{"id":430,"date":"2026-01-06T05:22:17","date_gmt":"2026-01-06T04:22:17","guid":{"rendered":"https:\/\/bernhibritedir.ch\/?page_id=430"},"modified":"2026-09-16T23:01:28","modified_gmt":"2026-09-16T21:01:28","slug":"membership-resgistration-form","status":"publish","type":"page","link":"https:\/\/bernhibretedir.ch\/de\/membership-resgistration-form\/","title":{"rendered":"Mitgliedschaftsregistrierungsformular"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Why Become a member?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Becoming a member of <strong>Bern Hibret Edir<\/strong> means becoming part of a community that supports one another and preserves the Ethiopian tradition of <strong>\u1260\u12a0\u1295\u12f5\u1290\u1275<\/strong> <strong><\/strong><strong>\u1218\u1228\u12f3\u12f3\u1275<\/strong> <strong>(mutual support)<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As a member, you and your family can benefit from:<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>Mutual support in times of bereavement<\/strong> \u2013 Members and their families receive financial, practical and moral support during difficult times.<\/li>\n\n\n\n<li><strong>Standing together as a community<\/strong> \u2013 In the Ethiopian tradition of Edir, members share responsibility and support one another when help is most needed.<\/li>\n\n\n\n<li><strong>Support with funeral and mourning arrangements<\/strong> \u2013 The community can help with practical arrangements and provide comfort to the bereaved family.<\/li>\n\n\n\n<li><strong>Family and community solidarity<\/strong> \u2013 Membership strengthens relationships between Ethiopian families living in Bern and the surrounding areas.<\/li>\n\n\n\n<li><strong>Preserving Ethiopian culture and traditions<\/strong> \u2013 By participating in the Edir, members help maintain the Ethiopian tradition of community cooperation and mutual assistance in Switzerland.<\/li>\n\n\n\n<li><strong>A sense of belonging<\/strong> \u2013 Membership gives individuals and families the opportunity to remain connected with their Ethiopian community.<\/li>\n\n\n\n<li><strong>Participation in community activities<\/strong> \u2013 Members can take part in meetings, cultural activities and other community events.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Our principle is simple: when one family faces a difficult time, the community stands together.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><mark>_<\/mark><\/p>\n\n\n\n\n\n<style>\n.um-register-btn {\n    background-color: #005f8d;\n    color: #ffffff;\n    padding: 14px 28px;\n    font-size: 16px;\n    font-weight: 600;\n    border: none;\n    border-radius: 6px;\n    cursor: pointer;\n}\n\n.um-register-btn:hover {\n    background-color: #004b6f;\n}\n<\/style>\n\n<button id=\"open-wpforms\" class=\"um-register-btn\">\n    Click here to become a member now.\n<\/button>\n\n<div id=\"wpforms-wrapper\" style=\"display:none; margin-top:25px;\">\n    <style id=\"wpforms-css-vars-39\">\n\t\t\t\t#wpforms-39 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-39\"><form id=\"wpforms-form-39\" class=\"wpforms-validate wpforms-form\" data-formid=\"39\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/de\/wp-json\/wp\/v2\/pages\/430?wpforms_form_id=39\" data-token=\"22380a1ceb7b16146595674c32c58361\" data-token-time=\"1789769656\"><noscript class=\"wpforms-error-noscript\">Bitte aktivieren Sie JavaScript in Ihrem Browser, um dieses Formular fertigzustellen.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Bitte aktivieren Sie JavaScript in Ihrem Browser, um dieses Formular fertigzustellen.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-39-field_54-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"54\"><div id=\"wpforms-39-field_54\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-39-field_54-error\"><h5 style=\"text-align:left\"><em><strong>\u12a5\u1263\u12ad\u12ce\u1295 \u12e8\u1218\u1218\u12dd\u1308\u1262\u12eb \u1245\u1339\u1295 \u1260\u1218\u1273\u12c8\u1242\u12eb\u12ce\u1275 \u1218\u1230\u1228\u1275 \u12ed\u1219\u1209 \u1362<\/strong><\/em><\/h5>\n<h5 style=\"text-align:left\"><em><strong>Bitte f\u00fcllen Sie das Registrationsformular entsprechend Ihrem Personalausweis aus<\/strong><\/em>.<\/h5>\n<hr class=\"wpforms-full-line\" \/>\n<h5 style=\"text-align:left\"><\/h5>\n<h5 style=\"text-align:left\"><span class=\"wordwrap\"><span class=\"pspan georgia\" style=\"font-size:14px\"><span class=\"ispan\" style=\"font-style:italic\"><strong><span style=\"text-decoration:underline\">\u121b\u1235\u1273\u12c8\u123b (Hinweis)<\/span><\/strong>:<\/span><\/span><\/span><\/h5>\n<p style=\"text-align:left\"><span style=\"background-color:#78bb07\">\u12a0\u1218\u1273\u12ca \u12e8\u12ad\u134d\u12eb \u130a\u12dc \u12a8\u1325\u122d 1 \u12a5\u1235\u12a8 \u12a6\u12ad\u1276\u1260\u122d 31 \u12f5\u1228\u1235 \u1265\u127b \u1290\u12cd\u1362\u00a0 Die j\u00e4hrliche Zahlungsfrist l\u00e4uft vom 1. Januar bis zum 31. Oktober.<\/span><br \/>\n______________________________________________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-39-field_53-container\" class=\"wpforms-field wpforms-field-text wpforms-field-readonly\" data-field-type=\"text\" data-field-id=\"53\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-39-field_53\" aria-hidden=\"false\">Membership ID<\/label><input type=\"text\" id=\"wpforms-39-field_53\" class=\"wpforms-field-medium\" name=\"wpforms[fields][53]\" aria-errormessage=\"wpforms-39-field_53-error\" ><\/div><div id=\"wpforms-39-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">\u1219\u1209 \u1235\u121d Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" aria-errormessage=\"wpforms-39-field_2-error\" aria-describedby=\"wpforms-39-field_2-description\" required><label for=\"wpforms-39-field_2\" class=\"wpforms-field-sublabel after\">Vorname<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" aria-errormessage=\"wpforms-39-field_2-last-error\" aria-describedby=\"wpforms-39-field_2-description\" required><label for=\"wpforms-39-field_2-last\" class=\"wpforms-field-sublabel after\">Nachname<\/label><\/div><\/div><div id=\"wpforms-39-field_2-description\" class=\"wpforms-field-description\">Enter Your Name  and First according to your ID<\/div><\/fieldset><\/div><div id=\"wpforms-39-field_64-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"64\"><fieldset><legend class=\"wpforms-field-label\">\u12e8\u1275\u12cd\u120d\u12f5 \u1240\u1295 (\u1240\u1295\/\u12c8\u122d\/\u12d3.\u121d) : Geburtsdatum\/ Date of Birth (DD\/MM\/JJJJ) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-medium\"><select name=\"wpforms[fields][64][date][d]\" id=\"wpforms-39-field_64-day\" class=\"wpforms-field-date-time-date-day wpforms-field-required\" aria-label=\"Day\"  required><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >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><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][64][date][m]\" id=\"wpforms-39-field_64-month\" class=\"wpforms-field-date-time-date-month wpforms-field-required\" aria-label=\"Month\"  required><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >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><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][64][date][y]\" id=\"wpforms-39-field_64-year\" class=\"wpforms-field-date-time-date-year wpforms-field-required\" aria-label=\"Year\"  required><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/fieldset><\/div><div id=\"wpforms-39-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_6\">\u12e8\u1218\u1273\u12c8\u1242\u12eb \u1241\u1325\u122d  : Ausweis Nummer <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_6\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-39-field_6-error\" required><\/div><div id=\"wpforms-39-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_7\">\u12a2-\u121c\u12ed\u120d Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-39-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" aria-errormessage=\"wpforms-39-field_7-error\" required><\/div><div id=\"wpforms-39-field_65-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"65\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_65\">Telefon (\u1235\u120d\u12ad \u1241\u1325\u122d)<\/label><input type=\"tel\" id=\"wpforms-39-field_65\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][65]\" aria-label=\"Telefon (\u1235\u120d\u12ad \u1241\u1325\u122d)\" aria-errormessage=\"wpforms-39-field_65-error\" ><\/div><div id=\"wpforms-39-field_9-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">\u1219\u1209 \u12a0\u12f5\u122b\u123d Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-39-field_9\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][9][address1]\" aria-errormessage=\"wpforms-39-field_9-error\" aria-describedby=\"wpforms-39-field_9-description\" required><label for=\"wpforms-39-field_9\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-39-field_9-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][9][city]\" aria-errormessage=\"wpforms-39-field_9-city-error\" aria-describedby=\"wpforms-39-field_9-description\" required><label for=\"wpforms-39-field_9-city\" class=\"wpforms-field-sublabel after\">Stadt<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_9-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][9][state]\" aria-errormessage=\"wpforms-39-field_9-state-error\" aria-describedby=\"wpforms-39-field_9-description\" required><label