{"id":620,"date":"2015-03-05T13:07:06","date_gmt":"2015-03-05T13:07:06","guid":{"rendered":"https:\/\/rakuskopraca.sk\/dotaznik-2\/"},"modified":"2017-07-14T09:53:48","modified_gmt":"2017-07-14T07:53:48","slug":"dotaznik-6","status":"publish","type":"page","link":"https:\/\/rakuskopraca.sk\/hu\/dotaznik-6\/","title":{"rendered":"Dotazn\u00edk &#8211; da\u0148ov\u00e9 priznanie"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:20px;--awb-padding-right:0px;--awb-padding-bottom:20px;--awb-padding-left:0px;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1100px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-start fusion-column-no-min-height\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-1\" class=\"vfbp-form\"><div style=\"display:none;\"><label for=\"vfbp-EMAIL-AN8fuQyoDLXem\">Ha \u00d6n ember, hagyja \u00fcresen ezt a mez\u0151t.<\/label><input size=\"25\" autocomplete=\"off\" type=\"text\" name=\"vfbp-EMAIL-AN8fuQyoDLXem\" value=\"\" id=\"\"><\/div><input type=\"hidden\" name=\"_vfb-timestamp-1\" value=\"1789980485\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"1\" id=\"\"><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">Registr\u00e1cia<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField131\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField150\"><div class=\"vfb-form-group\"><label for=\"vfb-field-150\" class=\"vfb-control-label\">Titul<\/label><div><input id=\"vfb-field-150\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-150\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-5 vfb-fieldType-text\" id=\"vfbField152\"><div class=\"vfb-form-group\"><label for=\"vfb-field-152\" class=\"vfb-control-label\">Meno <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-152\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-152\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-5 vfb-fieldType-text\" id=\"vfbField151\"><div class=\"vfb-form-group\"><label for=\"vfb-field-151\" class=\"vfb-control-label\">Priezvisko <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-151\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-151\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-4 vfb-fieldType-username\" id=\"vfbField5\"><div class=\"vfb-form-group\"><label for=\"vfb-field-5\" class=\"vfb-control-label\">Pou\u017e\u00edvate\u013esk\u00e9 meno <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-5\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-5\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-password\" id=\"vfbField6\"><div class=\"vfb-form-group\"><label for=\"vfb-field-6\" class=\"vfb-control-label\">Heslo <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-6\" class=\"vfb-form-control vfb-password\" placeholder=\"\" required=\"required\" data-show-verdict-inside=\"1\" data-verdicts=\"T&uacute;l r&ouml;vid,Nagyon gyenge,Gyenge,K&ouml;zepes,Er\u0151s\" type=\"password\" name=\"vfb-field-6\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-email\" id=\"vfbField13\"><div class=\"vfb-form-group\"><label for=\"vfb-field-13\" class=\"vfb-control-label\">Email <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-13\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"email\" name=\"vfb-field-13\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">S\u00fahlas so spracovan\u00edm osobn\u00fdch \u00fadajov<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField147\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField105\"><label for=\"vfb-field-105\" class=\"vfb-control-label\">S\u00fahlas\u00edm s <a href=\"https:\/\/rakuskopraca.sk\/?page_id=395\">Obchodn\u00fdmi Podmienkami<\/a> a <a href=\"https:\/\/rakuskopraca.sk\/?page_id=81\">Z\u00e1sadami ochrany osobn\u00fdch \u00fadajov<\/a> <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-105-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-105\" required=\"required\" type=\"checkbox\" name=\"vfb-field-105[0]\" value=\"1\">s\u00fahlas\u00edm<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">Osobn\u00e9 \u00fadaje<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField132\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-4 vfb-fieldType-date\" id=\"vfbField8\"><div class=\"vfb-form-group\"><label for=\"vfb-field-8\" class=\"vfb-control-label\">D\u00e1tum narodenia<\/label><div><input id=\"vfb-field-8\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-8\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField9\"><div class=\"vfb-form-group\"><label for=\"vfb-field-9\" class=\"vfb-control-label\">Rodn\u00e9 \u010d\u00edslo<\/label><div><input id=\"vfb-field-9\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-9\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField10\"><div class=\"vfb-form-group\"><label for=\"vfb-field-10\" class=\"vfb-control-label\">\u010c\u00edslo soci\u00e1lneho poistenia v Rak\u00fasku:<\/label><div><input id=\"vfb-field-10\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-10\" value=\"\"><span class=\"vfb-help-block\">nacha\u0301dza sa na prednej strane eCard<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-phone\" id=\"vfbField11\"><div