{"id":329,"date":"2023-05-01T04:20:03","date_gmt":"2023-05-01T04:20:03","guid":{"rendered":"https:\/\/mypopi.org\/?page_id=329"},"modified":"2023-05-01T04:24:37","modified_gmt":"2023-05-01T04:24:37","slug":"register","status":"publish","type":"page","link":"https:\/\/mypopi.org\/cn\/register\/","title":{"rendered":"\u767b\u8bb0"},"content":{"rendered":"<div id=\"fws_6a1af5a32f8b6\"  data-column-margin=\"default\" data-midnight=\"dark\"  class=\"wpb_row vc_row-fluid vc_row\"  style=\"padding-top: 0px; padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<div class=\"wpb_wrapper\">\n\t\t<h2>Pendaftaran menjadi ahli MYPOPI\uff08MYPOPI \u4f1a\u5458\u6ce8\u518c\uff09<\/h2>\n<p>Terima Kasih kerana berminat untuk menjadi sebahagian dari ahli MYPOPI<\/p>\n<div>\n<p>MYPOPI \u7684\u6570\u636e\u5982\u4e0b\uff1a<\/p>\n<ul>\n<li>MYPOPI \u7684\u6570\u636e\u5c06\u5728 MYPOPI \u4e2d\u663e\u793a\uff08tidak terhad kepada surat berita dan risalah\uff09\uff0c\u5e76\u5728\u5176\u4e0a\u663e\u793a\u3002\u8bf7\u6ce8\u610f\u4ee5\u4e0b\u6570\u636e\uff1a<\/li>\n<li>MYPOPI \u6570\u636e\u662f\u9a6c\u6765\u897f\u4e9a\u7684 MYPOPI \u6570\u636e\u5206\u6790\u5de5\u5177\uff0c\u53ef\u7528\u4e8e\u9a6c\u6765\u897f\u4e9a\u7684 MYPOPI \u5206\u6790\u3002\u6570\u636e\u662f\u5355\u72ec\u7684\uff0c\u4e5f\u53ef\u4ee5\u79f0\u4e3a\u201cpada bila-bila masa\u201d\u3002\u6570\u636e\u5c06\u5728\u7cfb\u7edf\u4e2d\u6b63\u5e38\u8fd0\u884c\uff0c\u5e76\u4e14\u4e0d\u4f1a\u635f\u574f\u3002<\/li>\n<\/ul>\n<div>\u611f\u8c22\u60a8\u6709\u5174\u8da3\u6210\u4e3a MYPOPI \u4f1a\u5458<br \/>\n\u6b22\u8fce\uff01<\/div>\n<div>\n<p>MyPOPI \u6536\u96c6\u7684\u6570\u636e\u5c06\u7528\u4e8e\u4ee5\u4e0b\u76ee\u7684\uff1a<\/p>\n<ul>\n<li>MyPOPI \u5c06\u4f7f\u7528\u4e2a\u4eba\u6570\u636e\u6765\u5171\u4eab\u4e3a\u5176\u6210\u5458\u548c\u611f\u5174\u8da3\u7684\u5229\u76ca\u76f8\u5173\u8005\u5f00\u53d1\u7684\u4fe1\u606f\u548c\u6750\u6599\uff08\u5305\u62ec\u65f6\u4e8b\u901a\u8baf\u3001\u6750\u6599\u2026\u2026\uff09\u3002\u7b2c\u4e09\u65b9\u53ea\u80fd\u51fa\u4e8e\u90ae\u5bc4\u76ee\u7684\u8bbf\u95ee\u6b64\u6570\u636e\u3002<\/li>\n<li>MyPOPI \u5c06\u4ec5\u4f7f\u7528\u548c\u8bbf\u95ee\u533b\u7597\u6570\u636e\u6765\u6536\u96c6\u6570\u636e\u3001\u5206\u6790\u5176\u4f1a\u5458\u8d44\u683c\uff0c\u4ee5\u6539\u5584 MyPOPI \u5bf9\u9a6c\u6765\u897f\u4e9a\u539f\u53d1\u6027\u514d\u75ab\u7f3a\u9677 (PID) \u60a3\u8005\u7684\u4ee3\u8868\u6027\u3002\u4efb\u4f55\u65f6\u5019\u90fd\u4e0d\u4f1a\u6cc4\u9732\u4e2a\u4eba\u6570\u636e\u3002\u901a\u8fc7\u8be5\u7cfb\u7edf\u6536\u96c6\u7684\u6570\u636e\u53ea\u4f1a\u4ee5\u533f\u540d\u548c\u6c47\u603b\u7684\u5f62\u5f0f\u663e\u793a\u3002<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\t<\/div>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t<div id=\"fws_6a1af5a32ff7d\"  data-column-margin=\"default\" data-midnight=\"dark\"  class=\"wpb_row vc_row-fluid vc_row\"  style=\"padding-top: 0px; padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n\t<div class=\"wpb_raw_code wpb_content_element wpb_raw_html\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-324\"><form id=\"wpforms-form-324\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"324\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/cn\/wp-json\/wp\/v2\/pages\/329\" data-token=\"a6fdf83fa78a7c7aa062286c6ce6023c\" data-trp-original-action=\"\/cn\/wp-json\/wp\/v2\/pages\/329\"><noscript class=\"wpforms-error-noscript\">\u8bf7\u5728\u6d4f\u89c8\u5668\u4e2d\u542f\u7528JavaScript\u6765\u5b8c\u6210\u6b64\u8868\u5355\u3002<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">\u8bf7\u5728\u6d4f\u89c8\u5668\u4e2d\u542f\u7528JavaScript\u6765\u5b8c\u6210\u6b64\u8868\u5355\u3002<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-324-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_3\">\u7535\u5b50\u90ae\u4ef6 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-324-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" aria-errormessage=\"wpforms-324-field_3-error\" required><\/div><div id=\"wpforms-324-field_35-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_35\">Siapakah diri anda untuk menjadi ahli MYPOPI\uff1f \uff08\u4f60\u662f\u8c01\uff0c\u53ef\u4ee5\u6210\u4e3a MYPOPI \u4f1a\u5458\uff1f\uff09<\/label><select id=\"wpforms-324-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\"><option value=\"saya adalah pesakit PID dewasa (I am an adult PID patient)\"  selected='selected'>saya adalah pesakit PID dewasa\uff08\u6211\u662f\u4e00\u540d\u6210\u5e74 PID \u60a3\u8005\uff09<\/option><option value=\"saya adalah ibubapa\/penjaga kepada anak PID ( I am a Parent \/ Guardian  to PID child \/ children)\" >saya adalah ibubapa\/penjaga kepada anak PID\uff08\u6211\u662f PID \u513f\u7ae5\u7684\u5bb6\u957f\/\u76d1\u62a4\u4eba\uff09<\/option><option value=\"saya adalah saudara \/ adik beradik pesakit PID yang berumur &gt;18 tahun (I am relative \/ siblings to a PID patient and I am over 18 years old)\" >saya adalah saudara \/ adik beradik pesakit PID yang berumur &gt;18 tahun\uff08\u6211\u662f PID \u60a3\u8005\u7684\u4eb2\u621a\/\u5144\u5f1f\u59d0\u59b9\uff0c\u6211\u5df2\u8d85\u8fc7 18 \u5c81\uff09<\/option><option value=\"saya hendak menjadi ahli bersekutu \/ sukarelawan (I want to be an Associate Member \/ Volunteer)\" >saya hendak menjadi ahli bersekutu \/ sukarelawan\uff08\u6211\u60f3\u6210\u4e3a\u51c6\u4f1a\u5458\/\u5fd7\u613f\u8005\uff09<\/option><\/select><\/div><div id=\"wpforms-324-field_32-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"32\" style=\"display:none;\"><h3 id=\"wpforms-324-field_32\" name=\"wpforms[fields][32]\" aria-errormessage=\"wpforms-324-field_32-error\">\u535a\u6717\u00b7\u51ef\u5229\u5b89\u00b7\u4f69\u8428\u57fa\u7279\u00b7\u76ae\u5fb7\u00b7\u5fb7\u74e6\u8428<\/h3><\/div><div id=\"wpforms-324-field_51-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"51\" style=\"display:none;\"><h3 id=\"wpforms-324-field_51\" name=\"wpforms[fields][51]\" aria-errormessage=\"wpforms-324-field_51-error\">Saya adalah ibubapa\/penjaga kepada anak PID\uff08\u6211\u662f PID \u513f\u7ae5\u7684\u5bb6\u957f\/\u76d1\u62a4\u4eba\uff09<\/h3><\/div><div id=\"wpforms-324-field_52-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"52\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Apakah hubungan anda dengan pesakit\uff1f \uff08\u60a8\u4e0e\u60a3\u8005\u7684\u5173\u7cfb\u5982\u4f55\uff09<\/legend><ul id=\"wpforms-324-field_52\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_52_1\" name=\"wpforms[fields][52]\" value=\"Bapa \/ Penjaga (Father \/ Guardian \/ Caretaker)\" aria-errormessage=\"wpforms-324-field_52_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_52_1\">Bapa \/ Penjaga\uff08\u7236\u4eb2\/\u76d1\u62a4\u4eba\/\u770b\u5b88\u4eba\uff09<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_52_2\" name=\"wpforms[fields][52]\" value=\"Ibu (Mother)\" aria-errormessage=\"wpforms-324-field_52_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_52_2\">\u4f0a\u5e03\uff08\u6bcd\u4eb2\uff09<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_52_3\" name=\"wpforms[fields][52]\" value=\"Saudara mara (relatives)\" aria-errormessage=\"wpforms-324-field_52_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_52_3\">\u7ecd\u8fbe\u62c9\u00b7\u739b\u62c9\uff08\u4eb2\u621a\uff09<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_52_4\" name=\"wpforms[fields][52]\" value=\"Other\" aria-errormessage=\"wpforms-324-field_52_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_52_4\">\u5176\u4ed6<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-324-field_44-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"44\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-324-field_44\" aria-hidden=\"false\">\u5e03\u5c40<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-324-field_33-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"33\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_33\">\u5168\u540d\uff08\u6839\u636e MyKad\/IC\uff09 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-324-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" aria-errormessage=\"wpforms-324-field_33-error\" required><\/div><div id=\"wpforms-324-field_36-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"36\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_36\">\u7535\u8bdd\u53f7\u7801 Bimbit\uff08\u624b\u673a\u53f7\u7801\uff09<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-324-field_36\" class=\"wpforms-field-medium\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-324-field_36-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-324-field_34-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"34\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_34\">Nombor Kad Pengenalan\uff08\u8eab\u4efd\u8bc1\u53f7\u7801\uff09<\/label><input type=\"text\" id=\"wpforms-324-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" aria-errormessage=\"wpforms-324-field_34-error\" ><\/div><div id=\"wpforms-324-field_37-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"37\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_37\">\u5854\u91cc\u514b\u00b7\u62c9\u5e0c\u5c14\uff08\u51fa\u751f\u65e5\u671f\uff09<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-324-field_37\" class=\"wpforms-field-date-time-date wpforms-datepicker 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-324-field_37-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-324-field_42-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"42\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Alamat surat-menyurat\uff08\u901a\u8baf\u5730\u5740\uff09<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-324-field_42\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][42][address1]\" aria-errormessage=\"wpforms-324-field_42-error\" ><label for=\"wpforms-324-field_42\" class=\"wpforms-field-sublabel after\">\u5730\u5740\u7b2c\u4e00\u884c<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-324-field_42-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][42][address2]\" aria-errormessage=\"wpforms-324-field_42-address2-error\" ><label for=\"wpforms-324-field_42-address2\" class=\"wpforms-field-sublabel after\">\u5730\u5740\u884c 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-324-field_42-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][42][city]\" aria-errormessage=\"wpforms-324-field_42-city-error\" ><label for=\"wpforms-324-field_42-city\" class=\"wpforms-field-sublabel after\">\u57ce\u5e02<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-324-field_42-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][42][state]\" aria-errormessage=\"wpforms-324-field_42-state-error\" ><label for=\"wpforms-324-field_42-state\" class=\"wpforms-field-sublabel after\">\u5dde\/\u7701\/\u5730\u533a<\/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-324-field_42-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][42][postal]\" aria-errormessage=\"wpforms-324-field_42-postal-error\" ><label for=\"wpforms-324-field_42-postal\" class=\"wpforms-field-sublabel after\">\u90ae\u653f\u7f16\u7801<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-324-field_42-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][42][country]\" value=\"MY\" aria-errormessage=\"wpforms-324-field_42-country-error\" ><option value=\"SZ\" >\u65af\u5a01\u58eb\u5170\uff08\u738b\u56fd\uff09<\/option><option value=\"XK\" >\u79d1\u7d22\u6c83<\/option><option