{"id":7,"date":"2022-10-27T13:03:44","date_gmt":"2022-10-27T13:03:44","guid":{"rendered":"https:\/\/reg.rsathai.org\/?page_id=7"},"modified":"2022-11-01T17:36:26","modified_gmt":"2022-11-01T10:36:26","slug":"%e0%b8%aa%e0%b8%a1%e0%b8%b1%e0%b8%84%e0%b8%a3%e0%b9%80%e0%b8%84%e0%b8%a3%e0%b8%b7%e0%b8%ad%e0%b8%82%e0%b9%88%e0%b8%b2%e0%b8%a2%e0%b8%ad%e0%b8%b2%e0%b8%aa%e0%b8%b2-rsa","status":"publish","type":"page","link":"https:\/\/reg.rsathai.org\/","title":{"rendered":"\u0e2a\u0e21\u0e31\u0e04\u0e23\u0e40\u0e04\u0e23\u0e37\u0e2d\u0e02\u0e48\u0e32\u0e22\u0e2d\u0e32\u0e2a\u0e32 RSA"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7\" class=\"elementor elementor-7\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7777e82 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7777e82\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c78acda\" data-id=\"c78acda\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ef842e1 elementor-widget elementor-widget-image\" data-id=\"ef842e1\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.7.6 - 15-09-2022 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/reg.rsathai.org\/wp-content\/uploads\/elementor\/thumbs\/cropped-cropped-rsathailogo-px2ggs5s74ku93toyaenu7yjps9mbg44z3fb4nrai0.png\" title=\"cropped-cropped-rsathailogo\" alt=\"cropped-cropped-rsathailogo\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1227c4f elementor-widget elementor-widget-heading\" data-id=\"1227c4f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.7.6 - 15-09-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">\u0e41\u0e1a\u0e1a\u0e41\u0e08\u0e49\u0e07\u0e04\u0e27\u0e32\u0e21\u0e1b\u0e23\u0e30\u0e2a\u0e07\u0e04\u0e4c\u0e40\u0e02\u0e49\u0e32\u0e23\u0e48\u0e27\u0e21\u0e40\u0e04\u0e23\u0e37\u0e2d\u0e02\u0e48\u0e32\u0e22\u0e2d\u0e32\u0e2a\u0e32 RSA\n<br>(Referral system for safe abortion)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e7e571 elementor-widget elementor-widget-shortcode\" data-id=\"4e7e571\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script><script type=\"text\/javascript\">\n        var gfafPrePopfield = function(formid, fromfield, tofield, inputid) {\n            if (!inputid) {\n                document.getElementById(\"input_\" + formid + \"_\" + tofield).value = document.getElementById(\"input_\" + formid + \"_\" + fromfield).value ? document.getElementById(\"input_\" + formid + \"_\" + fromfield).value : \"\";\n            } else {\n                if (document.getElementById(\"input_\" + formid + \"_\" + tofield + \"_\" + inputid)) {\n                    document.getElementById(\"input_\" + formid + \"_\" + tofield + \"_\" + inputid).value = document.getElementById(\"input_\" + formid + \"_\" + fromfield + \"_\" + inputid).value ? document.getElementById(\"input_\" + formid + \"_\" + fromfield + \"_\" + inputid).value : \"\";\n                }\n            }\n        }\n    <\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-index='0' id='gform_wrapper_3' style='display:none'><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F7#gf_3' data-formid='3' novalidate>\n        <div id='gf_progressbar_wrapper_3' class='gf_progressbar_wrapper'>\n        \t<p class=\"gf_progressbar_title\">\u0e02\u0e31\u0e49\u0e19\u0e15\u0e2d\u0e19\u0e17\u0e35\u0e48 <span class='gf_step_current_page'>1<\/span> \u0e08\u0e32\u0e01 <span class='gf_step_page_count'>2<\/span> - \u0e43\u0e1a\u0e2a\u0e21\u0e31\u0e04\u0e23\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_50' style='width:50%; color:#fff; background-color:#007236;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_3_1' class='gform_page ' >\n                                    <div