\/Hemba\/Kiluba-Hemba<\/option><option value='326' >Kikamba<\/option><option value='103' >Kikongo<\/option><option value='335' >Kinnauri<\/option><option value='255' >Kinyamulenge<\/option><option value='105' >Kirega<\/option><option value='106' >Kirundi<\/option><option value='107' >Kiswahili<\/option><option value='256' >Kituba<\/option><option value='257' >Konkani<\/option><option value='328' >Kpelle<\/option><option value='109' >Krio<\/option><option value='110' >Kurdish<\/option><option value='313' >Kurmanji<\/option><option value='258' >Kyrgyz<\/option><option value='259' >La langue des signes qu\u00e9b\u00e9coise (LSQ)<\/option><option value='111' >Laotian<\/option><option value='329' >Lari<\/option><option value='112' >Latvian<\/option><option value='113' >Lebanese<\/option><option value='260' >Lengie<\/option><option value='114' >Lingala<\/option><option value='115' >Lithuanian<\/option><option value='116' >Lowma<\/option><option value='261' >Luganda<\/option><option value='262' >Lugishu<\/option><option value='263' >Lutoro<\/option><option value='117' >Maban<\/option><option value='118' >Macedonian<\/option><option value='264' >Macena<\/option><option value='119' >Macua<\/option><option value='120' >Mahou<\/option><option value='265' >Makonde<\/option><option value='122' >Malay<\/option><option value='124' >Maligo<\/option><option value='125' >Malinke<\/option><option value='126' >Maltese<\/option><option value='327' >Mande<\/option><option value='128' >Mandingo<\/option><option value='311' >Masalit<\/option><option value='130' >Mashi<\/option><option value='131' >Mende<\/option><option value='132' >Mina<\/option><option value='267' >Moldovan<\/option><option value='268' >Mongolian<\/option><option value='269' >Moore<\/option><option value='270' >Naandi\/Cemual<\/option><option value='271' >Ndebele<\/option><option value='337' >Ngiemboon<\/option><option value='331' >Ngomba<\/option><option value='134' >Norwegian<\/option><option value='272' >Nubian<\/option><option value='135' >Nuer<\/option><option value='136' >Nzima<\/option><option value='273' >Oko<\/option><option value='137' >Okpe<\/option><option value='138' >Oriya<\/option><option value='139' >Oromo<\/option><option value='274' >Osal<\/option><option value='140' >Other African Languages<\/option><option value='141' >Other Chinese Dialects<\/option><option value='142' >Other European Languages<\/option><option value='143' >Other Languages<\/option><option value='275' >Other Signed Languages<\/option><option value='145' >Other South Asian Languages<\/option><option value='146' >Other South East Asian Lang.<\/option><option value='276' >Otuho<\/option><option value='277' >Pahari<\/option><option value='278' >Pampango<\/option><option value='279' >Pangasinan<\/option><option value='148' >Peul<\/option><option value='280' >Phuockien<\/option><option value='149' >Pidgin<\/option><option value='281' >Plautdietsch<\/option><option value='152' >Poular<\/option><option value='282' >Rohingya<\/option><option value='283' >Romani<\/option><option value='284' >Rukiga<\/option><option value='285' >Runyankole<\/option><option value='286' >Rutooro<\/option><option value='339' >Saho<\/option><option value='157' >Samoan<\/option><option value='287' >Sango<\/option><option value='288' >Sanskrit<\/option><option value='289' >Sara<\/option><option value='158' >Scoula<\/option><option value='159' >Sechuan<\/option><option value='290' >Senufo<\/option><option value='161' >Serbo-Croatian<\/option><option value='291' >Sesotho<\/option><option value='162' >Seswi<\/option><option value='163' >Seychelles<\/option><option value='292' >Shan<\/option><option value='164' >Shanghai<\/option><option value='165' >Shansai<\/option><option value='166' >Shilluk<\/option><option value='167' >Sign Language<\/option><option value='168' >Sindhi<\/option><option value='171' >Slovak<\/option><option value='312' >Songhai<\/option><option value='174' >Soninke<\/option><option value='314' >Sorani<\/option><option value='294' >Sotho<\/option><option value='175' >Soussou<\/option><option value='295' >Southern Burun<\/option><option value='177' >Suesue<\/option><option value='296' >Sukuma<\/option><option value='179' >Swazai<\/option><option value='180' >Swedish<\/option><option value='317' >Swiss German<\/option><option value='297' >Taichew<\/option><option value='315' >Tamasheq<\/option><option value='183' >Tari<\/option><option value='298' >Tatar<\/option><option value='184' >Tatshanese<\/option><option value='299' >Temne<\/option><option value='300' >Teochew<\/option><option value='187' >Tibetan<\/option><option value='188' >Tichiew<\/option><option value='301' >Tigre<\/option><option value='190' >Timini<\/option><option value='191' >Tiv<\/option><option value='302' >Toishan<\/option><option value='192' >Tshiluba<\/option><option value='193' >Tsibula<\/option><option value='195' >Twi<\/option><option value='318' >Uduk<\/option><option value='200' >Uhrobo<\/option><option value='196' >Uigrigma<\/option><option value='303' >Umbundu<\/option><option value='304' >Unama<\/option><option value='198' >Unknown<\/option><option value='319' >Uyghur<\/option><option value='201' >Uzbek<\/option><option value='305' >Visayan<\/option><option value='306' >Waray<\/option><option value='203' >Welsh<\/option><option value='204' >Western Hemisphere Indian Lang<\/option><option value='205' >Wolof<\/option><option value='206' >Xhosa<\/option><option value='332' >Yacouba<\/option><option value='307' >Yako\/Loko\/Lokaa<\/option><option value='308' >Yekhee\/Afenmai\/Afemai<\/option><option value='207' >Yiboe<\/option><option value='208' >Yiddish<\/option><option value='210' >Zande<\/option><option value='309' >Zshiluba<\/option><option value='310' >Zuganda<\/option><option value='211' >Zulu<\/option><\/select><\/div><\/div><div id=\"field_426_15\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-three-quarter LANGS notranslate field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_15'>Other Spoken Languages (if applicable)<\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_15[]' id='input_426_15' class='large gfield_select' tabindex='13'  aria-invalid=\"false\"  ><option value='058' >English<\/option><option value='069' >French<\/option><option value='005' >Afrikaans<\/option><option value='009' >Albanian<\/option><option value='010' >Amharic<\/option><option value='013' >Arabic<\/option><option value='014' >Armenian<\/option><option value='024' >Bengali<\/option><option value='029' >Bisaya<\/option><option value='033' >Burmese<\/option><option value='036' >Cantonese<\/option><option value='037' >Catalan<\/option><option value='038' >Cebuano<\/option><option value='044' >Chinese<\/option><option value='226' >Chinese - Simplified<\/option><option value='227' >Chinese - Traditional<\/option><option value='047' >Creole<\/option><option value='048' >Croatian<\/option><option value='049' >Czech<\/option><option value='050' >Danish<\/option><option value='055' >Dutch<\/option><option value='064' >Farsi (Persian)<\/option><option value='316' >Filipino<\/option><option value='074' >German<\/option><option value='077' >Gujarati<\/option><option value='237' >Hiligaynon<\/option><option value='083' >Hindi<\/option><option value='086' >Hungarian<\/option><option value='244' >Ilican<\/option><option value='245' >Ilocano<\/option><option value='246' >Indonesian<\/option><option value='090' >Italian<\/option><option value='247' >Itsekiri<\/option><option value='092' >Japanese<\/option><option value='099' >Karen<\/option><option value='104' >Kinyarwanda<\/option><option value='108' >Korean<\/option><option value='121' >Malagasy<\/option><option value='123' >Malayalam<\/option><option value='127' >Mandarin<\/option><option value='129' >Marathi<\/option><option value='266' >Mizo<\/option><option value='133' >Nepali<\/option><option value='144' >Other Middle Eastern Languages<\/option><option value='154' >Pashto<\/option><option value='150' >Polish<\/option><option value='151' >Portuguese<\/option><option value='153' >Punjabi<\/option><option value='155' >Romanian<\/option><option value='156' >Russian<\/option><option value='160' >Serbian<\/option><option value='293' >Shona<\/option><option value='170' >Sinhalese<\/option><option value='172' >Slovene<\/option><option value='173' >Somali<\/option><option value='176' >Spanish<\/option><option value='178' >Swahili<\/option><option value='181' >Tagalog<\/option><option value='182' >Tamil<\/option><option value='185' >Telugu<\/option><option value='186' >Thai<\/option><option value='189' >Tigrigna<\/option><option value='194' >Turkish<\/option><option value='197' >Ukrainian<\/option><option value='199' >Urdu<\/option><option value='202' >Vietnamese<\/option><option value='209' >Yoruba<\/option><option value='001' >Acholi<\/option><option value='002' >Ada<\/option><option value='003' >Affar<\/option><option value='004' >Afghan<\/option><option value='006' >Aka<\/option><option value='007' >Akan<\/option><option value='212' >Aklanon<\/option><option value='008' >Akra<\/option><option value='213' >American Sign Language (ASL)<\/option><option value='011' >Anuak (Anywa)<\/option><option value='214' >Aran<\/option><option value='015' >Ashanti<\/option><option value='215' >Assamese<\/option><option value='016' >Assyrian<\/option><option value='017' >Azeri<\/option><option value='018' >Bahasa Indonesian<\/option><option value='216' >Balochi<\/option><option value='019' >Bambara<\/option><option value='340' >Bamileke \/ Ghomala<\/option><option value='330' >Banso<\/option><option value='020' >Bantu<\/option><option value='217' >Baule<\/option><option value='218' >Belarusian<\/option><option value='021' >Belen<\/option><option value='022' >Bemba<\/option><option value='023' >Bembe<\/option><option value='025' >Beni<\/option><option value='219' >Benin<\/option><option value='026' >Berber<\/option><option value='320' >Beti<\/option><option value='027' >Bhari<\/option><option value='220' >Bicol\/Bikol\/Bicolano<\/option><option value='221' >Bijaiya<\/option><option value='222' >Bilen<\/option><option value='028' >Bini<\/option><option value='030' >Bissa<\/option><option value='223' >Bontok<\/option><option value='224' >Braille (translation