class=\"vfb-form-group\"><label for=\"vfb-field-11\" class=\"vfb-control-label\">Tele\u00f3n SK<\/label><div><input id=\"vfb-field-11\" class=\"vfb-form-control vfb-intl-phone\" placeholder=\"\" type=\"tel\" name=\"vfb-field-11\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-6 vfb-fieldType-phone\" id=\"vfbField12\"><div class=\"vfb-form-group\"><label for=\"vfb-field-12\" class=\"vfb-control-label\">Telef\u00f3n AT<\/label><div><input id=\"vfb-field-12\" class=\"vfb-form-control vfb-intl-phone\" placeholder=\"\" type=\"tel\" name=\"vfb-field-12\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">\u00dadaje pre da\u0148ov\u00e9 priznanie<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField133\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-select\" id=\"vfbField47\"><label for=\"vfb-field-47\" class=\"vfb-control-label\">\u017diadam o spracovanie dan\u030cove\u0301ho priznania pre<\/label><div><div class=\"vfb-form-group\"><select id=\"vfb-field-47\" class=\"vfb-form-control\" placeholder=\"\" name=\"vfb-field-47\"><option value=\"Rak&uacute;sko\">Rak\u00fasko<\/option><option value=\"Slovensko\">Slovensko<\/option><option value=\"Slovensko a Rak&uacute;sko\">Slovensko a Rak\u00fasko<\/option><\/select><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField14\"><div class=\"vfb-form-group\"><label for=\"vfb-field-14\" class=\"vfb-control-label\">Da\u0301tum vzniku z\u030civnostenske\u0301ho opra\u0301vnenia v Raku\u0301sku<\/label><div><input id=\"vfb-field-14\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-14\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField16\"><div class=\"vfb-form-group\"><label for=\"vfb-field-16\" class=\"vfb-control-label\">Raku\u0301ske dan\u030cove\u0301 c\u030ci\u0301slo<\/label><div><input id=\"vfb-field-16\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-16\" value=\"\"><span class=\"vfb-help-block\">ak bolo pridelene\u0301<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField17\"><div class=\"vfb-form-group\"><label for=\"vfb-field-17\" class=\"vfb-control-label\">\ufffc Dan\u030cove\u0301 c\u030c. vydal Finanzamt<\/label><div><input id=\"vfb-field-17\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-17\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-address\" id=\"vfbField19\"><div class=\"vfb-form-group\"><label for=\"vfb-field-19\" class=\"vfb-control-label\">\ufffc Presna\u0301 adresa terajs\u030cieho po\u0302sobiska v Raku\u0301sku<\/label><div class=\"vfb-address-block\" id=\"vfb-field-19\"><div class=\"vfb-form-group\" style=\"\"><input id=\"vfb-field-19-address-1\" class=\"vfb-form-control vfb-addresspart-address-1\" placeholder=\"\" type=\"text\" name=\"vfb-field-19[address-1]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-19-country\" class=\"vfb-address-label\">Orsz\u00e1g<\/label><select id=\"vfb-field-19-country\" class=\"vfb-form-control vfb-addresspart-country\" placeholder=\"\" name=\"vfb-field-19[country]\"><option value=\"US\">Egyes\u00fclt \u00c1llamok (US)<\/option><option value=\"GB\">Egyes\u00fclt Kir\u00e1lys\u00e1g (UK)<\/option><option value=\"CA\">Kanada<\/option><option value=\"AU\">Ausztr\u00e1lia<\/option><option value=\"\">---<\/option><option value=\"AF\">Afganiszt\u00e1n<\/option><option value=\"AX\">&#197;lan-szigetek<\/option><option value=\"AL\">Alb\u00e1nia<\/option><option value=\"DZ\">Alg\u00e9ria<\/option><option value=\"AD\">Andorra<\/option><option value=\"AO\">Angola<\/option><option value=\"AI\">Anguilla<\/option><option value=\"AQ\">Antarktika<\/option><option value=\"AG\">Antigua \u00e9s Barbuda<\/option><option value=\"AR\">Argent\u00edna<\/option><option value=\"AM\">\u00d6rm\u00e9nyorsz\u00e1g<\/option><option value=\"AW\">Aruba<\/option><option value=\"AS\">Amerikai Szamoa<\/option><option value=\"AT\" selected='selected'>Ausztria<\/option><option value=\"AZ\">Azerbajdzs\u00e1n<\/option><option value=\"BS\">Bahama-szigetek<\/option><option value=\"BH\">Bahrein<\/option><option value=\"BD\">Banglades<\/option><option value=\"BB\">Barbados<\/option><option value=\"BY\">Feh\u00e9roroszorsz\u00e1g<\/option><option value=\"BE\">Belgium<\/option><option value=\"PW\">Belau<\/option><option value=\"BZ\">Belize<\/option><option value=\"BJ\">Benin<\/option><option value=\"BM\">Bermuda<\/option><option value=\"BT\">Bhut\u00e1n<\/option><option value=\"BO\">Bol\u00edvia<\/option><option value=\"BQ\">Bonaire, Saint Eustatius \u00e9s Saba<\/option><option value=\"BA\">Bosznia-Hercegovina<\/option><option value=\"BW\">Botswana<\/option><option value=\"BV\">Bouvet-sziget<\/option><option value=\"BR\">Braz\u00edlia<\/option><option value=\"IO\">Brit Indiai-\u00f3ce\u00e1ni Ter\u00fclet<\/option><option value=\"VG\">Brit Virgin-szigetek<\/option><option value=\"BN\">Brunei<\/option><option value=\"BG\">Bulg\u00e1ria<\/option><option value=\"BF\">Burkina Faso<\/option><option value=\"BI\">Burundi<\/option><option value=\"KH\">Kambodzsa<\/option><option value=\"CM\">Kamerun<\/option><option value=\"CV\">Z\u00f6ld-foki-szigetek<\/option><option value=\"KY\">Kajm\u00e1n-szigetek<\/option><option