value=\"TW\" >\u4e2d\u534e\u6c11\u56fd\u53f0\u6e7e<\/option><option value=\"TR\" >\u571f\u8033\u5176<\/option><option value=\"VN\" >\u8d8a\u5357<\/option><option value=\"BT\" >\u4e0d\u4e39<\/option><option value=\"TL\" >\u4e1c\u5e1d\u6c76<\/option><option value=\"CN\" >\u4e2d\u56fd<\/option><option value=\"CF\" >\u4e2d\u975e\u5171\u548c\u56fd<\/option><option value=\"DK\" >\u4e39\u9ea6<\/option><option value=\"UA\" >\u4e4c\u514b\u5170<\/option><option value=\"UZ\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option><option value=\"UG\" >\u4e4c\u5e72\u8fbe<\/option><option value=\"UY\" >\u4e4c\u62c9\u572d<\/option><option value=\"TD\" >\u4e4d\u5f97<\/option><option value=\"YE\" >\u4e5f\u95e8<\/option><option value=\"AM\" >\u4e9a\u7f8e\u5c3c\u4e9a<\/option><option value=\"IL\" >\u4ee5\u8272\u5217<\/option><option value=\"IQ\" >\u4f0a\u62c9\u514b<\/option><option value=\"IR\" >\u4f0a\u6717\uff08\u4f0a\u65af\u5170\u5171\u548c\u56fd\uff09<\/option><option value=\"BZ\" >\u4f2f\u5229\u5179<\/option><option value=\"CV\" >\u4f5b\u5f97\u89d2<\/option><option value=\"RU\" >\u4fc4\u7f57\u65af\u8054\u90a6<\/option><option value=\"BG\" >\u4fdd\u52a0\u5229\u4e9a<\/option><option value=\"HR\" >\u514b\u7f57\u5730\u4e9a<\/option><option value=\"GU\" >\u5173\u5c9b<\/option><option value=\"GM\" >\u5188\u6bd4\u4e9a\uff08\u897f\u975e\u7684\u72ec\u7acb\u56fd\uff09<\/option><option value=\"IS\" >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option><option value=\"GN\" >\u51e0\u5185\u4e9a<\/option><option value=\"GW\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option><option value=\"LI\" >\u5217\u652f\u6566\u58eb\u767b<\/option><option value=\"CG\" >\u521a\u679c<\/option><option value=\"CD\" >\u521a\u679c\uff08\u6c11\u4e3b\u5171\u548c\u56fd\uff09<\/option><option value=\"LY\" >\u5229\u6bd4\u4e9a<\/option><option value=\"LR\" >\u5229\u6bd4\u91cc\u4e9a<\/option><option value=\"CA\" >\u52a0\u62ff\u5927<\/option><option value=\"GH\" >\u52a0\u7eb3<\/option><option value=\"GA\" >\u52a0\u84ec<\/option><option value=\"HU\" >\u5308\u7259\u5229<\/option><option value=\"BQ\" >\u5317\u4eac\u3001\u4e0a\u6d77\u548c\u6df1\u5733\u3002<\/option><option value=\"MK\" >\u5317\u9a6c\u5176\u987f<\/option><option value=\"MP\" >\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option><option value=\"GS\" >\u5357\u4e54\u6cbb\u4e9a\u53ca\u5357\u6851\u5a01\u5947\u7fa4\u5c9b<\/option><option value=\"AQ\" >\u5357\u6781\u6d32<\/option><option value=\"ZA\" >\u5357\u975e<\/option><option value=\"SS\" >\u5357\u975e<\/option><option value=\"BW\" >\u535a\u8328\u74e6\u7eb3<\/option><option value=\"QA\" >\u5361\u5854\u5c14<\/option><option value=\"RW\" >\u5362\u65fa\u8fbe<\/option><option value=\"LU\" >\u5362\u68ee\u5821<\/option><option value=\"ID\" >\u5bf9\u8bdd<\/option><option value=\"IN\" >\u5370\u5ea6<\/option><option value=\"GT\" >\u5371\u5730\u9a6c\u62c9<\/option><option value=\"EC\" >\u5384\u74dc\u591a\u5c14<\/option><option value=\"ER\" >\u5384\u7acb\u7279\u91cc\u4e9a<\/option><option value=\"CU\" >\u53e4\u5df4<\/option><option value=\"KG\" >\u5409\u5c14\u5409\u65af\u5766<\/option><option value=\"DJ\" >\u5409\u5e03\u63d0<\/option><option value=\"KZ\" >\u54c8\u8428\u514b\u65af\u5766<\/option><option value=\"CO\" >\u54e5\u4f26\u6bd4\u4e9a<\/option><option value=\"CR\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option><option value=\"CM\" >\u5580\u9ea6\u9686<\/option><option value=\"TV\" >\u56fe\u74e6\u5362<\/option><option value=\"TM\" >\u571f\u5e93\u66fc\u65af\u5766<\/option><option value=\"LC\" >\u5723\u5362\u897f\u4e9a<\/option><option value=\"KN\" >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option><option value=\"ST\" >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option><option value=\"BL\" >\u5723\u5df4\u6cf0\u52d2\u7c73<\/option><option value=\"VC\" >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option><option value=\"PM\" >\u5723\u76ae\u57c3\u5c14\u548c\u5bc6\u514b\u9686<\/option><option value=\"CX\" >\u5723\u8bde\u5c9b<\/option><option value=\"SH\" >\u5723\u8d6b\u52d2\u62ff\u3001\u963f\u68ee\u677e\u5c9b\u548c\u7279\u91cc\u65af\u5766\u8fbe\u5e93\u5c3c\u4e9a<\/option><option value=\"SX\" >\u5723\u9a6c\u4e01\u5c9b\uff08\u8377\u5170\u7684\u4e00\u90e8\u5206\uff09<\/option><option value=\"MF\" >\u5723\u9a6c\u4e01\uff08\u6cd5\u56fd\u90e8\u5206\uff09<\/option><option value=\"SM\" >\u5723\u9a6c\u529b\u8bfa<\/option><option value=\"GY\" >\u572d\u4e9a\u90a3<\/option><option value=\"TZ\" >\u5766\u6851\u5c3c\u4e9a\u8054\u5408\u5171\u548c\u56fd<\/option><option value=\"EG\" >\u57c3\u53ca<\/option><option value=\"ET\" >\u4e1c\u4e9a<\/option><option value=\"KI\" >\u57fa\u91cc\u5df4\u65af<\/option><option value=\"TJ\" >\u5854\u5409\u514b\u65af\u5766\u65af\u5766\u65af\u5766<\/option><option value=\"SN\" >\u585e\u5185\u52a0\u5c14<\/option><option value=\"RS\" >\u585e\u5c14\u7ef4\u4e9a<\/option><option value=\"SL\" >\u585e\u62c9\u5229\u6602<\/option><option value=\"CY\" >\u82ac\u5170<\/option><option value=\"SC\" >\u585e\u820c\u5c14\u7fa4\u5c9b<\/option><option value=\"MX\" >\u58a8\u897f\u54e5<\/option><option value=\"TG\" >\u591a\u54e5<\/option><option value=\"DO\" >\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option><option value=\"DM\" >\u591a\u7c73\u5c3c\u52a0<\/option><option value=\"GB\" >\u5927\u4e0d\u5217\u98a0\u53ca\u5317\u7231\u5c14\u5170\u8054\u5408\u738b\u56fd<\/option><option value=\"AX\" >\u5965\u5170\u7fa4\u5c9b<\/option><option value=\"AT\" >\u5965\u5730\u5229<\/option><option value=\"VE\" >\u59d4\u5185\u745e\u62c9\uff08\u73bb\u5229\u74e6\u5c14\u5171\u548c\u56fd\uff09<\/option><option value=\"BD\" >\u7f3a\u70b9<\/option><option value=\"AO\" >\u5b89\u54e5\u62c9<\/option><option value=\"AI\" >\u5b89\u572d\u62c9<\/option><option value=\"AG\" >\u5b89\u63d0\u74dc\u5c9b\u548c\u5df4\u5e03\u8fbe<\/option><option value=\"AD\" >\u5b89\u9053\u5c14<\/option><option value=\"FM\" >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\uff08\u8054\u90a6\uff09<\/option><option value=\"NI\" >\u5c3c\u52a0\u62c9\u74dc<\/option><option value=\"NG\" >\u5c3c\u65e5\u5c14\u5229\u4e9a<\/option><option value=\"NE\" >\u5c3c\u65e5\u5c14\u5c14\u5c14<\/option><option value=\"NP\" >\u963f\u62c9<\/option><option value=\"PS\" >\u5df4\u57fa\u65af\u5766 (\u56fd\u5bb6)<\/option><option value=\"BS\" >\u5df4\u54c8\u9a6c<\/option><option value=\"PK\" >\u5df4\u57fa\u65af\u5766<\/option><option value=\"BB\" >\u5df4\u5df4\u591a\u65af<\/option><option value=\"PG\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option><option value=\"PY\" >\u5df4\u62c9\u572d<\/option><option value=\"PA\" >\u5df4\u62ff\u9a6c<\/option><option value=\"BH\" >\u5df4\u6797<\/option><option value=\"BR\" >\u5df4\u897f<\/option><option value=\"BF\" >\u5e03\u5409\u7eb3\u6cd5\u7d22<\/option><option value=\"BV\" >\u5e03\u7ef4\u5c9b<\/option><option value=\"BI\" >\u5e03\u9686\u8fea<\/option><option value=\"GR\" >\u5e0c\u814a<\/option><option value=\"PW\" >\u5e15\u52b3\u5171\u548c\u56fd<\/option><option value=\"CK\" >\u5e93\u514b\u7fa4\u5c9b<\/option><option value=\"CW\" >\u5e93\u62c9\u7d22<\/option><option value=\"KY\" >\u5f00\u66fc\u7fa4\u5c9b<\/option><option value=\"DE\" >\u5fb7\u56fd<\/option><option value=\"IT\" >\u610f\u5927\u5229<\/option><option value=\"SB\" >\u7d22\u7f57\u95e8\u7fa4\u5c9b<\/option><option value=\"TK\" >\u6258\u514b\u52b3<\/option><option value=\"LV\" >\u62c9\u8131\u7ef4\u4e9a<\/option><option value=\"NO\" >\u632a\u5a01<\/option><option value=\"CZ\" >\u6377\u514b\u5171\u548c\u56fd<\/option><option value=\"MD\" >\u6469\u5c14\u591a\u74e6\uff08\u5171\u548c\u56fd\uff09<\/option><option value=\"MA\" >\u6469\u6d1b\u54e5<\/option><option value=\"MC\" >\u6469\u7eb3\u54e5<\/option><option value=\"FJ\" >\u6590\u6d4e<\/option><option value=\"SK\" >\u65af\u6d1b\u4f10\u514b<\/option><option value=\"SI\" >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option><option value=\"SJ\" >\u65af\u74e6\u5c14\u5df4\u5c9b\u548c\u626c\u9a6c\u5ef6\u5c9b<\/option><option value=\"LK\" >\u65af\u91cc\u5170\u5361<\/option><option value=\"SG\" >\u65b0\u52a0\u5761<\/option><option value=\"NC\" >\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a<\/option><option value=\"JE\" >\u65b0\u6cfd\u897f<\/option><option value=\"NZ\" >\u65b0\u897f\u5170<\/option><option value=\"JP\" >\u65e5\u672c<\/option><option value=\"CL\" >\u667a\u5229<\/option><option value=\"KP\" >\u671d\u9c9c<\/option><option value=\"KH\" >\u67ec\u57d4\u5be8<\/option><option value=\"GG\" >\u683c\u6069\u897f<\/option><option value=\"GD\" >\u683c\u6797\u7eb3\u8fbe<\/option><option value=\"GL\" >\u683c\u9675\u5170<\/option><option value=\"GE\" >\u683c\u9c81\u5409\u4e9a<\/option><option value=\"VA\" >\u68b5\u8482\u5188\u57ce\u56fd<\/option><option value=\"BE\" >\u6bd4\u5229\u65f6<\/option><option value=\"MR\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option><option value=\"MU\" >\u6bdb\u91cc\u6c42\u65af<\/option><option value=\"TO\" >\u6c64\u52a0\u8bed<\/option><option value=\"BN\" >\u6c76\u83b1<\/option><option value=\"SA\" >\u8fdb\u653b<\/option><option value=\"FR\" >\u6cd5\u56fd<\/option><option value=\"TF\" >\u6cd5\u56fd \u5357\u4eac<\/option><option value=\"GF\" >\u6cd5\u5c5e\u572d\u4e9a\u90a3<\/option><option value=\"PF\" >\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option><option value=\"FO\" >\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value=\"PL\" >\u6ce2\u5170<\/option><option value=\"PR\" >\u6ce2\u591a\u9ece\u5404<\/option><option value=\"BA\" >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value=\"TH\" >\u6cf0\u56fd<\/option><option value=\"ZW\" >\u6d25\u5df4\u5e03\u97e6<\/option><option value=\"HN\" >\u6d2a\u90fd\u62c9\u65af<\/option><option value=\"HT\" >\u6d77\u5730<\/option><option value=\"AU\" >\u6fb3\u6d32<\/option><option value=\"MO\" >\u6fb3\u95e8<\/option><option value=\"IE\" >\u7231\u5c14\u5170\uff08\u5171\u548c\u56fd\uff09<\/option><option value=\"EE\" >\u7231\u6c99\u5c3c\u4e9a<\/option><option value=\"JM\" >\u7259\u4e70\u52a0<\/option><option value=\"TC\" >\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"TT\" >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value=\"BO\" >\u73bb\u5229\u7ef4\u4e9a\uff08\u591a\u6c11\u65cf\uff09<\/option><option value=\"NR\" >\u7459\u9c81\u8bed (Naoero)<\/option><option value=\"SE\" >\u745e\u5178<\/option><option value=\"CH\" >\u745e\u58eb<\/option><option value=\"GP\" >\u74dc\u5fb7\u7f57\u666e\u5c9b<\/option><option value=\"WF\" >\u74e6\u5229\u65af\u7fa4\u5c9b\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b<\/option><option value=\"VU\" >\u74e6\u52aa\u963f\u56fe<\/option><option value=\"RE\" >\u7559\u5c3c\u6c6a\u5c9b<\/option><option value=\"BY\" >\u767d\u4fc4\u7f57\u65af<\/option><option value=\"BM\" >\u767e\u6155\u5927<\/option><option value=\"PN\" >\u76ae\u7279\u00b7\u51ef\u6069<\/option><option value=\"GI\" >\u76f4\u5e03\u7f57\u9640<\/option><option value=\"FK\" >\u798f\u514b\u5170\u7fa4\u5c9b<\/option><option value=\"KW\" >\u79d1\u5a01\u7279<\/option><option value=\"KM\" >\u79d1\u6469\u7f57<\/option><option value=\"CI\" >\u79d1\u7279\u8fea\u74e6<\/option><option value=\"CC\" >\u79d1\u79d1\u65af\uff08\u57fa\u6797\uff09\u7fa4\u5c9b<\/option><option value=\"PE\" >\u79d8\u9c81<\/option><option value=\"TN\" >\u7a81\u5c3c\u65af<\/option><option value=\"LT\" >\u7acb\u9676\u5b9b<\/option><option value=\"SO\" >\u7684<\/option><option