for=\"wpforms-39-field_9-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-39-field_9-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][9][postal]\" aria-errormessage=\"wpforms-39-field_9-postal-error\" aria-describedby=\"wpforms-39-field_9-description\" required><label for=\"wpforms-39-field_9-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-39-field_9-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][9][country]\" aria-errormessage=\"wpforms-39-field_9-country-error\" aria-describedby=\"wpforms-39-field_9-description\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albanien<\/option><option value=\"DZ\" >Algerien<\/option><option value=\"AS\" >Amerikanisch-Samoa<\/option><option value=\"VI\" >Amerikanische Jungferninseln<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarktika<\/option><option value=\"AG\" >Antigua und Barbuda<\/option><option value=\"AR\" >Argentinien<\/option><option value=\"AM\" >Armenien<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AZ\" >Aserbaidschan<\/option><option value=\"AU\" >Australien<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesch<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgien<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivien (Plurinationaler Staat)<\/option><option value=\"BQ\" >Bonaire, Sint Eustatius und Saba<\/option><option value=\"BA\" >Bosnien und Herzegowina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvetinsel<\/option><option value=\"BR\" >Brasilien<\/option><option value=\"VG\" >Britische Jungferninseln<\/option><option value=\"IO\" >Britisches Territorium im Indischen Ozean<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgarien<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CK\" >Cookinseln<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"DE\" >Deutschland<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominikanische Republik<\/option><option value=\"DJ\" >Dschibuti<\/option><option value=\"DK\" >D\u00e4nemark<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"CI\" >Elfenbeink\u00fcste<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estland<\/option><option value=\"SZ\" >Eswatini (K\u00f6nigreich)<\/option><option value=\"FK\" >Falklandinseln (Malwinen)<\/option><option value=\"FJ\" >Fidschi<\/option><option value=\"FI\" >Finnland<\/option><option value=\"FR\" >Frankreich<\/option><option value=\"GF\" >Franz\u00f6sisch-Guayana<\/option><option value=\"PF\" >Franz\u00f6sisch-Polynesien<\/option><option value=\"TF\" >Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value=\"FO\" >F\u00e4r\u00f6er<\/option><option value=\"GA\" >Gabun<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgien<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GR\" >Griechenland<\/option><option value=\"GL\" >Gr\u00f6nland<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard- und McDonaldinseln<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hongkong<\/option><option value=\"IN\" >Indien<\/option><option value=\"ID\" >Indonesien<\/option><option value=\"IQ\" >Irak<\/option><option value=\"IR\" >Iran (Islamische Republik)<\/option><option value=\"IE\" >Irland<\/option><option value=\"IS\" >Island<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italien<\/option><option value=\"JM\" >Jamaika<\/option><option value=\"JP\" >Japan<\/option><option value=\"YE\" >Jemen<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordanien<\/option><option value=\"KY\" >Kaimaninseln<\/option><option value=\"KH\" >Kambodscha<\/option><option value=\"CM\" >Kamerun<\/option><option value=\"CA\" >Kanada<\/option><option value=\"KZ\" >Kasachstan<\/option><option value=\"QA\" >Katar<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirgisistan<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"CC\" >Kokosinseln (Keelinginseln)<\/option><option value=\"CO\" >Kolumbien<\/option><option value=\"KM\" >Komoren<\/option><option value=\"CD\" >Kongo (Demokratische Republik)<\/option><option value=\"CG\" >Kongo (Republik)<\/option><option value=\"KP\" >Korea (Demokratische Volksrepublik)<\/option><option value=\"KR\" >Korea (Republik)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"HR\" >Kroatien<\/option><option value=\"CU\" >Kuba<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LA\" >Laos (Demokratische Volksrepublik)<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LV\" >Lettland<\/option><option value=\"LB\" >Libanon<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libyen<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Litauen<\/option><option value=\"LU\" >Luxemburg<\/option><option value=\"MO\" >Macau<\/option><option value=\"MG\" >Madagaskar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Malediven<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marokko<\/option><option value=\"MH\" >Marshallinseln<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauretanien<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexiko<\/option><option value=\"FM\" >Mikronesien<\/option><option value=\"MD\" >Moldau (Republik)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolei<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mosambik<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NC\" >Neukaledonien<\/option><option value=\"NZ\" >Neuseeland<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NL\" >Niederlande<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"MK\" >Nordmazedonien (Republik)<\/option><option value=\"NF\" >Norfolkinsel<\/option><option value=\"NO\" >Norwegen<\/option><option value=\"MP\" >N\u00f6rdliche Marianen<\/option><option value=\"OM\" >Oman<\/option><option value=\"TL\" >Osttimor<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Pal\u00e4stina (Staat)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua-Neuguinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippinen<\/option><option value=\"PN\" >Pitcairninseln<\/option><option value=\"PL\" >Polen<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Rum\u00e4nien<\/option><option value=\"RU\" >Russland<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"MF\" >Saint Martin (franz\u00f6sischer Teil)<\/option><option value=\"SX\" >Saint Martin (niederl\u00e4ndischer Teil)<\/option><option value=\"BL\" >Saint-Barth\u00e9lemy<\/option><option value=\"PM\" >Saint-Pierre und Miquelon<\/option><option value=\"SB\" >Salomonen<\/option><option value=\"ZM\" >Sambia<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"SA\" >Saudi-Arabien<\/option><option value=\"SE\" >Schweden<\/option><option value=\"CH\" >Schweiz<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbien<\/option><option value=\"SC\" >Seychellen<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"ZW\" >Simbabwe<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SK\" >Slowakei<\/option><option value=\"SI\" >Slowenien<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ES\" >Spanien<\/option><option value=\"SJ\" >Spitzbergen und Jan Mayen<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SH\" >St. Helena, Ascension und Tristan da Cunha<\/option><option value=\"KN\" >St. Kitts und Nevis<\/option><option value=\"LC\" >St. Lucia<\/option><option value=\"VC\" >St. Vincent und die Grenadinen<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SY\" >Syrien (Arabische Republik)<\/option><option value=\"ST\" >S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value=\"ZA\" >S\u00fcdafrika<\/option><option value=\"GS\" >S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option value=\"SS\" >S\u00fcdsudan<\/option><option value=\"TJ\" >Tadschikistan<\/option><option value=\"TW\" >Taiwan, Republik China<\/option><option value=\"TZ\" >Tansania (Vereinigte Republik)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad und Tobago<\/option><option value=\"TD\" >Tschad<\/option><option value=\"CZ\" >Tschechien<\/option><option value=\"TN\" >Tunesien<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks- und Caicosinseln<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkei<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"HU\" >Ungarn<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Usbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatikanstadt (Staat)<\/option><option value=\"VE\" >Venezuela (Bolivarische Republik)<\/option><option value=\"AE\" >Vereinigte Arabische Emirate<\/option><option value=\"US\" >Vereinigte Staaten von Amerika<\/option><option value=\"GB\" >Vereinigtes K\u00f6nigreich von Gro\u00dfbritannien und Nordirland<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis und Futuna<\/option><option value=\"CX\" >Weihnachtsinsel<\/option><option value=\"EH\" >Westsahara<\/option><option value=\"CF\" >Zentralafrikanische Republik<\/option><option value=\"CY\" >Zypern<\/option><option value=\"EG\" >\u00c4gypten<\/option><option value=\"GQ\" >\u00c4quatorialguinea<\/option><option value=\"ET\" >\u00c4thiopien<\/option><option value=\"AX\" >\u00c5landinseln<\/option><option value=\"AT\" >\u00d6sterreich<\/option><\/select><label for=\"wpforms-39-field_9-country\" class=\"wpforms-field-sublabel after\">Land<\/label><\/div><\/div><div id=\"wpforms-39-field_9-description\" class=\"wpforms-field-description\">Please give your full address<\/div><\/fieldset><\/div><div id=\"wpforms-39-field_75-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_75\">\u12e8\u130b\u1265\u127b \u1201\u1294\u1273 : Zvilstand <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-39-field_75\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][75]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select Choice ---<\/option><option value=\"\u12eb\u130d\u1263\/\u127d :  Verheiratet\"  class=\"choice-1 depth-1\"  >\u12eb\u130d\u1263\/\u127d :  Verheiratet<\/option><option value=\"\u12eb\u120b\u1308\u1263 :  Ledig\"  class=\"choice-2 depth-1\"  >\u12eb\u120b\u1308\u1263 :  Ledig<\/option><option value=\"\u12e8\u1270\u134b\u1273 : Geschieden\"  class=\"choice-4 depth-1\"  >\u12e8\u1270\u134b\u1273 : Geschieden<\/option><option value=\"\u1260\u121e\u1275 \u12e8\u1270\u1208\u12e9 \u1263\u120c\u1264\u1271\/\u1277 : Verwitwet\"  class=\"choice-3 depth-1\"  >\u1260\u121e\u1275 \u12e8\u1270\u1208\u12e9 \u1263\u120c\u1264\u1271\/\u1277 : Verwitwet<\/option><\/select><\/div><div id=\"wpforms-39-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_8\">\u12dc\u130d\u1290\u1275(\u12a2\u1275\u12ee\u1335\u12eb\u12ca\/\u1275\/\u12a2\u1275\u12ee- \u1235\u12ca\u12dd) \u120c\u120b:Staatsangeh\u00f6rigkeit\/en (\u00c4thiopiern \/Schweizer\/rin ) Andere <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-39-field_8-error\" required><\/div><div id=\"wpforms-39-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_10\">\u1346\u1273 : Geschlecht <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-39-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select Choice ---<\/option><option value=\"\u12c8\u1295\u12f5 : M\u00e4nnlich\"  class=\"choice-1 depth-1\"  >\u12c8\u1295\u12f5 : M\u00e4nnlich<\/option><option value=\"\u1234\u1275 : Weiblch\"  class=\"choice-2 depth-1\"  >\u1234\u1275 : Weiblch<\/option><\/select><\/div><div id=\"wpforms-39-field_11-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_11\">\u1263\u1208\u1275\u12f3\u122d \u1296\u1275 \u12c8\u12ed\u1295\u121d \u12e8\u1215\u12ed\u12c8\u1275 \u12a0\u130b\u122d \u12a0\u1208\u12ce\u1275 Sind Sie verheirate oder haben Sie Lebens Partner <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-39-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select Choice ---<\/option><option value=\"\u12a0\u12ce\u1295\/\u12a0\u1208\u129d : JA\"  class=\"choice-1 depth-1\"  >\u12a0\u12ce\u1295\/\u12a0\u1208\u129d : JA<\/option><option value=\"\u12a0\u12ed\u12f0\u1208\u1201\u121d\/\u12e8\u1208\u129d\u121d :Nein\"  class=\"choice-2 depth-1\"  >\u12a0\u12ed\u12f0\u1208\u1201\u121d\/\u12e8\u1208\u129d\u121d :Nein<\/option><\/select><\/div><div id=\"wpforms-39-field_77-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"77\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_77\">\u12e8\u1263\u1208\u1264\u1275\u12ce\u1275 \u12a0\u12f5\u122b\u123b (\u12a8\u120b\u12ed\u129b\u12cd \u12ed\u1208\u12eb\u120d?) Die Adresse Ihres Ehepartners (Falls abweichend von der oben gennanten)<\/label><select id=\"wpforms-39-field_77\" class=\"wpforms-field-medium\" name=\"wpforms[fields][77]\"><option value=\"\u12a0\u12ce\u1295 : Ja\"  class=\"choice-1 depth-1\"  >\u12a0\u12ce\u1295 : Ja<\/option><option value=\"\u12a0\u12ed\u120d\u12ed\u121d : Nein\"  class=\"choice-2 depth-1\"  >\u12a0\u12ed\u120d\u12ed\u121d : Nein<\/option><\/select><\/div><div id=\"wpforms-39-field_12-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"content\" data-field-id=\"12\" style=\"display:none;\"><div id=\"wpforms-39-field_12\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-39-field_12-error\"><h4>\u12e8\u1275\u12f3\u122d \u1313\u12f0\u129b\u12ce\u1275 \u12dd\u122d\u12dd\u127d \u12eb\u1235\u1308\u1261 \u1362 Geben Sie die Daten Ihres Ehepartners ein.<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-39-field_13-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"name\" data-field-id=\"13\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u12e8\u1263\u120d\u1264\u1275\u12ce \u1219\u1209 \u1235\u121d Vorname  Nachname <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" aria-errormessage=\"wpforms-39-field_13-error\" required><label for=\"wpforms-39-field_13\" class=\"wpforms-field-sublabel after\">Vorname<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" aria-errormessage=\"wpforms-39-field_13-last-error\" required><label for=\"wpforms-39-field_13-last\" class=\"wpforms-field-sublabel after\">Nachname<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-39-field_14-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"14\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_14\">\u12e8\u1263\u120d\u1264\u1275\u12ce \u12e8\u1275\u12cd\u120d\u12f5 \u1240\u1295 : Der Geburtstag Ihres Ehepartners <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-39-field_14\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][14][date]\" aria-errormessage=\"wpforms-39-field_14-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-39-field_16-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"16\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_16\">\u12e8\u1263\u120d\u1264\u1275\u12ce\u1295 \u12e8\u1218\u1273\u12c8\u1243\u12eb \u1241\u1325\u122d: Ausweis Nummer Ehepartners <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-39-field_16-error\" required><\/div><div id=\"wpforms-39-field_15-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"15\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_15\">\u12e8\u1263\u1208\u1264\u1275\u12ce \u12dc\u130d\u1290\u1275(\u12a2\u1275\u12ee\u1335\u12eb\u12ca\/\u1275\/\u12a2\u1275\u12ee- \u1235\u12ca\u12dd) \u120c\u120b: Die Staatsangeh\u00f6rigkeit\/en Ihres Ehepartners (\u00c4thiopiern \/Schweizer\/rin ) Ander <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-39-field_15-error\" required><\/div><div id=\"wpforms-39-field_17-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"content\" data-field-id=\"17\" style=\"display:none;\"><div id=\"wpforms-39-field_17\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-39-field_17-error\"><h4>\u12e8\u1263\u1208\u1264\u1275\u12ce \u12a0\u12f5\u122b\u123b ( \u12a8\u120b\u12ed\u129b\u12cd\u12e8\u121a\u1208\u12ed\u12a8\u1206\u1290) :Die Adresse Ihres Ehepartners(falls abweichend von der oben genannten )<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-39-field_18-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"address\" data-field-id=\"18\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-39-field_18\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][18][address1]\" aria-errormessage=\"wpforms-39-field_18-error\" required><label for=\"wpforms-39-field_18\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-39-field_18-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][18][address2]\" aria-errormessage=\"wpforms-39-field_18-address2-error\" ><label for=\"wpforms-39-field_18-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-39-field_18-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][18][city]\" aria-errormessage=\"wpforms-39-field_18-city-error\" required><label for=\"wpforms-39-field_18-city\" class=\"wpforms-field-sublabel after\">Stadt<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_18-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][18][state]\" aria-errormessage=\"wpforms-39-field_18-state-error\" required><label for=\"wpforms-39-field_18-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-39-field_18-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][18][postal]\" aria-errormessage=\"wpforms-39-field_18-postal-error\" required><label for=\"wpforms-39-field_18-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-39-field_18-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][18][country]\" aria-errormessage=\"wpforms-39-field_18-country-error\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albanien<\/option><option value=\"DZ\" >Algerien<\/option><option value=\"AS\" >Amerikanisch-Samoa<\/option><option value=\"VI\" >Amerikanische Jungferninseln<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarktika<\/option><option value=\"AG\" >Antigua und Barbuda<\/option><option value=\"AR\" >Argentinien<\/option><option value=\"AM\" >Armenien<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AZ\" >Aserbaidschan<\/option><option value=\"AU\" >Australien<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesch<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgien<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivien (Plurinationaler Staat)<\/option><option value=\"BQ\" >Bonaire, Sint Eustatius und Saba<\/option><option value=\"BA\" >Bosnien und Herzegowina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvetinsel<\/option><option value=\"BR\" >Brasilien<\/option><option value=\"VG\" >Britische Jungferninseln<\/option><option value=\"IO\" >Britisches Territorium im Indischen Ozean<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgarien<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CK\" >Cookinseln<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"DE\" >Deutschland<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominikanische Republik<\/option><option value=\"DJ\" >Dschibuti<\/option><option value=\"DK\" >D\u00e4nemark<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"CI\" >Elfenbeink\u00fcste<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estland<\/option><option value=\"SZ\" >Eswatini (K\u00f6nigreich)<\/option><option value=\"FK\" >Falklandinseln (Malwinen)<\/option><option value=\"FJ\" >Fidschi<\/option><option value=\"FI\" >Finnland<\/option><option value=\"FR\" >Frankreich<\/option><option value=\"GF\" >Franz\u00f6sisch-Guayana<\/option><option value=\"PF\" >Franz\u00f6sisch-Polynesien<\/option><option value=\"TF\" >Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value=\"FO\" >F\u00e4r\u00f6er<\/option><option value=\"GA\" >Gabun<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgien<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GR\" >Griechenland<\/option><option value=\"GL\" >Gr\u00f6nland<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard- und McDonaldinseln<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hongkong<\/option><option value=\"IN\" >Indien<\/option><option value=\"ID\" >Indonesien<\/option><option value=\"IQ\" >Irak<\/option><option value=\"IR\" >Iran (Islamische Republik)<\/option><option value=\"IE\" >Irland<\/option><option value=\"IS\" >Island<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italien<\/option><option value=\"JM\" >Jamaika<\/option><option value=\"JP\" >Japan<\/option><option value=\"YE\" >Jemen<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordanien<\/option><option value=\"KY\" >Kaimaninseln<\/option><option value=\"KH\" >Kambodscha<\/option><option value=\"CM\" >Kamerun<\/option><option value=\"CA\" >Kanada<\/option><option value=\"KZ\" >Kasachstan<\/option><option value=\"QA\" >Katar<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirgisistan<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"CC\" >Kokosinseln (Keelinginseln)<\/option><option value=\"CO\" >Kolumbien<\/option><option value=\"KM\" >Komoren<\/option><option value=\"CD\" >Kongo (Demokratische Republik)<\/option><option value=\"CG\" >Kongo (Republik)<\/option><option value=\"KP\" >Korea (Demokratische Volksrepublik)<\/option><option value=\"KR\" >Korea (Republik)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"HR\" >Kroatien<\/option><option value=\"CU\" >Kuba<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LA\" >Laos (Demokratische Volksrepublik)<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LV\" >Lettland<\/option><option value=\"LB\" >Libanon<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libyen<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Litauen<\/option><option value=\"LU\" >Luxemburg<\/option><option value=\"MO\" >Macau<\/option><option value=\"MG\" >Madagaskar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Malediven<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marokko<\/option><option value=\"MH\" >Marshallinseln<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauretanien<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexiko<\/option><option value=\"FM\" >Mikronesien<\/option><option value=\"MD\" >Moldau (Republik)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolei<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mosambik<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NC\" >Neukaledonien<\/option><option value=\"NZ\" >Neuseeland<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NL\" >Niederlande<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"MK\" >Nordmazedonien (Republik)<\/option><option value=\"NF\" >Norfolkinsel<\/option><option value=\"NO\" >Norwegen<\/option><option value=\"MP\" >N\u00f6rdliche Marianen<\/option><option value=\"OM\" >Oman<\/option><option value=\"TL\" >Osttimor<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Pal\u00e4stina (Staat)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua-Neuguinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippinen<\/option><option value=\"PN\" >Pitcairninseln<\/option><option value=\"PL\" >Polen<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Rum\u00e4nien<\/option><option value=\"RU\" >Russland<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"MF\" >Saint Martin (franz\u00f6sischer Teil)<\/option><option value=\"SX\" >Saint Martin (niederl\u00e4ndischer Teil)<\/option><option value=\"BL\" >Saint-Barth\u00e9lemy<\/option><option value=\"PM\" >Saint-Pierre und Miquelon<\/option><option value=\"SB\" >Salomonen<\/option><option value=\"ZM\" >Sambia<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"SA\" >Saudi-Arabien<\/option><option value=\"SE\" >Schweden<\/option><option value=\"CH\" >Schweiz<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbien<\/option><option value=\"SC\" >Seychellen<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"ZW\" >Simbabwe<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SK\" >Slowakei<\/option><option value=\"SI\" >Slowenien<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ES\" >Spanien<\/option><option value=\"SJ\" >Spitzbergen und Jan Mayen<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SH\" >St. Helena, Ascension und Tristan da Cunha<\/option><option value=\"KN\" >St. Kitts und Nevis<\/option><option value=\"LC\" >St. Lucia<\/option><option value=\"VC\" >St. Vincent und die Grenadinen<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SY\" >Syrien (Arabische Republik)<\/option><option value=\"ST\" >S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value=\"ZA\" >S\u00fcdafrika<\/option><option value=\"GS\" >S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option value=\"SS\" >S\u00fcdsudan<\/option><option value=\"TJ\" >Tadschikistan<\/option><option value=\"TW\" >Taiwan, Republik China<\/option><option value=\"TZ\" >Tansania (Vereinigte Republik)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad und Tobago<\/option><option value=\"TD\" >Tschad<\/option><option value=\"CZ\" >Tschechien<\/option><option value=\"TN\" >Tunesien<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks- und Caicosinseln<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkei<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"HU\" >Ungarn<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Usbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatikanstadt (Staat)<\/option><option value=\"VE\" >Venezuela (Bolivarische Republik)<\/option><option value=\"AE\" >Vereinigte Arabische Emirate<\/option><option value=\"US\" >Vereinigte Staaten von Amerika<\/option><option value=\"GB\" >Vereinigtes K\u00f6nigreich von Gro\u00dfbritannien und Nordirland<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis und Futuna<\/option><option value=\"CX\" >Weihnachtsinsel<\/option><option value=\"EH\" >Westsahara<\/option><option value=\"CF\" >Zentralafrikanische Republik<\/option><option value=\"CY\" >Zypern<\/option><option value=\"EG\" >\u00c4gypten<\/option><option value=\"GQ\" >\u00c4quatorialguinea<\/option><option value=\"ET\" >\u00c4thiopien<\/option><option value=\"AX\" >\u00c5landinseln<\/option><option value=\"AT\" >\u00d6sterreich<\/option><\/select><label for=\"wpforms-39-field_18-country\" class=\"wpforms-field-sublabel after\">Land<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-39-field_19-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"19\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_19\">\u12e8\u1263\u120b\u1264\u1275\u12ce  \u1235\u120d\u12ad \u1241\u1325\u122d  Telefon Nummer Ihres Ehepartners <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-39-field_19\" class=\"wpforms-field-medium wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][19]\" aria-label=\"\u12e8\u1263\u120b\u1264\u1275\u12ce  \u1235\u120d\u12ad \u1241\u1325\u122d  Telefon Nummer Ihres Ehepartners\" aria-errormessage=\"wpforms-39-field_19-error\" required><\/div><div id=\"wpforms-39-field_20-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_20\">\u12e8\u1245\u122d\u1265 \u1270\u1320\u122a \u12a0\u120d\u12ce\u1275 : Haben Sie eine\/einen Vertreter\/in. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-39-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select Choice ---<\/option><option value=\"\u12a0\u12ce\u1295 \u12a0\u1208\u129d : JA\"  class=\"choice-1 depth-1\"  >\u12a0\u12ce\u1295 \u12a0\u1208\u129d : JA<\/option><option value=\"\u12e8\u1208\u129d\u121d :Nein\"  class=\"choice-2 depth-1\"  >\u12e8\u1208\u129d\u121d :Nein<\/option><\/select><\/div><div id=\"wpforms-39-field_21-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"name\" data-field-id=\"21\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u12e8\u1245\u122d\u1265 \u1270\u1320\u122a \u1219\u1209 \u1235\u121d : Vorname  Nachname des Vertreters <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_21\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][21][first]\" aria-errormessage=\"wpforms-39-field_21-error\" required><label for=\"wpforms-39-field_21\" class=\"wpforms-field-sublabel after\">Vorname<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_21-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][21][last]\" aria-errormessage=\"wpforms-39-field_21-last-error\" required><label for=\"wpforms-39-field_21-last\" class=\"wpforms-field-sublabel after\">Nachname<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-39-field_22-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"22\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_22\">\u12e8\u1245\u122d\u1265 \u1270\u1320\u122a \u12e8\u12a5\u1305 \u1235\u120d\u12ad \u1241\u1325\u122d:Handynummer des Vertreters <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" aria-errormessage=\"wpforms-39-field_22-error\" required><\/div><div