class='gform_page_fields'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_3_30\"  class=\"gfield gfield--type-section gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_30\"><h3 class=\"gsection_title\">\u0e02\u0e49\u0e2d\u0e21\u0e39\u0e25\u0e17\u0e31\u0e48\u0e27\u0e44\u0e1b\u0e02\u0e2d\u0e07\u0e1c\u0e39\u0e49\u0e2a\u0e21\u0e31\u0e04\u0e23<\/h3><\/div><div id=\"field_3_1\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_1\"><label class='gfield_label gform-field-label' for='input_3_1' >\u0e0a\u0e37\u0e48\u0e2d-\u0e2a\u0e01\u0e38\u0e25 (\u0e1c\u0e39\u0e49\u0e2a\u0e21\u0e31\u0e04\u0e23\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_3_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_3_3\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_3col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_3\"><legend class='gfield_label gform-field-label'  >\u0e15\u0e33\u0e41\u0e2b\u0e19\u0e48\u0e07<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_3'>\n\t\t\t<div class='gchoice gchoice_3_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='\u0e41\u0e1e\u0e17\u0e22\u0e4c'  id='choice_3_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_0' id='label_3_3_0' class='gform-field-label gform-field-label--type-inline'>\u0e41\u0e1e\u0e17\u0e22\u0e4c<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='\u0e1e\u0e22\u0e32\u0e1a\u0e32\u0e25\u0e27\u0e34\u0e0a\u0e32\u0e0a\u0e35\u0e1e'  id='choice_3_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_1' id='label_3_3_1' class='gform-field-label gform-field-label--type-inline'>\u0e1e\u0e22\u0e32\u0e1a\u0e32\u0e25\u0e27\u0e34\u0e0a\u0e32\u0e0a\u0e35\u0e1e<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='\u0e19\u0e31\u0e01\u0e2a\u0e31\u0e07\u0e04\u0e21\u0e2a\u0e07\u0e40\u0e04\u0e23\u0e32\u0e30\u0e2b\u0e4c'  id='choice_3_3_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_2' id='label_3_3_2' class='gform-field-label gform-field-label--type-inline'>\u0e19\u0e31\u0e01\u0e2a\u0e31\u0e07\u0e04\u0e21\u0e2a\u0e07\u0e40\u0e04\u0e23\u0e32\u0e30\u0e2b\u0e4c<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='\u0e19\u0e31\u0e01\u0e08\u0e34\u0e15\u0e27\u0e34\u0e17\u0e22\u0e32'  id='choice_3_3_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_3' id='label_3_3_3' class='gform-field-label gform-field-label--type-inline'>\u0e19\u0e31\u0e01\u0e08\u0e34\u0e15\u0e27\u0e34\u0e17\u0e22\u0e32<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='\u0e19\u0e31\u0e01\u0e27\u0e34\u0e0a\u0e32\u0e01\u0e32\u0e23\u0e2a\u0e32\u0e18\u0e32\u0e23\u0e13\u0e2a\u0e38\u0e02'  id='choice_3_3_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_4' id='label_3_3_4' class='gform-field-label gform-field-label--type-inline'>\u0e19\u0e31\u0e01\u0e27\u0e34\u0e0a\u0e32\u0e01\u0e32\u0e23\u0e2a\u0e32\u0e18\u0e32\u0e23\u0e13\u0e2a\u0e38\u0e02<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='\u0e2d\u0e07\u0e04\u0e4c\u0e01\u0e23\u0e1e\u0e31\u0e12\u0e19\u0e32\u0e40\u0e2d\u0e01\u0e0a\u0e19'  id='choice_3_3_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_5' id='label_3_3_5' class='gform-field-label gform-field-label--type-inline'>\u0e2d\u0e07\u0e04\u0e4c\u0e01\u0e23\u0e1e\u0e31\u0e12\u0e19\u0e32\u0e40\u0e2d\u0e01\u0e0a\u0e19<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='\u0e04\u0e23\u0e39 \/\u0e2d\u0e32\u0e08\u0e32\u0e23\u0e22\u0e4c'  id='choice_3_3_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_6' id='label_3_3_6' class='gform-field-label gform-field-label--type-inline'>\u0e04\u0e23\u0e39 \/\u0e2d\u0e32\u0e08\u0e32\u0e23\u0e22\u0e4c<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_3_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='\u0e2d\u0e37\u0e48\u0e19 \u0e46 \u0e42\u0e1b\u0e23\u0e14\u0e23\u0e30\u0e1a\u0e38'  id='choice_3_3_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_3_7' id='label_3_3_7' class='gform-field-label gform-field-label--type-inline'>\u0e2d\u0e37\u0e48\u0e19 \u0e46 \u0e42\u0e1b\u0e23\u0e14\u0e23\u0e30\u0e1a\u0e38<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_4\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_4\"><label class='gfield_label gform-field-label' for='input_3_4' >\u0e15\u0e33\u0e41\u0e2b\u0e19\u0e48\u0e07\u0e2d\u0e37\u0e48\u0e19\u0e46 (\u0e42\u0e1b\u0e23\u0e14\u0e23\u0e30\u0e1a\u0e38)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_3_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_5\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_5\"><label class='gfield_label gform-field-label' for='input_3_5' >\u0e2a\u0e16\u0e32\u0e19\u0e17\u0e35\u0e48\u0e1b\u0e0e\u0e34\u0e1a\u0e31\u0e15\u0e34\u0e07\u0e32\u0e19 (\u0e0a\u0e37\u0e48\u0e2d\u0e2b\u0e19\u0e48\u0e27\u0e22\u0e07\u0e32\u0e19)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_3_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_6\"  class=\"gfield gfield--type-text gfield--width-half address gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_6\"><label class='gfield_label gform-field-label' for='input_3_6' >\u0e17\u0e35\u0e48\u0e15\u0e31\u0e49\u0e07 (\u0e40\u0e25\u0e02\u0e17\u0e35\u0e48)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_3_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_7\"  class=\"gfield gfield--type-text gfield--width-quarter district gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_7\"><label class='gfield_label gform-field-label' for='input_3_7' >\u0e15\u0e33\u0e1a\u0e25\/\u0e41\u0e02\u0e27\u0e07<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_3_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_8\"  class=\"gfield gfield--type-text gfield--width-quarter city gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_8\"><label class='gfield_label gform-field-label' for='input_3_8' >\u0e2d\u0e33\u0e40\u0e20\u0e2d\/\u0e40\u0e02\u0e15<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_3_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_9\"  class=\"gfield gfield--type-text gfield--width-quarter state gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_9\"><label class='gfield_label gform-field-label' for='input_3_9' >\u0e08\u0e31\u0e07\u0e2b\u0e27\u0e31\u0e14<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_3_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_10\"  class=\"gfield gfield--type-text gfield--width-quarter postcode gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gfafnumericonly\"  data-field-class=\"gfafnumericonly\" data-js-reload=\"field_3_10\"><label class='gfield_label gform-field-label' for='input_3_10' >\u0e23\u0e2b\u0e31\u0e2a\u0e44\u0e1b\u0e23\u0e29\u0e13\u0e35\u0e22\u0e4c<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_3_10' onkeypress=\"return event.charCode >= 48 && event.charCode <= 57\" oninput=\"this.value=this.value.replace(\/[^0-9]\/g,'');\" \" type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_11\"  class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gfafnumericonly\"  data-field-class=\"gfafnumericonly\" data-js-reload=\"field_3_11\"><label class='gfield_label gform-field-label' for='input_3_11' >\u0e40\u0e1a\u0e2d\u0e23\u0e4c\u0e42\u0e17\u0e23\u0e28\u0e31\u0e1e\u0e17\u0e4c\u0e2a\u0e48\u0e27\u0e19\u0e15\u0e31\u0e27 (\u0e40\u0e09\u0e1e\u0e32\u0e30\u0e43\u0e19\u0e40\u0e04\u0e23\u0e37\u0e2d\u0e02\u0e48\u0e32\u0e22)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_3_11' onkeypress=\"return