value=\"JO\" >\u7ea6\u65e6<\/option><option value=\"NA\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option><option value=\"NU\" >\u7ebd\u57c3<\/option><option value=\"VI\" >\u7ef4\u5c14\u4eac\u7fa4\u5c9b\uff08\u7f8e\u56fd\uff09<\/option><option value=\"VG\" >\u7ef4\u5c14\u4eac\u7fa4\u5c9b\uff08\u82f1\u5c5e\uff09<\/option><option value=\"MM\" >\u7f10\u7538<\/option><option value=\"RO\" >\u7f57\u9a6c\u5c3c\u4e9a<\/option><option value=\"US\" >\u7f8e\u56fd<\/option><option value=\"UM\" >\u7f8e\u56fd\u672c\u571f\u5916\u5c0f\u5c9b\u5c7f<\/option><option value=\"AS\" >\u7f8e\u5c5e\u8428\u6469\u4e9a<\/option><option value=\"LA\" >\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"KE\" >\u80af\u5c3c\u4e9a<\/option><option value=\"FI\" >\u82ac\u5170<\/option><option value=\"SD\" >\u82cf\u4e39<\/option><option value=\"SR\" >\u82cf\u91cc\u5357<\/option><option value=\"IO\" >\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option><option value=\"NL\" >\u8377\u5170<\/option><option value=\"MZ\" >\u83ab\u6851\u6bd4\u514b<\/option><option value=\"LS\" >\u83b1\u7d22\u6258<\/option><option value=\"PH\" >\u83f2\u5f8b\u5bbe<\/option><option value=\"SV\" >\u8428\u5c14\u74e6\u591a<\/option><option value=\"WS\" >\u8428\u6469\u4e9a<\/option><option value=\"PT\" >\u8461\u8404\u7259<\/option><option value=\"MN\" >\u8499\u53e4\u56fd<\/option><option value=\"MS\" >\u8499\u7279\u585e\u62c9\u7279<\/option><option value=\"EH\" >\u897f\u6492\u54c8\u62c9<\/option><option value=\"ES\" >\u897f\u73ed\u7259<\/option><option value=\"NF\" >\u8bfa\u798f\u514b\u5c9b<\/option><option value=\"BJ\" >\u8d1d\u5b81<\/option><option value=\"ZM\" >\u8d5e\u6bd4\u4e9a<\/option><option value=\"GQ\" >\u8d64\u9053\u51e0\u5185\u4e9a<\/option><option value=\"HM\" >\u8d6b\u5fb7\u5c9b\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b<\/option><option value=\"AZ\" >\u963f\u585e\u62dc\u7586<\/option><option value=\"AF\" >\u963f\u5bcc\u6c57<\/option><option value=\"DZ\" >\u963f\u5c14\u53ca\u5229\u4e9a<\/option><option value=\"AL\" >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option><option value=\"SY\" >\u963f\u62c9\u4f2f\u53d9\u5229\u4e9a\u5171\u548c\u56fd<\/option><option value=\"AE\" >\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option><option value=\"OM\" >\u963f\u66fc<\/option><option value=\"AR\" >\u963f\u6839\u5ef7<\/option><option value=\"AW\" >\u963f\u9c81\u5df4<\/option><option value=\"KR\" >\u97e9\u56fd<\/option><option value=\"HK\" >\u9999\u6e2f\u8bc1\u5238\u4ea4\u6613\u6240<\/option><option value=\"MV\" >\u9a6c\u5c14\u4ee3\u592b<\/option><option value=\"IM\" >\u9a6c\u6069\u5c9b<\/option><option value=\"MW\" >\u9a6c\u62c9\u7ef4<\/option><option value=\"MQ\" >\u9a6c\u63d0\u5c3c\u514b<\/option><option value=\"MY\"  selected='selected'>\u9a6c\u6765\u897f\u4e9a<\/option><option value=\"YT\" >\u9a6c\u7ea6\u7279\u5c9b<\/option><option value=\"MH\" >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option><option value=\"MT\" >\u9a6c\u8033\u4ed6<\/option><option value=\"MG\" >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option><option value=\"ML\" >\u9a6c\u91cc<\/option><option value=\"LB\" >\u9ece\u5df4\u5ae9<\/option><option value=\"ME\" >\u9ed1\u5c71<\/option><\/select><label for=\"wpforms-324-field_42-country\" class=\"wpforms-field-sublabel after\">\u56fd\u5bb6<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-324-field_41-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"41\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u5c45\u4f4f\u5730\u5740\u4e0e\u901a\u8baf\u5730\u5740\u76f8\u540c<\/legend><ul id=\"wpforms-324-field_41\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-324-field_41_1\" name=\"wpforms[fields][41]\" value=\"Yes\" aria-errormessage=\"wpforms-324-field_41_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_41_1\">\u662f\u7684<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_41_2\" name=\"wpforms[fields][41]\" value=\"No\" aria-errormessage=\"wpforms-324-field_41_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_41_2\">\u4e0d<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-324-field_43-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"43\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Alamat Rumah\uff08\u5c45\u4f4f\u5730\u5740\uff09<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-324-field_43\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][43][address1]\" aria-errormessage=\"wpforms-324-field_43-error\" ><label for=\"wpforms-324-field_43\" class=\"wpforms-field-sublabel after\">\u5730\u5740\u7b2c\u4e00\u884c<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-324-field_43-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][43][address2]\" aria-errormessage=\"wpforms-324-field_43-address2-error\" ><label for=\"wpforms-324-field_43-address2\" class=\"wpforms-field-sublabel after\">\u5730\u5740\u884c 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-324-field_43-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][43][city]\" aria-errormessage=\"wpforms-324-field_43-city-error\" ><label for=\"wpforms-324-field_43-city\" class=\"wpforms-field-sublabel after\">\u57ce\u5e02<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-324-field_43-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][43][state]\" aria-errormessage=\"wpforms-324-field_43-state-error\" ><label for=\"wpforms-324-field_43-state\" class=\"wpforms-field-sublabel after\">\u5dde\/\u7701\/\u5730\u533a<\/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-324-field_43-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][43][postal]\" aria-errormessage=\"wpforms-324-field_43-postal-error\" ><label for=\"wpforms-324-field_43-postal\" class=\"wpforms-field-sublabel after\">\u90ae\u653f\u7f16\u7801<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-324-field_43-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][43][country]\" aria-errormessage=\"wpforms-324-field_43-country-error\" ><option value=\"SZ\" >\u65af\u5a01\u58eb\u5170\uff08\u738b\u56fd\uff09<\/option><option value=\"XK\" >\u79d1\u7d22\u6c83<\/option><option value=\"TW\" >\u4e2d\u534e\u6c11\u56fd\u53f0\u6e7e<\/option><option value=\"TR\" >\u571f\u8033\u5176<\/option><option value=\"VN\" >\u8d8a\u5357<\/option><option value=\"BT\" >\u4e0d\u4e39<\/option><option value=\"TL\" >\u4e1c\u5e1d\u6c76<\/option><option value=\"CN\" >\u4e2d\u56fd<\/option><option value=\"CF\" >\u4e2d\u975e\u5171\u548c\u56fd<\/option><option value=\"DK\" >\u4e39\u9ea6<\/option><option value=\"UA\" >\u4e4c\u514b\u5170<\/option><option value=\"UZ\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option><option value=\"UG\" >\u4e4c\u5e72\u8fbe<\/option><option value=\"UY\" >\u4e4c\u62c9\u572d<\/option><option value=\"TD\" >\u4e4d\u5f97<\/option><option value=\"YE\" >\u4e5f\u95e8<\/option><option value=\"AM\" >\u4e9a\u7f8e\u5c3c\u4e9a<\/option><option value=\"IL\" >\u4ee5\u8272\u5217<\/option><option value=\"IQ\" >\u4f0a\u62c9\u514b<\/option><option value=\"IR\" >\u4f0a\u6717\uff08\u4f0a\u65af\u5170\u5171\u548c\u56fd\uff09<\/option><option value=\"BZ\" >\u4f2f\u5229\u5179<\/option><option value=\"CV\" >\u4f5b\u5f97\u89d2<\/option><option value=\"RU\" >\u4fc4\u7f57\u65af\u8054\u90a6<\/option><option value=\"BG\" >\u4fdd\u52a0\u5229\u4e9a<\/option><option value=\"HR\" >\u514b\u7f57\u5730\u4e9a<\/option><option value=\"GU\" >\u5173\u5c9b<\/option><option value=\"GM\" >\u5188\u6bd4\u4e9a\uff08\u897f\u975e\u7684\u72ec\u7acb\u56fd\uff09<\/option><option value=\"IS\" >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option><option value=\"GN\" >\u51e0\u5185\u4e9a<\/option><option value=\"GW\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option><option value=\"LI\" >\u5217\u652f\u6566\u58eb\u767b<\/option><option value=\"CG\" >\u521a\u679c<\/option><option value=\"CD\" >\u521a\u679c\uff08\u6c11\u4e3b\u5171\u548c\u56fd\uff09<\/option><option value=\"LY\" >\u5229\u6bd4\u4e9a<\/option><option value=\"LR\" >\u5229\u6bd4\u91cc\u4e9a<\/option><option value=\"CA\" >\u52a0\u62ff\u5927<\/option><option value=\"GH\" >\u52a0\u7eb3<\/option><option value=\"GA\" >\u52a0\u84ec<\/option><option value=\"HU\" >\u5308\u7259\u5229<\/option><option value=\"BQ\" >\u5317\u4eac\u3001\u4e0a\u6d77\u548c\u6df1\u5733\u3002<\/option><option value=\"MK\" >\u5317\u9a6c\u5176\u987f<\/option><option value=\"MP\" >\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option><option value=\"GS\" >\u5357\u4e54\u6cbb\u4e9a\u53ca\u5357\u6851\u5a01\u5947\u7fa4\u5c9b<\/option><option value=\"AQ\" >\u5357\u6781\u6d32<\/option><option value=\"ZA\" >\u5357\u975e<\/option><option value=\"SS\" >\u5357\u975e<\/option><option value=\"BW\" >\u535a\u8328\u74e6\u7eb3<\/option><option value=\"QA\" >\u5361\u5854\u5c14<\/option><option value=\"RW\" >\u5362\u65fa\u8fbe<\/option><option value=\"LU\" >\u5362\u68ee\u5821<\/option><option value=\"ID\" >\u5bf9\u8bdd<\/option><option value=\"IN\" >\u5370\u5ea6<\/option><option value=\"GT\" >\u5371\u5730\u9a6c\u62c9<\/option><option value=\"EC\" >\u5384\u74dc\u591a\u5c14<\/option><option value=\"ER\" >\u5384\u7acb\u7279\u91cc\u4e9a<\/option><option value=\"CU\" >\u53e4\u5df4<\/option><option value=\"KG\" >\u5409\u5c14\u5409\u65af\u5766<\/option><option value=\"DJ\" >\u5409\u5e03\u63d0<\/option><option value=\"KZ\" >\u54c8\u8428\u514b\u65af\u5766<\/option><option value=\"CO\" >\u54e5\u4f26\u6bd4\u4e9a<\/option><option value=\"CR\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option><option value=\"CM\" >\u5580\u9ea6\u9686<\/option><option value=\"TV\" >\u56fe\u74e6\u5362<\/option><option value=\"TM\" >\u571f\u5e93\u66fc\u65af\u5766<\/option><option value=\"LC\" >\u5723\u5362\u897f\u4e9a<\/option><option value=\"KN\" >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option><option value=\"ST\" >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option><option value=\"BL\" >\u5723\u5df4\u6cf0\u52d2\u7c73<\/option><option value=\"VC\" >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option><option value=\"PM\" >\u5723\u76ae\u57c3\u5c14\u548c\u5bc6\u514b\u9686<\/option><option value=\"CX\" >\u5723\u8bde\u5c9b<\/option><option value=\"SH\" >\u5723\u8d6b\u52d2\u62ff\u3001\u963f\u68ee\u677e\u5c9b\u548c\u7279\u91cc\u65af\u5766\u8fbe\u5e93\u5c3c\u4e9a<\/option><option value=\"SX\" >\u5723\u9a6c\u4e01\u5c9b\uff08\u8377\u5170\u7684\u4e00\u90e8\u5206\uff09<\/option><option value=\"MF\" >\u5723\u9a6c\u4e01\uff08\u6cd5\u56fd\u90e8\u5206\uff09<\/option><option value=\"SM\" >\u5723\u9a6c\u529b\u8bfa<\/option><option value=\"GY\" >\u572d\u4e9a\u90a3<\/option><option value=\"TZ\" >\u5766\u6851\u5c3c\u4e9a\u8054\u5408\u5171\u548c\u56fd<\/option><option value=\"EG\" >\u57c3\u53ca<\/option><option value=\"ET\" >\u4e1c\u4e9a<\/option><option value=\"KI\" >\u57fa\u91cc\u5df4\u65af<\/option><option value=\"TJ\" >\u5854\u5409\u514b\u65af\u5766\u65af\u5766\u65af\u5766<\/option><option value=\"SN\" >\u585e\u5185\u52a0\u5c14<\/option><option value=\"RS\" >\u585e\u5c14\u7ef4\u4e9a<\/option><option value=\"SL\" >\u585e\u62c9\u5229\u6602<\/option><option value=\"CY\" >\u82ac\u5170<\/option><option value=\"SC\" >\u585e\u820c\u5c14\u7fa4\u5c9b<\/option><option value=\"MX\" >\u58a8\u897f\u54e5<\/option><option value=\"TG\" >\u591a\u54e5<\/option><option value=\"DO\" >\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option><option value=\"DM\" >\u591a\u7c73\u5c3c\u52a0<\/option><option