{"id":4191,"date":"2026-03-18T08:25:23","date_gmt":"2026-03-18T08:25:23","guid":{"rendered":"https:\/\/new.magnalabs.com\/nlr-reporting-form\/"},"modified":"2026-03-18T08:28:20","modified_gmt":"2026-03-18T08:28:20","slug":"nlr-reporting-form","status":"publish","type":"page","link":"https:\/\/magnalabs.com\/en\/nlr-reporting-form\/","title":{"rendered":"NLR reporting form"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\"><h2>ADVERSE DRUG REACTION (ADR) REPORTING FORM<\/h2><\/h3><\/div><div class=\"fusion-text fusion-text-1\"><div class=\"site-heading text-center\">\n<p style=\"text-align: center;\">Please complete this form to report any adverse drug reactions observed with the use of <strong>Magnalabs<\/strong> products or distributed by <strong>Magnalabs<\/strong>.<\/p>\n<p class=\"help-muted\" style=\"text-align: center;\">Fields marked with an asterisk (*) are required. Please provide as much information as possible for the message to be evaluated correctly.<\/p>\n<p class=\"help-muted\" style=\"text-align: center;\">After submission, the form is sent to: <strong>pv@magnalabs.com,<\/strong> <strong>drugsafety@avpharm.com.<\/strong><\/p>\n<\/div>\n<form action=\"https:\/\/www.magnalabs.com\/nlr-report\" method=\"post\" novalidate=\"\">\n<div class=\"form-section\" style=\"text-align: center;\">&nbsp;<\/div>\n<\/form>\n<\/div><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-4186\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;\" data-form-id=\"4186\" 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style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u0438\u043c\u0435_\u043d\u0430_\u0441\u044a\u043e\u0431\u0449\u0438\u0442\u0435\u043b\u044f\">\u0418\u043c\u0435 \u043d\u0430 \u0441\u044a\u043e\u0431\u0449\u0438\u0442\u0435\u043b\u044f <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u0438\u043c\u0435_\u043d\u0430_\u0441\u044a\u043e\u0431\u0449\u0438\u0442\u0435\u043b\u044f\" id=\"\u0438\u043c\u0435_\u043d\u0430_\u0441\u044a\u043e\u0431\u0449\u0438\u0442\u0435\u043b\u044f\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"\u0418\u043c\u0435 *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u0442\u0435\u043b\u0435\u0444\u043e\u043d\">\u0422\u0435\u043b\u0435\u0444\u043e\u043d<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u0442\u0435\u043b\u0435\u0444\u043e\u043d\" id=\"\u0442\u0435\u043b\u0435\u0444\u043e\u043d\" value=\"\"  class=\"fusion-form-input\" placeholder=\"\u0422\u0435\u043b\u0435\u0444\u043e\u043d \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u0418\u043c\u0435\u0439\u043b\">\u0418\u043c\u0435\u0439\u043b <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u0418\u043c\u0435\u0439\u043b\" id=\"\u0418\u043c\u0435\u0439\u043b\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"\u0418\u043c\u0435\u0439\u043b *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u0430\u0434\u0440\u0435\u0441\">\u0410\u0434\u0440\u0435\u0441<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u0430\u0434\u0440\u0435\u0441\" id=\"\u0430\u0434\u0440\u0435\u0441\" value=\"\"  class=\"fusion-form-input\" placeholder=\"\u0410\u0434\u0440\u0435\u0441 \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><h4>II. \u0414\u0410\u041d\u041d\u0418 \u0417\u0410 \u041f\u0410\u0426\u0418\u0415\u041d\u0422\u0410<\/h4>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u0438\u043d\u0438\u0446\u0438\u0430\u043b\u0438\">\u0418\u043d\u0438\u0446\u0438\u0430\u043b\u0438 <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u0438\u043d\u0438\u0446\u0438\u0430\u043b\u0438\" id=\"\u0438\u043d\u0438\u0446\u0438\u0430\u043b\u0438\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"\u0418\u043d\u0438\u0446\u0438\u0430\u043b\u0438 *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u0432\u044a\u0437\u0440\u0430\u0441\u0442\">\u0412\u044a\u0437\u0440\u0430\u0441\u0442 <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u0432\u044a\u0437\u0440\u0430\u0441\u0442\" id=\"\u0432\u044a\u0437\u0440\u0430\u0441\u0442\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"\u0412\u044a\u0437\u0440\u0430\u0441\u0442 *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">\u041f\u043e\u043b: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-\u043f\u043e\u043b:-1-0\" type=\"radio\" value=\"\u041c\u044a\u0436\" name=\"\u043f\u043e\u043b:\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-\u043f\u043e\u043b:-1-0\">\u041c\u044a\u0436<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-\u043f\u043e\u043b:-1-1\" type=\"radio\" value=\"\u0416\u0435\u043d\u0430\" name=\"\u043f\u043e\u043b:\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-\u043f\u043e\u043b:-1-1\">\u0416\u0435\u043d\u0430<\/label><\/div><\/fieldset><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-4 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4\"><h4>III. \u0414\u0410\u041d\u041d\u0418 \u0417\u0410 \u041f\u041e\u0414\u041e\u0417\u0418\u0420\u0410\u041d\u041e\u0422\u041e \u041b\u0415\u041a\u0410\u0420\u0421\u0422\u0412\u041e<\/h4>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u0438\u043c\u0435_\u043d\u0430_\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0438\u044f_\u043f\u0440\u043e\u0434\u0443\u043a\u0442\">\u0418\u043c\u0435 \u043d\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0438\u044f \u043f\u0440\u043e\u0434\u0443\u043a\u0442 <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u0438\u043c\u0435_\u043d\u0430_\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0438\u044f_\u043f\u0440\u043e\u0434\u0443\u043a\u0442\" id=\"\u0438\u043c\u0435_\u043d\u0430_\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0438\u044f_\u043f\u0440\u043e\u0434\u0443\u043a\u0442\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"\u0418\u043c\u0435 \u043d\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0438\u044f \u043f\u0440\u043e\u0434\u0443\u043a\u0442 *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0430_\u0444\u043e\u0440\u043c\u0430\">\u041b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0430 \u0444\u043e\u0440\u043c\u0430<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0430_\u0444\u043e\u0440\u043c\u0430\" id=\"\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0430_\u0444\u043e\u0440\u043c\u0430\" value=\"\"  class=\"fusion-form-input\" placeholder=\"\u041b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0430 \u0444\u043e\u0440\u043c\u0430 \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u043f\u0430\u0440\u0442\u0438\u0434\u0435\u043d_\u043d\u043e\u043c\u0435\u0440\">\u041f\u0430\u0440\u0442\u0438\u0434\u0435\u043d \u043d\u043e\u043c\u0435\u0440<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u043f\u0430\u0440\u0442\u0438\u0434\u0435\u043d_\u043d\u043e\u043c\u0435\u0440\" id=\"\u043f\u0430\u0440\u0442\u0438\u0434\u0435\u043d_\u043d\u043e\u043c\u0435\u0440\" value=\"\"  class=\"fusion-form-input\" placeholder=\"\u041f\u0430\u0440\u0442\u0438\u0434\u0435\u043d \u043d\u043e\u043c\u0435\u0440 \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u043d\u0430\u0447\u0438\u043d_\u043d\u0430_\u043f\u0440\u0438\u043b\u043e\u0436\u0435\u043d\u0438\u0435\">\u041d\u0430\u0447\u0438\u043d \u043d\u0430 \u043f\u0440\u0438\u043b\u043e\u0436\u0435\u043d\u0438\u0435<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u043d\u0430\u0447\u0438\u043d_\u043d\u0430_\u043f\u0440\u0438\u043b\u043e\u0436\u0435\u043d\u0438\u0435\" id=\"\u043d\u0430\u0447\u0438\u043d_\u043d\u0430_\u043f\u0440\u0438\u043b\u043e\u0436\u0435\u043d\u0438\u0435\" value=\"\"  