value=\"CF\">K\u00f6z\u00e9p-afrikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"TD\">Cs\u00e1d<\/option><option value=\"CL\">Chile<\/option><option value=\"CN\">K\u00edna<\/option><option value=\"CX\">Kar\u00e1csony-sziget<\/option><option value=\"CC\">K\u00f3kusz- (Keeling-)szigetek<\/option><option value=\"CO\">Kolumbia<\/option><option value=\"KM\">Comore-szigetek<\/option><option value=\"CG\">Kong\u00f3i (Brazzaville)<\/option><option value=\"CD\">Kong\u00f3 (Kinshasa)<\/option><option value=\"CK\">Cook-szigetek<\/option><option value=\"CR\">Costa Rica<\/option><option value=\"HR\">Horv\u00e1torsz\u00e1g<\/option><option value=\"CU\">Kuba<\/option><option value=\"CW\">Cura&Ccedil;ao<\/option><option value=\"CY\">Ciprus<\/option><option value=\"CZ\">Cseh K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"DK\">D\u00e1nia<\/option><option value=\"DJ\">Dzsibuti<\/option><option value=\"DM\">Dominika<\/option><option value=\"DO\">Dominikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"EC\">Ecuador<\/option><option value=\"EG\">Egyiptom<\/option><option value=\"SV\">Salvador<\/option><option value=\"GQ\">Egyenl\u00edt\u0151i-Guinea<\/option><option value=\"ER\">Eritrea<\/option><option value=\"EE\">\u00c9sztorsz\u00e1g<\/option><option value=\"ET\">Eti\u00f3pia<\/option><option value=\"FK\">Falkland-szigetek<\/option><option value=\"FO\">Fer\u00f6er szigetek<\/option><option value=\"FJ\">Fidzsi-szigetek<\/option><option value=\"FI\">Finnorsz\u00e1g<\/option><option value=\"FR\">Franciaorsz\u00e1g<\/option><option value=\"GF\">Francia Guyana<\/option><option value=\"PF\">Francia Polin\u00e9zia<\/option><option value=\"TF\">Francia D\u00e9li Ter\u00fcletek<\/option><option value=\"GA\">Gabon<\/option><option value=\"GM\">Gambia<\/option><option value=\"GE\">Gr\u00fazia<\/option><option value=\"DE\">N\u00e9metorsz\u00e1g<\/option><option value=\"GH\">Gh\u00e1na<\/option><option value=\"GI\">Gibralt\u00e1r<\/option><option value=\"GR\">G\u00f6r\u00f6gorsz\u00e1g<\/option><option value=\"GL\">Gr\u00f6nland<\/option><option value=\"GD\">Grenada<\/option><option value=\"GP\">Guadeloupe<\/option><option value=\"GT\">Guatemala<\/option><option value=\"GG\">Guernsey<\/option><option value=\"GN\">Guinea<\/option><option value=\"GW\">Bissau-Guinea<\/option><option value=\"GY\">Guyana<\/option><option value=\"HT\">Haiti<\/option><option value=\"HM\">Heard-sziget \u00e9s McDonald-szigetek<\/option><option value=\"HN\">Hondurasz<\/option><option value=\"HK\">Hongkong<\/option><option value=\"HU\">Magyarorsz\u00e1g<\/option><option value=\"IS\">Izland<\/option><option value=\"IN\">India<\/option><option value=\"ID\">Indon\u00e9zia<\/option><option value=\"IR\">Ir\u00e1n<\/option><option value=\"IQ\">Irak<\/option><option value=\"IE\">\u00cdrorsz\u00e1g<\/option><option value=\"IM\">Man-sziget<\/option><option value=\"IL\">Izrael<\/option><option value=\"IT\">Olaszorsz\u00e1g<\/option><option value=\"CI\">Elef\u00e1ntcsontpart<\/option><option value=\"JM\">Jamaica<\/option><option value=\"JP\">Jap\u00e1n<\/option><option value=\"JE\">Jersey<\/option><option value=\"JO\">Jord\u00e1nia<\/option><option value=\"KZ\">Kazahszt\u00e1n<\/option><option value=\"KE\">Kenya<\/option><option value=\"KI\">Kiribati<\/option><option value=\"KW\">Kuvait<\/option><option value=\"KG\">Kirgiziszt\u00e1n<\/option><option value=\"LA\">Laosz<\/option><option value=\"LV\">Lettorsz\u00e1g<\/option><option value=\"LB\">Libanon<\/option><option value=\"LS\">Lesotho<\/option><option value=\"LR\">Lib\u00e9ria<\/option><option value=\"LY\">L\u00edbia<\/option><option value=\"LI\">Liechtenstein<\/option><option value=\"LT\">Litv\u00e1nia<\/option><option value=\"LU\">Luxemburg<\/option><option value=\"MO\">Maka\u00f3 k\u00fcl\u00f6nleges k\u00f6zigazgat\u00e1si ter\u00fclet, K\u00edna<\/option><option value=\"MK\">Maced\u00f3nia<\/option><option value=\"MG\">Madagaszk\u00e1r<\/option><option value=\"MW\">Malawi<\/option><option value=\"MY\">Malajzia<\/option><option value=\"MV\">Mald\u00edv-szigetek<\/option><option value=\"ML\">Mali<\/option><option value=\"MT\">M\u00e1lta<\/option><option value=\"MH\">Marshall-szigetek<\/option><option value=\"MQ\">Martinique<\/option><option value=\"MR\">Maurit\u00e1nia<\/option><option value=\"MU\">Maur\u00edciusz<\/option><option value=\"YT\">Mayotte<\/option><option value=\"MX\">Mexik\u00f3<\/option><option value=\"FM\">Mikron\u00e9zia<\/option><option value=\"MD\">Moldova<\/option><option value=\"MC\">Monak\u00f3<\/option><option value=\"MN\">Mong\u00f3lia<\/option><option value=\"ME\">Montenegr\u00f3<\/option><option value=\"MS\">Montserrat<\/option><option value=\"MA\">Marokk\u00f3<\/option><option value=\"MZ\">Mozambik<\/option><option value=\"MM\">Mianmar<\/option><option value=\"NA\">Nam\u00edbia<\/option><option value=\"NR\">Nauru<\/option><option value=\"NP\">Nep\u00e1l<\/option><option value=\"NL\">Hollandia<\/option><option value=\"AN\">Holland Antill\u00e1k<\/option><option value=\"NC\">\u00daj-Kaled\u00f3nia<\/option><option value=\"NZ\">\u00daj-Z\u00e9land<\/option><option