only)<\/option><option value='031' >Breton<\/option><option value='032' >Bulgarian<\/option><option value='341' >Burji \/ Bembala \/ Bambala \/ Daashi<\/option><option value='034' >Busan<\/option><option value='035' >Busango<\/option><option value='039' >Chakma<\/option><option value='040' >Chaldean<\/option><option value='041' >Chaocho<\/option><option value='225' >Chavacano<\/option><option value='042' >Chichewa<\/option><option value='043' >Chin<\/option><option value='228' >Chiuchow<\/option><option value='045' >Chiyao<\/option><option value='046' >Chowchau<\/option><option value='229' >Concani<\/option><option value='325' >Cree<\/option><option value='338' >Dagaare<\/option><option value='051' >Dari<\/option><option value='336' >Daza \/ Dazaga \/ Tebu<\/option><option value='053' >Dinka<\/option><option value='054' >Dioula<\/option><option value='230' >Dzongkha<\/option><option value='056' >Edo<\/option><option value='057' >Efik<\/option><option value='321' >Esan<\/option><option value='059' >Estonian<\/option><option value='060' >Ewe<\/option><option value='062' >Fang<\/option><option value='063' >Fanti<\/option><option value='333' >Fe&#039;fe \/ Fe&#039;efe&#039;e \/ Nufi \/ Bafang<\/option><option value='065' >Finnish<\/option><option value='066' >Flemish<\/option><option value='231' >Foochow<\/option><option value='067' >Fouki<\/option><option value='068' >Foullah<\/option><option value='070' >Fukinese<\/option><option value='071' >Fulani<\/option><option value='072' >Ga<\/option><option value='073' >Gaelic<\/option><option value='232' >Georgian<\/option><option value='323' >Grebo\/Krumen<\/option><option value='075' >Greek<\/option><option value='076' >Guerze<\/option><option value='233' >Hainam<\/option><option value='234' >Hakha Chin<\/option><option value='078' >Hakka<\/option><option value='235' >Harara<\/option><option value='236' >Harary<\/option><option value='079' >Hargar<\/option><option value='080' >Hassanya<\/option><option value='081' >Hausa<\/option><option value='082' >Hebrew<\/option><option value='084' >Hindko<\/option><option value='085' >Hokkin<\/option><option value='238' >Ibibio<\/option><option value='087' >Ibo<\/option><option value='239' >Icelandic<\/option><option value='334' >Idoma<\/option><option value='240' >Igbo<\/option><option value='241' >Igorot<\/option><option value='242' >Ijaw<\/option><option value='243' >Ika<\/option><option value='088' >Ilongo<\/option><option value='089' >Ishan<\/option><option value='248' >Ivbiosakon<\/option><option value='091' >Izi<\/option><option value='249' >Jarai<\/option><option value='093' >Javanese<\/option><option value='324' >Jingpo<\/option><option value='094' >Jolay<\/option><option value='012' >Juba Arabic<\/option><option value='095' >Kacchi<\/option><option value='250' >Kakwa<\/option><option value='096' >Kanarese<\/option><option value='097' >Kandahari<\/option><option value='098' >Kankani<\/option><option value='251' >Kannada<\/option><option value='252' >Kapampangan<\/option><option value='253' >Kashmiri<\/option><option value='254' >Kazakh<\/option><option value='342' >Kenyang \/ Nyang \/ Banyang \/ Manyang<\/option><option value='100' >Khmer<\/option><option value='101' >Kifuliru<\/option><option value='102' >Kihavu<\/option><option value='322' >Kihemba\/Hemba\/Kiluba-Hemba<\/option><option value='326' >Kikamba<\/option><option value='103' >Kikongo<\/option><option value='335' >Kinnauri<\/option><option value='255' >Kinyamulenge<\/option><option value='105' >Kirega<\/option><option value='106' >Kirundi<\/option><option value='107' >Kiswahili<\/option><option value='256' >Kituba<\/option><option value='257' >Konkani<\/option><option value='328' >Kpelle<\/option><option value='109' >Krio<\/option><option value='110' >Kurdish<\/option><option value='313' >Kurmanji<\/option><option value='258' >Kyrgyz<\/option><option value='259' >La langue des signes qu\u00e9b\u00e9coise (LSQ)<\/option><option value='111' >Laotian<\/option><option value='329' >Lari<\/option><option value='112' >Latvian<\/option><option value='113' >Lebanese<\/option><option value='260' >Lengie<\/option><option value='114' >Lingala<\/option><option value='115' >Lithuanian<\/option><option value='116' >Lowma<\/option><option value='261' >Luganda<\/option><option value='262' >Lugishu<\/option><option value='263' >Lutoro<\/option><option value='117' >Maban<\/option><option value='118' >Macedonian<\/option><option value='264' >Macena<\/option><option value='119' >Macua<\/option><option value='120' >Mahou<\/option><option value='265' >Makonde<\/option><option value='122' >Malay<\/option><option value='124' >Maligo<\/option><option value='125' >Malinke<\/option><option value='126' >Maltese<\/option><option value='327' >Mande<\/option><option value='128' >Mandingo<\/option><option value='311' >Masalit<\/option><option value='130' >Mashi<\/option><option value='131' >Mende<\/option><option value='132' >Mina<\/option><option value='267' >Moldovan<\/option><option value='268' >Mongolian<\/option><option value='269' >Moore<\/option><option value='270' >Naandi\/Cemual<\/option><option value='271' >Ndebele<\/option><option value='337' >Ngiemboon<\/option><option value='331' >Ngomba<\/option><option value='134' >Norwegian<\/option><option value='272' >Nubian<\/option><option value='135' >Nuer<\/option><option value='136' >Nzima<\/option><option value='273' >Oko<\/option><option value='137' >Okpe<\/option><option value='138' >Oriya<\/option><option value='139' >Oromo<\/option><option value='274' >Osal<\/option><option value='140' >Other African Languages<\/option><option value='141' >Other Chinese Dialects<\/option><option value='142' >Other European Languages<\/option><option value='143' >Other Languages<\/option><option value='275' >Other Signed Languages<\/option><option value='145' >Other South Asian Languages<\/option><option value='146' >Other South East Asian Lang.<\/option><option value='276' >Otuho<\/option><option value='277' >Pahari<\/option><option value='278' >Pampango<\/option><option value='279' >Pangasinan<\/option><option value='148' >Peul<\/option><option value='280' >Phuockien<\/option><option value='149' >Pidgin<\/option><option value='281' >Plautdietsch<\/option><option value='152' >Poular<\/option><option value='282' >Rohingya<\/option><option value='283' >Romani<\/option><option value='284' >Rukiga<\/option><option value='285' >Runyankole<\/option><option value='286' >Rutooro<\/option><option value='339' >Saho<\/option><option value='157' >Samoan<\/option><option value='287' >Sango<\/option><option value='288' >Sanskrit<\/option><option value='289' >Sara<\/option><option value='158' >Scoula<\/option><option value='159' >Sechuan<\/option><option value='290' >Senufo<\/option><option value='161' >Serbo-Croatian<\/option><option value='291' >Sesotho<\/option><option value='162' >Seswi<\/option><option value='163' >Seychelles<\/option><option value='292' >Shan<\/option><option value='164' >Shanghai<\/option><option value='165' >Shansai<\/option><option value='166' >Shilluk<\/option><option value='167' >Sign Language<\/option><option value='168' >Sindhi<\/option><option value='171' >Slovak<\/option><option value='312' >Songhai<\/option><option value='174' >Soninke<\/option><option value='314' >Sorani<\/option><option value='294' >Sotho<\/option><option value='175' >Soussou<\/option><option value='295' >Southern Burun<\/option><option value='177' >Suesue<\/option><option value='296' >Sukuma<\/option><option value='179' >Swazai<\/option><option value='180' >Swedish<\/option><option value='317' >Swiss German<\/option><option value='297' >Taichew<\/option><option value='315' >Tamasheq<\/option><option value='183' >Tari<\/option><option value='298' >Tatar<\/option><option value='184' >Tatshanese<\/option><option value='299' >Temne<\/option><option value='300' >Teochew<\/option><option value='187' >Tibetan<\/option><option value='188' >Tichiew<\/option><option value='301' >Tigre<\/option><option value='190' >Timini<\/option><option value='191' >Tiv<\/option><option value='302' >Toishan<\/option><option value='192' >Tshiluba<\/option><option value='193' >Tsibula<\/option><option value='195' >Twi<\/option><option value='318' >Uduk<\/option><option value='200' >Uhrobo<\/option><option value='196' >Uigrigma<\/option><option value='303' >Umbundu<\/option><option value='304' >Unama<\/option><option value='198' >Unknown<\/option><option value='319' >Uyghur<\/option><option value='201' >Uzbek<\/option><option value='305' >Visayan<\/option><option value='306' >Waray<\/option><option value='203' >Welsh<\/option><option value='204' >Western Hemisphere Indian Lang<\/option><option value='205' >Wolof<\/option><option value='206' >Xhosa<\/option><option value='332' >Yacouba<\/option><option value='307' >Yako\/Loko\/Lokaa<\/option><option value='308' >Yekhee\/Afenmai\/Afemai<\/option><option value='207' >Yiboe<\/option><option value='208' >Yiddish<\/option><option value='210' >Zande<\/option><option value='309' >Zshiluba<\/option><option value='310' >Zuganda<\/option><option value='211' >Zulu<\/option><\/select><\/div><\/div><div id=\"field_426_113\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Current Residential Address<\/h3><\/div><div id=\"field_426_117\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-three-quarter ADDRESS1 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_117'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_117' id='input_426_117' type='text' value='' class='large' maxlength='200'  tabindex='14'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_116\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter UNIT_NO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_116'>Apt\/Unit #<\/label><div class='ginput_container ginput_container_text'><input name='input_116' id='input_426_116' type='text' value='' class='large' maxlength='7'  tabindex='15'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_121\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-five-twelfths CITY field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_121'>City<\/label><div class='ginput_container ginput_container_select'><select name='input_121' id='input_426_121' class='large gfield_select' tabindex='16'    