id=\"wpforms-39-field_23-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"email\" data-field-id=\"23\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_23\">\u12a2-\u121c\u12ed\u120d Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-39-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" spellcheck=\"false\" aria-errormessage=\"wpforms-39-field_23-error\" required><\/div><div id=\"wpforms-39-field_26-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"address\" data-field-id=\"26\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u12e8\u1245\u122d\u1265 \u1270\u1320\u122a \u1219\u1209 \u12a0\u12f5\u122b\u123b: Wohnort und Adresse <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-39-field_26\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][26][address1]\" aria-errormessage=\"wpforms-39-field_26-error\" required><label for=\"wpforms-39-field_26\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-39-field_26-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][26][city]\" aria-errormessage=\"wpforms-39-field_26-city-error\" required><label for=\"wpforms-39-field_26-city\" class=\"wpforms-field-sublabel after\">Stadt<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_26-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][26][state]\" aria-errormessage=\"wpforms-39-field_26-state-error\" required><label for=\"wpforms-39-field_26-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-39-field_26-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][26][postal]\" aria-errormessage=\"wpforms-39-field_26-postal-error\" required><label for=\"wpforms-39-field_26-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-39-field_26-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][26][country]\" aria-errormessage=\"wpforms-39-field_26-country-error\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albanien<\/option><option value=\"DZ\" >Algerien<\/option><option value=\"AS\" >Amerikanisch-Samoa<\/option><option value=\"VI\" >Amerikanische Jungferninseln<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarktika<\/option><option value=\"AG\" >Antigua und Barbuda<\/option><option value=\"AR\" >Argentinien<\/option><option value=\"AM\" >Armenien<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AZ\" >Aserbaidschan<\/option><option value=\"AU\" >Australien<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesch<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgien<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivien (Plurinationaler Staat)<\/option><option value=\"BQ\" >Bonaire, Sint Eustatius und Saba<\/option><option value=\"BA\" >Bosnien und Herzegowina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvetinsel<\/option><option value=\"BR\" >Brasilien<\/option><option value=\"VG\" >Britische Jungferninseln<\/option><option value=\"IO\" >Britisches Territorium im Indischen Ozean<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgarien<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CK\" >Cookinseln<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"DE\" >Deutschland<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominikanische Republik<\/option><option value=\"DJ\" >Dschibuti<\/option><option value=\"DK\" >D\u00e4nemark<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"CI\" >Elfenbeink\u00fcste<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estland<\/option><option value=\"SZ\" >Eswatini (K\u00f6nigreich)<\/option><option value=\"FK\" >Falklandinseln (Malwinen)<\/option><option value=\"FJ\" >Fidschi<\/option><option value=\"FI\" >Finnland<\/option><option value=\"FR\" >Frankreich<\/option><option value=\"GF\" >Franz\u00f6sisch-Guayana<\/option><option value=\"PF\" >Franz\u00f6sisch-Polynesien<\/option><option value=\"TF\" >Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value=\"FO\" >F\u00e4r\u00f6er<\/option><option value=\"GA\" >Gabun<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgien<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GR\" >Griechenland<\/option><option value=\"GL\" >Gr\u00f6nland<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard- und McDonaldinseln<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hongkong<\/option><option value=\"IN\" >Indien<\/option><option value=\"ID\" >Indonesien<\/option><option value=\"IQ\" >Irak<\/option><option value=\"IR\" >Iran (Islamische Republik)<\/option><option value=\"IE\" >Irland<\/option><option value=\"IS\" >Island<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italien<\/option><option value=\"JM\" >Jamaika<\/option><option value=\"JP\" >Japan<\/option><option value=\"YE\" >Jemen<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordanien<\/option><option value=\"KY\" >Kaimaninseln<\/option><option value=\"KH\" >Kambodscha<\/option><option value=\"CM\" >Kamerun<\/option><option value=\"CA\" >Kanada<\/option><option value=\"KZ\" >Kasachstan<\/option><option value=\"QA\" >Katar<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirgisistan<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"CC\" >Kokosinseln (Keelinginseln)<\/option><option value=\"CO\" >Kolumbien<\/option><option value=\"KM\" >Komoren<\/option><option value=\"CD\" >Kongo (Demokratische Republik)<\/option><option value=\"CG\" >Kongo (Republik)<\/option><option value=\"KP\" >Korea (Demokratische Volksrepublik)<\/option><option value=\"KR\" >Korea (Republik)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"HR\" >Kroatien<\/option><option value=\"CU\" >Kuba<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LA\" >Laos (Demokratische Volksrepublik)<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LV\" >Lettland<\/option><option value=\"LB\" >Libanon<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libyen<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Litauen<\/option><option value=\"LU\" >Luxemburg<\/option><option value=\"MO\" >Macau<\/option><option value=\"MG\" >Madagaskar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Malediven<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marokko<\/option><option value=\"MH\" >Marshallinseln<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauretanien<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexiko<\/option><option value=\"FM\" >Mikronesien<\/option><option value=\"MD\" >Moldau (Republik)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolei<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mosambik<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NC\" >Neukaledonien<\/option><option value=\"NZ\" >Neuseeland<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NL\" >Niederlande<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"MK\" >Nordmazedonien (Republik)<\/option><option value=\"NF\" >Norfolkinsel<\/option><option value=\"NO\" >Norwegen<\/option><option value=\"MP\" >N\u00f6rdliche Marianen<\/option><option value=\"OM\" >Oman<\/option><option value=\"TL\" >Osttimor<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Pal\u00e4stina (Staat)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua-Neuguinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippinen<\/option><option value=\"PN\" >Pitcairninseln<\/option><option value=\"PL\" >Polen<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Rum\u00e4nien<\/option><option value=\"RU\" >Russland<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"MF\" >Saint Martin (franz\u00f6sischer Teil)<\/option><option value=\"SX\" >Saint Martin (niederl\u00e4ndischer Teil)<\/option><option value=\"BL\" >Saint-Barth\u00e9lemy<\/option><option value=\"PM\" >Saint-Pierre und Miquelon<\/option><option value=\"SB\" >Salomonen<\/option><option value=\"ZM\" >Sambia<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"SA\" >Saudi-Arabien<\/option><option value=\"SE\" >Schweden<\/option><option value=\"CH\" >Schweiz<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbien<\/option><option value=\"SC\" >Seychellen<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"ZW\" >Simbabwe<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SK\" >Slowakei<\/option><option value=\"SI\" >Slowenien<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ES\" >Spanien<\/option><option value=\"SJ\" >Spitzbergen und Jan Mayen<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SH\" >St. Helena, Ascension und Tristan da Cunha<\/option><option value=\"KN\" >St. Kitts und Nevis<\/option><option value=\"LC\" >St. Lucia<\/option><option value=\"VC\" >St. Vincent und die Grenadinen<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SY\" >Syrien (Arabische Republik)<\/option><option value=\"ST\" >S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value=\"ZA\" >S\u00fcdafrika<\/option><option value=\"GS\" >S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option value=\"SS\" >S\u00fcdsudan<\/option><option value=\"TJ\" >Tadschikistan<\/option><option value=\"TW\" >Taiwan, Republik China<\/option><option value=\"TZ\" >Tansania (Vereinigte Republik)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad und Tobago<\/option><option value=\"TD\" >Tschad<\/option><option value=\"CZ\" >Tschechien<\/option><option value=\"TN\" >Tunesien<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks- und Caicosinseln<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkei<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"HU\" >Ungarn<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Usbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatikanstadt (Staat)<\/option><option value=\"VE\" >Venezuela (Bolivarische Republik)<\/option><option value=\"AE\" >Vereinigte Arabische Emirate<\/option><option value=\"US\" >Vereinigte Staaten von Amerika<\/option><option value=\"GB\" >Vereinigtes K\u00f6nigreich von Gro\u00dfbritannien und Nordirland<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis und Futuna<\/option><option value=\"CX\" >Weihnachtsinsel<\/option><option value=\"EH\" >Westsahara<\/option><option value=\"CF\" >Zentralafrikanische Republik<\/option><option value=\"CY\" >Zypern<\/option><option value=\"EG\" >\u00c4gypten<\/option><option value=\"GQ\" >\u00c4quatorialguinea<\/option><option value=\"ET\" >\u00c4thiopien<\/option><option value=\"AX\" >\u00c5landinseln<\/option><option value=\"AT\" >\u00d6sterreich<\/option><\/select><label for=\"wpforms-39-field_26-country\" class=\"wpforms-field-sublabel after\">Land<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-39-field_27-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_27\">\u120d\u1305 \u12a0\u120d\u12ce\u1275 : Haben Sie Kinder <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-39-field_27\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][27]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select Choice ---<\/option><option value=\"\u12a0\u12ce\u1295 \u12a0\u1208\u129d : JA\"  class=\"choice-1 depth-1\"  >\u12a0\u12ce\u1295 \u12a0\u1208\u129d : JA<\/option><option value=\"\u12e8\u1208\u129d\u121d :Nein\"  class=\"choice-2 depth-1\"  >\u12e8\u1208\u129d\u121d :Nein<\/option><\/select><\/div><div id=\"wpforms-39-field_69-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"number\" data-field-id=\"69\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_69\">\u1235\u1295\u1275 \u120d\u1306\u127d \u12a0\u1209\u12ce\u1275? How many children do you have <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-39-field_69\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][69]\" step=\"any\" aria-errormessage=\"wpforms-39-field_69-error\" required><\/div><div id=\"wpforms-39-field_33-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"divider\" data-field-id=\"33\" style=\"display:none;\"><h3 id=\"wpforms-39-field_33\" aria-errormessage=\"wpforms-39-field_33-error\">\u1264\u1270\u1230\u1265 \u1363 Familie<\/h3><\/div><div id=\"wpforms-39-field_28-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"content\" data-field-id=\"28\" style=\"display:none;\"><div id=\"wpforms-39-field_28\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-39-field_28-error\"><h4>\u12e8\u120d\u1306\u127d \u1235\u121d \u12dd\u122d\u12dd\u122d : Eingabe zu Kinder<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-39-field_34-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"name\" data-field-id=\"34\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">1. \u12e8\u120d\u1305 \u1219\u1209\u1235\u121d (Vorname \/ Nachname des Kindes) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_34\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][34][first]\" aria-errormessage=\"wpforms-39-field_34-error\" required><label for=\"wpforms-39-field_34\" class=\"wpforms-field-sublabel after\">Vorname<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_34-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][34][last]\" aria-errormessage=\"wpforms-39-field_34-last-error\" required><label for=\"wpforms-39-field_34-last\" class=\"wpforms-field-sublabel after\">Nachname<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-39-field_35-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"35\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_35\">\u12e8\u1275\u12cd\u120d\u12f5\u1240\u1295(\u1240\u1295\/\u12c8\u122d\/\u12d3.\u121d) (Geburtsdatum (DD\/MM\/JJJJ) des Kindes) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-39-field_35\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][35][date]\" aria-errormessage=\"wpforms-39-field_35-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-39-field_36-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"36\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_36\">2. \u12e8\u120d\u1305 \u1219\u1209\u1235\u121d (Vorname \/ Nachname des Kindes) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-39-field_36-error\" required><\/div><div id=\"wpforms-39-field_37-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"37\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_37\">2. \u12e8\u1275\u12cd\u120d\u12f5\u1240\u1295(\u1240\u1295\/\u12c8\u122d\/\u12d3.\u121d) (Geburtsdatum (DD\/MM\/JJJJ) des Kindes) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-39-field_37\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][37][date]\" aria-errormessage=\"wpforms-39-field_37-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-39-field_38-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"38\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_38\">3. \u12e8\u120d\u1305 \u1219\u1209\u1235\u121d (Vorname \/ Nachname des Kindes) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-39-field_38-error\" required><\/div><div id=\"wpforms-39-field_39-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"39\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_39\">3. \u12e8\u1275\u12cd\u120d\u12f5\u1240\u1295(\u1240\u1295\/\u12c8\u122d\/\u12d3.\u121d) (Geburtsdatum (DD\/MM\/JJJJ) des Kindes) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-39-field_39\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][39][date]\" aria-errormessage=\"wpforms-39-field_39-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-39-field_40-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"40\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_40\">4. \u12e8\u120d\u1305 \u1219\u1209\u1235\u121d (Vorname \/ Nachname des Kindes) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_40\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][40]\" aria-errormessage=\"wpforms-39-field_40-error\" required><\/div><div id=\"wpforms-39-field_41-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"41\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_41\">4. \u12e8\u1275\u12cd\u120d\u12f5\u1240\u1295(\u1240\u1295\/\u12c8\u122d\/\u12d3.\u121d) (Geburtsdatum (DD\/MM\/JJJJ) des Kindes) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-39-field_41\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][41][date]\" aria-errormessage=\"wpforms-39-field_41-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-39-field_70-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"70\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_70\">5. \u12e8\u120d\u1305 \u1219\u1209\u1235\u121d (Vorname \/ Nachname des Kindes) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_70\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][70]\" aria-errormessage=\"wpforms-39-field_70-error\" required><\/div><div id=\"wpforms-39-field_71-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"71\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_71\">5. \u12e8\u1275\u12cd\u120d\u12f5\u1240\u1295(\u1240\u1295\/\u12c8\u122d\/\u12d3.\u121d) (Geburtsdatum (DD\/MM\/JJJJ) des Kindes) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-39-field_71\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][71][date]\" aria-errormessage=\"wpforms-39-field_71-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-39-field_42-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"42\"><div id=\"wpforms-39-field_42\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-39-field_42-error\"><p><strong><span style=\"text-decoration:underline\">Best\u00e4tigung\u00a0:\u00a0\u1235\u121d\u1293 \u134a\u122d\u121b<\/span><\/strong><\/p>\n<p style=\"text-align:left\">\u12a8\u120b\u12ed \u12e8\u121e\u120b\u1201\u1275 \u1218\u1228\u1303 \u1275\u12ad\u12ad\u1208\u129b \u1218\u1206\u1291\u1295 \u1260\u134a\u122d\u121b\u12ec \u12a0\u1228\u130b\u130d\u1323\u1208\u1201\u1361\u1361 Mit meiner Unterschrift auf diesem Formular garantiere ich die Richtigkeit meiner Angaben<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-39-field_43-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"43\"><fieldset><legend class=\"wpforms-field-label\">\u1219\u1209 \u1235\u121d vollst\u00e4ndige Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_43\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][43][first]\" aria-errormessage=\"wpforms-39-field_43-error\" required><label for=\"wpforms-39-field_43\" class=\"wpforms-field-sublabel after\">Vorname<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-39-field_43-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][43][last]\" aria-errormessage=\"wpforms-39-field_43-last-error\" required><label for=\"wpforms-39-field_43-last\" class=\"wpforms-field-sublabel after\">Nachname<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-39-field_46-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"46\"><fieldset><legend class=\"wpforms-field-label\">\u1240\u1295 (\u1240\u1295\/\u12c8\u122d\/\u12d3. \u121d) Datum (DD\/MM\/JJJJ): <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-medium\"><select name=\"wpforms[fields][46][date][d]\" id=\"wpforms-39-field_46-day\" class=\"wpforms-field-date-time-date-day wpforms-field-required\" aria-label=\"Day\"  