value=\"GB\" >\u5927\u4e0d\u5217\u98a0\u53ca\u5317\u7231\u5c14\u5170\u8054\u5408\u738b\u56fd<\/option><option value=\"AX\" >\u5965\u5170\u7fa4\u5c9b<\/option><option value=\"AT\" >\u5965\u5730\u5229<\/option><option value=\"VE\" >\u59d4\u5185\u745e\u62c9\uff08\u73bb\u5229\u74e6\u5c14\u5171\u548c\u56fd\uff09<\/option><option value=\"BD\" >\u7f3a\u70b9<\/option><option value=\"AO\" >\u5b89\u54e5\u62c9<\/option><option value=\"AI\" >\u5b89\u572d\u62c9<\/option><option value=\"AG\" >\u5b89\u63d0\u74dc\u5c9b\u548c\u5df4\u5e03\u8fbe<\/option><option value=\"AD\" >\u5b89\u9053\u5c14<\/option><option value=\"FM\" >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\uff08\u8054\u90a6\uff09<\/option><option value=\"NI\" >\u5c3c\u52a0\u62c9\u74dc<\/option><option value=\"NG\" >\u5c3c\u65e5\u5c14\u5229\u4e9a<\/option><option value=\"NE\" >\u5c3c\u65e5\u5c14\u5c14\u5c14<\/option><option value=\"NP\" >\u963f\u62c9<\/option><option value=\"PS\" >\u5df4\u57fa\u65af\u5766 (\u56fd\u5bb6)<\/option><option value=\"BS\" >\u5df4\u54c8\u9a6c<\/option><option value=\"PK\" >\u5df4\u57fa\u65af\u5766<\/option><option value=\"BB\" >\u5df4\u5df4\u591a\u65af<\/option><option value=\"PG\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option><option value=\"PY\" >\u5df4\u62c9\u572d<\/option><option value=\"PA\" >\u5df4\u62ff\u9a6c<\/option><option value=\"BH\" >\u5df4\u6797<\/option><option value=\"BR\" >\u5df4\u897f<\/option><option value=\"BF\" >\u5e03\u5409\u7eb3\u6cd5\u7d22<\/option><option value=\"BV\" >\u5e03\u7ef4\u5c9b<\/option><option value=\"BI\" >\u5e03\u9686\u8fea<\/option><option value=\"GR\" >\u5e0c\u814a<\/option><option value=\"PW\" >\u5e15\u52b3\u5171\u548c\u56fd<\/option><option value=\"CK\" >\u5e93\u514b\u7fa4\u5c9b<\/option><option value=\"CW\" >\u5e93\u62c9\u7d22<\/option><option value=\"KY\" >\u5f00\u66fc\u7fa4\u5c9b<\/option><option value=\"DE\" >\u5fb7\u56fd<\/option><option value=\"IT\" >\u610f\u5927\u5229<\/option><option value=\"SB\" >\u7d22\u7f57\u95e8\u7fa4\u5c9b<\/option><option value=\"TK\" >\u6258\u514b\u52b3<\/option><option value=\"LV\" >\u62c9\u8131\u7ef4\u4e9a<\/option><option value=\"NO\" >\u632a\u5a01<\/option><option value=\"CZ\" >\u6377\u514b\u5171\u548c\u56fd<\/option><option value=\"MD\" >\u6469\u5c14\u591a\u74e6\uff08\u5171\u548c\u56fd\uff09<\/option><option value=\"MA\" >\u6469\u6d1b\u54e5<\/option><option value=\"MC\" >\u6469\u7eb3\u54e5<\/option><option value=\"FJ\" >\u6590\u6d4e<\/option><option value=\"SK\" >\u65af\u6d1b\u4f10\u514b<\/option><option value=\"SI\" >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option><option value=\"SJ\" >\u65af\u74e6\u5c14\u5df4\u5c9b\u548c\u626c\u9a6c\u5ef6\u5c9b<\/option><option value=\"LK\" >\u65af\u91cc\u5170\u5361<\/option><option value=\"SG\" >\u65b0\u52a0\u5761<\/option><option value=\"NC\" >\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a<\/option><option value=\"JE\" >\u65b0\u6cfd\u897f<\/option><option value=\"NZ\" >\u65b0\u897f\u5170<\/option><option value=\"JP\" >\u65e5\u672c<\/option><option value=\"CL\" >\u667a\u5229<\/option><option value=\"KP\" >\u671d\u9c9c<\/option><option value=\"KH\" >\u67ec\u57d4\u5be8<\/option><option value=\"GG\" >\u683c\u6069\u897f<\/option><option value=\"GD\" >\u683c\u6797\u7eb3\u8fbe<\/option><option value=\"GL\" >\u683c\u9675\u5170<\/option><option value=\"GE\" >\u683c\u9c81\u5409\u4e9a<\/option><option value=\"VA\" >\u68b5\u8482\u5188\u57ce\u56fd<\/option><option value=\"BE\" >\u6bd4\u5229\u65f6<\/option><option value=\"MR\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option><option value=\"MU\" >\u6bdb\u91cc\u6c42\u65af<\/option><option value=\"TO\" >\u6c64\u52a0\u8bed<\/option><option value=\"BN\" >\u6c76\u83b1<\/option><option value=\"SA\" >\u8fdb\u653b<\/option><option value=\"FR\" >\u6cd5\u56fd<\/option><option value=\"TF\" >\u6cd5\u56fd \u5357\u4eac<\/option><option value=\"GF\" >\u6cd5\u5c5e\u572d\u4e9a\u90a3<\/option><option value=\"PF\" >\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option><option value=\"FO\" >\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value=\"PL\" >\u6ce2\u5170<\/option><option value=\"PR\" >\u6ce2\u591a\u9ece\u5404<\/option><option value=\"BA\" >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value=\"TH\" >\u6cf0\u56fd<\/option><option value=\"ZW\" >\u6d25\u5df4\u5e03\u97e6<\/option><option value=\"HN\" >\u6d2a\u90fd\u62c9\u65af<\/option><option value=\"HT\" >\u6d77\u5730<\/option><option value=\"AU\" >\u6fb3\u6d32<\/option><option value=\"MO\" >\u6fb3\u95e8<\/option><option value=\"IE\" >\u7231\u5c14\u5170\uff08\u5171\u548c\u56fd\uff09<\/option><option value=\"EE\" >\u7231\u6c99\u5c3c\u4e9a<\/option><option value=\"JM\" >\u7259\u4e70\u52a0<\/option><option value=\"TC\" >\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"TT\" >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value=\"BO\" >\u73bb\u5229\u7ef4\u4e9a\uff08\u591a\u6c11\u65cf\uff09<\/option><option value=\"NR\" >\u7459\u9c81\u8bed (Naoero)<\/option><option value=\"SE\" >\u745e\u5178<\/option><option value=\"CH\" >\u745e\u58eb<\/option><option value=\"GP\" >\u74dc\u5fb7\u7f57\u666e\u5c9b<\/option><option value=\"WF\" >\u74e6\u5229\u65af\u7fa4\u5c9b\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b<\/option><option value=\"VU\" >\u74e6\u52aa\u963f\u56fe<\/option><option value=\"RE\" >\u7559\u5c3c\u6c6a\u5c9b<\/option><option value=\"BY\" >\u767d\u4fc4\u7f57\u65af<\/option><option value=\"BM\" >\u767e\u6155\u5927<\/option><option value=\"PN\" >\u76ae\u7279\u00b7\u51ef\u6069<\/option><option value=\"GI\" >\u76f4\u5e03\u7f57\u9640<\/option><option value=\"FK\" >\u798f\u514b\u5170\u7fa4\u5c9b<\/option><option value=\"KW\" >\u79d1\u5a01\u7279<\/option><option value=\"KM\" >\u79d1\u6469\u7f57<\/option><option value=\"CI\" >\u79d1\u7279\u8fea\u74e6<\/option><option value=\"CC\" >\u79d1\u79d1\u65af\uff08\u57fa\u6797\uff09\u7fa4\u5c9b<\/option><option value=\"PE\" >\u79d8\u9c81<\/option><option value=\"TN\" >\u7a81\u5c3c\u65af<\/option><option value=\"LT\" >\u7acb\u9676\u5b9b<\/option><option value=\"SO\" >\u7684<\/option><option value=\"JO\" >\u7ea6\u65e6<\/option><option value=\"NA\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option><option value=\"NU\" >\u7ebd\u57c3<\/option><option value=\"VI\" >\u7ef4\u5c14\u4eac\u7fa4\u5c9b\uff08\u7f8e\u56fd\uff09<\/option><option value=\"VG\" >\u7ef4\u5c14\u4eac\u7fa4\u5c9b\uff08\u82f1\u5c5e\uff09<\/option><option value=\"MM\" >\u7f10\u7538<\/option><option value=\"RO\" >\u7f57\u9a6c\u5c3c\u4e9a<\/option><option value=\"US\" >\u7f8e\u56fd<\/option><option value=\"UM\" >\u7f8e\u56fd\u672c\u571f\u5916\u5c0f\u5c9b\u5c7f<\/option><option value=\"AS\" >\u7f8e\u5c5e\u8428\u6469\u4e9a<\/option><option value=\"LA\" >\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"KE\" >\u80af\u5c3c\u4e9a<\/option><option value=\"FI\" >\u82ac\u5170<\/option><option value=\"SD\" >\u82cf\u4e39<\/option><option value=\"SR\" >\u82cf\u91cc\u5357<\/option><option value=\"IO\" >\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option><option value=\"NL\" >\u8377\u5170<\/option><option value=\"MZ\" >\u83ab\u6851\u6bd4\u514b<\/option><option value=\"LS\" >\u83b1\u7d22\u6258<\/option><option value=\"PH\" >\u83f2\u5f8b\u5bbe<\/option><option value=\"SV\" >\u8428\u5c14\u74e6\u591a<\/option><option value=\"WS\" >\u8428\u6469\u4e9a<\/option><option value=\"PT\" >\u8461\u8404\u7259<\/option><option value=\"MN\" >\u8499\u53e4\u56fd<\/option><option value=\"MS\" >\u8499\u7279\u585e\u62c9\u7279<\/option><option value=\"EH\" >\u897f\u6492\u54c8\u62c9<\/option><option value=\"ES\" >\u897f\u73ed\u7259<\/option><option value=\"NF\" >\u8bfa\u798f\u514b\u5c9b<\/option><option value=\"BJ\" >\u8d1d\u5b81<\/option><option value=\"ZM\" >\u8d5e\u6bd4\u4e9a<\/option><option value=\"GQ\" >\u8d64\u9053\u51e0\u5185\u4e9a<\/option><option value=\"HM\" >\u8d6b\u5fb7\u5c9b\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b<\/option><option value=\"AZ\" >\u963f\u585e\u62dc\u7586<\/option><option value=\"AF\" >\u963f\u5bcc\u6c57<\/option><option value=\"DZ\" >\u963f\u5c14\u53ca\u5229\u4e9a<\/option><option value=\"AL\" >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option><option value=\"SY\" >\u963f\u62c9\u4f2f\u53d9\u5229\u4e9a\u5171\u548c\u56fd<\/option><option value=\"AE\" >\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option><option value=\"OM\" >\u963f\u66fc<\/option><option value=\"AR\" >\u963f\u6839\u5ef7<\/option><option value=\"AW\" >\u963f\u9c81\u5df4<\/option><option value=\"KR\" >\u97e9\u56fd<\/option><option value=\"HK\" >\u9999\u6e2f\u8bc1\u5238\u4ea4\u6613\u6240<\/option><option value=\"MV\" >\u9a6c\u5c14\u4ee3\u592b<\/option><option value=\"IM\" >\u9a6c\u6069\u5c9b<\/option><option value=\"MW\" >\u9a6c\u62c9\u7ef4<\/option><option value=\"MQ\" >\u9a6c\u63d0\u5c3c\u514b<\/option><option value=\"MY\" >\u9a6c\u6765\u897f\u4e9a<\/option><option value=\"YT\" >\u9a6c\u7ea6\u7279\u5c9b<\/option><option value=\"MH\" >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option><option value=\"MT\" >\u9a6c\u8033\u4ed6<\/option><option value=\"MG\" >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option><option value=\"ML\" >\u9a6c\u91cc<\/option><option value=\"LB\" >\u9ece\u5df4\u5ae9<\/option><option value=\"ME\" >\u9ed1\u5c71<\/option><\/select><label for=\"wpforms-324-field_43-country\" class=\"wpforms-field-sublabel after\">\u56fd\u5bb6<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-324-field_45-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"45\" style=\"display:none;\"><h3 id=\"wpforms-324-field_45\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-324-field_45-error\">Mengenal Pasti tahap kesihatan Pesakit PID dewasa\uff08\u8bc6\u522b\u6210\u4eba PID \u60a3\u8005\u7684\u5065\u5eb7\u6c34\u5e73\uff09<\/h3><\/div><div id=\"wpforms-324-field_47-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"47\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Nyatakan Jenis PID yang anda alami\uff08\u8bf7\u8bf4\u660e\u60a8\u7684 PID \u7c7b\u578b\uff09<\/legend><ul id=\"wpforms-324-field_47\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_1\" name=\"wpforms[fields][47][]\" value=\"Ataxia Telangiectasia (A-T)\" aria-errormessage=\"wpforms-324-field_47_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_1\">\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u6027\u5171\u6d4e\u5931\u8c03 (AT)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_2\" name=\"wpforms[fields][47][]\" value=\"Autoimmune Lymphoproliferative Syndrome (ALPS)\" aria-errormessage=\"wpforms-324-field_47_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_2\">\u81ea\u8eab\u514d\u75ab\u6027\u6dcb\u5df4\u589e\u6b96\u7efc\u5408\u5f81 (ALPS)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_3\" name=\"wpforms[fields][47][]\" value=\"Bruton&#039;s Agammaglobulinemia (XLA)\" aria-errormessage=\"wpforms-324-field_47_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_3\">\u5e03\u9c81\u987f\u65e0\u4e19\u79cd\u7403\u86cb\u767d\u8840\u75c7 (XLA)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_4\" name=\"wpforms[fields][47][]\" value=\"Chronic Granulomatous Disease (CGD)\" aria-errormessage=\"wpforms-324-field_47_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_4\">\u6162\u6027\u8089\u82bd\u80bf\u75c5 (CGD)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_5\" name=\"wpforms[fields][47][]\" value=\"Combined