{"id":247,"date":"2022-11-08T17:22:38","date_gmt":"2022-11-08T17:22:38","guid":{"rendered":"https:\/\/uniepool.nl\/elearning\/?page_id=247"},"modified":"2022-11-08T17:22:38","modified_gmt":"2022-11-08T17:22:38","slug":"stamkaart-1122pl","status":"publish","type":"page","link":"https:\/\/uniepool.nl\/elearning\/?page_id=247","title":{"rendered":"Stamkaart 1122PL"},"content":{"rendered":"\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f246-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"246\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/elearning\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F247#wpcf7-f246-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"246\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f246-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"redirect_nonce\" value=\"7a8c77ccd1\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_name\" value=\"stamkaart-text-achternaam-text-voornamen\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_reference\" value=\"18f0d03c\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_date\" value=\"September21,2026\" \/>\n<\/fieldset>\n<p>KWESTIONARIUSZ OSOBOWY\n<\/p>\n<p>Nazwisko : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-achternaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-achternaam\" \/><\/span>\n<\/p>\n<p>Imiona : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-voornamen\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-voornamen\" \/><\/span>\n<\/p>\n<p>Adres e-mail : <span class=\"wpcf7-form-control-wrap\" data-name=\"email-adres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-adres\" \/><\/span>\n<\/p>\n<p>Adres zamieszkania : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-adres-bl\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-adres-bl\" \/><\/span>\n<\/p>\n<p>Kod pocztowy : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-postcode\" \/><\/span>\n<\/p>\n<p>Miejscowosc : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-plaats\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-plaats\" \/><\/span>\n<\/p>\n<p>Nr telefonu stacjonarnego : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-tel-vast\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-tel-vast\" \/><\/span>\n<\/p>\n<p>Nr telefonu kom\u00f3rkowego :<span class=\"wpcf7-form-control-wrap\" data-name=\"text-tel-mobiel-herkomst\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-tel-mobiel-herkomst\" \/><\/span>\n<\/p>\n<p>Nr telefonu Whatapp : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-tel-mobiel-nl\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-tel-mobiel-nl\" \/><\/span>\n<\/p>\n<p>Data urodzenia : <span class=\"wpcf7-form-control-wrap\" data-name=\"gebdag\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"gebdag\"><option value=\"\">&#8212;Please choose an option&#8212;<\/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><\/span>-<span class=\"wpcf7-form-control-wrap\" data-name=\"gebmaand\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"gebmaand\"><option value=\"\">&#8212;Please choose an option&#8212;<\/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><\/span>-<span class=\"wpcf7-form-control-wrap\" data-name=\"gebjaar\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"gebjaar\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"1955\">1955<\/option><option value=\"1956\">1956<\/option><option value=\"1957\">1957<\/option><option value=\"1958\">1958<\/option><option value=\"1959\">1959<\/option><option value=\"1960\">1960<\/option><option value=\"1961\">1961<\/option><option value=\"1962\">1962<\/option><option value=\"1963\">1963<\/option><option value=\"1964\">1964<\/option><option value=\"1965\">1965<\/option><option value=\"1966\">1966<\/option><option value=\"1967\">1967<\/option><option value=\"1968\">1968<\/option><option value=\"1969\">1969<\/option><option value=\"1970\">1970<\/option><option value=\"1971\">1971<\/option><option value=\"1972\">1972<\/option><option value=\"1973\">1973<\/option><option value=\"1974\">1974<\/option><option value=\"1975\">1975<\/option><option value=\"1976\">1976<\/option><option value=\"1977\">1977<\/option><option value=\"1978\">1978<\/option><option value=\"1979\">1979<\/option><option value=\"1980\">1980<\/option><option value=\"1981\">1981<\/option><option value=\"1982\">1982<\/option><option value=\"1983\">1983<\/option><option value=\"1984\">1984<\/option><option value=\"1985\">1985<\/option><option value=\"1986\">1986<\/option><option value=\"1987\">1987<\/option><option value=\"1988\">1988<\/option><option value=\"1989\">1989<\/option><option value=\"1990\">1990<\/option><option value=\"1991\">1991<\/option><option value=\"1992\">1992<\/option><option value=\"1993\">1993<\/option><option value=\"1994\">1994<\/option><option value=\"1995\">1995<\/option><option value=\"1996\">1996<\/option><option value=\"1997\">1997<\/option><option value=\"1998\">1998<\/option><option value=\"1999\">1999<\/option><option value=\"2000\">2000<\/option><option value=\"2001\">2001<\/option><option value=\"2002\">2002<\/option><option value=\"2003\">2003<\/option><option value=\"2004\">2004<\/option><option value=\"2005\">2005<\/option><option value=\"2006\">2006<\/option><option value=\"2007\">2007<\/option><option value=\"2008\">2008<\/option><option value=\"2009\">2009<\/option><option value=\"2010\">2010<\/option><option value=\"2011\">2011<\/option><option