class=\"fusion-form-input\" placeholder=\"\u041d\u0430\u043f\u0440. \u041f\u0435\u0440\u043e\u0440\u0430\u043b\u043d\u043e, \u0438\u043d\u0436\u0435\u043a\u0442\u0438\u0440\u0443\u0435\u043c\u043e \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><label for=\"\u043a\u043e\u0433\u0430_\u0435_\u0437\u0430\u043f\u043e\u0447\u043d\u0430\u043b_\u043f\u0440\u0438\u0435\u043c\u044a\u0442\">\u041a\u043e\u0433\u0430 \u0435 \u0437\u0430\u043f\u043e\u0447\u043d\u0430\u043b \u043f\u0440\u0438\u0435\u043c\u044a\u0442<\/label><input autocomplete=\"off\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"\u043a\u043e\u0433\u0430_\u0435_\u0437\u0430\u043f\u043e\u0447\u043d\u0430\u043b_\u043f\u0440\u0438\u0435\u043c\u044a\u0442\" name=\"\u043a\u043e\u0433\u0430_\u0435_\u0437\u0430\u043f\u043e\u0447\u043d\u0430\u043b_\u043f\u0440\u0438\u0435\u043c\u044a\u0442\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\" placeholder=\"\u0434\u0434\/\u043c\u043c\/\u0433\u0433\u0433\u0433 \"autocomplete=\"no\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><label for=\"\u043a\u043e\u0433\u0430_\u0437\u0430_\u043f\u043e\u0441\u043b\u0435\u0434\u043d\u043e_\u0435_\u043f\u0440\u0438\u0435\u043c\u0430\u043d\u043e_\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u043e\u0442\u043e\">\u041a\u043e\u0433\u0430 \u0437\u0430 \u043f\u043e\u0441\u043b\u0435\u0434\u043d\u043e \u0435 \u043f\u0440\u0438\u0435\u043c\u0430\u043d\u043e \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u043e\u0442\u043e<\/label><input autocomplete=\"off\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"\u043a\u043e\u0433\u0430_\u0437\u0430_\u043f\u043e\u0441\u043b\u0435\u0434\u043d\u043e_\u0435_\u043f\u0440\u0438\u0435\u043c\u0430\u043d\u043e_\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u043e\u0442\u043e\" name=\"\u043a\u043e\u0433\u0430_\u0437\u0430_\u043f\u043e\u0441\u043b\u0435\u0434\u043d\u043e_\u0435_\u043f\u0440\u0438\u0435\u043c\u0430\u043d\u043e_\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u043e\u0442\u043e\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\" placeholder=\"\u0434\u0434\/\u043c\u043c\/\u0433\u0433 \"autocomplete=\"no\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-5 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-space-evenly fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-5\"><h4>IV. \u0414\u0410\u041d\u041d\u0418 \u0417\u0410 \u041f\u041e\u0414\u041e\u0417\u0418\u0420\u0410\u041d\u0410\u0422\u0410 \u041d\u0415\u0416\u0415\u041b\u0410\u041d\u0410 \u041b\u0415\u041a\u0410\u0420\u0421\u0422\u0412\u0415\u041d\u0410 \u0420\u0415\u0410\u041a\u0426\u0418\u042f<\/h4>\n<\/div>\n<\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:28px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:27px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:28px;--awb-spacing-left-medium:27px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u043e\u043f\u0438\u0441\u0430\u043d\u0438\u0435_\u0440\u0435\u0430\u043a\u0446\u0438\u044f\">\u041e\u043f\u0438\u0441\u0430\u043d\u0438\u0435 \u043d\u0430 \u0440\u0435\u0430\u043a\u0446\u0438\u044f\u0442\u0430 <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u043e\u043f\u0438\u0441\u0430\u043d\u0438\u0435_\u0440\u0435\u0430\u043a\u0446\u0438\u044f\" id=\"\u043e\u043f\u0438\u0441\u0430\u043d\u0438\u0435_\u0440\u0435\u0430\u043a\u0446\u0438\u044f\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"\u041a\u0440\u0430\u0442\u043a\u043e \u043e\u043f\u0438\u0441\u0430\u043d\u0438\u0435 *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u043a\u043e\u0433\u0430_\u0432\u044a\u0437\u043d\u0438\u043a\u043d\u0430_\u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0438\u0442\u0435\u043b\u043d\u043e\u0441\u0442\">\u041a\u043e\u0433\u0430 \u0432\u044a\u0437\u043d\u0438\u043a\u0432\u0430 \u0438 \u043a\u043e\u043b\u043a\u043e \u0435 \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0438\u043b\u0430<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u043a\u043e\u0433\u0430_\u0432\u044a\u0437\u043d\u0438\u043a\u043d\u0430_\u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0438\u0442\u0435\u043b\u043d\u043e\u0441\u0442\" id=\"\u043a\u043e\u0433\u0430_\u0432\u044a\u0437\u043d\u0438\u043a\u043d\u0430_\u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0438\u0442\u0435\u043b\u043d\u043e\u0441\u0442\" value=\"\"  class=\"fusion-form-input\" placeholder=\"\u0414\u0430\u0442\u0438 \u0438 \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0438\u0442\u0435\u043b\u043d\u043e\u0441\u0442 \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><div class=\"fusion-form-label-wrapper\"><label for=\"\u043c\u0435\u0440\u043a\u0438_\u043b\u0435\u0446\u0435\u043d\u0438\u0435\">\u041f\u0440\u0435\u0434\u043f\u0440\u0438\u0435\u0442\u0438 \u043c\u0435\u0440\u043a\u0438 \u0437\u0430 \u043b\u0435\u0447\u0435\u043d\u0438\u0435<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"\u043c\u0435\u0440\u043a\u0438_\u043b\u0435\u0446\u0435\u043d\u0438\u0435\" id=\"\u043c\u0435\u0440\u043a\u0438_\u043b\u0435\u0446\u0435\u043d\u0438\u0435\" value=\"\"  class=\"fusion-form-input\" placeholder=\"\u041c\u0435\u0440\u043a\u0438 \u0437\u0430 \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-20 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:22px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:26px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:22px;--awb-spacing-left-medium:26px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"4186\"><label for=\"\u043a\u0430\u043a\u044a\u0432_\u0435_\u0438\u0437\u0445\u043e\u0434\u044a\u0442_\u043e\u0442_\u0440\u0435\u0430\u043a\u0446\u0438\u044f\u0442\u0430\">\u041a\u0430\u043a\u044a\u0432 \u0435 \u0438\u0437\u0445\u043e\u0434\u044a\u0442 \u043e\u0442 \u0440\u0435\u0430\u043a\u0446\u0438\u044f\u0442\u0430? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"\u043a\u0430\u043a\u044a\u0432_\u0435_\u0438\u0437\u0445\u043e\u0434\u044a\u0442_\u043e\u0442_\u0440\u0435\u0430\u043a\u0446\u0438\u044f\u0442\u0430\" name=\"\u043a\u0430\u043a\u044a\u0432_\u0435_\u0438\u0437\u0445\u043e\u0434\u044a\u0442_\u043e\u0442_\u0440\u0435\u0430\u043a\u0446\u0438\u044f\u0442\u0430\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"\u0412\u044a\u0437\u0441\u0442\u0430\u043d\u043e\u0432\u044f\u0432\u0430\u043d\u0435\" >\u0412\u044a\u0437\u0441\u0442\u0430\u043d\u043e\u0432\u044f\u0432\u0430\u043d\u0435<\/option><option value=\"\u0412\u044a\u0437\u0441\u0442\u0430\u043d\u043e\u0432\u044f\u0432\u0430\u043d\u0435 \u0441 \u043f\u043e\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0438\u044f\" >\u0412\u044a\u0437\u0441\u0442\u0430\u043d\u043e\u0432\u044f\u0432\u0430\u043d\u0435 \u0441 \u043f\u043e\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0438\u044f<\/option><option value=\"\u0412\u044a\u0437\u0441\u0442\u0430\u043d\u043e\u0432\u044f\u0432\u0430\u043d\u0435\u0442\u043e \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0430\u0432\u0430\" >\u0412\u044a\u0437\u0441\u0442\u0430\u043d\u043e\u0432\u044f\u0432\u0430\u043d\u0435\u0442\u043e \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0430\u0432\u0430<\/option><option value=\"\u041d\u0435\u0436\u0435\u043b\u0430\u043d\u0430\u0442\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0430 \u0440\u0435\u0430\u043a\u0446\u0438\u044f \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0430\u0432\u0430\" >\u041d\u0435\u0436\u0435\u043b\u0430\u043d\u0430\u0442\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0435\u043d\u0430 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