event.charCode >= 48 && event.charCode <= 57\" oninput=\"this.value=this.value.replace(\/[^0-9]\/g,'');\" \" type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_12\"  class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_12\"><label class='gfield_label gform-field-label' for='input_3_12' >\u0e2d\u0e35\u0e40\u0e21\u0e25<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_3_12' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_13\"  class=\"gfield gfield--type-text gfield--width-third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_13\"><label class='gfield_label gform-field-label' for='input_3_13' >\u0e44\u0e2d\u0e14\u0e35\u0e44\u0e25\u0e19\u0e4c<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_3_13' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_14\"  class=\"gfield gfield--type-section gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_14\"><h3 class=\"gsection_title\">\u0e41\u0e19\u0e27\u0e17\u0e32\u0e07\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e23\u0e31\u0e1a\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d\u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e22\u0e38\u0e15\u0e34\u0e01\u0e32\u0e23\u0e15\u0e31\u0e49\u0e07\u0e04\u0e23\u0e23\u0e20\u0e4c\u0e17\u0e32\u0e07\u0e01\u0e32\u0e23\u0e41\u0e1e\u0e17\u0e22\u0e4c<\/h3><\/div><fieldset id=\"field_3_15\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_15\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e44\u0e14\u0e49\u0e21\u0e32\u0e01\u0e01\u0e27\u0e48\u0e32 1 \u0e02\u0e49\u0e2d<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_15'><div class='gchoice gchoice_3_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e43\u0e2b\u0e49\u0e04\u0e33\u0e1b\u0e23\u0e36\u0e01\u0e29\u0e32\u0e17\u0e32\u0e07\u0e40\u0e25\u0e37\u0e2d\u0e01 \u0e41\u0e25\u0e30\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d\u0e44\u0e1b\u0e22\u0e31\u0e07\u0e2b\u0e19\u0e48\u0e27\u0e22\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e22\u0e38\u0e15\u0e34\u0e01\u0e32\u0e23\u0e15\u0e31\u0e49\u0e07\u0e04\u0e23\u0e23\u0e20\u0e4c\u0e17\u0e35\u0e48\u0e1b\u0e25\u0e2d\u0e14\u0e20\u0e31\u0e22'  id='choice_3_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_1' id='label_3_15_1' class='gform-field-label gform-field-label--type-inline'>\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e43\u0e2b\u0e49\u0e04\u0e33\u0e1b\u0e23\u0e36\u0e01\u0e29\u0e32\u0e17\u0e32\u0e07\u0e40\u0e25\u0e37\u0e2d\u0e01 \u0e41\u0e25\u0e30\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d\u0e44\u0e1b\u0e22\u0e31\u0e07\u0e2b\u0e19\u0e48\u0e27\u0e22\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e22\u0e38\u0e15\u0e34\u0e01\u0e32\u0e23\u0e15\u0e31\u0e49\u0e07\u0e04\u0e23\u0e23\u0e20\u0e4c\u0e17\u0e35\u0e48\u0e1b\u0e25\u0e2d\u0e14\u0e20\u0e31\u0e22<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e22\u0e38\u0e15\u0e34\u0e01\u0e32\u0e23\u0e15\u0e31\u0e49\u0e07\u0e04\u0e23\u0e23\u0e20\u0e4c\u0e17\u0e35\u0e48\u0e1b\u0e25\u0e2d\u0e14\u0e20\u0e31\u0e22'  id='choice_3_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_2' id='label_3_15_2' class='gform-field-label gform-field-label--type-inline'>\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e22\u0e38\u0e15\u0e34\u0e01\u0e32\u0e23\u0e15\u0e31\u0e49\u0e07\u0e04\u0e23\u0e23\u0e20\u0e4c\u0e17\u0e35\u0e48\u0e1b\u0e25\u0e2d\u0e14\u0e20\u0e31\u0e22<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_16\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gfafnumericonly\"  data-field-class=\"gfafnumericonly\" data-js-reload=\"field_3_16\"><label class='gfield_label gform-field-label' for='input_3_16' >\u0e23\u0e31\u0e1a\u0e2d\u0e32\u0e22\u0e38\u0e04\u0e23\u0e23\u0e20\u0e4c\u0e15\u0e48\u0e33\u0e01\u0e27\u0e48\u0e32 (\u0e2a\u0e31\u0e1b\u0e14\u0e32\u0e2b\u0e4c)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_3_16' onkeypress=\"return event.charCode >= 48 && event.charCode <= 57\" oninput=\"this.value=this.value.replace(\/[^0-9]\/g,'');\" \" type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_17\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gfafnumericonly\"  data-field-class=\"gfafnumericonly\" data-js-reload=\"field_3_17\"><label class='gfield_label gform-field-label' for='input_3_17' >\u0e01\u0e23\u0e13\u0e35\u0e40\u0e04\u0e22\u0e1c\u0e48\u0e32\u0e04\u0e25\u0e2d\u0e14 \u0e23\u0e31\u0e1a\u0e2d\u0e32\u0e22\u0e38\u0e04\u0e23\u0e23\u0e20\u0e4c\u0e15\u0e48\u0e33\u0e01\u0e27\u0e48\u0e32  (\u0e2a\u0e31\u0e1b\u0e14\u0e32\u0e2b\u0e4c)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_3_17' onkeypress=\"return event.charCode >= 48 && event.charCode <= 57\" oninput=\"this.value=this.value.replace(\/[^0-9]\/g,'');\" \" type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_3_18\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_18\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0e1e\u0e37\u0e49\u0e19\u0e17\u0e35\u0e48\u0e23\u0e31\u0e1a\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d\u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e22\u0e38\u0e15\u0e34\u0e01\u0e32\u0e23\u0e15\u0e31\u0e49\u0e07\u0e04\u0e23\u0e23\u0e20\u0e4c\u0e17\u0e32\u0e07\u0e01\u0e32\u0e23\u0e41\u0e1e\u0e17\u0e22\u0e4c<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_18'><div class='gchoice gchoice_3_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='\u0e22\u0e34\u0e19\u0e14\u0e35\u0e23\u0e31\u0e1a\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d\u0e40\u0e09\u0e1e\u0e32\u0e30\u0e43\u0e19\u0e08\u0e31\u0e07\u0e2b\u0e27\u0e31\u0e14'  id='choice_3_18_1'   aria-describedby=\"gfield_description_3_18\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_1' id='label_3_18_1' class='gform-field-label gform-field-label--type-inline'>\u0e22\u0e34\u0e19\u0e14\u0e35\u0e23\u0e31\u0e1a\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d\u0e40\u0e09\u0e1e\u0e32\u0e30\u0e43\u0e19\u0e08\u0e31\u0e07\u0e2b\u0e27\u0e31\u0e14<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='\u0e22\u0e34\u0e19\u0e14\u0e35\u0e23\u0e31\u0e1a\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d\u0e40\u0e09\u0e1e\u0e32\u0e30\u0e43\u0e19\u0e40\u0e02\u0e15\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e'  id='choice_3_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_2' id='label_3_18_2' class='gform-field-label gform-field-label--type-inline'>\u0e22\u0e34\u0e19\u0e14\u0e35\u0e23\u0e31\u0e1a\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d\u0e40\u0e09\u0e1e\u0e32\u0e30\u0e43\u0e19\u0e40\u0e02\u0e15\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='\u0e22\u0e34\u0e19\u0e14\u0e35\u0e23\u0e31\u0e1a\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d\u0e17\u0e31\u0e48\u0e27\u0e1b\u0e23\u0e30\u0e40\u0e17\u0e28'  id='choice_3_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_3' id='label_3_18_3' class='gform-field-label gform-field-label--type-inline'>\u0e22\u0e34\u0e19\u0e14\u0e35\u0e23\u0e31\u0e1a\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d\u0e17\u0e31\u0e48\u0e27\u0e1b\u0e23\u0e30\u0e40\u0e17\u0e28<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.4' type='checkbox'  value='\u0e2d\u0e37\u0e48\u0e19\u0e46'  id='choice_3_18_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_4' id='label_3_18_4' class='gform-field-label