value=\"2012\">2012<\/option><\/select><\/span>\n<\/p>\n<p>Miejsce urodzenia : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-gebplaats\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-gebplaats\" \/><\/span>\n<\/p>\n<p>P\u0142e\u0107 : <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-manvrouw\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-manvrouw\" value=\"Mezczyzna\" \/><span class=\"wpcf7-list-item-label\">Mezczyzna<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-manvrouw\" value=\"Kobieta\" \/><span class=\"wpcf7-list-item-label\">Kobieta<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Stan cywilny : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-burgstaat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-burgstaat\" \/><\/span>\n<\/p>\n<p>W naglym wypadku powiadomic : <span class=\"wpcf7-form-control-wrap\" data-name=\"ICEcontactnaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ICEcontactnaam\" \/><\/span>\n<\/p>\n<p>Dane osoby kontaktowej : <span class=\"wpcf7-form-control-wrap\" data-name=\"ICEcontactadr\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ICEcontactadr\" \/><\/span>\n<\/p>\n<p>Zawod wyuczony : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-beroep-studi\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-beroep-studi\" \/><\/span>\n<\/p>\n<p>Doswiadczenie zawodowe : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-beroep-ervaring\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-beroep-ervaring\" \/><\/span>\n<\/p>\n<p>Prawo jazdy : <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-174\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-174[]\" value=\"A\" \/><span class=\"wpcf7-list-item-label\">A<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-174[]\" value=\"B\" \/><span class=\"wpcf7-list-item-label\">B<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-174[]\" value=\"C\" \/><span class=\"wpcf7-list-item-label\">C<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-174[]\" value=\"D\" \/><span class=\"wpcf7-list-item-label\">D<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-174[]\" value=\"E\" \/><span class=\"wpcf7-list-item-label\">E<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Znajomosc jezyk\u00f3w : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-talen\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-talen\" \/><\/span>\n<\/p>\n<p>Numer BSN :<span class=\"wpcf7-form-control-wrap\" data-name=\"text-bsn\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-bsn\" \/><\/span>\n<\/p>\n<p>Rodzaj dokumentu tozsamosci: <span class=\"wpcf7-form-control-wrap\" data-name=\"ID-document\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"ID-document\"><option value=\"Paszport\">Paszport<\/option><option value=\"Dowod osobisty\">Dowod osobisty<\/option><\/select><\/span>\n<\/p>\n<p>Numer dokumentu : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-idkaart\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-idkaart\" \/><\/span>\n<\/p>\n<p>Data waznosci dokumentu : <span class=\"wpcf7-form-control-wrap\" data-name=\"geldigdag\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"geldigdag\"><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><\/span>-<span class=\"wpcf7-form-control-wrap\" data-name=\"geldigmaand\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"geldigmaand\"><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><\/span>-<span class=\"wpcf7-form-control-wrap\" data-name=\"geldigjaar\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"geldigjaar\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"2020\">2020<\/option><option value=\"2021\">2021<\/option><option value=\"2022\">2022<\/option><option value=\"2023\">2023<\/option><option value=\"2024\">2024<\/option><option value=\"2025\">2025<\/option><option value=\"2026\">2026<\/option><option value=\"2027\">2027<\/option><option value=\"2028\">2028<\/option><option value=\"2029\">2029<\/option><option value=\"2030\">2030<\/option><option value=\"2031\">2031<\/option><option value=\"2032\">2032<\/option><option value=\"2033\">2033<\/option><option value=\"2034\">2034<\/option><option value=\"2035\">2035<\/option><option value=\"2036\">2036<\/option><option value=\"2037\">2037<\/option><option value=\"2038\">2038<\/option><option value=\"2039\">2039<\/option><\/select><\/span>\n<\/p>\n<p>Rozmiar buta : <span class=\"wpcf7-form-control-wrap\" data-name=\"Schoenmaat\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"Schoenmaat\"><option value=\"36\">36<\/option><option value=\"37\">37<\/option><option value=\"38\">38<\/option><option value=\"39\">39<\/option><option value=\"40\">40<\/option><option value=\"41\">41<\/option><option value=\"42\">42<\/option><option value=\"43\">43<\/option><option value=\"44\">44<\/option><option value=\"45\">45<\/option><option value=\"46\">46<\/option><option value=\"47\">47<\/option><option value=\"48\">48<\/option><option value=\"50\">50<\/option><\/select><\/span>\n<\/p>\n<p>Numer konta (NL) : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-nlbankrek\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-nlbankrek\" \/><\/span>\n<\/p>\n<p>Numer konta krajowy : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-herkomstbankrek\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-herkomstbankrek\" \/><\/span>\n<\/p>\n<p>Swift \/ BIC : <span