aria-invalid=\"false\" ><option value='' ><\/option><option value='0400301103' >Neepawa<\/option><option value='0400301005' >Arborg<\/option><option value='0400301199' >Anola<\/option><option value='0400301006' >Ashern<\/option><option value='0400301010' >Beausejour<\/option><option value='0400301048' >Eriksdale<\/option><option value='0400301051' >Fisher Branch<\/option><option value='0400301207' >Fraserwood<\/option><option value='0400301058' >Gimli<\/option><option value='0400301211' >Hodgson<\/option><option value='0400301212' >Ile Des Chenes<\/option><option value='0400301213' >Komarno<\/option><option value='0400301079' >La Broquerie<\/option><option value='0400301081' >Lac du Bonnet<\/option><option value='0400301106' >Niverville<\/option><option value='0400301219' >Oakbank<\/option><option value='0400301118' >Pinawa<\/option><option value='0400301120' >Pine Falls<\/option><option value='0400301224' >Richer<\/option><option value='0400301135' >Riverton<\/option><option value='0400301143' >Selkirk<\/option><option value='0400301232' >Seven Sister Falls<\/option><option value='0400301157' >St-Pierre-Jolys<\/option><option value='0400301234' >St. Adolphe<\/option><option value='0400301235' >St. Malo<\/option><option value='0400301236' >Ste. Anne<\/option><option value='0400301168' >Stonewall<\/option><option value='0400301173' >Teulon<\/option><option value='0400301186' >Whitemouth<\/option><option value='0400301189' >Winnipeg Beach<\/option><option value='0400301001' >Agassiz Provincial Forest<\/option><option value='0400301002' >Alexander<\/option><option value='0400301003' >Alonsa<\/option><option value='0400301004' >Altona<\/option><option value='0400301201' >Aubigny<\/option><option value='0400301007' >Austin<\/option><option value='0400301008' >Baldur<\/option><option value='0400301009' >Basswood<\/option><option value='0400301011' >Belmont<\/option><option value='0400301012' >Benito<\/option><option value='0400301013' >Berens River<\/option><option value='0400301014' >Beulah<\/option><option value='0400301015' >Binscarth<\/option><option value='0400301197' >Birnie<\/option><option value='0400301016' >Birtle<\/option><option value='0400301017' >Bissett<\/option><option value='0400301202' >Blumenort<\/option><option value='0400301018' >Boissevain<\/option><option value='0400301019' >Brandon<\/option><option value='0400301020' >Brochet<\/option><option value='0400301021' >Brookdale<\/option><option value='0400301203' >Brunkild<\/option><option value='0400301022' >Camperville<\/option><option value='0400301023' >Carberry<\/option><option value='0400301024' >Carman<\/option><option value='0400301025' >Cartwright<\/option><option value='0400301026' >Churchill<\/option><option value='0400301204' >Cooks Creek<\/option><option value='0400301027' >Cormorant<\/option><option value='0400301028' >Cowan<\/option><option value='0400301029' >Cranberry Portage<\/option><option value='0400301030' >Crandall<\/option><option value='0400301031' >Cross Lake<\/option><option value='0400301032' >Crystal City<\/option><option value='0400301033' >Cypress River<\/option><option value='0400301034' >Darlingford<\/option><option value='0400301035' >Dauphin<\/option><option value='0400301036' >Deloraine<\/option><option value='0400301037' >Dominion City<\/option><option value='0400301192' >Dufresne<\/option><option value='0400301038' >Dugald<\/option><option value='0400301205' >East Braintree<\/option><option value='0400301039' >Easterville<\/option><option value='0400301040' >Eddystone<\/option><option value='0400301198' >Eden<\/option><option value='0400301041' >Edwin<\/option><option value='0400301042' >Elgin<\/option><option value='0400301043' >Elie<\/option><option value='0400301044' >Elkhorn<\/option><option value='0400301045' >Elm Creek<\/option><option value='0400301206' >Elma<\/option><option value='0400301046' >Emerson<\/option><option value='0400301047' >Erickson<\/option><option value='0400301049' >Ethelbert<\/option><option value='0400301050' >Falcon Lake<\/option><option value='0400301052' >Fisher River<\/option><option value='0400301053' >Flin Flon<\/option><option value='0400301054' >Fork River<\/option><option value='0400301055' >Foxwarren<\/option><option value='0400301208' >Gardenton<\/option><option value='0400301056' >Gilbert Plains<\/option><option value='0400301057' >Gillam<\/option><option value='0400301209' >Giroux<\/option><option value='0400301059' >Gladstone<\/option><option value='0400301060' >Glenboro<\/option><option value='0400301061' >Glenella<\/option><option value='0400301062' >Gods Lake Narrows<\/option><option value='0400301063' >Grand Beach<\/option><option value='0400301064' >Grand Rapids<\/option><option value='0400301065' >Grandview<\/option><option value='0400301066' >Gretna<\/option><option value='0400301195' >Grunthal<\/option><option value='0400301067' >Gypsumville<\/option><option value='0400301068' >Hadashville<\/option><option value='0400301069' >Hamiota<\/option><option value='0400301070' >Hartney<\/option><option value='0400301210' >Hazelridge<\/option><option value='0400301247' >Headingley<\/option><option value='0400301071' >Hecla<\/option><option value='0400301072' >Holland<\/option><option value='0400301073' >Ilford<\/option><option value='0400301074' >Inwood<\/option><option value='0400301075' >Island Lake<\/option><option value='0400301076' >Kelwood<\/option><option value='0400301077' >Kenton<\/option><option value='0400301078' >Killarney<\/option><option value='0400301196' >Kleefeld<\/option><option value='0400301245' >Kola<\/option><option value='0400301194' >La Salle<\/option><option value='0400301080' >Lac Brochet<\/option><option value='0400301214' >Landmark<\/option><option value='0400301082' >Langruth<\/option><option value='0400301083' >Leaf Rapids<\/option><option value='0400301084' >Libau<\/option><option value='0400301215' >Linden<\/option><option value='0400301085' >Little Grand Rapids<\/option><option value='0400301086' >Lockport<\/option><option value='0400301193' >Lorette<\/option><option value='0400301216' >Lowe Farm<\/option><option value='0400301087' >Lundar<\/option><option value='0400301088' >Lynn Lake<\/option><option value='0400301089' >MacGregor<\/option><option value='0400301090' >Mafeking<\/option><option value='0400301091' >Manigotagan<\/option><option value='0400301092' >Manitou<\/option><option value='0400301217' >Marchand<\/option><option value='0400301093' >McAuley<\/option><option value='0400301094' >McCreary<\/option><option value='0400301095' >Melita<\/option><option value='0400301096' >Miami<\/option><option value='0400301218' >Middlebro<\/option><option value='0400301097' >Miniota<\/option><option value='0400301098' >Minnedosa<\/option><option value='0400301099' >Minto<\/option><option value='0400350001' >Mitchell<\/option><option value='0400301100' >Moose Lake<\/option><option value='0400301101' >Morden<\/option><option value='0400301102' >Morris<\/option><option value='0400301104' >Nelson House<\/option><option value='0400301105' >Newdale<\/option><option value='0400301107' >Norway House<\/option><option value='0400301108' >Notre Dame de Lourdes<\/option><option value='0400301109' >Oak Lake<\/option><option value='0400301110' >Oak River<\/option><option value='0400301111' >Oakville<\/option><option value='0400301112' >Ochre River<\/option><option value='0400301220' >Otterburne<\/option><option value='0400301113' >Oxford House<\/option><option value='0400301221' >Pansy<\/option><option value='0400301114' >Peguis<\/option><option value='0400301115' >Pelican Rapids<\/option><option value='0400301116' >Pikwitonei<\/option><option value='0400301117' >Pilot Mound<\/option><option value='0400301119' >Pine Dock<\/option><option value='0400301121' >Pine River<\/option><option value='0400301122' >Piney<\/option><option value='0400301123' >Plum Coulee<\/option><option value='0400301124' >Plumas<\/option><option value='0400301125' >Pointe du Bois<\/option><option value='0400301126' >Poplar River<\/option><option value='0400301127' >Poplarfield<\/option><option value='0400301128' >Portage la Prairie<\/option><option value='0400301222' >Prawda<\/option><option value='0400301223' >Randolph<\/option><option value='0400301129' >Rapid City<\/option><option value='0400301130' >Rathwell<\/option><option value='0400301131' >Red Sucker Lake<\/option><option value='0400301132' >Rennie<\/option><option value='0400301133' >Reston<\/option><option value='0400301134' >Rivers<\/option><option value='0400301136' >Roblin<\/option><option value='0400301137' >Roland<\/option><option value='0400301138' >Rorketon<\/option><option value='0400301225' >Rosa<\/option><option value='0400301226' >Roseau River<\/option><option value='0400301227' >Rosenort<\/option><option value='0400301228' >Rosewood<\/option><option value='0400301246' >Ross<\/option><option value='0400301139' >Rossburn<\/option><option value='0400301140' >Russell<\/option><option value='0400301229' >Sandilands<\/option><option value='0400301141' >Sandy Lake<\/option><option value='0400301142' >Sanford<\/option><option value='0400301230' >Sarto<\/option><option value='0400301231' >Schanzenfeld<\/option><option value='0400301144' >Shamattawa<\/option><option value='0400301145' >Shilo<\/option><option value='0400301146' >Shoal Lake<\/option><option value='0400301147' >Sidney<\/option><option value='0400301148' >Sifton<\/option><option value='0400301149' >Snow Lake<\/option><option value='0400301150' >Snowflake<\/option><option value='0400301151' >Somerset<\/option><option value='0400301152' >Souris<\/option><option value='0400301153' >South Indian Lake<\/option><option value='0400301233' >South Junction<\/option><option value='0400301154' >Sperling<\/option><option value='0400301155' >Split Lake<\/option><option value='0400301156' >Sprague<\/option><option value='0400301158' >St. Claude<\/option><option value='0400301159' >St. Francois Xavier<\/option><option value='0400301160' >St. Jean Baptiste<\/option><option value='0400301161' >St. Laurent<\/option><option value='0400301162' >St. Lazare<\/option><option value='0400301163' >Starbuck<\/option><option value='0400301164' >Ste. Agathe<\/option><option value='0400301167' >Steinbach<\/option><option