Variable Immunodeficiency (CVID)\" aria-errormessage=\"wpforms-324-field_47_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_5\">\u8054\u5408\u53d8\u5f02\u6027\u514d\u75ab\u7f3a\u9677\u75c5 (CVID)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_6\" name=\"wpforms[fields][47][]\" value=\"Hyper IgE Syndrome (HyperIgE)\" aria-errormessage=\"wpforms-324-field_47_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_6\">\u9ad8 IgE \u7efc\u5408\u5f81 (HyperIgE)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_7\" name=\"wpforms[fields][47][]\" value=\"Hyper IgM Syndrome (HyperIgM)\" aria-errormessage=\"wpforms-324-field_47_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_7\">\u9ad8 IgM \u7efc\u5408\u5f81 (HyperIgM)<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_8\" name=\"wpforms[fields][47][]\" value=\"Hypoagammaglobulinemia Syndrome\" aria-errormessage=\"wpforms-324-field_47_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_8\">\u4f4e\u4e19\u79cd\u7403\u86cb\u767d\u8840\u75c7\u7efc\u5408\u5f81<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_9\" name=\"wpforms[fields][47][]\" value=\"Immunoglobulin A Deficiency (IgA)\" aria-errormessage=\"wpforms-324-field_47_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_9\">\u514d\u75ab\u7403\u86cb\u767d A \u7f3a\u4e4f\u75c7 (IgA)<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_10\" name=\"wpforms[fields][47][]\" value=\"Primary Hemophagocytic LymphoHistiocytosis (HLH)\" aria-errormessage=\"wpforms-324-field_47_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_10\">\u539f\u53d1\u6027\u566c\u8840\u7ec6\u80de\u6027\u6dcb\u5df4\u7ec4\u7ec7\u7ec6\u80de\u589e\u591a\u75c7 (HLH)<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_11\" name=\"wpforms[fields][47][]\" value=\"Severe Combined Immunodeficiency (SCID)\" aria-errormessage=\"wpforms-324-field_47_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_11\">\u4e25\u91cd\u8054\u5408\u514d\u75ab\u7f3a\u9677 (SCID)<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_12\" name=\"wpforms[fields][47][]\" value=\"Severe Congenital Neutropenia (SCN)4\" aria-errormessage=\"wpforms-324-field_47_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_12\">\u4e25\u91cd\u5148\u5929\u6027\u4e2d\u6027\u7c92\u7ec6\u80de\u51cf\u5c11\u75c7 (SCN)4<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_13\" name=\"wpforms[fields][47][]\" value=\"Wiskott-Aldrich Syndrome (WAS)\" aria-errormessage=\"wpforms-324-field_47_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_13\">\u5a01\u65af\u79d1\u7279-\u5965\u5c14\u5fb7\u91cc\u5947\u7efc\u5408\u5f81 (WAS)<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_47_14\" name=\"wpforms[fields][47][]\" value=\"Other\" aria-errormessage=\"wpforms-324-field_47_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_47_14\">\u5176\u4ed6<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-324-field_80-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"80\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-324-field_80\" aria-hidden=\"false\">\u5e03\u5c40<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-324-field_48-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"48\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_48\">\u533b\u9662 manakah anda mendapat rawatan sekarang\uff1f\u5c3c\u4e9a\u5854\u574e\u533b\u9662\uff08Nyatakan Hospital\uff09\u3002 \uff08\u60a8\u5728\u54ea\u91cc\u63a5\u53d7\u6cbb\u7597\uff1f\u8bf7\u6ce8\u660e\u60a8\u7684\u6cbb\u7597\u533b\u9662\uff09<\/label><input type=\"text\" id=\"wpforms-324-field_48\" class=\"wpforms-field-medium\" name=\"wpforms[fields][48]\" aria-errormessage=\"wpforms-324-field_48-error\" ><\/div><div id=\"wpforms-324-field_49-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"49\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_49\">\u533b\u9662\u7684\u6cd5\u529b\u548c\u89c4\u6a21\u662f\u62c9\u74e6\u5766\u8bca\u6240\u5417\uff1f\u4f2f\u514b\u7eb3\u897f\u62c9\u5c3c\u4e9a\u5854\u574e\u533b\u9662\u3002 \uff08\u60a8\u5728\u54ea\u91cc\u8fdb\u884c\u4e34\u5e8a\u54a8\u8be2\uff1f\u8bf7\u6ce8\u660e\u60a8\u7684\u4e34\u5e8a\u533b\u9662\uff09<\/label><input type=\"text\" id=\"wpforms-324-field_49\" class=\"wpforms-field-medium\" name=\"wpforms[fields][49]\" aria-errormessage=\"wpforms-324-field_49-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-324-field_50-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"50\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Siapa \u533b\u751f\u514d\u75ab\u5b66\u4e34\u5e8a\u5b89\u8fbe\uff1f<\/legend><ul id=\"wpforms-324-field_50\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_50_1\" name=\"wpforms[fields][50]\" value=\"Prof Dr Lokman M Noh\" aria-errormessage=\"wpforms-324-field_50_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_50_1\">Lokman M Noh \u535a\u58eb\u6559\u6388<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_50_2\" name=\"wpforms[fields][50]\" value=\"Dr. Amir Abdul Latiff, HPKL\" aria-errormessage=\"wpforms-324-field_50_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_50_2\">Amir Abdul Latiff \u535a\u58eb\uff0cHPKL<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_50_3\" name=\"wpforms[fields][50]\" value=\"Assoc. Prof. Dr. Intan Hakimah, HUPM\" aria-errormessage=\"wpforms-324-field_50_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_50_3\">\u526f\u6559\u6388\u3002 Intan Hakimah \u6559\u6388\u3001\u535a\u58eb\uff0cHUPM<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_50_4\" name=\"wpforms[fields][50]\" value=\"Dr. Adli Ali, HPKK UKM\" aria-errormessage=\"wpforms-324-field_50_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_50_4\">Adli Ali \u535a\u58eb\uff0cHPKK UKM<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_50_5\" name=\"wpforms[fields][50]\" value=\"Dr. Intan Juliana, HUSM\" aria-errormessage=\"wpforms-324-field_50_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_50_5\">Intan Juliana \u535a\u58eb\uff0cHUSM<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_50_6\" name=\"wpforms[fields][50]\" value=\"Dr. Mohd Azri, HUPM\" aria-errormessage=\"wpforms-324-field_50_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_50_6\">Mohd Azri \u535a\u58eb\uff0cHUPM<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_50_7\" name=\"wpforms[fields][50]\" value=\"Dr. Sangeetha Sinah, HTA KL\" aria-errormessage=\"wpforms-324-field_50_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_50_7\">Sangeetha Sinah \u535a\u58eb\uff0cHTA KL<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_50_8\" name=\"wpforms[fields][50]\" value=\"Dr. Marina Sham, HTA KL\" aria-errormessage=\"wpforms-324-field_50_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_50_8\">Marina Sham \u535a\u58eb\uff0cHTA KL<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_50_9\" name=\"wpforms[fields][50]\" value=\"Other\" aria-errormessage=\"wpforms-324-field_50_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_50_9\">\u5176\u4ed6<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><\/div><div id=\"wpforms-324-field_77-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"77\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-324-field_77\" aria-hidden=\"false\">\u5e03\u5c40<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-324-field_53-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"53\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Adakah anak anda masih mendapatkan rawatan atau telah meninggal dunia\uff1f (\u60a8\u7684\u5b69\u5b50\u8fd8\u5728\u63a5\u53d7\u6cbb\u7597\u6216\u5df2\u7ecf\u6b7b\u4ea1\u5417\uff1f)<\/legend><ul id=\"wpforms-324-field_53\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_53_1\" name=\"wpforms[fields][53]\" value=\"Ya, masih dirawat (yes, still treated )\" aria-errormessage=\"wpforms-324-field_53_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_53_1\">\u662f\u7684\uff0cmasih dirawat\uff08\u662f\u7684\uff0c\u4ecd\u5728\u6cbb\u7597\u4e2d\uff09<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_53_2\" name=\"wpforms[fields][53]\" value=\"Tidak, anak saya telah meninggal dunia (no, my child has deceased)\" aria-errormessage=\"wpforms-324-field_53_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_53_2\">Tidak, anak saya telah meninggal dunia\uff08\u4e0d\uff0c\u6211\u7684\u5b69\u5b50\u5df2\u7ecf\u6b7b\u4e86\uff09<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-324-field_55-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"55\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_55\">Nyatakan jumlah anak - termasuk yang telah meninggal dunia\uff08\u5305\u62ec\u6b7b\u8005\u5728\u5185\u7684\u513f\u7ae5\u603b\u6570\uff09<\/label><input type=\"text\" id=\"wpforms-324-field_55\" class=\"wpforms-field-medium\" name=\"wpforms[fields][55]\" aria-errormessage=\"wpforms-324-field_55-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-324-field_56-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"56\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Berapakah bilangan anak yang meninggal dunia\uff1f \uff08\u6b7b\u4ea1\u513f\u7ae5\u603b\u6570\uff09<\/legend><ul id=\"wpforms-324-field_56\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_56_1\" name=\"wpforms[fields][56]\" value=\"1\" aria-errormessage=\"wpforms-324-field_56_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_56_1\">1<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_56_2\" name=\"wpforms[fields][56]\" value=\"2\" aria-errormessage=\"wpforms-324-field_56_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_56_2\">2<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_56_3\" name=\"wpforms[fields][56]\" value=\"3\" aria-errormessage=\"wpforms-324-field_56_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_56_3\">3<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_56_4\" name=\"wpforms[fields][56]\" value=\"More than 3\" aria-errormessage=\"wpforms-324-field_56_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_56_4\">\u8d85\u8fc73\u4e2a<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-324-field_57-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"57\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Berapa anak pesakit PID\uff1f (\u6709\u591a\u5c11\u5b69\u5b50\u662fPID\u60a3\u8005\uff1f)<\/legend><ul id=\"wpforms-324-field_57\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_57_1\" name=\"wpforms[fields][57]\" value=\"1\" aria-errormessage=\"wpforms-324-field_57_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_57_1\">1<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_57_2\" name=\"wpforms[fields][57]\" value=\"2\" aria-errormessage=\"wpforms-324-field_57_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_57_2\">2<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_57_3\" name=\"wpforms[fields][57]\" value=\"3\" aria-errormessage=\"wpforms-324-field_57_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_57_3\">3<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_57_4\" name=\"wpforms[fields][57]\" value=\"More than 3\" aria-errormessage=\"wpforms-324-field_57_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_57_4\">\u8d85\u8fc73\u4e2a<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><\/div><div id=\"wpforms-324-field_58-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"58\" style=\"display:none;\"><h3 