value=\"NI\">Nicaragua<\/option><option value=\"NE\">Niger<\/option><option value=\"NG\">Nig\u00e9ria<\/option><option value=\"NU\">Niue<\/option><option value=\"NF\">Norfolk-sziget<\/option><option value=\"KP\">\u00c9szak-Korea<\/option><option value=\"NO\">Norv\u00e9gia<\/option><option value=\"OM\">Om\u00e1n<\/option><option value=\"PK\">Pakiszt\u00e1n<\/option><option value=\"PS\">Paleszt\u00edn Ter\u00fclet<\/option><option value=\"PA\">Panama<\/option><option value=\"PG\">P\u00e1pua \u00daj-Guinea<\/option><option value=\"PY\">Paraguay<\/option><option value=\"PE\">Peru<\/option><option value=\"PH\">F\u00fcl\u00f6p-szigetek<\/option><option value=\"PN\">Pitcairn-szigetek<\/option><option value=\"PL\">Lengyelorsz\u00e1g<\/option><option value=\"PT\">Portug\u00e1lia<\/option><option value=\"QA\">Katar<\/option><option value=\"RE\">Reunion<\/option><option value=\"RO\">Rom\u00e1nia<\/option><option value=\"RU\">Oroszorsz\u00e1g<\/option><option value=\"RW\">Ruanda<\/option><option value=\"BL\">Saint Barth&eacute;lemy<\/option><option value=\"SH\">Szent Ilona<\/option><option value=\"KN\">Saint Kitts \u00e9s Nevis<\/option><option value=\"LC\">Saint Lucia<\/option><option value=\"MF\">Saint Martin (francia r\u00e9sz)<\/option><option value=\"SX\">Saint Martin (holland r\u00e9sz)<\/option><option value=\"PM\">Saint Pierre \u00e9s Miquelon<\/option><option value=\"VC\">Saint Vincent \u00e9s Grenadine-szigetek<\/option><option value=\"SM\">San Marino K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"ST\">S&atilde;o Tom&eacute; \u00e9s Pr&iacute;ncipe<\/option><option value=\"SA\">Sza\u00fad-Ar\u00e1bia<\/option><option value=\"SN\">Szeneg\u00e1l<\/option><option value=\"RS\">Szerbia<\/option><option value=\"SC\">Seychelle-szigetek<\/option><option value=\"SL\">Sierra Leone<\/option><option value=\"SG\">Szingap\u00far<\/option><option value=\"SK\">Szlov\u00e1kia<\/option><option value=\"SI\">Szlov\u00e9nia<\/option><option value=\"SB\">Salamon-szigetek<\/option><option value=\"SO\">Szom\u00e1lia<\/option><option value=\"ZA\">D\u00e9l-Afrika<\/option><option value=\"GS\">D\u00e9l-Georgia\/Sandwich-szigetek<\/option><option value=\"KR\">D\u00e9l-Korea<\/option><option value=\"SS\">D\u00e9l-Szud\u00e1n<\/option><option value=\"ES\">Spanyolorsz\u00e1g<\/option><option value=\"LK\">Sri Lanka<\/option><option value=\"SD\">Szud\u00e1n<\/option><option value=\"SR\">Suriname K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"SJ\">Svalbard \u00e9s Jan Mayen-szigetek<\/option><option value=\"SZ\">Szv\u00e1zif\u00f6ld<\/option><option value=\"SE\">Sv\u00e9dorsz\u00e1g<\/option><option value=\"CH\">Sv\u00e1jc<\/option><option value=\"SY\">Sz\u00edria<\/option><option value=\"TW\">Tajvan<\/option><option value=\"TJ\">T\u00e1dzsikiszt\u00e1n<\/option><option value=\"TZ\">Tanz\u00e1nia<\/option><option value=\"TH\">Thaif\u00f6ld<\/option><option value=\"TL\">Kelet-Timor<\/option><option value=\"TG\">Togo<\/option><option value=\"TK\">Tokelau-szigetek<\/option><option value=\"TO\">Tongai Kir\u00e1lys\u00e1g<\/option><option value=\"TT\">Trinidad \u00e9s Tobago<\/option><option value=\"TN\">Tun\u00e9zia<\/option><option value=\"TR\">T\u00f6r\u00f6korsz\u00e1g<\/option><option value=\"TM\">T\u00fcrkmeniszt\u00e1n<\/option><option value=\"TC\">Turks-\u00e9s Caicos-szigetek<\/option><option value=\"TV\">Tuvalu<\/option><option value=\"UG\">Uganda<\/option><option value=\"UA\">Ukrajna<\/option><option value=\"AE\">Egyes\u00fclt Arab Em\u00edrs\u00e9gek<\/option><option value=\"UY\">Uruguay<\/option><option value=\"UZ\">\u00dczbegiszt\u00e1n<\/option><option value=\"VU\">Vanuatu<\/option><option value=\"VA\">Vatik\u00e1n<\/option><option value=\"VE\">Venezuela<\/option><option value=\"VN\">Vietnam<\/option><option value=\"WF\">Wallis \u00e9s Futuna<\/option><option value=\"EH\">Nyugat-Szahara<\/option><option value=\"WS\">Nyugat-Szamoa<\/option><option value=\"YE\">Jemen<\/option><option value=\"ZM\">Zambia<\/option><option value=\"ZW\">Zimbabwe<\/option><\/select><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-19-city\" class=\"vfb-address-label\">Helys\u00e9g<\/label><input id=\"vfb-field-19-city\" class=\"vfb-form-control vfb-addresspart-city\" placeholder=\"\" type=\"text\" name=\"vfb-field-19[city]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-19-zip\" class=\"vfb-address-label\">Ir\u00e1ny\u00edt\u00f3sz\u00e1m<\/label><input id=\"vfb-field-19-zip\" class=\"vfb-form-control vfb-addresspart-zip\" placeholder=\"\" type=\"text\" name=\"vfb-field-19[zip]\"><\/div><span class=\"vfb-help-block\">Zmenu miesta v Raku\u0301sku v priebehu spracovania DP treba ihned\u030c nahla\u0301sit\u030c!