value='0400301165' >Ste. Rose du Lac<\/option><option value='0400301166' >Steep Rock<\/option><option value='0400301169' >Strathclair<\/option><option value='0400301237' >Sundown<\/option><option value='0400301170' >Swan Lake<\/option><option value='0400301171' >Swan River<\/option><option value='0400301172' >Tadoule Lake<\/option><option value='0400301174' >The Pas<\/option><option value='0400301175' >Thicket Portage<\/option><option value='0400301176' >Thompson<\/option><option value='0400301238' >Tolstoi<\/option><option value='0400301239' >Tourond<\/option><option value='0400301177' >Treherne<\/option><option value='0400301240' >Tyndale<\/option><option value='0400301241' >Vassar<\/option><option value='0400301178' >Virden<\/option><option value='0400301179' >Vita<\/option><option value='0400301180' >Waasagomach<\/option><option value='0400301181' >Wabowden<\/option><option value='0400301182' >Wanless<\/option><option value='0400301183' >Wasagaming<\/option><option value='0400301184' >Waterhen<\/option><option value='0400301185' >Wawanesa<\/option><option value='0400301187' >Winkler<\/option><option value='0400301188' >Winnipeg<\/option><option value='0400301190' >Winnipegosis<\/option><option value='0400301242' >Woodlands<\/option><option value='0400301243' >Woodmore<\/option><option value='0400301191' >Woodridge<\/option><option value='0400301244' >Zhoda<\/option><\/select><\/div><\/div><div id=\"field_426_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third PROVINCE gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_9'>Province<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_426_9' class='large gfield_select' tabindex='17'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='04003' >Manitoba<\/option><\/select><\/div><\/div><div id=\"field_426_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter POSTALCODE gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_8'>Postal Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_426_8' type='text' value='' class='large'   tabindex='18' placeholder='A#A#A#' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_27\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Immigration Related Information<\/h3><\/div><div id=\"field_426_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third CAN_STATUS gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_17'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_426_17' class='large gfield_select' tabindex='19'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Canadian Citizen<\/option><option value='0002' >Government Assisted Refugees (GAR)<\/option><option value='0003' >Permanent Resident<\/option><option value='0007' >Student - Study Permit<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0016' >Work Permit<\/option><option value='0017' >No Status<\/option><option value='0018' >Ukraine CUAET Permit<\/option><option value='0024' >Provincial Nominee (PNP)<\/option><option value='0035' >Naturalized Citizen<\/option><option value='0401' >Temporary Foreign Worker (closed work permit)<\/option><option value='0402' >Work Permit (Open)<\/option><\/select><\/div><\/div><div id=\"field_426_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third FOSSIDNO gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_19'>UCI\/IUC (Unique Client Identifier)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_426_19' type='text' value='' class='large'   tabindex='20'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_109'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_426_109' type='text' value='' class='large'   tabindex='21'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-five-twelfths CNT_BIRTH field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_6'>Country of Birth<\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_426_6' class='large gfield_select' tabindex='22'    aria-invalid=\"false\" ><option value='' ><\/option><option value='002' >Afghanistan<\/option><option value='003' >Albania<\/option><option value='004' >Alderney<\/option><option value='005' >Algeria<\/option><option value='006' >American Samoa<\/option><option value='007' >Andorra<\/option><option value='008' >Angola<\/option><option value='009' >Anguilla<\/option><option value='010' >Antigua and Barbuda<\/option><option value='011' >Argentina<\/option><option value='012' >Armenia<\/option><option value='014' >Australia<\/option><option value='015' >Austria<\/option><option value='016' >Azerbaijan<\/option><option value='017' >Bahamas<\/option><option value='018' >Bahrain<\/option><option value='019' >Bangladesh<\/option><option value='020' >Barbados<\/option><option value='021' >Belarus<\/option><option value='022' >Belgium<\/option><option value='023' >Belize<\/option><option value='024' >Benin<\/option><option value='025' >Bermuda<\/option><option value='026' >Bhutan<\/option><option value='027' >Bolivia<\/option><option value='029' >Bosnia and Herzegovina<\/option><option value='030' >Botswana<\/option><option value='031' >Brazil<\/option><option value='033' >British Virgin Islands<\/option><option value='034' >Brunei<\/option><option value='035' >Bulgaria<\/option><option value='036' >Burkina Faso<\/option><option value='037' >Myanmar (formerly Burma)<\/option><option value='038' >Burundi<\/option><option value='039' >Cameroon<\/option><option value='040' >Canada<\/option><option value='041' >Canary Islands<\/option><option value='042' >Cabo Verde<\/option><option value='043' >Cayman Islands<\/option><option value='044' >Central African Republic<\/option><option value='045' >Chad<\/option><option value='047' >Chile<\/option><option value='048' >China (PRC)<\/option><option value='049' >Colombia<\/option><option value='050' >Comoros<\/option><option value='051' >Congo Democratic Republic of<\/option><option value='052' >Congo (Congo Republic)<\/option><option value='054' >Costa Rica<\/option><option value='055' >Croatia<\/option><option value='056' >Cuba<\/option><option value='057' >Cyprus<\/option><option value='058' >Czechia (Czech Republic)<\/option><option value='059' >Denmark<\/option><option value='060' >Djibouti<\/option><option value='061' >Dominican Republic<\/option><option value='062' >Ecuador<\/option><option value='063' >Egypt<\/option><option value='064' >El Salvador<\/option><option value='065' >England<\/option><option value='066' >Equatorial Guinea<\/option><option value='067' >Eritrea<\/option><option value='068' >Estonia<\/option><option value='069' >Ethiopia<\/option><option value='071' >Germany<\/option><option value='072' >Fiji<\/option><option value='073' >Finland<\/option><option value='075' >Fr. Polynesia<\/option><option value='076' >France<\/option><option value='077' >French Guiana<\/option><option value='078' >Gabon<\/option><option value='079' >Gambia<\/option><option value='080' >Georgia<\/option><option value='081' >Ghana<\/option><option value='083' >Greece<\/option><option value='084' >Greenland<\/option><option value='085' >Grenada<\/option><option value='086' >Guadaloupe<\/option><option value='087' >Guam<\/option><option value='088' >Guatemala<\/option><option value='089' >Guinea<\/option><option value='090' >Guinea-bissau<\/option><option value='091' >Guyana<\/option><option value='092' >Haiti<\/option><option value='093' >Honduras<\/option><option value='094' >Hong Kong<\/option><option value='095' >Hungary<\/option><option value='096' >Iceland<\/option><option value='097' >India<\/option><option value='098' >Indonesia<\/option><option value='099' >Iran<\/option><option value='100' >Iraq<\/option><option value='101' >Ireland<\/option><option value='102' >Israel<\/option><option value='103' >Italy<\/option><option value='104' >Cote d Ivoire (Ivory Coast)<\/option><option value='105' >Jamaica<\/option><option value='106' >Japan<\/option><option value='107' >Jordan<\/option><option value='109' >Kazakhstan<\/option><option value='110' >Kenya<\/option><option value='111' >Kerguelen Islands<\/option><option value='112' >Kyrgyzstan<\/option><option value='113' >Kiribati<\/option><option value='114' >Korea, North<\/option><option value='115' >Korea, South<\/option><option value='116' >Kosovo<\/option><option value='117' >Kuwait<\/option><option value='118' >Laos<\/option><option value='119' >Latvia<\/option><option value='120' >Lebanon<\/option><option value='121' >Lesotho<\/option><option value='122' >Liberia<\/option><option value='123' >Libya<\/option><option value='124' >Liechtenstein<\/option><option value='125' >Lithuania<\/option><option value='126' >Luxembourg<\/option><option value='128' >North Macedonia<\/option><option value='129' >Madagascar<\/option><option value='130' >Malawi<\/option><option value='131' >Malaysia<\/option><option value='132' >Maldives<\/option><option value='133' >Mali<\/option><option value='134' >Malta<\/option><option value='135' >Marshall Islands<\/option><option value='137' >Mauritania<\/option><option value='138' >Mauritius<\/option><option value='140' >Mexico<\/option><option value='141' >Moldova<\/option><option value='142' >Monaco<\/option><option value='143' >Mongolia<\/option><option value='144' >Montserrat<\/option><option value='145' >Morocco<\/option><option value='146' >Mozambique<\/option><option value='147' >Namibia<\/option><option value='148' >Nauru<\/option><option value='149' >Nepal<\/option><option value='150' >Netherlands<\/option><option value='153' >New Caledonia<\/option><option value='154' >New Zealand<\/option><option value='155' >Nicaragua<\/option><option value='156' >Niger<\/option><option value='157' >Nigeria<\/option><option value='158' >Northern Ireland<\/option><option value='159' >Norway<\/option><option value='160' >Pakistan<\/option><option value='161' >Palestine<\/option><option value='162' >Panama<\/option><option value='164' >Papua New Guinea<\/option><option value='165' >Paraguay<\/option><option value='166' >Peru<\/option><option value='167' >Philippines<\/option><option value='168' >Pitcairn Islands<\/option><option value='169' >Poland<\/option><option value='170' >Portugal<\/option><option value='171' >Puerto Rico<\/option><option value='172' >Qatar<\/option><option value='173' >Reunion<\/option><option value='174' >Romania<\/option><option value='175' >Russia<\/option><option