gform-field-label--type-inline'>\u0e2d\u0e37\u0e48\u0e19\u0e46<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3_18'>(\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e44\u0e14\u0e49\u0e21\u0e32\u0e01\u0e01\u0e27\u0e48\u0e32 1 \u0e02\u0e49\u0e2d)<\/div><\/fieldset><div id=\"field_3_19\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_19\"><label class='gfield_label gform-field-label' for='input_3_19' >\u0e2d\u0e37\u0e48\u0e19\u0e46 \u0e42\u0e1b\u0e23\u0e14\u0e23\u0e30\u0e1a\u0e38<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_3_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_20\"  class=\"gfield gfield--type-section gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_20\"><h3 class=\"gsection_title\">\u0e1c\u0e39\u0e49\u0e15\u0e34\u0e14\u0e15\u0e48\u0e2d\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e19\u0e07\u0e32\u0e19\u0e43\u0e19\u0e2b\u0e19\u0e48\u0e27\u0e22\u0e07\u0e32\u0e19<\/h3><\/div><div id=\"field_3_21\"  class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_21\"><label class='gfield_label gform-field-label' for='input_3_21' >\u0e0a\u0e37\u0e48\u0e2d-\u0e2a\u0e01\u0e38\u0e25<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_3_21' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_22\"  class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_22\"><label class='gfield_label gform-field-label' for='input_3_22' >\u0e15\u0e33\u0e41\u0e2b\u0e19\u0e48\u0e07<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_3_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_23\"  class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_23\"><label class='gfield_label gform-field-label' for='input_3_23' >\u0e1d\u0e48\u0e32\u0e22<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_3_23' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_24\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gfafnumericonly\"  data-field-class=\"gfafnumericonly\" data-js-reload=\"field_3_24\"><label class='gfield_label gform-field-label' for='input_3_24' >\u0e40\u0e1a\u0e2d\u0e23\u0e4c\u0e42\u0e17\u0e23\u0e28\u0e31\u0e1e\u0e17\u0e4c (\u0e2a\u0e33\u0e2b\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e1b\u0e23\u0e30\u0e2a\u0e32\u0e19\u0e2a\u0e48\u0e07\u0e15\u0e48\u0e2d)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_3_24' onkeypress=\"return event.charCode >= 48 && event.charCode <= 57\" oninput=\"this.value=this.value.replace(\/[^0-9]\/g,'');\" \" type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_25\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_25\"><label class='gfield_label gform-field-label' for='input_3_25' >\u0e44\u0e2d\u0e14\u0e35\u0e44\u0e25\u0e19\u0e4c<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_3_25' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_26\"  class=\"gfield gfield--type-section gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_26\"><h3 class=\"gsection_title\">\u0e02\u0e49\u0e2d\u0e21\u0e39\u0e25\u0e1b\u0e23\u0e30\u0e01\u0e2d\u0e1a\u0e01\u0e32\u0e23\u0e2a\u0e21\u0e31\u0e04\u0e23\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01\u0e40\u0e04\u0e23\u0e37\u0e2d\u0e02\u0e48\u0e32\u0e22<\/h3><\/div><fieldset id=\"field_3_31\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_31\"><legend class='gfield_label gform-field-label'  >\u0e17\u0e48\u0e32\u0e19\u0e21\u0e35\u0e1a\u0e38\u0e04\u0e04\u0e25\u0e2d\u0e49\u0e32\u0e07\u0e2d\u0e34\u0e07\/\u0e1c\u0e39\u0e49\u0e41\u0e19\u0e30\u0e19\u0e33 \u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e1b\u0e23\u0e30\u0e01\u0e2d\u0e1a\u0e01\u0e32\u0e23\u0e2a\u0e21\u0e31\u0e04\u0e23\u0e2b\u0e23\u0e37\u0e2d\u0e44\u0e21\u0e48<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_31'>\n\t\t\t<div class='gchoice gchoice_3_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='\u0e21\u0e35'  