<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-address\" id=\"vfbField20\"><div class=\"vfb-form-group\"><label for=\"vfb-field-20\" class=\"vfb-control-label\">\ufffc Presna\u0301 adresa trvale\u0301ho bydliska na Slovensku<\/label><div class=\"vfb-address-block\" id=\"vfb-field-20\"><div class=\"vfb-form-group\" style=\"\"><input id=\"vfb-field-20-address-1\" class=\"vfb-form-control vfb-addresspart-address-1\" placeholder=\"\" type=\"text\" name=\"vfb-field-20[address-1]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-20-country\" class=\"vfb-address-label\">Orsz\u00e1g<\/label><select id=\"vfb-field-20-country\" class=\"vfb-form-control vfb-addresspart-country\" placeholder=\"\" name=\"vfb-field-20[country]\"><option value=\"US\">Egyes\u00fclt \u00c1llamok (US)<\/option><option value=\"GB\">Egyes\u00fclt Kir\u00e1lys\u00e1g (UK)<\/option><option value=\"CA\">Kanada<\/option><option value=\"AU\">Ausztr\u00e1lia<\/option><option value=\"\">---<\/option><option value=\"AF\">Afganiszt\u00e1n<\/option><option value=\"AX\">&#197;lan-szigetek<\/option><option value=\"AL\">Alb\u00e1nia<\/option><option value=\"DZ\">Alg\u00e9ria<\/option><option value=\"AD\">Andorra<\/option><option value=\"AO\">Angola<\/option><option value=\"AI\">Anguilla<\/option><option value=\"AQ\">Antarktika<\/option><option value=\"AG\">Antigua \u00e9s Barbuda<\/option><option value=\"AR\">Argent\u00edna<\/option><option value=\"AM\">\u00d6rm\u00e9nyorsz\u00e1g<\/option><option value=\"AW\">Aruba<\/option><option value=\"AS\">Amerikai Szamoa<\/option><option value=\"AT\">Ausztria<\/option><option value=\"AZ\">Azerbajdzs\u00e1n<\/option><option value=\"BS\">Bahama-szigetek<\/option><option value=\"BH\">Bahrein<\/option><option value=\"BD\">Banglades<\/option><option value=\"BB\">Barbados<\/option><option value=\"BY\">Feh\u00e9roroszorsz\u00e1g<\/option><option value=\"BE\">Belgium<\/option><option value=\"PW\">Belau<\/option><option value=\"BZ\">Belize<\/option><option value=\"BJ\">Benin<\/option><option value=\"BM\">Bermuda<\/option><option value=\"BT\">Bhut\u00e1n<\/option><option value=\"BO\">Bol\u00edvia<\/option><option value=\"BQ\">Bonaire, Saint Eustatius \u00e9s Saba<\/option><option value=\"BA\">Bosznia-Hercegovina<\/option><option value=\"BW\">Botswana<\/option><option value=\"BV\">Bouvet-sziget<\/option><option value=\"BR\">Braz\u00edlia<\/option><option value=\"IO\">Brit Indiai-\u00f3ce\u00e1ni Ter\u00fclet<\/option><option value=\"VG\">Brit Virgin-szigetek<\/option><option value=\"BN\">Brunei<\/option><option value=\"BG\">Bulg\u00e1ria<\/option><option value=\"BF\">Burkina Faso<\/option><option value=\"BI\">Burundi<\/option><option value=\"KH\">Kambodzsa<\/option><option value=\"CM\">Kamerun<\/option><option value=\"CV\">Z\u00f6ld-foki-szigetek<\/option><option value=\"KY\">Kajm\u00e1n-szigetek<\/option><option value=\"CF\">K\u00f6z\u00e9p-afrikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"TD\">Cs\u00e1d<\/option><option value=\"CL\">Chile<\/option><option value=\"CN\">K\u00edna<\/option><option value=\"CX\">Kar\u00e1csony-sziget<\/option><option value=\"CC\">K\u00f3kusz- (Keeling-)szigetek<\/option><option value=\"CO\">Kolumbia<\/option><option value=\"KM\">Comore-szigetek<\/option><option value=\"CG\">Kong\u00f3i (Brazzaville)<\/option><option value=\"CD\">Kong\u00f3 (Kinshasa)<\/option><option value=\"CK\">Cook-szigetek<\/option><option value=\"CR\">Costa Rica<\/option><option value=\"HR\">Horv\u00e1torsz\u00e1g<\/option><option value=\"CU\">Kuba<\/option><option value=\"CW\">Cura&Ccedil;ao<\/option><option value=\"CY\">Ciprus<\/option><option value=\"CZ\">Cseh K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"DK\">D\u00e1nia<\/option><option value=\"DJ\">Dzsibuti<\/option><option value=\"DM\">Dominika<\/option><option value=\"DO\">Dominikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"EC\">Ecuador<\/option><option value=\"EG\">Egyiptom<\/option><option value=\"SV\">Salvador<\/option><option value=\"GQ\">Egyenl\u00edt\u0151i-Guinea<\/option><option value=\"ER\">Eritrea<\/option><option value=\"EE\">\u00c9sztorsz\u00e1g<\/option><option value=\"ET\">Eti\u00f3pia<\/option><option value=\"FK\">Falkland-szigetek<\/option><option value=\"FO\">Fer\u00f6er szigetek<\/option><option value=\"FJ\">Fidzsi-szigetek<\/option><option value=\"FI\">Finnorsz\u00e1g<\/option><option value=\"FR\">Franciaorsz\u00e1g<\/option><option value=\"GF\">Francia Guyana<\/option><option value=\"PF\">Francia Polin\u00e9zia<\/option><option value=\"TF\">Francia D\u00e9li Ter\u00fcletek<\/option><option value=\"GA\">Gabon<\/option><option value=\"GM\">Gambia<\/option><option value=\"GE\">Gr\u00fazia<\/option><option value=\"DE\">N\u00e9metorsz\u00e1g<\/option><option value=\"GH\">Gh\u00e1na<\/option><option value=\"GI\">Gibralt\u00e1r<\/option><option value=\"GR\">G\u00f6r\u00f6gorsz\u00e1g<\/option><option value=\"GL\">Gr\u00f6nland<\/option><option value=\"GD\">Grenada<\/option><option value=\"GP\">Guadeloupe<\/option><option value=\"GT\">Guatemala<\/option><option value=\"GG\">Guernsey<\/option><option value=\"GN\">Guinea<\/option><option value=\"GW\">Bissau-Guinea<\/option><option value=\"GY\">Guyana<\/option><option value=\"HT\">Haiti<\/option><option value=\"HM\">Heard-sziget \u00e9s McDonald-szigetek<\/option><option value=\"HN\">Hondurasz<\/option><option value=\"HK\">Hongkong<\/option><option value=\"HU\">Magyarorsz\u00e1g<\/option><option value=\"IS\">Izland<\/option><option value=\"IN\">India<\/option><option value=\"ID\">Indon\u00e9zia<\/option><option