id=\"wpforms-324-field_58\" name=\"wpforms[fields][58]\" aria-errormessage=\"wpforms-324-field_58-error\">Informasi Anak Pesakit PID\uff08PID \u5b50\u7ea7\u4fe1\u606f\uff09<\/h3><\/div><div id=\"wpforms-324-field_59-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"59\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_59\">Nama Penuh Anak Pertama (Mengikut MyKid) \u7b2c\u4e00\u4e2a\u5b69\u5b50\u7684\u5168\u540d\uff08\u6839\u636e MyKid\uff09<\/label><input type=\"text\" id=\"wpforms-324-field_59\" class=\"wpforms-field-medium\" name=\"wpforms[fields][59]\" aria-errormessage=\"wpforms-324-field_59-error\" ><\/div><div id=\"wpforms-324-field_63-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"63\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Nyatakan Jenis PID yang anda alami\uff08\u8bf7\u8bf4\u660e\u60a8\u7684 PID \u7c7b\u578b\uff09- \u7b2c\u4e00\u4e2a\u5b69\u5b50<\/legend><ul id=\"wpforms-324-field_63\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_1\" name=\"wpforms[fields][63][]\" value=\"Ataxia Telangiectasia (A-T)\" aria-errormessage=\"wpforms-324-field_63_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_1\">\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u6027\u5171\u6d4e\u5931\u8c03 (AT)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_2\" name=\"wpforms[fields][63][]\" value=\"Autoimmune Lymphoproliferative Syndrome (ALPS)\" aria-errormessage=\"wpforms-324-field_63_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_2\">\u81ea\u8eab\u514d\u75ab\u6027\u6dcb\u5df4\u589e\u6b96\u7efc\u5408\u5f81 (ALPS)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_3\" name=\"wpforms[fields][63][]\" value=\"Bruton&#039;s Agammaglobulinemia (XLA)\" aria-errormessage=\"wpforms-324-field_63_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_3\">\u5e03\u9c81\u987f\u65e0\u4e19\u79cd\u7403\u86cb\u767d\u8840\u75c7 (XLA)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_4\" name=\"wpforms[fields][63][]\" value=\"Chronic Granulomatous Disease (CGD)\" aria-errormessage=\"wpforms-324-field_63_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_4\">\u6162\u6027\u8089\u82bd\u80bf\u75c5 (CGD)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_5\" name=\"wpforms[fields][63][]\" value=\"Combined Variable Immunodeficiency (CVID)\" aria-errormessage=\"wpforms-324-field_63_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_5\">\u8054\u5408\u53d8\u5f02\u6027\u514d\u75ab\u7f3a\u9677\u75c5 (CVID)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_6\" name=\"wpforms[fields][63][]\" value=\"Hyper IgE Syndrome (HyperIgE)\" aria-errormessage=\"wpforms-324-field_63_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_6\">\u9ad8 IgE \u7efc\u5408\u5f81 (HyperIgE)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_7\" name=\"wpforms[fields][63][]\" value=\"Hyper IgM Syndrome (HyperIgM)\" aria-errormessage=\"wpforms-324-field_63_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_7\">\u9ad8 IgM \u7efc\u5408\u5f81 (HyperIgM)<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_8\" name=\"wpforms[fields][63][]\" value=\"Hypoagammaglobulinemia Syndrome\" aria-errormessage=\"wpforms-324-field_63_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_8\">\u4f4e\u4e19\u79cd\u7403\u86cb\u767d\u8840\u75c7\u7efc\u5408\u5f81<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_9\" name=\"wpforms[fields][63][]\" value=\"Immunoglobulin A Deficiency (IgA)\" aria-errormessage=\"wpforms-324-field_63_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_9\">\u514d\u75ab\u7403\u86cb\u767d A \u7f3a\u4e4f\u75c7 (IgA)<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_10\" name=\"wpforms[fields][63][]\" value=\"Primary Hemophagocytic LymphoHistiocytosis (HLH)\" aria-errormessage=\"wpforms-324-field_63_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_10\">\u539f\u53d1\u6027\u566c\u8840\u7ec6\u80de\u6027\u6dcb\u5df4\u7ec4\u7ec7\u7ec6\u80de\u589e\u591a\u75c7 (HLH)<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_11\" name=\"wpforms[fields][63][]\" value=\"Severe Combined Immunodeficiency (SCID)\" aria-errormessage=\"wpforms-324-field_63_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_11\">\u4e25\u91cd\u8054\u5408\u514d\u75ab\u7f3a\u9677 (SCID)<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_12\" name=\"wpforms[fields][63][]\" value=\"Severe Congenital Neutropenia (SCN)4\" aria-errormessage=\"wpforms-324-field_63_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_12\">\u4e25\u91cd\u5148\u5929\u6027\u4e2d\u6027\u7c92\u7ec6\u80de\u51cf\u5c11\u75c7 (SCN)4<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_13\" name=\"wpforms[fields][63][]\" value=\"Wiskott-Aldrich Syndrome (WAS)\" aria-errormessage=\"wpforms-324-field_63_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_13\">\u5a01\u65af\u79d1\u7279-\u5965\u5c14\u5fb7\u91cc\u5947\u7efc\u5408\u5f81 (WAS)<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_63_14\" name=\"wpforms[fields][63][]\" value=\"Other\" aria-errormessage=\"wpforms-324-field_63_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_63_14\">\u5176\u4ed6<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-324-field_60-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"60\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_60\">Nama Penuh Anak Kedua (Jika ada) \u7b2c\u4e8c\u4e2a\u5b69\u5b50\u7684\u5168\u540d\uff08\u6839\u636e MyKid\uff09\uff08\u9009\u9879\uff09<\/label><input type=\"text\" id=\"wpforms-324-field_60\" class=\"wpforms-field-medium\" name=\"wpforms[fields][60]\" aria-errormessage=\"wpforms-324-field_60-error\" ><\/div><div id=\"wpforms-324-field_64-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"64\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Nyatakan Jenis PID yang anda alami\uff08\u8bf7\u8bf4\u660e\u60a8\u7684 PID \u7c7b\u578b\uff09- \u7b2c\u4e8c\u4e2a\u5b69\u5b50 <\/legend><ul id=\"wpforms-324-field_64\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_1\" name=\"wpforms[fields][64][]\" value=\"Ataxia Telangiectasia (A-T)\" aria-errormessage=\"wpforms-324-field_64_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_1\">\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u6027\u5171\u6d4e\u5931\u8c03 (AT)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_2\" name=\"wpforms[fields][64][]\" value=\"Autoimmune Lymphoproliferative Syndrome (ALPS)\" aria-errormessage=\"wpforms-324-field_64_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_2\">\u81ea\u8eab\u514d\u75ab\u6027\u6dcb\u5df4\u589e\u6b96\u7efc\u5408\u5f81 (ALPS)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_3\" name=\"wpforms[fields][64][]\" value=\"Bruton&#039;s Agammaglobulinemia (XLA)\" aria-errormessage=\"wpforms-324-field_64_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_3\">\u5e03\u9c81\u987f\u65e0\u4e19\u79cd\u7403\u86cb\u767d\u8840\u75c7 (XLA)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_4\" name=\"wpforms[fields][64][]\" value=\"Chronic Granulomatous Disease (CGD)\" aria-errormessage=\"wpforms-324-field_64_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_4\">\u6162\u6027\u8089\u82bd\u80bf\u75c5 (CGD)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_5\" name=\"wpforms[fields][64][]\" value=\"Combined Variable Immunodeficiency (CVID)\" aria-errormessage=\"wpforms-324-field_64_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_5\">\u8054\u5408\u53d8\u5f02\u6027\u514d\u75ab\u7f3a\u9677\u75c5 (CVID)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_6\" name=\"wpforms[fields][64][]\" value=\"Hyper IgE Syndrome (HyperIgE)\" aria-errormessage=\"wpforms-324-field_64_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_6\">\u9ad8 IgE \u7efc\u5408\u5f81 (HyperIgE)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_7\" name=\"wpforms[fields][64][]\" value=\"Hyper IgM Syndrome (HyperIgM)\" aria-errormessage=\"wpforms-324-field_64_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_7\">\u9ad8 IgM \u7efc\u5408\u5f81 (HyperIgM)<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_8\" name=\"wpforms[fields][64][]\" value=\"Hypoagammaglobulinemia Syndrome\" aria-errormessage=\"wpforms-324-field_64_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_8\">\u4f4e\u4e19\u79cd\u7403\u86cb\u767d\u8840\u75c7\u7efc\u5408\u5f81<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_9\" name=\"wpforms[fields][64][]\" value=\"Immunoglobulin A Deficiency (IgA)\" aria-errormessage=\"wpforms-324-field_64_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_9\">\u514d\u75ab\u7403\u86cb\u767d A \u7f3a\u4e4f\u75c7 (IgA)<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_10\" name=\"wpforms[fields][64][]\" value=\"Primary Hemophagocytic LymphoHistiocytosis (HLH)\" aria-errormessage=\"wpforms-324-field_64_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_10\">\u539f\u53d1\u6027\u566c\u8840\u7ec6\u80de\u6027\u6dcb\u5df4\u7ec4\u7ec7\u7ec6\u80de\u589e\u591a\u75c7 (HLH)<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_11\" name=\"wpforms[fields][64][]\" value=\"Severe Combined Immunodeficiency (SCID)\" aria-errormessage=\"wpforms-324-field_64_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_11\">\u4e25\u91cd\u8054\u5408\u514d\u75ab\u7f3a\u9677 (SCID)<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_12\" name=\"wpforms[fields][64][]\" value=\"Severe Congenital Neutropenia (SCN)4\" aria-errormessage=\"wpforms-324-field_64_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_12\">\u4e25\u91cd\u5148\u5929\u6027\u4e2d\u6027\u7c92\u7ec6\u80de\u51cf\u5c11\u75c7 (SCN)4<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_13\" name=\"wpforms[fields][64][]\" value=\"Wiskott-Aldrich Syndrome (WAS)\" aria-errormessage=\"wpforms-324-field_64_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_13\">\u5a01\u65af\u79d1\u7279-\u5965\u5c14\u5fb7\u91cc\u5947\u7efc\u5408\u5f81 (WAS)<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_64_14\" name=\"wpforms[fields][64][]\" value=\"Other\" aria-errormessage=\"wpforms-324-field_64_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_64_14\">\u5176\u4ed6<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-324-field_61-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"61\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_61\">Nama Penuh Anak Ketiga (jika ada) \u7b2c\u4e09\u4e2a\u5b69\u5b50\u7684\u5168\u540d\uff08\u9009\u9879\uff09<\/label><input type=\"text\" id=\"wpforms-324-field_61\" class=\"wpforms-field-medium\" name=\"wpforms[fields][61]\" aria-errormessage=\"wpforms-324-field_61-error\" ><\/div><div id=\"wpforms-324-field_65-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"65\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Nyatakan Jenis PID yang anda alami\uff08\u8bf7\u8bf4\u660e\u60a8\u7684 PID \u7c7b\u578b\uff09- \u7b2c\u4e09\u4e2a\u5b69\u5b50 <\/legend><ul id=\"wpforms-324-field_65\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_1\" name=\"wpforms[fields][65][]\" value=\"Ataxia Telangiectasia (A-T)\" aria-errormessage=\"wpforms-324-field_65_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_1\">\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u6027\u5171\u6d4e\u5931\u8c03 (AT)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_2\" name=\"wpforms[fields][65][]\" value=\"Autoimmune Lymphoproliferative Syndrome (ALPS)\" aria-errormessage=\"wpforms-324-field_65_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_2\">\u81ea\u8eab\u514d\u75ab\u6027\u6dcb\u5df4\u589e\u6b96\u7efc\u5408\u5f81 (ALPS)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_3\" name=\"wpforms[fields][65][]\" value=\"Bruton&#039;s Agammaglobulinemia (XLA)\" aria-errormessage=\"wpforms-324-field_65_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_3\">\u5e03\u9c81\u987f\u65e0\u4e19\u79cd\u7403\u86cb\u767d\u8840\u75c7 (XLA)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_4\" name=\"wpforms[fields][65][]\" value=\"Chronic Granulomatous Disease (CGD)\" aria-errormessage=\"wpforms-324-field_65_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_4\">\u6162\u6027\u8089\u82bd\u80bf\u75c5 (CGD)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_5\" name=\"wpforms[fields][65][]\" value=\"Combined Variable Immunodeficiency (CVID)\" aria-errormessage=\"wpforms-324-field_65_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_5\">\u8054\u5408\u53d8\u5f02\u6027\u514d\u75ab\u7f3a\u9677\u75c5 (CVID)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_6\" name=\"wpforms[fields][65][]\" value=\"Hyper IgE Syndrome (HyperIgE)\" aria-errormessage=\"wpforms-324-field_65_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_6\">\u9ad8 IgE \u7efc\u5408\u5f81 (HyperIgE)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_7\" name=\"wpforms[fields][65][]\" value=\"Hyper IgM Syndrome (HyperIgM)\" aria-errormessage=\"wpforms-324-field_65_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_7\">\u9ad8 IgM \u7efc\u5408\u5f81 (HyperIgM)<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_8\" name=\"wpforms[fields][65][]\" value=\"Hypoagammaglobulinemia Syndrome\" aria-errormessage=\"wpforms-324-field_65_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_8\">\u4f4e\u4e19\u79cd\u7403\u86cb\u767d\u8840\u75c7\u7efc\u5408\u5f81<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_9\" name=\"wpforms[fields][65][]\" value=\"Immunoglobulin A Deficiency (IgA)\" aria-errormessage=\"wpforms-324-field_65_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_9\">\u514d\u75ab\u7403\u86cb\u767d A \u7f3a\u4e4f\u75c7 (IgA)<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_10\" name=\"wpforms[fields][65][]\" value=\"Primary Hemophagocytic LymphoHistiocytosis (HLH)\" aria-errormessage=\"wpforms-324-field_65_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_10\">\u539f\u53d1\u6027\u566c\u8840\u7ec6\u80de\u6027\u6dcb\u5df4\u7ec4\u7ec7\u7ec6\u80de\u589e\u591a\u75c7 (HLH)<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_11\" name=\"wpforms[fields][65][]\" value=\"Severe Combined Immunodeficiency (SCID)\" aria-errormessage=\"wpforms-324-field_65_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_11\">\u4e25\u91cd\u8054\u5408\u514d\u75ab\u7f3a\u9677 (SCID)<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_12\" name=\"wpforms[fields][65][]\" value=\"Severe Congenital Neutropenia (SCN)4\" aria-errormessage=\"wpforms-324-field_65_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_12\">\u4e25\u91cd\u5148\u5929\u6027\u4e2d\u6027\u7c92\u7ec6\u80de\u51cf\u5c11\u75c7 (SCN)4<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_13\" name=\"wpforms[fields][65][]\" value=\"Wiskott-Aldrich Syndrome (WAS)\" aria-errormessage=\"wpforms-324-field_65_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_13\">\u5a01\u65af\u79d1\u7279-\u5965\u5c14\u5fb7\u91cc\u5947\u7efc\u5408\u5f81 (WAS)<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_65_14\" name=\"wpforms[fields][65][]\" value=\"Other\" aria-errormessage=\"wpforms-324-field_65_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_65_14\">\u5176\u4ed6<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-324-field_62-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"62\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_62\">Nama Penuh Anak Keempat (jika ada) \u7b2c\u56db\u4e2a\u5b69\u5b50\u7684\u5168\u540d\uff08\u9009\u9879\uff09<\/label><input type=\"text\" id=\"wpforms-324-field_62\" class=\"wpforms-field-medium\" name=\"wpforms[fields][62]\" aria-errormessage=\"wpforms-324-field_62-error\" ><\/div><div id=\"wpforms-324-field_66-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"66\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Nyatakan Jenis PID yang anda alami\uff08\u8bf7\u8bf4\u660e\u60a8\u7684 PID \u7c7b\u578b\uff09- \u7b2c\u56db\u4e2a\u5b69\u5b50 <\/legend><ul id=\"wpforms-324-field_66\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_1\" name=\"wpforms[fields][66][]\" value=\"Ataxia Telangiectasia (A-T)\" aria-errormessage=\"wpforms-324-field_66_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_1\">\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u6027\u5171\u6d4e\u5931\u8c03 (AT)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_2\" name=\"wpforms[fields][66][]\" value=\"Autoimmune Lymphoproliferative Syndrome (ALPS)\" aria-errormessage=\"wpforms-324-field_66_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_2\">\u81ea\u8eab\u514d\u75ab\u6027\u6dcb\u5df4\u589e\u6b96\u7efc\u5408\u5f81 (ALPS)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_3\" name=\"wpforms[fields][66][]\" value=\"Bruton&#039;s Agammaglobulinemia (XLA)\" aria-errormessage=\"wpforms-324-field_66_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_3\">\u5e03\u9c81\u987f\u65e0\u4e19\u79cd\u7403\u86cb\u767d\u8840\u75c7 (XLA)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_4\" name=\"wpforms[fields][66][]\" value=\"Chronic Granulomatous Disease (CGD)\" aria-errormessage=\"wpforms-324-field_66_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_4\">\u6162\u6027\u8089\u82bd\u80bf\u75c5 (CGD)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_5\" name=\"wpforms[fields][66][]\" value=\"Combined Variable Immunodeficiency (CVID)\" aria-errormessage=\"wpforms-324-field_66_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_5\">\u8054\u5408\u53d8\u5f02\u6027\u514d\u75ab\u7f3a\u9677\u75c5 (CVID)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_6\" name=\"wpforms[fields][66][]\" value=\"Hyper IgE Syndrome (HyperIgE)\" aria-errormessage=\"wpforms-324-field_66_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_6\">\u9ad8 IgE \u7efc\u5408\u5f81 (HyperIgE)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_7\" name=\"wpforms[fields][66][]\" value=\"Hyper IgM Syndrome (HyperIgM)\" aria-errormessage=\"wpforms-324-field_66_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_7\">\u9ad8 IgM \u7efc\u5408\u5f81 (HyperIgM)<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_8\" name=\"wpforms[fields][66][]\" value=\"Hypoagammaglobulinemia Syndrome\" aria-errormessage=\"wpforms-324-field_66_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_8\">\u4f4e\u4e19\u79cd\u7403\u86cb\u767d\u8840\u75c7\u7efc\u5408\u5f81<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_9\" name=\"wpforms[fields][66][]\" value=\"Immunoglobulin A Deficiency (IgA)\" aria-errormessage=\"wpforms-324-field_66_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_9\">\u514d\u75ab\u7403\u86cb\u767d A \u7f3a\u4e4f\u75c7 (IgA)<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_10\" name=\"wpforms[fields][66][]\" value=\"Primary Hemophagocytic LymphoHistiocytosis (HLH)\" aria-errormessage=\"wpforms-324-field_66_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_10\">\u539f\u53d1\u6027\u566c\u8840\u7ec6\u80de\u6027\u6dcb\u5df4\u7ec4\u7ec7\u7ec6\u80de\u589e\u591a\u75c7 (HLH)<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_11\" name=\"wpforms[fields][66][]\" value=\"Severe Combined Immunodeficiency (SCID)\" aria-errormessage=\"wpforms-324-field_66_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_11\">\u4e25\u91cd\u8054\u5408\u514d\u75ab\u7f3a\u9677 (SCID)<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_12\" name=\"wpforms[fields][66][]\" value=\"Severe Congenital Neutropenia (SCN)4\" aria-errormessage=\"wpforms-324-field_66_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_12\">\u4e25\u91cd\u5148\u5929\u6027\u4e2d\u6027\u7c92\u7ec6\u80de\u51cf\u5c11\u75c7 (SCN)4<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_13\" name=\"wpforms[fields][66][]\" value=\"Wiskott-Aldrich Syndrome (WAS)\" aria-errormessage=\"wpforms-324-field_66_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_13\">\u5a01\u65af\u79d1\u7279-\u5965\u5c14\u5fb7\u91cc\u5947\u7efc\u5408\u5f81 (WAS)<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-324-field_66_14\" name=\"wpforms[fields][66][]\" value=\"Other\" aria-errormessage=\"wpforms-324-field_66_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_66_14\">\u5176\u4ed6<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-324-field_67-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"67\" style=\"display:none;\"><h3 id=\"wpforms-324-field_67\" name=\"wpforms[fields][67]\" aria-errormessage=\"wpforms-324-field_67-error\">Saya adalah saudara-mara \/ adik beradik pesakit PID yang berumur &gt;18 tahun\uff08\u662f\u7684\uff0c\u6211\u662f PID \u60a3\u8005\u7684\u4eb2\u621a\/\u5144\u5f1f\u59d0\u59b9\uff0c\u5e76\u4e14\u6211\u5df2\u8d85\u8fc7 18 \u5c81\uff09<\/h3><\/div><div id=\"wpforms-324-field_78-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"78\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-324-field_78\" aria-hidden=\"false\">\u5e03\u5c40<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-324-field_68-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"68\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Apakah hubungan anda dengan pesakit PID? \uff08\u4f60\u548c\u76c6\u8154\u708e\u60a3\u8005\u662f\u4ec0\u4e48\u5173\u7cfb\uff1f\uff09<\/legend><ul id=\"wpforms-324-field_68\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_68_1\" name=\"wpforms[fields][68]\" value=\"Anak buah (neice\/nephew)\" aria-errormessage=\"wpforms-324-field_68_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_68_1\">Anak buah\uff08\u4f84\u5973\/\u4f84\u5b50\uff09<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_68_2\" name=\"wpforms[fields][68]\" value=\"Adik-beradik (Siblings)\" aria-errormessage=\"wpforms-324-field_68_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_68_2\">\u963f\u8fea\u514b-\u8d1d\u62c9\u8fea\u514b\uff08\u5144\u5f1f\u59d0\u59b9\uff09<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_68_3\" name=\"wpforms[fields][68]\" value=\"Seupupu (Cousin)\" aria-errormessage=\"wpforms-324-field_68_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_68_3\">\u585e\u666e\u666e\uff08\u8868\u5f1f\uff09<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_68_4\" name=\"wpforms[fields][68]\" value=\"Other\" aria-errormessage=\"wpforms-324-field_68_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_68_4\">\u5176\u4ed6<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-324-field_69-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"69\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-324-field_69\">Nama Pesakit PID\uff08PID \u60a3\u8005\u540d\u79f0\uff09<\/label><input type=\"text\" id=\"wpforms-324-field_69\" class=\"wpforms-field-medium\" name=\"wpforms[fields][69]\" aria-errormessage=\"wpforms-324-field_69-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-324-field_70-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"70\" style=\"display:none;\"><h3 id=\"wpforms-324-field_70\" name=\"wpforms[fields][70]\" aria-errormessage=\"wpforms-324-field_70-error\" aria-describedby=\"wpforms-324-field_70-description\">Saya hendak menjadi Ahli Bersekutu \/ Sukarelawan\uff08\u6211\u60f3\u6210\u4e3a\u51c6\u4f1a\u5458\/\u5fd7\u613f\u8005\uff09<\/h3><div id=\"wpforms-324-field_70-description\" class=\"wpforms-field-description\">Saya bukan pesakit PID ataupun sanak saudara pesakit PID\u3002 Saya berumur &gt;18 tahun\uff08\u6211\u4e0d\u662f PID \u60a3\u8005\u6216 PID \u60a3\u8005\u7684\u4eb2\u5c5e\u3002\u6211 &gt;18 \u5c81\uff09 \u6ce8\uff1aAhli Bersekutu tidak mempunyai hak mengundi <br>\r\n\uff08\u6ce8\uff1a\u51c6\u4f1a\u5458\u6ca1\u6709\u6295\u7968\u6743\uff09<\/div><\/div><div id=\"wpforms-324-field_79-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"79\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-324-field_79\" aria-hidden=\"false\">\u5e03\u5c40<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-324-field_71-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"71\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Saya mahu menjadi ahli MYPOPI kerana..