id='choice_3_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_31_0' id='label_3_31_0' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='\u0e44\u0e21\u0e48\u0e21\u0e35'  id='choice_3_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_31_1' id='label_3_31_1' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e21\u0e35<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_27\"  class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_27\"><label class='gfield_label gform-field-label' for='input_3_27' >\u0e42\u0e1b\u0e23\u0e14\u0e23\u0e30\u0e1a\u0e38 \u0e0a\u0e37\u0e48\u0e2d-\u0e2a\u0e01\u0e38\u0e25 (\u0e1c\u0e39\u0e49\u0e2d\u0e49\u0e32\u0e07\u0e2d\u0e34\u0e07)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_3_27' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_36\"  class=\"gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gfafnumericonly\"  data-field-class=\"gfafnumericonly\" data-js-reload=\"field_3_36\"><label class='gfield_label gform-field-label' for='input_3_36' >\u0e40\u0e1a\u0e2d\u0e23\u0e4c\u0e42\u0e17\u0e23\u0e28\u0e31\u0e1e\u0e17\u0e4c\u0e1c\u0e39\u0e49\u0e2d\u0e49\u0e32\u0e07\u0e2d\u0e34\u0e07<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_3_36' onkeypress=\"return event.charCode >= 48 && event.charCode <= 57\" oninput=\"this.value=this.value.replace(\/[^0-9]\/g,'');\" \" type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_28\"  class=\"gfield gfield--type-fileupload gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_28\"><label class='gfield_label gform-field-label' for='gform_browse_button_3_28' >\u0e42\u0e1b\u0e23\u0e14\u0e41\u0e19\u0e1a\u0e44\u0e1f\u0e25\u0e4c\u0e20\u0e32\u0e1e\u0e17\u0e35\u0e48\u0e17\u0e32\u0e07\u0e23\u0e32\u0e0a\u0e01\u0e32\u0e23\u0e2d\u0e2d\u0e01\u0e43\u0e2b\u0e49 \u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e40\u0e1b\u0e47\u0e19\u0e02\u0e49\u0e2d\u0e21\u0e39\u0e25\u0e1b\u0e23\u0e30\u0e01\u0e2d\u0e1a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_3_28' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_3_28&quot;,&quot;container&quot;:&quot;gform_multifile_upload_3_28&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_3_28&quot;,&quot;filelist&quot;:&quot;gform_preview_3_28&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/reg.rsathai.org\\\/?gf_page=e3f605b8705f2a0&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/reg.rsathai.org\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/reg.rsathai.org\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;16777216b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:3,&quot;field_id&quot;:28},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_3_28&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;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_3_28' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_3_28' class='button gform_button_select_files' aria-describedby=\"gfield_upload_rules_3_28\"  >Select files<\/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_3_28'>Max. file size: 16 MB.<\/span><ul class='validation_message validation_message--hidden-on-empty gfield_validation_message gform-ul-reset' id='gform_multifile_messages_3_28'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_3_28'><\/div><\/div><fieldset id=\"field_3_29\"  class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_29\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0e02\u0e49\u0e32\u0e1e\u0e40\u0e08\u0e49\u0e32\u0e22\u0e37\u0e19\u0e22\u0e31\u0e19\u0e01\u0e32\u0e23\u0e2a\u0e21\u0e31\u0e04\u0e23\u0e2a\u0e21\u0e32\u0e0a\u0e34\u0e01\u0e40\u0e04\u0e23\u0e37\u0e2d\u0e02\u0e48\u0e32\u0e22\u0e2d\u0e32\u0e2a\u0e32 RSA (Referral system for safe abortion)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_29.1' id='input_3_29_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_29_1' >\u0e43\u0e0a\u0e48\/\u0e22\u0e37\u0e19\u0e22\u0e31\u0e19\u0e01\u0e32\u0e23\u0e2a\u0e21\u0e31\u0e04\u0e23<\/label><input type='hidden' name='input_29.2' value='\u0e43\u0e0a\u0e48\/\u0e22\u0e37\u0e19\u0e22\u0e31\u0e19\u0e01\u0e32\u0e23\u0e2a\u0e21\u0e31\u0e04\u0e23' class='gform_hidden' \/><input type='hidden' name='input_29.