value=\"IR\">Ir\u00e1n<\/option><option value=\"IQ\">Irak<\/option><option value=\"IE\">\u00cdrorsz\u00e1g<\/option><option value=\"IM\">Man-sziget<\/option><option value=\"IL\">Izrael<\/option><option value=\"IT\">Olaszorsz\u00e1g<\/option><option value=\"CI\">Elef\u00e1ntcsontpart<\/option><option value=\"JM\">Jamaica<\/option><option value=\"JP\">Jap\u00e1n<\/option><option value=\"JE\">Jersey<\/option><option value=\"JO\">Jord\u00e1nia<\/option><option value=\"KZ\">Kazahszt\u00e1n<\/option><option value=\"KE\">Kenya<\/option><option value=\"KI\">Kiribati<\/option><option value=\"KW\">Kuvait<\/option><option value=\"KG\">Kirgiziszt\u00e1n<\/option><option value=\"LA\">Laosz<\/option><option value=\"LV\">Lettorsz\u00e1g<\/option><option value=\"LB\">Libanon<\/option><option value=\"LS\">Lesotho<\/option><option value=\"LR\">Lib\u00e9ria<\/option><option value=\"LY\">L\u00edbia<\/option><option value=\"LI\">Liechtenstein<\/option><option value=\"LT\">Litv\u00e1nia<\/option><option value=\"LU\">Luxemburg<\/option><option value=\"MO\">Maka\u00f3 k\u00fcl\u00f6nleges k\u00f6zigazgat\u00e1si ter\u00fclet, K\u00edna<\/option><option value=\"MK\">Maced\u00f3nia<\/option><option value=\"MG\">Madagaszk\u00e1r<\/option><option value=\"MW\">Malawi<\/option><option value=\"MY\">Malajzia<\/option><option value=\"MV\">Mald\u00edv-szigetek<\/option><option value=\"ML\">Mali<\/option><option value=\"MT\">M\u00e1lta<\/option><option value=\"MH\">Marshall-szigetek<\/option><option value=\"MQ\">Martinique<\/option><option value=\"MR\">Maurit\u00e1nia<\/option><option value=\"MU\">Maur\u00edciusz<\/option><option value=\"YT\">Mayotte<\/option><option value=\"MX\">Mexik\u00f3<\/option><option value=\"FM\">Mikron\u00e9zia<\/option><option value=\"MD\">Moldova<\/option><option value=\"MC\">Monak\u00f3<\/option><option value=\"MN\">Mong\u00f3lia<\/option><option value=\"ME\">Montenegr\u00f3<\/option><option value=\"MS\">Montserrat<\/option><option value=\"MA\">Marokk\u00f3<\/option><option value=\"MZ\">Mozambik<\/option><option value=\"MM\">Mianmar<\/option><option value=\"NA\">Nam\u00edbia<\/option><option value=\"NR\">Nauru<\/option><option value=\"NP\">Nep\u00e1l<\/option><option value=\"NL\">Hollandia<\/option><option value=\"AN\">Holland Antill\u00e1k<\/option><option value=\"NC\">\u00daj-Kaled\u00f3nia<\/option><option value=\"NZ\">\u00daj-Z\u00e9land<\/option><option value=\"NI\">Nicaragua<\/option><option value=\"NE\">Niger<\/option><option value=\"NG\">Nig\u00e9ria<\/option><option value=\"NU\">Niue<\/option><option value=\"NF\">Norfolk-sziget<\/option><option value=\"KP\">\u00c9szak-Korea<\/option><option value=\"NO\">Norv\u00e9gia<\/option><option value=\"OM\">Om\u00e1n<\/option><option value=\"PK\">Pakiszt\u00e1n<\/option><option value=\"PS\">Paleszt\u00edn Ter\u00fclet<\/option><option value=\"PA\">Panama<\/option><option value=\"PG\">P\u00e1pua \u00daj-Guinea<\/option><option value=\"PY\">Paraguay<\/option><option value=\"PE\">Peru<\/option><option value=\"PH\">F\u00fcl\u00f6p-szigetek<\/option><option value=\"PN\">Pitcairn-szigetek<\/option><option value=\"PL\">Lengyelorsz\u00e1g<\/option><option value=\"PT\">Portug\u00e1lia<\/option><option value=\"QA\">Katar<\/option><option value=\"RE\">Reunion<\/option><option value=\"RO\">Rom\u00e1nia<\/option><option value=\"RU\">Oroszorsz\u00e1g<\/option><option value=\"RW\">Ruanda<\/option><option value=\"BL\">Saint Barth&eacute;lemy<\/option><option value=\"SH\">Szent Ilona<\/option><option value=\"KN\">Saint Kitts \u00e9s Nevis<\/option><option value=\"LC\">Saint Lucia<\/option><option value=\"MF\">Saint Martin (francia r\u00e9sz)<\/option><option value=\"SX\">Saint Martin (holland r\u00e9sz)<\/option><option value=\"PM\">Saint Pierre \u00e9s Miquelon<\/option><option value=\"VC\">Saint Vincent \u00e9s Grenadine-szigetek<\/option><option value=\"SM\">San Marino K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"ST\">S&atilde;o Tom&eacute; \u00e9s Pr&iacute;ncipe<\/option><option value=\"SA\">Sza\u00fad-Ar\u00e1bia<\/option><option value=\"SN\">Szeneg\u00e1l<\/option><option value=\"RS\">Szerbia<\/option><option value=\"SC\">Seychelle-szigetek<\/option><option value=\"SL\">Sierra Leone<\/option><option value=\"SG\">Szingap\u00far<\/option><option value=\"SK\" selected='selected'>Szlov\u00e1kia<\/option><option value=\"SI\">Szlov\u00e9nia<\/option><option value=\"SB\">Salamon-szigetek<\/option><option value=\"SO\">Szom\u00e1lia<\/option><option value=\"ZA\">D\u00e9l-Afrika<\/option><option value=\"GS\">D\u00e9l-Georgia\/Sandwich-szigetek<\/option><option value=\"KR\">D\u00e9l-Korea<\/option><option value=\"SS\">D\u00e9l-Szud\u00e1n<\/option><option value=\"ES\">Spanyolorsz\u00e1g<\/option><option value=\"LK\">Sri Lanka<\/option><option value=\"SD\">Szud\u00e1n<\/option><option value=\"SR\">Suriname K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"SJ\">Svalbard \u00e9s Jan Mayen-szigetek<\/option><option value=\"SZ\">Szv\u00e1zif\u00f6ld<\/option><option value=\"SE\">Sv\u00e9dorsz\u00e1g<\/option><option value=\"CH\">Sv\u00e1jc<\/option><option value=\"SY\">Sz\u00edria<\/option><option