\uff08\u6211\u60f3\u6210\u4e3a MYPOPI \u7684\u6210\u5458\uff0c\u56e0\u4e3a......\uff09<\/legend><ul id=\"wpforms-324-field_71\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_71_1\" name=\"wpforms[fields][71]\" value=\"saya ingin menyebar lebih kesedaran kepada orang awam  (I wish to raise awareness among general public)\" aria-errormessage=\"wpforms-324-field_71_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_71_1\">saya ingin menyebar lebih kesedaran kepada orang awam\uff08\u6211\u5e0c\u671b\u63d0\u9ad8\u516c\u4f17\u7684\u8ba4\u8bc6\uff09<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_71_2\" name=\"wpforms[fields][71]\" value=\"saya ingin berkhidmat sebagai sukarelawan (I wish to volunteer my service)\" aria-errormessage=\"wpforms-324-field_71_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_71_2\">saya ingin berkhidmat sebagai sukarelawan\uff08\u6211\u5e0c\u671b\u5fd7\u613f\u670d\u52a1\uff09<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_71_3\" name=\"wpforms[fields][71]\" value=\"saya ingin menyokong aktiviti aktiviti MYPOPI (I wish to support MYPOPI activities)\" aria-errormessage=\"wpforms-324-field_71_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_71_3\">saya ingin menyokong aktiviti aktiviti MYPOPI\uff08\u6211\u5e0c\u671b\u652f\u6301 MYPOPI \u6d3b\u52a8\uff09<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_71_4\" name=\"wpforms[fields][71]\" value=\"Other\" aria-errormessage=\"wpforms-324-field_71_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_71_4\">\u5176\u4ed6<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-324-field_72-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"72\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Bagaimana anda mengenali MYPOPI\uff1f \uff08\u60a8\u662f\u5982\u4f55\u8ba4\u8bc6MYPOPI\u7684\uff1f\uff09<\/legend><ul id=\"wpforms-324-field_72\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_72_1\" name=\"wpforms[fields][72]\" value=\"Social Media (MYPOPI Facebook \/ Website)\" aria-errormessage=\"wpforms-324-field_72_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_72_1\">\u793e\u4ea4\u5a92\u4f53\uff08MYPOPI Facebook \/ \u7f51\u7ad9\uff09<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_72_2\" name=\"wpforms[fields][72]\" value=\"Suratkhabar dan Majalah (Newspaper &amp; Magazines)\" aria-errormessage=\"wpforms-324-field_72_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_72_2\">Suratkhabar dan Majalah\uff08\u62a5\u7eb8\u548c\u6742\u5fd7\uff09<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_72_3\" name=\"wpforms[fields][72]\" value=\"Saluran Berita TV (TV News Channel)\" aria-errormessage=\"wpforms-324-field_72_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_72_3\">Saluran Berita TV\uff08\u7535\u89c6\u65b0\u95fb\u9891\u9053\uff09<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_72_4\" name=\"wpforms[fields][72]\" value=\"Roadshow, Pameran dan National Walk-About\" aria-errormessage=\"wpforms-324-field_72_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_72_4\">\u8def\u6f14\u3001Pameran \u548c National Walk-About<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_72_5\" name=\"wpforms[fields][72]\" value=\"Aktiviti-aktiviti pengumpulan amal (Fundraising Activities)\" aria-errormessage=\"wpforms-324-field_72_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_72_5\">Aktiviti-aktiviti pengumpulan amal\uff08\u7b79\u6b3e\u6d3b\u52a8\uff09<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_72_6\" name=\"wpforms[fields][72]\" value=\"Other\" aria-errormessage=\"wpforms-324-field_72_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_72_6\">\u5176\u4ed6<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><\/div><div id=\"wpforms-324-field_73-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"73\" style=\"display:none;\"><h3 id=\"wpforms-324-field_73\" name=\"wpforms[fields][73]\" aria-errormessage=\"wpforms-324-field_73-error\" aria-describedby=\"wpforms-324-field_73-description\">Pembayaran Pendaftaran\uff08\u6ce8\u518c\u8d39\uff09<\/h3><div id=\"wpforms-324-field_73-description\" class=\"wpforms-field-description\">Yuran pendaftaran - RM1 <br>\r\n\u5c24\u7136\u5854\u80e1\u5357 2023 - RM1 <br>\r\nYuran seumur hidup - RM10<\/div><\/div><div id=\"wpforms-324-field_74-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"74\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Pilihan manakah anda ingin menjadi ahli MYPOPI\uff1f \uff08\u4f60\u66f4\u559c\u6b22\u54ea\u4e00\u4f4d\u6210\u4e3aMYPOPI\u7684\u4e00\u5458\uff1f\uff09<\/legend><ul id=\"wpforms-324-field_74\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_74_1\" name=\"wpforms[fields][74]\" value=\"Ahli Biasa Baru (New Ordinary Member) - Yuran Pendaftaran RM1 (Registration Fee - RM1)\" aria-errormessage=\"wpforms-324-field_74_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_74_1\">Ahli Biasa Baru (\u65b0\u666e\u901a\u4f1a\u5458) - Yuran Pendaftaran RM1 (\u6ce8\u518c\u8d39 - RM1)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_74_2\" name=\"wpforms[fields][74]\" value=\"Ahli Biasa Sedia Ada (Existing Ordinary Member) - Yuran Tahunan RM1 (Yearly Membership Fee RM1)n 2\" aria-errormessage=\"wpforms-324-field_74_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_74_2\">Ahli Biasa Sedia Ada (\u73b0\u6709\u666e\u901a\u4f1a\u5458) - Yuran Tahunan RM1 (\u4f1a\u5458\u5e74\u8d39 RM1)n 2<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-324-field_74_3\" name=\"wpforms[fields][74]\" value=\"Ahli Biasa Sedia Ada to upgrade to Ahli Seumur Hidup (Ordinary Member to upgrade to Lifetime member) - Yuran Sekali gus RM10 (One Time Fee R10)\" aria-errormessage=\"wpforms-324-field_74_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-324-field_74_3\">Ahli Biasa Sedia Ada \u5347\u7ea7\u4e3a Ahli Seumur Hidup\uff08\u666e\u901a\u4f1a\u5458\u5347\u7ea7\u4e3a\u7ec8\u8eab\u4f1a\u5458\uff09 - Yuran Sekali gus RM10\uff08\u4e00\u6b21\u6027\u8d39\u7528 R10\uff09<\/label><\/li><\/ul><\/fieldset><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"324\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-324\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">\u63d0\u4ea4<\/button><img src=\"https:\/\/mypopi.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"\u52a0\u8f7d\"><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"cn\"\/><\/form><\/div>  <!-- .wpforms-container -->\n\t\t<\/div>\n\t<\/div>\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"Pendaftaran menjadi ahli MYPOPI (MYPOPI Membership Registration) Terima Kasih kerana berminat untuk menjadi sebahagian dari ahli MYPOPI Data yang dikumpul oleh MYPOPI akan digunakan untuk tujuan berikut: Data peribadi akan...","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Register - MYPOPI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mypopi.org\/cn\/register\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Register - MYPOPI\" \/>\n<meta property=\"og:url\" content=\"https:\/\/mypopi.org\/cn\/register\/\" \/>\n<meta property=\"og:site_name\" content=\"MYPOPI\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-01T04:24:37+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u9884\u8ba1\u9605\u8bfb\u65f6\u95f4\" \/>\n\t<meta name=\"twitter:data1\" content=\"3\u5206\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/mypopi.org\/register\/\",\"url\":\"https:\/\/mypopi.org\/register\/\",\"name\":\"Register - MYPOPI\",\"isPartOf\":{\"@id\":\"https:\/\/mypopi.org\/#website\"},\"datePublished\":\"2023-05-01T04:20:03+00:00\",\"dateModified\":\"2023-05-01T04:24:37+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/mypopi.org\/register\/#breadcrumb\"},\"inLanguage\":\"zh-CN\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/mypopi.org\/register\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/mypopi.org\/register\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/mypopi.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Register\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/mypopi.org\/#website\",\"url\":\"https:\/\/mypopi.org\/\",\"name\":\"MYPOPI\",\"description\":\"Raising awareness of PIDS in Malaysia\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/mypopi.org\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"zh-CN\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Register - MYPOPI","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/mypopi.org\/cn\/register\/","og_locale":"zh_CN","og_type":"article","og_title":"Register - MYPOPI","og_url":"https:\/\/mypopi.org\/cn\/register\/","og_site_name":"MYPOPI","article_modified_time":"2023-05-01T04:24:37+00:00","twitter_card":"summary_large_image","twitter_misc":{"\u9884\u8ba1\u9605\u8bfb\u65f6\u95f4":"3\u5206"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/mypopi.org\/register\/","url":"https:\/\/mypopi.org\/register\/","name":"Register - MYPOPI","isPartOf":{"@id":"https:\/\/mypopi.org\/#website"},"datePublished":"2023-05-01T04:20:03+00:00","dateModified":"2023-05-01T04:24:37+00:00","breadcrumb":{"@id":"https:\/\/mypopi.org\/register\/#breadcrumb"},"inLanguage":"zh-CN","potentialAction":[{"@type":"ReadAction","target":["https:\/\/mypopi.org\/register\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/mypopi.org\/register\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/mypopi.org\/"},{"@type":"ListItem","position":2,"name":"Register"}]},{"@type":"WebSite","@id":"https:\/\/mypopi.org\/#website","url":"https:\/\/mypopi.org\/","name":"MYPOPI","description":"Raising awareness of PIDS in Malaysia","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/mypopi.org\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"zh-CN"}]}},"_links":{"self":[{"href":"https:\/\/mypopi.org\/cn\/wp-json\/wp\/v2\/pages\/329"}],"collection":[{"href":"https:\/\/mypopi.org\/cn\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mypopi.org\/cn\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mypopi.org\/cn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mypopi.org\/cn\/wp-json\/wp\/v2\/comments?post=329"}],"version-history":[{"count":6,"href":"https:\/\/mypopi.org\/cn\/wp-json\/wp\/v2\/pages\/329\/revisions"}],"predecessor-version":[{"id":335,"href":"https:\/\/mypopi.org\/cn\/wp-json\/wp\/v2\/pages\/329\/revisions\/335"}],"wp:attachment":[{"href":"https:\/\/mypopi.org\/cn\/wp-json\/wp\/v2\/media?parent=329"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}