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_3_33' class='gform_next_button button' value='\u0e16\u0e31\u0e14\u0e44\u0e1b'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_2' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_3_35\"  class=\"gfield gfield--type-section gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_35\"><h3 class=\"gsection_title\">\u0e42\u0e1b\u0e23\u0e14\u0e15\u0e23\u0e27\u0e08\u0e2a\u0e2d\u0e1a\u0e04\u0e27\u0e32\u0e21\u0e16\u0e39\u0e01\u0e15\u0e49\u0e2d\u0e07\u0e02\u0e2d\u0e07\u0e02\u0e49\u0e2d\u0e21\u0e39\u0e25<\/h3><\/div><div id=\"field_3_34\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_34\">{all_fields}<\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_3' class='gform_previous_button button' value='\u0e01\u0e48\u0e2d\u0e19\u0e2b\u0e19\u0e49\u0e32'  onclick='if(window[\"gf_submitting_3\"]){return false;}  if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  jQuery(\"#gform_3\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_3' class='gform_button button' value='\u0e16\u0e31\u0e14\u0e44\u0e1b'  onclick='if(window[\"gf_submitting_3\"]){return false;}  if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  jQuery(\"#gform_3\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='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' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_3' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_3' value='' \/>\n        <\/div>\n                        <\/div><\/div>\n                        <\/form>\n                        <\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e6bf165 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e6bf165\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ae700fc\" data-id=\"ae700fc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-55dd15b elementor-widget elementor-widget-text-editor\" data-id=\"55dd15b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.7.6 - 15-09-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) 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rsathai.pdf<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u0e41\u0e1a\u0e1a\u0e41\u0e08\u0e49\u0e07\u0e04\u0e27\u0e32\u0e21\u0e1b\u0e23\u0e30\u0e2a\u0e07\u0e04\u0e4c\u0e40\u0e02\u0e49\u0e32\u0e23\u0e48\u0e27\u0e21\u0e40\u0e04\u0e23\u0e37\u0e2d\u0e02\u0e48\u0e32\u0e22\u0e2d\u0e32\u0e2a\u0e32 RSA (Referral s [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/reg.rsathai.org\/index.php?rest_route=\/wp\/v2\/pages\/7","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/reg.rsathai.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/reg.rsathai.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/reg.rsathai.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/reg.rsathai.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7"}],"version-history":[{"count":37,"href":"https:\/\/reg.rsathai.org\/index.php?rest_route=\/wp\/v2\/pages\/7\/revisions"}],"predecessor-version":[{"id":72,"href":"https:\/\/reg.rsathai.org\/index.php?rest_route=\/wp\/v2\/pages\/7\/revisions\/72"}],"wp:attachment":[{"href":"https:\/\/reg.rsathai.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}