value='176' >Rwanda<\/option><option value='177' >Samoa<\/option><option value='178' >San Marino<\/option><option value='179' >Sao Tome and Principe<\/option><option value='180' >Saudi Arabia<\/option><option value='181' >Scotland<\/option><option value='182' >Senegal<\/option><option value='183' >Serbia<\/option><option value='184' >Seychelles<\/option><option value='185' >Sierra Leone<\/option><option value='186' >Singapore<\/option><option value='187' >Solomon Islands<\/option><option value='188' >Somalia<\/option><option value='189' >South Africa<\/option><option value='190' >Spain<\/option><option value='191' >Sri Lanka<\/option><option value='192' >St. Helena<\/option><option value='193' >St. Kitts and Nevis<\/option><option value='194' >St. Lucia<\/option><option value='195' >St. Pierre Et Miquelon<\/option><option value='196' >St. Vincent And The Grenadines<\/option><option value='197' >Stateless<\/option><option value='198' >Sudan<\/option><option value='199' >Suriname<\/option><option value='200' >Eswatini (formerly Swaziland)<\/option><option value='201' >Sweden<\/option><option value='202' >Switzerland<\/option><option value='203' >Syria<\/option><option value='204' >Tajikistan<\/option><option value='205' >Tanzania<\/option><option value='206' >Thailand<\/option><option value='207' >Tibet<\/option><option value='208' >Togo<\/option><option value='209' >Tonga<\/option><option value='210' >Trinidad &amp; Tobago<\/option><option value='211' >Tunisia<\/option><option value='212' >Turkey<\/option><option value='213' >Turkmenistan<\/option><option value='214' >Turks &amp; Caicos<\/option><option value='215' >Tuvalu<\/option><option value='216' >U.S. Virgin Islands<\/option><option value='217' >United States of America<\/option><option value='219' >Uganda<\/option><option value='220' >Ukraine<\/option><option value='221' >United Arab Emirates<\/option><option value='223' >Uruguay<\/option><option value='224' >Uzbekistan<\/option><option value='225' >Vanuatu<\/option><option value='226' >Holy See (Vatican City)<\/option><option value='227' >Venezuela<\/option><option value='228' >Vietnam<\/option><option value='231' >Wales<\/option><option value='233' >Western Sahara<\/option><option value='234' >Yemen<\/option><option value='235' >Yugoslavia<\/option><option value='237' >Zambia<\/option><option value='238' >Zimbabwe<\/option><option value='239' >Oman<\/option><option value='240' >Sudan, South<\/option><option value='241' >United Kingdom<\/option><option value='242' >Slovenia<\/option><option value='243' >Slovakia (Slovak Republic)<\/option><option value='244' >Taiwan (ROC)<\/option><option value='245' >Cambodia<\/option><option value='246' >Dominica<\/option><option value='247' >East Timor (Timor-Leste)<\/option><option value='248' >Micronesia<\/option><option value='249' >Montenegro<\/option><option value='250' >Palau<\/option><\/select><\/div><\/div><div id=\"field_426_23\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter DATE_FIRSTARRIVAL field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_23'>Date of Arrival<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_23' id='input_426_23' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='23'  placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_426_23_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_426_23_date_format' class='screen-reader-text'>\u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_426_23' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_426_154\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third DATE_PR field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_154'>Date of becoming PR<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_154' id='input_426_154' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='24'  placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_426_154_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_426_154_date_format' class='screen-reader-text'>\u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_426_154' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_426_122\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full REFER_BY field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_122'>How Did You Hear About Us<\/label><div class='ginput_container ginput_container_select'><select name='input_122' id='input_426_122' class='large gfield_select' tabindex='25'    aria-invalid=\"false\" ><option value='' ><\/option><option value='L001' >Not Referred<\/option><option value='L003' >Community centre \/ library<\/option><option value='L004' >Employer \/ co-worker<\/option><option value='L005' >Ethnic or religious organization<\/option><option value='L006' >Family \/ friends<\/option><option value='L007' >Canadian government agency<\/option><option value='L008' >Government publication \/ brochure \/ website<\/option><option value='L009' >Immigration consultant \/ lawyer<\/option><option value='L010' >Internal to my organization<\/option><option value='L011' >Non-governmental newspaper \/ media \/ publication \/ brochure \/ Web site<\/option><option value='L012' >In-Canada orientation session<\/option><option value='L013' >Overseas orientation session (e.g. CIIP)<\/option><option value='L014' >Other settlement service provider<\/option><option value='L015' >School<\/option><option value='L018' >Recruitment via Destination Canada and Canadian embassies<\/option><option value='L019' >Recruitment via website and social media<\/option><option value='L020' >Walk-in<\/option><\/select><\/div><\/div><div id=\"field_426_152\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full DOCUMENT_FIELD11 nsd-gravity-upload nsd-fileupload-single gf_inline field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_426_152'>Immigration Document<\/label><div class='gfield_description' id='gfield_description_426_152'><em>This can be a Confirmation of Permanent Residence, a Work Permit, a Refugee Claimant document, a Permanent Resident Card, etc.<br\/><br\/>If uploading a Permanent Resident Card or other two-sided document, please ensure <span style=\"font-weight:bold !important;font-size:110% !important;\">both<\/span> sides are attached.<\/em><\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_426_152' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_426_152&quot;,&quot;container&quot;:&quot;gform_multifile_upload_426_152&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_426_152&quot;,&quot;filelist&quot;:&quot;gform_preview_426_152&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging5.nsd.tech\\\/?gf_page=f8eaeb02f5fcc9f&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging5.nsd.tech\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging5.nsd.tech\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;\\u0627\\u0644\\u0645\\u0644\\u0641\\u0627\\u062a \\u0627\\u0644\\u0645\\u062a\\u0627\\u062d\\u0647&quot;,&quot;extensions&quot;:&quot;pdf,docx,doc,jpg,gif,tiff&quot;}],&quot;max_file_size&quot;:&quot;10485760b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:426,&quot;field_id&quot;:152,&quot;_gform_file_upload_nonce_426_152&quot;:&quot;ba29bf80ef&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;1&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_426_152&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_426_152' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>\u0627\u062a\u0631\u0643 \u0627\u0644\u0645\u0644\u0641\u0627\u062a \u0647\u0646\u0627 \u0627\u0648 <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_426_152' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_426_152 gfield_description_426_152\" tabindex='26' >\u0627\u062e\u062a\u0627\u0631 \u0627\u0644\u0645\u0644\u0641\u0627\u062a<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_426_152'>\u0623\u0646\u0648\u0627\u0639 \u0627\u0644\u0645\u0644\u0641\u0627\u062a \u0627\u0644\u0645\u0642\u0628\u0648\u0644\u0629: pdf, docx, doc, jpg, gif, tiff, \u0627\u0644\u062d\u062f \u0627\u0644\u0623\u0642\u0635\u0649 \u0644\u062d\u062c\u0645 \u0627\u0644\u0645\u0644\u0641: 10 MB, \u0627\u0644\u062d\u062f \u0627\u0644\u0623\u0642\u0635\u0649 \u0644\u0644\u0645\u0644\u0641\u0627\u062a: 1.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_426_152'><\/ul> <div id='gform_preview_426_152' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_426_128\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Emergency Contact Information<\/h3><\/div><div id=\"field_426_129\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter EMER_NAME gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_129'>Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_426_129' type='text' value='' class='large' maxlength='50'  tabindex='27'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_133\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter EMER_TELE1 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_133'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_426_133' type='text' value='' class='large'   tabindex='28' placeholder='___-___-____' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_131\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half EMER_EMAIL gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gpev-field\"  data-field-class=\"gpev-field\" ><label class='gfield_label gform-field-label' for='input_426_131'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_131' id='input_426_131' type='email' value='' class='large' tabindex='29'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_426_42\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Additional Information<\/h3><\/div><div id=\"field_426_136\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full exclude gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 \u0627\u0644\u0646\u0645\u0648\u0630\u062c\"><\/i><span>\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 \u0627\u0644\u0646\u0645\u0648\u0630\u062c<\/span><\/div><label class='gfield_label gform-field-label' for='input_426_136'>Which type of services are you interested in:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_136[]' id='input_426_136' class='large gfield_select' tabindex='30'  aria-invalid=\"false\" aria-required=\"true\" ><option value='0001' >Settlement Services<\/option><option value='0002' >School Related Services (SWIS)<\/option><option value='0003' >Employment<\/option><option value='0004' >Youth Program<\/option><\/select><\/div><\/div><div id=\"field_426_59\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full GENREMARKS gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_59'>Would you like to provide any additional information<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_426_59' type='text' value='' class='large' maxlength='1000'  tabindex='31'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_134\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Details of Family Members<\/h3><\/div><fieldset id=\"field_426_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you like to register your family members so that they can also receive services with us?