required><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >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><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][46][date][m]\" id=\"wpforms-39-field_46-month\" class=\"wpforms-field-date-time-date-month wpforms-field-required\" aria-label=\"Month\"  required><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >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><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][46][date][y]\" id=\"wpforms-39-field_46-year\" class=\"wpforms-field-date-time-date-year wpforms-field-required\" aria-label=\"Year\"  required><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/fieldset><\/div><div id=\"wpforms-39-field_55-container\" class=\"wpforms-field wpforms-field-signature\" data-field-type=\"signature\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_55\">\u134a\u122d\u121b : Unterschrift <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_55\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][55]\" autocomplete=\"off\" inputmode=\"none\" aria-errormessage=\"wpforms-39-field_55-error\" required><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\" data-input-method=\"draw\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-39-field_55-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><div id=\"wpforms-39-field_50-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"50\"><h3 id=\"wpforms-39-field_50\" aria-errormessage=\"wpforms-39-field_50-error\">\u12a0\u1235\u1348\u120b\u130a \u1230\u1290\u12f6\u127d \u1363 Wichtige Dokumente<\/h3><\/div><div id=\"wpforms-39-field_49-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"49\"><div id=\"wpforms-39-field_49\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-39-field_49-error\"><h4>\u12a5\u122b\u1235\u12ce\u1295 \u1208\u1218\u1208\u12e8\u1275 \u12a5\u1263\u12ad\u12ce \u1230\u1290\u12f6\u127d\u12ce\u1295 \u12ed\u1235\u1240\u1209 \u1362 Um sich zu identifizieren, laden Sie bitte Ihre Dokumente hoch.<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-39-field_48-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_48\">\u12e8\u1218\u1273\u12c8\u1242\u12eb \u12ae\u1352 \u12ed\u1235\u1240\u1209 :Ausweis Kopie hochladen <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"48\"\n\t\tdata-form-id=\"39\"\n\t\tdata-input-name=\"wpforms_39_48\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,svg\"\n\t\tdata-max-size=\"67108864\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"67108864\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>, or\t\t\t\t<span class=\"wpforms-camera\">Capture With Your Camera<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<div id=\"wpforms-camera-modal-39-48\" class=\"wpforms-camera-modal-overlay wpforms-camera-format-photo\"  style=\"display: none;\" data-field-id=\"48\"  data-form-id=\"39\">\n\t<div class=\"wpforms-camera-modal\">\n\t\t<div class=\"wpforms-camera-modal-header\">\n\t\t\t<div class=\"wpforms-camera-modal-title\">Camera Preview<\/div>\n\t\t\t<div class=\"wpforms-camera-modal-close\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"11\" fill=\"none\">\n\t\t\t\t\t<path d=\"M10.688 2.219 7.405 5.5l3.282 3.313a.964.964 0 0 1 0 1.406.964.964 0 0 1-1.407 0L6 6.938l-3.313 3.28a.964.964 0 0 1-1.406 0 .964.964 0 0 1 0-1.405L4.563 5.5 1.28 2.219a.964.964 0 0 1 0-1.406.964.964 0 0 1 1.407 0L6 4.092 9.281.814a.964.964 0 0 1 1.406 0 .964.964 0 0 1 0 1.406Z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"wpforms-camera-modal-content\">\n\t\t\t<div class=\"wpforms-camera-preview\">\n\t\t\t\t<video id=\"wpforms-camera-video-39-48\" autoplay playsinline muted disablepictureinpicture><\/video>\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-camera-error\"><\/div>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wpforms-camera-modal-footer\">\n\t\t\t\t<div class=\"wpforms-camera-modal-actions\">\n\t\t\t\t\t<button class=\"wpforms-camera-capture\" title=\"Capture Photo\" disabled>\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"22\" fill=\"none\">\n\t\t\t\t\t\t\t\t<path fill=\"#fff\" d=\"M6.984 2.047C7.313 1.109 8.156.5 9.141.5h5.718c.985 0 1.829.61 2.157 1.547l.468 1.453H21c1.64 0 3 1.36 3 3v12c0 1.64-1.36 3-3 3H3c-1.64 0-3-1.36-3-3v-12c0-1.64 1.36-3 3-3h3.516l.468-1.453ZM12 8a4.501 4.501 0 0 0 0 9 4.501 4.501 0 0 0 0-9Z\"\/>\n\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-stop\" style=\"display:none;\">O<\/button>\n\t\t\t\t\t<div class=\"wpforms-camera-countdown\" style=\"display: none;\">\n\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t<circle class=\"bg\" r=\"22\"><\/circle>\n\t\t\t\t\t\t\t<circle class=\"progress\" r=\"22\"><\/circle>\n\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t<span>3<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wpforms-camera-flip\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpforms-camera-modal-buttons\" style=\"display: none;\">\n\t\t\t\t\t<button class=\"wpforms-camera-cancel\" title=\"Retake Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept\">Use Photo<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept-crop\" style=\"display: none;\">Apply Crop<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop\" title=\"Crop Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop-cancel\" title=\"Cancel Crop\" style=\"display: none;\"><\/button>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t<canvas id=\"wpforms-camera-canvas-39-48\" style=\"display:none;\"><\/canvas>\n\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-39-field_48\"\n\t\tname=\"wpforms_39_48\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-39-field_51-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"51\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_51\">\u12e8\u1264\u1270\u1230\u1265 \u12e8\u1218\u1296\u122a\u12eb \u121b\u12d8\u130b\u1303 \u1264\u1275 \u12e8\u121d\u1235\u12ad\u122d \u12c8\u1228\u1240\u1275 Wohnsitzbescheinigung der Wohngemeinde-Kopie hochladen <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"51\"\n\t\tdata-form-id=\"39\"\n\t\tdata-input-name=\"wpforms_39_51\"\n\t\tdata-extensions=\"pdf,jpg,jpeg\"\n\t\tdata-max-size=\"67108864\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"67108864\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>, or\t\t\t\t<span class=\"wpforms-camera\">Capture With Your Camera<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<div id=\"wpforms-camera-modal-39-51\" class=\"wpforms-camera-modal-overlay wpforms-camera-format-photo\"  style=\"display: none;\" data-field-id=\"51\"  data-form-id=\"39\">\n\t<div class=\"wpforms-camera-modal\">\n\t\t<div class=\"wpforms-camera-modal-header\">\n\t\t\t<div class=\"wpforms-camera-modal-title\">Camera Preview<\/div>\n\t\t\t<div class=\"wpforms-camera-modal-close\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"11\" fill=\"none\">\n\t\t\t\t\t<path d=\"M10.688 2.219 7.405 5.5l3.282 3.313a.964.964 0 0 1 0 1.406.964.964 0 0 1-1.407 0L6 6.938l-3.313 3.28a.964.964 0 0 1-1.406 0 .964.964 0 0 1 0-1.405L4.563 5.5 1.28 2.219a.964.964 0 0 1 0-1.406.964.964 0 0 1 1.407 0L6 4.092 9.281.814a.964.964 0 0 1 1.406 0 .964.964 0 0 1 0 1.406Z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"wpforms-camera-modal-content\">\n\t\t\t<div class=\"wpforms-camera-preview\">\n\t\t\t\t<video id=\"wpforms-camera-video-39-51\" autoplay playsinline muted disablepictureinpicture><\/video>\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-camera-error\"><\/div>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wpforms-camera-modal-footer\">\n\t\t\t\t<div class=\"wpforms-camera-modal-actions\">\n\t\t\t\t\t<button class=\"wpforms-camera-capture\" title=\"Capture Photo\" disabled>\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"22\" fill=\"none\">\n\t\t\t\t\t\t\t\t<path fill=\"#fff\" d=\"M6.984 2.047C7.313 1.109 8.156.5 9.141.5h5.718c.985 0 1.829.61 2.157 1.547l.468 1.453H21c1.64 0 3 1.36 3 3v12c0 1.64-1.36 3-3 3H3c-1.64 0-3-1.36-3-3v-12c0-1.64 1.36-3 3-3h3.516l.468-1.453ZM12 8a4.501 4.501 0 0 0 0 9 4.501 4.501 0 0 0 0-9Z\"\/>\n\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-stop\" style=\"display:none;\">O<\/button>\n\t\t\t\t\t<div class=\"wpforms-camera-countdown\" style=\"display: none;\">\n\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t<circle class=\"bg\" r=\"22\"><\/circle>\n\t\t\t\t\t\t\t<circle class=\"progress\" r=\"22\"><\/circle>\n\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t<span>3<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wpforms-camera-flip\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpforms-camera-modal-buttons\" style=\"display: none;\">\n\t\t\t\t\t<button class=\"wpforms-camera-cancel\" title=\"Retake Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept\">Use Photo<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept-crop\" style=\"display: none;\">Apply Crop<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop\" title=\"Crop Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop-cancel\" title=\"Cancel Crop\" style=\"display: none;\"><\/button>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t<canvas id=\"wpforms-camera-canvas-39-51\" style=\"display:none;\"><\/canvas>\n\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-39-field_51\"\n\t\tname=\"wpforms_39_51\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-39-field_72-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"72\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_72\">\u12e8\u1263\u1208\u1264\u12ce\u1275\u1295 \u12c8\u12ed\u1295\u121d \u12e8\u1275\u12f3\u122d \u12a0\u130b\u122d\u12ce\u1275 \u12e8\u1218\u1273\u12c8\u1242\u12eb \u12ae\u1352 \u12ed\u1235\u1240\u1209 :Kopie des Ausweises Ihres Ehepartners oder Lebenspartners hochladen <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"72\"\n\t\tdata-form-id=\"39\"\n\t\tdata-input-name=\"wpforms_39_72\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,svg\"\n\t\tdata-max-size=\"67108864\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"67108864\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-39-field_72\"\n\t\tname=\"wpforms_39_72\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-39-field_73-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"73\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_73\">\u12e8\u120d\u1305\u12ce\u1275\u1295 \u12e8\u1218\u1273\u12c8\u1242\u12eb \u12ae\u1352 \u12ed\u1235\u1240\u1209 : Kopie des Ausweises Ihres Kindes hochladen <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"73\"\n\t\tdata-form-id=\"39\"\n\t\tdata-input-name=\"wpforms_39_73\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,svg\"\n\t\tdata-max-size=\"67108864\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"67108864\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-39-field_73\"\n\t\tname=\"wpforms_39_73\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-39-field_74-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"74\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_74\">\u12e8\u1245\u122d\u1265 \u1270\u1320\u122a \u12e8\u1218\u1273\u12c8\u1242\u12eb \u12ae\u1352 \u12ed\u1235\u1240\u1209 : Kopie des Ausweises Ihres Vertreters hochladen <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"74\"\n\t\tdata-form-id=\"39\"\n\t\tdata-input-name=\"wpforms_39_74\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,svg\"\n\t\tdata-max-size=\"67108864\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"67108864\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-39-field_74\"\n\t\tname=\"wpforms_39_74\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-39-field_60-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"60\"><div id=\"wpforms-39-field_60\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-39-field_60-error\"><p><strong><span style=\"text-decoration:underline\">Best\u00e4tigung\u00a0:\u00a0\u1235\u121d\u1293 \u134a\u122d\u121b<\/span><\/strong><\/p>\n<p style=\"text-align:left\">\u12e8\u1218\u1228\u12f3\u1303 \u12a5\u12f5\u1229\u1295 \u1218\u1270\u12f3\u12f0\u122a\u12eb \u12f0\u1295\u1265 \u12a0\u1295\u1265\u1264\u1363\u1270\u1228\u12f5\u127c\u1361\u12f0\u1295\u1261\u1295 \u1208\u121b\u12ad\u1260\u122d\u1293 \u130d\u12f4\u1273\u12ec\u1295\u121d \u1208\u1218\u12c8\u1323\u1275 \u1235\u120d \u1260\u134a\u122d\u121b\u12ec \u12a0\u1228\u130b\u130d\u1323\u1208\u1201\u1361\u1361<\/p>\n<p style=\"text-align:left\">Mit meiner Unterschrift best\u00e4tige ich, dass ich die Regeln gelesen und verstanden habe und meinen Pflichten<br \/>\nnachgekommen bin.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-39-field_62-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"62\"><fieldset><legend class=\"wpforms-field-label\">\u1240\u1295 \/ Datum <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-medium\"><select name=\"wpforms[fields][62][date][d]\" id=\"wpforms-39-field_62-day\" class=\"wpforms-field-date-time-date-day wpforms-field-required\" aria-label=\"Day\"  required><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >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><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][62][date][m]\" id=\"wpforms-39-field_62-month\" class=\"wpforms-field-date-time-date-month wpforms-field-required\" aria-label=\"Month\"  required><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >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><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][62][date][y]\" id=\"wpforms-39-field_62-year\" class=\"wpforms-field-date-time-date-year wpforms-field-required\" aria-label=\"Year\"  required><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/fieldset><\/div><div id=\"wpforms-39-field_63-container\" class=\"wpforms-field wpforms-field-signature\" data-field-type=\"signature\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-39-field_63\">\u134a\u122d\u121b : Unterschrift <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-39-field_63\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][63]\" autocomplete=\"off\" inputmode=\"none\" aria-errormessage=\"wpforms-39-field_63-error\" required><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\" data-input-method=\"draw\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-39-field_63-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><div id=\"wpforms-39-field_78-container\" class=\"wpforms-field wpforms-field-hidden\" data-field-type=\"hidden\" data-field-id=\"78\"><input type=\"hidden\" id=\"wpforms-39-field_78\" name=\"wpforms[fields][78]\"><\/div>\t\t<div id=\"wpforms-39-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-39-field_1\" >Wohngemeinde-Kopie : Vertreter\/in.<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-39-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-39-field_52-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"52\"><div id=\"wpforms-39-field_52\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-39-field_52-error\"><p><span style=\"text-decoration:underline\"><strong>\u121b\u1230\u1273\u12c8\u123b<\/strong><\/span><\/p>\n<ol style=\"list-style-type:decimal\">\n<li>\u12e8\u1218\u1218\u12dd\u1308\u1262\u12eb\u12cd \u1245\u1345 \u1345\u1201\u1349\u1363 \u1260\u130d\u120d\u1345 \u1363\u1235\u122d\u12dd \u12f5\u120d\u12dd \u1233\u12ed\u1296\u1228\u12cd \u1218\u121e\u120b\u1275 \u12a0\u1208\u1260\u1275<\/li>\n<li>\u1260\u1218\u1218\u12dd\u1308\u1262\u12eb\u12cd \u1245\u1345 \u120b\u12ed \u12a5\u12f0\u121e\u1209\u1275 \u12e8\u1245\u122d\u1265 \u1270\u1320\u122a \u12eb\u1209\u1275\u1295 \u130d\u1208\u1230\u1265 \u1218\u1273\u12c8\u1242\u12eb \u134e\u1276 \u12ae\u1352 \u1218\u12eb\u12eb\u12dd \u12a0\u1208\u1260\u1275<\/li>\n<li>\u120d\u1306\u127d \u12eb\u120b\u1278\u12cd \u1263\u1208\u1275\u12f3\u122e\u127d \u1260\u12a0\u1295\u12f5 \u12a0\u12f5\u122b\u123b \u1260\u12a0\u1295\u12f5 \u1264\u1275 \u12e8\u121a\u1296\u1229 \u12a8\u1206\u1290\u1363 \u12a8\u121a\u1296\u1229\u1260\u1275 \u1266\u1273 \u12e8\u1218\u1296\u122a\u12eb \u121b\u1228\u130b\u1308\u132b \u1230\u122d\u1272\u134a\u12ac\u1275 \u121b\u1245\u1228\u1265 \u12ed\u1296\u122d\u1263\u1278\u12cb\u120d<\/li>\n<li>\u12e8\u1218\u1218\u12dd\u1308\u1262\u12eb\u12cd\u1295 \u1245\u1345 \u12a8\u121e\u1209\u1275 \u1260\u1283\u120b \u1208\u12a5\u12f5\u122b\u127d\u1295 \u12a0\u1263\u120d \u12c8\u12ed\u121d \u1208\u12ae\u121c\u1274 \u12a0\u1263\u120b\u1275 \u1218\u1230\u1320\u1275 \u12ed\u127b\u120b\u120d \u1362<\/li>\n<\/ol>\n<p><span style=\"text-decoration:underline\"><strong>Bemerkung:<\/strong><\/span><\/p>\n<ol style=\"list-style-type:decimal\">\n<li>Das Registrierungsformular muss deutlich und ohne Unklarheiten oder Fehler ausgef\u00fcllt werden.<\/li>\n<li>Eine Kopie eines aktuellen pers\u00f6nlichen Ausweisdokuments (ebenfalls des Vertreters) muss dem ausgef\u00fcllten Registrierungsformular beigef\u00fcgt werden.<\/li>\n<li>Paare mit Kindern, die im gemeinsamen Haushalt an derselben Adresse leben, m\u00fcssen eine Wohnsitzbest\u00e4tigung der zust\u00e4ndigen Wohnsitzgemeinde vorzulegen<\/li>\n<li>Nach dem Ausf\u00fcllen des Anmeldeformulars kann es einem Mitglied unserer Verwaltung oder einem Komiteemitglied \u00fcbergeben werden.<\/li>\n<\/ol>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-39-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-39-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-39-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- 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Hide the button\n    this.style.display = 'none';\n});\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Why Become a member? Becoming a member of Bern Hibret Edir means becoming part of a community that supports one another and preserves the Ethiopian tradition of \u1260\u12a0\u1295\u12f5\u1290\u1275 \u1218\u1228\u12f3\u12f3\u1275 (mutual support). As a member, you and your family can benefit from: Our principle is simple: when one family faces a difficult time, the community stands [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kadence_starter_templates_imported_post":false,"footnotes":""},"class_list":["post-430","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/bernhibretedir.ch\/de\/wp-json\/wp\/v2\/pages\/430","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bernhibretedir.ch\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bernhibretedir.ch\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bernhibretedir.ch\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bernhibretedir.ch\/de\/wp-json\/wp\/v2\/comments?post=430"}],"version-history":[{"count":25,"href":"https:\/\/bernhibretedir.ch\/de\/wp-json\/wp\/v2\/pages\/430\/revisions"}],"predecessor-version":[{"id":1150,"href":"https:\/\/bernhibretedir.ch\/de\/wp-json\/wp\/v2\/pages\/430\/revisions\/1150"}],"wp:attachment":[{"href":"https:\/\/bernhibretedir.ch\/de\/wp-json\/wp\/v2\/media?parent=430"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}