class=\"wpcf7-form-control-wrap\" data-name=\"text-swiftbic\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-swiftbic\" \/><\/span>\n<\/p>\n<HR \/>\n<p>Czy chcesz skorzystac z ubezpieczenia zdrowotnego przez Unie-Pool: <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-892\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-892\" value=\"Tak-Ja\" \/><span class=\"wpcf7-list-item-label\">Tak-Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-892\" value=\"Nie-Nee\" \/><span class=\"wpcf7-list-item-label\">Nie-Nee<\/span><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<p>Czy chcesz skorzystac z zakwaterowania przez Unie-Pool : <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-347\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-347\" value=\"Tak-Ja\" \/><span class=\"wpcf7-list-item-label\">Tak-Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-347\" value=\"Nie-Nee\" \/><span class=\"wpcf7-list-item-label\">Nie-Nee<\/span><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<table>\n\t<tr>\n\t\t<TD>\n\t\t\t<p>Rejestracja godzin poprzez:\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<TD>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<TD>\n\t\t\t<p>Karta godzin:\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<TD>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-671\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-671\" value=\"Tak-Ja\" \/><span class=\"wpcf7-list-item-label\">Tak-Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-671\" value=\"Nie-Nee\" \/><span class=\"wpcf7-list-item-label\">Nie-Nee<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<TD>\n\t\t\t<p>Czip:\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<TD>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-701\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-701\" value=\"Tak-Ja\" \/><span class=\"wpcf7-list-item-label\">Tak-Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-701\" value=\"Nie-Nee\" \/><span class=\"wpcf7-list-item-label\">Nie-Nee<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<TD>\n\t\t\t<p>Wlasny kod :\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<TD>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-647\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-647\" value=\"Tak-Ja\" \/><span class=\"wpcf7-list-item-label\">Tak-Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-647\" value=\"Nie-Nee\" \/><span class=\"wpcf7-list-item-label\">Nie-Nee<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<TD>\n\t\t\t<p>Skan palca :\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<TD>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-26\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-26\" value=\"Tak-Ja\" \/><span class=\"wpcf7-list-item-label\">Tak-Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-26\" value=\"Nie-Nee\" \/><span class=\"wpcf7-list-item-label\">Nie-Nee<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<TD>\n\t\t\t<p>Scan teczowki :\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<TD>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-299\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-299\" value=\"Tak-Ja\" \/><span class=\"wpcf7-list-item-label\">Tak-Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-299\" value=\"Nie-Nee\" \/><span class=\"wpcf7-list-item-label\">Nie-Nee<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<hr \/>\n<p>Podpis :\n<\/p>\n<p><div class=\"wpcf7-form-control-signature-global-wrap\" data-field-id=\"signature-566\">\n\t\t\t\t<div class=\"wpcf7-form-control-signature-wrap\" style=\"width:400px;height:300px;\">\n\t\t\t\t\t<div class=\"wpcf7-form-control-signature-body\">\n\t\t\t\t\t\t<canvas id=\"wpcf7_signature-566_signature\" class=\"signature-566\"><\/canvas>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpcf7-form-control-clear-wrap\">\n\t\t\t\t\t<input id=\"wpcf7_signature-566_clear\" type=\"button\" value=\"Clear\"\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap wpcf7-form-control-signature-input-wrap signature-566\">\n\t\t\t\t<input aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"hidden\" name=\"signature-566\" id=\"wpcf7_input_signature-566\"\/><input type=\"hidden\" name=\"signature-566-attachment\" id=\"wpcf7_input_signature-566_attachment\"\/><input type=\"hidden\" name=\"signature-566-inline\" id=\"wpcf7_input_signature-566_inline\"\/>\n\t\t\t<\/span>\n\t\t\t\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Wyslij\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-247","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/uniepool.nl\/elearning\/index.php?rest_route=\/wp\/v2\/pages\/247","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uniepool.nl\/elearning\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/uniepool.nl\/elearning\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/uniepool.nl\/elearning\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/uniepool.nl\/elearning\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=247"}],"version-history":[{"count":1,"href":"https:\/\/uniepool.nl\/elearning\/index.php?rest_route=\/wp\/v2\/pages\/247\/revisions"}],"predecessor-version":[{"id":248,"href":"https:\/\/uniepool.nl\/elearning\/index.php?rest_route=\/wp\/v2\/pages\/247\/revisions\/248"}],"wp:attachment":[{"href":"https:\/\/uniepool.nl\/elearning\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=247"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}