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_426_43'>\n\t\t\t<div class='gchoice gchoice_426_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Y'  id='choice_426_43_0' onchange='gformToggleRadioOther( this )'  tabindex='32'  \/>\n\t\t\t\t\t<label for='choice_426_43_0' id='label_426_43_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_426_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='N'  id='choice_426_43_1' onchange='gformToggleRadioOther( this )'  tabindex='33'  \/>\n\t\t\t\t\t<label for='choice_426_43_1' id='label_426_43_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_426_61\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_61'>How many members would you like to add?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_61' id='input_426_61' class='large gfield_select' tabindex='34'   aria-required=\"true\" aria-invalid=\"false\" ><option value='1' selected='selected'>1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><\/select><\/div><\/div><div id=\"field_426_62\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 1<\/h3><\/div><div id=\"field_426_46\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER1_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_46'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_426_46' type='text' value='' class='large' maxlength='50'  tabindex='35'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER1_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_52'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_426_52' type='text' value='' class='large' maxlength='50'  tabindex='36'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_54\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER1_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_54'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_54' id='input_426_54' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='37'  placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_426_54_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_426_54_date_format' class='screen-reader-text'>\u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_426_54' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_426_139\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER1_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_139'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_139' id='input_426_139' class='large gfield_select' tabindex='38'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Canadian Citizen<\/option><option value='0002' >Government Assisted Refugees (GAR)<\/option><option value='0003' >Permanent Resident<\/option><option value='0007' >Student - Study Permit<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0016' >Work Permit<\/option><option value='0017' >No Status<\/option><option value='0018' >Ukraine CUAET Permit<\/option><option value='0024' >Provincial Nominee (PNP)<\/option><option value='0035' >Naturalized Citizen<\/option><option value='0401' >Temporary Foreign Worker (closed work permit)<\/option><option value='0402' >Work Permit (Open)<\/option><\/select><\/div><\/div><div id=\"field_426_55\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER1_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_55'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_426_55' class='large gfield_select' tabindex='39'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='X' >Non-Binary<\/option><option value='P' >Prefer not to say<\/option><option value='U' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_426_140\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER1_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_140'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_140' id='input_426_140' class='large gfield_select' tabindex='40'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><\/select><\/div><\/div><div id=\"field_426_53\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER1_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_53'>Relationship<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_53' id='input_426_53' class='large gfield_select' tabindex='41'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='44' >Spouse<\/option><option value='55' >Child<\/option><option value='61' >Sibling<\/option><option value='56' >Parent<\/option><option value='06' >Common Law Spouse<\/option><\/select><\/div><\/div><div id=\"field_426_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER1_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_56'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_426_56' type='text' value='' class='large'   tabindex='42'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_65\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 2<\/h3><\/div><div id=\"field_426_63\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER2_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_63'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_426_63' type='text' value='' class='large' maxlength='50'  tabindex='43'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_64\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER2_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_64'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_426_64' type='text' value='' class='large' maxlength='50'  tabindex='44'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_67\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER2_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_67'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_67' id='input_426_67' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='45'  placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_426_67_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_426_67_date_format' class='screen-reader-text'>\u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_426_67' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_426_141\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER2_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_141'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_141' id='input_426_141' class='large gfield_select' tabindex='46'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Canadian Citizen<\/option><option value='0002' >Government Assisted Refugees (GAR)<\/option><option value='0003' >Permanent Resident<\/option><option value='0007' >Student - Study Permit<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0016' >Work Permit<\/option><option value='0017' >No Status<\/option><option value='0018' >Ukraine CUAET Permit<\/option><option value='0024' >Provincial Nominee (PNP)<\/option><option value='0035' >Naturalized Citizen<\/option><option value='0401' >Temporary Foreign Worker (closed work permit)<\/option><option value='0402' >Work Permit (Open)<\/option><\/select><\/div><\/div><div id=\"field_426_68\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER2_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_68'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_68' id='input_426_68' class='large gfield_select' tabindex='47'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='X' >Non-Binary<\/option><option value='P' >Prefer not to say<\/option><option value='U' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_426_142\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER2_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_142'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_142' id='input_426_142' class='large gfield_select' tabindex='48'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><\/select><\/div><\/div><div id=\"field_426_69\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER2_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_69'>Relationship<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_426_69' class='large gfield_select' tabindex='49'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='44' >Spouse<\/option><option value='55' >Child<\/option><option value='61' >Sibling<\/option><option value='56' >Parent<\/option><option value='06' >Common Law Spouse<\/option><\/select><\/div><\/div><div id=\"field_426_66\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER2_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_66'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_426_66' type='text' value='' class='large'   tabindex='50'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_70\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 3<\/h3><\/div><div id=\"field_426_71\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER3_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_71'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_426_71' type='text' value='' class='large' maxlength='50'  tabindex='51'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_72\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER3_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_72'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_426_72' type='text' value='' class='large' maxlength='50'  tabindex='52'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_74\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER3_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_74'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_74' id='input_426_74' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='53'  placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_426_74_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_426_74_date_format' class='screen-reader-text'>\u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_426_74' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_426_143\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER3_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_143'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_143' id='input_426_143' class='large gfield_select' tabindex='54'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Canadian Citizen<\/option><option value='0002' >Government Assisted Refugees (GAR)<\/option><option value='0003' >Permanent Resident<\/option><option value='0007' >Student - Study Permit<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0016' >Work Permit<\/option><option value='0017' >No Status<\/option><option value='0018' >Ukraine CUAET Permit<\/option><option value='0024' >Provincial Nominee (PNP)<\/option><option value='0035' >Naturalized Citizen<\/option><option value='0401' >Temporary Foreign Worker (closed work permit)<\/option><option value='0402' >Work Permit (Open)<\/option><\/select><\/div><\/div><div id=\"field_426_75\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER3_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_75'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_426_75' class='large gfield_select' tabindex='55'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='X' >Non-Binary<\/option><option value='P' >Prefer not to say<\/option><option value='U' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_426_144\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER3_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_144'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_144' id='input_426_144' class='large gfield_select' tabindex='56'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><\/select><\/div><\/div><div id=\"field_426_76\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER3_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_76'>Relationship<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_426_76' class='large gfield_select' tabindex='57'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='44' >Spouse<\/option><option value='55' >Child<\/option><option value='61' >Sibling<\/option><option value='56' >Parent<\/option><option value='06' >Common Law Spouse<\/option><\/select><\/div><\/div><div id=\"field_426_73\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER3_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_73'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_426_73' type='text' value='' class='large'   tabindex='58'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_77\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 4<\/h3><\/div><div id=\"field_426_83\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER4_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_83'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_426_83' type='text' value='' class='large' maxlength='50'  tabindex='59'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_82\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER4_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_82'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_426_82' type='text' value='' class='large' maxlength='50'  tabindex='60'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_80\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER4_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_80'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_80' id='input_426_80' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='61'  placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_426_80_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_426_80_date_format' class='screen-reader-text'>\u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_426_80' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_426_145\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER4_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_145'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_145' id='input_426_145' class='large gfield_select' tabindex='62'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Canadian Citizen<\/option><option value='0002' >Government Assisted Refugees (GAR)<\/option><option value='0003' >Permanent Resident<\/option><option value='0007' >Student - Study Permit<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0016' >Work Permit<\/option><option value='0017' >No Status<\/option><option value='0018' >Ukraine CUAET Permit<\/option><option value='0024' >Provincial Nominee (PNP)<\/option><option value='0035' >Naturalized Citizen<\/option><option value='0401' >Temporary Foreign Worker (closed work permit)<\/option><option value='0402' >Work Permit (Open)<\/option><\/select><\/div><\/div><div id=\"field_426_79\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER4_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_79'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_426_79' class='large gfield_select' tabindex='63'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='X' >Non-Binary<\/option><option value='P' >Prefer not to say<\/option><option value='U' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_426_146\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER4_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_146'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_146' id='input_426_146' class='large gfield_select' tabindex='64'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><\/select><\/div><\/div><div id=\"field_426_78\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER4_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_78'>Relationship<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_426_78' class='large gfield_select' tabindex='65'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='44' >Spouse<\/option><option value='55' >Child<\/option><option value='61' >Sibling<\/option><option value='56' >Parent<\/option><option value='06' >Common Law Spouse<\/option><\/select><\/div><\/div><div id=\"field_426_81\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER4_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_81'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_426_81' type='text' value='' class='large'   tabindex='66'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_84\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 5<\/h3><\/div><div id=\"field_426_90\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER5_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_90'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_426_90' type='text' value='' class='large' maxlength='50'  tabindex='67'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_89\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER5_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_89'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_426_89' type='text' value='' class='large' maxlength='50'  tabindex='68'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_87\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER5_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_87'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_87' id='input_426_87' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='69'  placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_426_87_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_426_87_date_format' class='screen-reader-text'>\u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_426_87' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_426_147\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER5_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_147'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_147' id='input_426_147' class='large gfield_select' tabindex='70'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Canadian Citizen<\/option><option value='0002' >Government Assisted Refugees (GAR)<\/option><option value='0003' >Permanent Resident<\/option><option value='0007' >Student - Study Permit<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0016' >Work Permit<\/option><option value='0017' >No Status<\/option><option value='0018' >Ukraine CUAET Permit<\/option><option value='0024' >Provincial Nominee (PNP)<\/option><option value='0035' >Naturalized Citizen<\/option><option value='0401' >Temporary Foreign Worker (closed work permit)<\/option><option value='0402' >Work Permit (Open)<\/option><\/select><\/div><\/div><div id=\"field_426_85\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER5_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_85'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_426_85' class='large gfield_select' tabindex='71'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='X' >Non-Binary<\/option><option value='P' >Prefer not to say<\/option><option value='U' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_426_148\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER5_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_148'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_148' id='input_426_148' class='large gfield_select' tabindex='72'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><\/select><\/div><\/div><div id=\"field_426_86\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER5_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_86'>Relationship<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_86' id='input_426_86' class='large gfield_select' tabindex='73'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='44' >Spouse<\/option><option value='55' >Child<\/option><option value='61' >Sibling<\/option><option value='56' >Parent<\/option><option value='06' >Common Law Spouse<\/option><\/select><\/div><\/div><div id=\"field_426_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER5_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_88'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_426_88' type='text' value='' class='large'   tabindex='74'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_91\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 6<\/h3><\/div><div id=\"field_426_97\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER6_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_97'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_97' id='input_426_97' type='text' value='' class='large' maxlength='50'  tabindex='75'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_96\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER6_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_96'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_426_96' type='text' value='' class='large' maxlength='50'  tabindex='76'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_94\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER6_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_94'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_94' id='input_426_94' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='77'  placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_426_94_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_426_94_date_format' class='screen-reader-text'>\u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_426_94' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_426_149\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER6_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_149'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_149' id='input_426_149' class='large gfield_select' tabindex='78'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Canadian Citizen<\/option><option value='0002' >Government Assisted Refugees (GAR)<\/option><option value='0003' >Permanent Resident<\/option><option value='0007' >Student - Study Permit<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0016' >Work Permit<\/option><option value='0017' >No Status<\/option><option value='0018' >Ukraine CUAET Permit<\/option><option value='0024' >Provincial Nominee (PNP)<\/option><option value='0035' >Naturalized Citizen<\/option><option value='0401' >Temporary Foreign Worker (closed work permit)<\/option><option value='0402' >Work Permit (Open)<\/option><\/select><\/div><\/div><div id=\"field_426_92\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER6_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_92'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_92' id='input_426_92' class='large gfield_select' tabindex='79'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='X' >Non-Binary<\/option><option value='P' >Prefer not to say<\/option><option value='U' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_426_150\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER6_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_150'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_150' id='input_426_150' class='large gfield_select' tabindex='80'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><\/select><\/div><\/div><div id=\"field_426_93\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER6_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_93'>Relationship<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_93' id='input_426_93' class='large gfield_select' tabindex='81'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='44' >Spouse<\/option><option value='55' >Child<\/option><option value='61' >Sibling<\/option><option value='56' >Parent<\/option><option value='06' >Common Law Spouse<\/option><\/select><\/div><\/div><div id=\"field_426_95\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER6_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_95'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_426_95' type='text' value='' class='large'   tabindex='82'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_126\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Consents and Confidentiality Statement<\/h3><\/div><div id=\"field_426_156\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full EMAILSCONSENT nsd-consent-inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_156'>I consent to be added to the mailing list for information on events and workshops.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_156' id='input_426_156' class='small gfield_select' tabindex='83'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Y' >Yes<\/option><option value='N' >No<\/option><\/select><\/div><\/div><div id=\"field_426_157\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full PHOTOCONSENT nsd-consent-inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_157'>For purposes related to display, advertising, and reporting to funders, I, on behalf of myself and all family members included in this intake, consent to photos and videos being taken by NAISS.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_157' id='input_426_157' class='small gfield_select' tabindex='84'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Y' >Yes<\/option><option value='N' >No<\/option><\/select><\/div><\/div><div id=\"field_426_135\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>I consent to your organization collecting, storing, and using my personal information for the purposes of providing services and communications related to events, workshops, and other relevant activities. I understand that appropriate security measures will be in place to protect my data from unauthorized access or misuse.<\/p>\n<p>I consent to the sharing of my personal information with trusted third-party partners of your organization solely for the purpose of delivering services and communications as described. I am aware that I have the right to withdraw my consent at any time, which may impact the services provided to me.<\/p><\/div><div id=\"field_426_125\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half SIGN1_PATH gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_125'>Please either enter you initials here  OR Sign in next box<\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_426_125' type='text' value='' class='small' maxlength='5'  tabindex='85'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_124\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-half SIGN1_PATH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_124'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0645\u0637\u0644\u0648\u0628)<\/span><\/span><\/label><input type='hidden' value='' name='input_124' id='input_426_124_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_426_124_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_426_124' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_426_124_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_426_124_resetbutton' src='data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAABgAAAAYCAYAAADgdz34AAAAGXRFWHRTb2Z0d2FyZQBBZG9iZSBJbWFnZVJlYWR5ccllPAAAAtRJREFUeNrsld9rklEYx32nc7i2GulGtZg6XJbJyBeJzbGZJJVuAyFD7D8QumiG7nLXQuw6dtHN7oYwFtIgDG+2CGQtGf1grBpWIkPHaDpJZvZ95F2cqfPHRTfRgY\/H85znfb7nPc85z8sVi0XR32zcf4GmBTiOk8GWY8YSdEpwHpwG7eAA\/ABJsA3\/w5MEJOUGi8VyCUFFeCiGvlcsFvOFQqGtzK1d4Bzmr8DvDfy\/NyTgcDj6I5GIGA91YdiN4CW7RqNp83g8fZ2dna17e3v5ubm5r1tbWz8F8WH4v4PIh7oCTOumH4VCIQkGg6axsTElgkRhyoJTXq\/33srKStzpdL5KpVK0RVcxvw+Rb40KlNr09LTSbDZH8HcJ\/DqyY2sksE9Go1GHVqsN5fP5Yk9Pz3WIJNmctNQT8Pl8n\/DQZza40CjIokqlerywsMCTYWdnpwVjTb0kF1dXVy2sLR6Pn4HIJnu6mLZht9s3KUeUE7VarYPt459ZOqZlKMFEFRRVfI+QzMzMeBHOOTAw4GbnKt4AK6Vte0\/nHA6pBu\/T4ejoqAgnS4dTlT82U74aJOourYTn+ds1VlyNm+AReMjaK5LsdrvpxoqSyWSX8DbVSwDHtYJ+hi9gETxl\/SoCWK1WGfWJRKLQ0dGhO0kAq5MGAoFB\/OVZXC6XtqYAzvamwWCgMiDK5XKXsSL5CRpZv98vnp+fH2SNJpPpYk0BlIIXSJaB\/lOZkEqlNyCi4ahAHd8iajGUj41a2a+2xzmj0fgsFAoN0QA3lAJfAxMISDeVpx7jSbJnMplSOZ6amuptVIBaZHx8\/G0sFruj1+tlgo2KWh\/oF3opGWl+bW3t1uzsrHJ5eXm42Q+OGW\/wADc7gYe3w+Fwen19\/YByhMMgt9lsqpGRkQvYxifwfQnup9PprFwuX2rmi0ZvYAdDwurPgl1A9ek1eE7byqYR7P873+TfAgwATQiKdubVli0AAAAASUVORK5CYII=' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_426_124_data' name='input_426_124_data' value=''><\/div><\/div><div id=\"field_426_105\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_426_105'>Captcha<\/label><div id='input_426_105' class='ginput_container ginput_recaptcha' data-sitekey='6LdQ_KQqAAAAAOZ5dT_twxSmxS7Hk-VjwJnkXATw'  data-theme='light' data-tabindex='86'  data-badge=''><\/div><\/div><div id=\"field_426_151\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter REASON exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 \u0627\u0644\u0646\u0645\u0648\u0630\u062c\"><\/i><span>\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 \u0627\u0644\u0646\u0645\u0648\u0630\u062c<\/span><\/div><label class='gfield_label gform-field-label' for='input_426_151'>Programs (Admin Only)<\/label><div class='ginput_container ginput_container_text'><input name='input_151' id='input_426_151' type='text' value='0001' class='large'   tabindex='87'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_426_32\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter DATE_VISITED exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 \u0627\u0644\u0646\u0645\u0648\u0630\u062c\"><\/i><span>\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 \u0627\u0644\u0646\u0645\u0648\u0630\u062c<\/span><\/div><label class='gfield_label gform-field-label' for='input_426_32'>Date Visited (Admin Only)<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_32' id='input_426_32' type='text' value='26\/04\/2026' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='88'  placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_426_32_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_426_32_date_format' class='screen-reader-text'>\u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_426_32' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_426_137\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter OF_LANG exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 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class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_426' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_426' id='gform_theme_426' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_426' id='gform_style_settings_426' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_426' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='426' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='2RnUvGCja+qFa7eUO3vZXVwfx7\/pxTLq++HswQuZ7Xu9XdJXsSopD3T09KPW6h9TSuPs6cWXBLnUWa8ajhDYN2yIdaF6t2cfQtLip4jgspsjFlo=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_426' 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