value=\"TW\">Tajvan<\/option><option value=\"TJ\">T\u00e1dzsikiszt\u00e1n<\/option><option value=\"TZ\">Tanz\u00e1nia<\/option><option value=\"TH\">Thaif\u00f6ld<\/option><option value=\"TL\">Kelet-Timor<\/option><option value=\"TG\">Togo<\/option><option value=\"TK\">Tokelau-szigetek<\/option><option value=\"TO\">Tongai Kir\u00e1lys\u00e1g<\/option><option value=\"TT\">Trinidad \u00e9s Tobago<\/option><option value=\"TN\">Tun\u00e9zia<\/option><option value=\"TR\">T\u00f6r\u00f6korsz\u00e1g<\/option><option value=\"TM\">T\u00fcrkmeniszt\u00e1n<\/option><option value=\"TC\">Turks-\u00e9s Caicos-szigetek<\/option><option value=\"TV\">Tuvalu<\/option><option value=\"UG\">Uganda<\/option><option value=\"UA\">Ukrajna<\/option><option value=\"AE\">Egyes\u00fclt Arab Em\u00edrs\u00e9gek<\/option><option value=\"UY\">Uruguay<\/option><option value=\"UZ\">\u00dczbegiszt\u00e1n<\/option><option value=\"VU\">Vanuatu<\/option><option value=\"VA\">Vatik\u00e1n<\/option><option value=\"VE\">Venezuela<\/option><option value=\"VN\">Vietnam<\/option><option value=\"WF\">Wallis \u00e9s Futuna<\/option><option value=\"EH\">Nyugat-Szahara<\/option><option value=\"WS\">Nyugat-Szamoa<\/option><option value=\"YE\">Jemen<\/option><option value=\"ZM\">Zambia<\/option><option value=\"ZW\">Zimbabwe<\/option><\/select><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-20-city\" class=\"vfb-address-label\">Helys\u00e9g<\/label><input id=\"vfb-field-20-city\" class=\"vfb-form-control vfb-addresspart-city\" placeholder=\"\" type=\"text\" name=\"vfb-field-20[city]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-20-zip\" class=\"vfb-address-label\">Ir\u00e1ny\u00edt\u00f3sz\u00e1m<\/label><input id=\"vfb-field-20-zip\" class=\"vfb-form-control vfb-addresspart-zip\" placeholder=\"\" type=\"text\" name=\"vfb-field-20[zip]\"><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-address\" id=\"vfbField21\"><div class=\"vfb-form-group\"><label for=\"vfb-field-21\" class=\"vfb-control-label\">Doruc\u030covacia adresa<\/label><div class=\"vfb-address-block\" id=\"vfb-field-21\"><div class=\"vfb-form-group\" style=\"\"><input id=\"vfb-field-21-address-1\" class=\"vfb-form-control vfb-addresspart-address-1\" placeholder=\"\" type=\"text\" name=\"vfb-field-21[address-1]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-21-country\" class=\"vfb-address-label\">Orsz\u00e1g<\/label><select id=\"vfb-field-21-country\" class=\"vfb-form-control vfb-addresspart-country\" placeholder=\"\" name=\"vfb-field-21[country]\"><option value=\"US\">Egyes\u00fclt \u00c1llamok (US)<\/option><option value=\"GB\">Egyes\u00fclt Kir\u00e1lys\u00e1g (UK)<\/option><option value=\"CA\">Kanada<\/option><option value=\"AU\">Ausztr\u00e1lia<\/option><option value=\"\">---<\/option><option value=\"AF\">Afganiszt\u00e1n<\/option><option value=\"AX\">&#197;lan-szigetek<\/option><option value=\"AL\">Alb\u00e1nia<\/option><option value=\"DZ\">Alg\u00e9ria<\/option><option value=\"AD\">Andorra<\/option><option value=\"AO\">Angola<\/option><option value=\"AI\">Anguilla<\/option><option value=\"AQ\">Antarktika<\/option><option value=\"AG\">Antigua \u00e9s Barbuda<\/option><option value=\"AR\">Argent\u00edna<\/option><option value=\"AM\">\u00d6rm\u00e9nyorsz\u00e1g<\/option><option value=\"AW\">Aruba<\/option><option value=\"AS\">Amerikai Szamoa<\/option><option value=\"AT\">Ausztria<\/option><option value=\"AZ\">Azerbajdzs\u00e1n<\/option><option value=\"BS\">Bahama-szigetek<\/option><option value=\"BH\">Bahrein<\/option><option value=\"BD\">Banglades<\/option><option value=\"BB\">Barbados<\/option><option value=\"BY\">Feh\u00e9roroszorsz\u00e1g<\/option><option value=\"BE\">Belgium<\/option><option value=\"PW\">Belau<\/option><option value=\"BZ\">Belize<\/option><option value=\"BJ\">Benin<\/option><option value=\"BM\">Bermuda<\/option><option value=\"BT\">Bhut\u00e1n<\/option><option value=\"BO\">Bol\u00edvia<\/option><option value=\"BQ\">Bonaire, Saint Eustatius \u00e9s Saba<\/option><option value=\"BA\">Bosznia-Hercegovina<\/option><option value=\"BW\">Botswana<\/option><option value=\"BV\">Bouvet-sziget<\/option><option value=\"BR\">Braz\u00edlia<\/option><option value=\"IO\">Brit Indiai-\u00f3ce\u00e1ni Ter\u00fclet<\/option><option value=\"VG\">Brit Virgin-szigetek<\/option><option value=\"BN\">Brunei<\/option><option value=\"BG\">Bulg\u00e1ria<\/option><option value=\"BF\">Burkina Faso<\/option><option value=\"BI\">Burundi<\/option><option value=\"KH\">Kambodzsa<\/option><option value=\"CM\">Kamerun<\/option><option value=\"CV\">Z\u00f6ld-foki-szigetek<\/option><option value=\"KY\">Kajm\u00e1n-szigetek<\/option><option value=\"CF\">K\u00f6z\u00e9p-afrikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"TD\">Cs\u00e1d<\/option><option value=\"CL\">Chile<\/option><option value=\"CN\">K\u00edna<\/option><option value=\"CX\">Kar\u00e1csony-sziget<\/option><option value=\"CC\">K\u00f3kusz- (Keeling-)szigetek<\/option><option value=\"CO\">Kolumbia<\/option><option value=\"KM\">Comore-szigetek<\/option><option value=\"CG\">Kong\u00f3i (Brazzaville)<\/option><option value=\"CD\">Kong\u00f3 (Kinshasa)<\/option><option value=\"CK\">Cook-szigetek<\/option><option value=\"CR\">Costa Rica<\/option><option value=\"HR\">Horv\u00e1torsz\u00e1g<\/option><option value=\"CU\">Kuba<\/option><option value=\"CW\">Cura&Ccedil;ao<\/option><option value=\"CY\">Ciprus<\/option><option value=\"CZ\">Cseh K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"DK\">D\u00e1nia<\/option><option value=\"DJ\">Dzsibuti<\/option><option value=\"DM\">Dominika<\/option><option value=\"DO\">Dominikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"EC\">Ecuador<\/option><option value=\"EG\">Egyiptom<\/option><option value=\"SV\">Salvador<\/option><option value=\"GQ\">Egyenl\u00edt\u0151i-Guinea<\/option><option value=\"ER\">Eritrea<\/option><option value=\"EE\">\u00c9sztorsz\u00e1g<\/option><option value=\"ET\">Eti\u00f3pia<\/option><option value=\"FK\">Falkland-szigetek<\/option><option value=\"FO\">Fer\u00f6er szigetek<\/option><option value=\"FJ\">Fidzsi-szigetek<\/option><option value=\"FI\">Finnorsz\u00e1g<\/option><option value=\"FR\">Franciaorsz\u00e1g<\/option><option value=\"GF\">Francia Guyana<\/option><option value=\"PF\">Francia Polin\u00e9zia<\/option><option value=\"TF\">Francia D\u00e9li Ter\u00fcletek<\/option><option value=\"GA\">Gabon<\/option><option value=\"GM\">Gambia<\/option><option value=\"GE\">Gr\u00fazia<\/option><option value=\"DE\">N\u00e9metorsz\u00e1g<\/option><option value=\"GH\">Gh\u00e1na<\/option><option value=\"GI\">Gibralt\u00e1r<\/option><option value=\"GR\">G\u00f6r\u00f6gorsz\u00e1g<\/option><option value=\"GL\">Gr\u00f6nland<\/option><option value=\"GD\">Grenada<\/option><option value=\"GP\">Guadeloupe<\/option><option value=\"GT\">Guatemala<\/option><option value=\"GG\">Guernsey<\/option><option value=\"GN\">Guinea<\/option><option value=\"GW\">Bissau-Guinea<\/option><option value=\"GY\">Guyana<\/option><option value=\"HT\">Haiti<\/option><option value=\"HM\">Heard-sziget \u00e9s McDonald-szigetek<\/option><option value=\"HN\">Hondurasz<\/option><option value=\"HK\">Hongkong<\/option><option value=\"HU\">Magyarorsz\u00e1g<\/option><option value=\"IS\">Izland<\/option><option value=\"IN\">India<\/option><option value=\"ID\">Indon\u00e9zia<\/option><option value=\"IR\">Ir\u00e1n<\/option><option value=\"IQ\">Irak<\/option><option value=\"IE\">\u00cdrorsz\u00e1g<\/option><option value=\"IM\">Man-sziget<\/option><option value=\"IL\">Izrael<\/option><option value=\"IT\">Olaszorsz\u00e1g<\/option><option value=\"CI\">Elef\u00e1ntcsontpart<\/option><option value=\"JM\">Jamaica<\/option><option value=\"JP\">Jap\u00e1n<\/option><option value=\"JE\">Jersey<\/option><option value=\"JO\">Jord\u00e1nia<\/option><option value=\"KZ\">Kazahszt\u00e1n<\/option><option value=\"KE\">Kenya<\/option><option value=\"KI\">Kiribati<\/option><option value=\"KW\">Kuvait<\/option><option value=\"KG\">Kirgiziszt\u00e1n<\/option><option value=\"LA\">Laosz<\/option><option value=\"LV\">Lettorsz\u00e1g<\/option><option value=\"LB\">Libanon<\/option><option value=\"LS\">Lesotho<\/option><option value=\"LR\">Lib\u00e9ria<\/option><option value=\"LY\">L\u00edbia<\/option><option value=\"LI\">Liechtenstein<\/option><option value=\"LT\">Litv\u00e1nia<\/option><option value=\"LU\">Luxemburg<\/option><option value=\"MO\">Maka\u00f3 k\u00fcl\u00f6nleges k\u00f6zigazgat\u00e1si ter\u00fclet, K\u00edna<\/option><option value=\"MK\">Maced\u00f3nia<\/option><option value=\"MG\">Madagaszk\u00e1r<\/option><option value=\"MW\">Malawi<\/option><option value=\"MY\">Malajzia<\/option><option value=\"MV\">Mald\u00edv-szigetek<\/option><option value=\"ML\">Mali<\/option><option value=\"MT\">M\u00e1lta<\/option><option value=\"MH\">Marshall-szigetek<\/option><option value=\"MQ\">Martinique<\/option><option value=\"MR\">Maurit\u00e1nia<\/option><option value=\"MU\">Maur\u00edciusz<\/option><option value=\"YT\">Mayotte<\/option><option value=\"MX\">Mexik\u00f3<\/option><option value=\"FM\">Mikron\u00e9zia<\/option><option value=\"MD\">Moldova<\/option><option value=\"MC\">Monak\u00f3<\/option><option value=\"MN\">Mong\u00f3lia<\/option><option value=\"ME\">Montenegr\u00f3<\/option><option value=\"MS\">Montserrat<\/option><option value=\"MA\">Marokk\u00f3<\/option><option value=\"MZ\">Mozambik<\/option><option value=\"MM\">Mianmar<\/option><option value=\"NA\">Nam\u00edbia<\/option><option value=\"NR\">Nauru<\/option><option value=\"NP\">Nep\u00e1l<\/option><option value=\"NL\">Hollandia<\/option><option value=\"AN\">Holland Antill\u00e1k<\/option><option value=\"NC\">\u00daj-Kaled\u00f3nia<\/option><option value=\"NZ\">\u00daj-Z\u00e9land<\/option><option value=\"NI\">Nicaragua<\/option><option value=\"NE\">Niger<\/option><option value=\"NG\">Nig\u00e9ria<\/option><option value=\"NU\">Niue<\/option><option value=\"NF\">Norfolk-sziget<\/option><option value=\"KP\">\u00c9szak-Korea<\/option><option value=\"NO\">Norv\u00e9gia<\/option><option value=\"OM\">Om\u00e1n<\/option><option value=\"PK\">Pakiszt\u00e1n<\/option><option value=\"PS\">Paleszt\u00edn Ter\u00fclet<\/option><option value=\"PA\">Panama<\/option><option value=\"PG\">P\u00e1pua \u00daj-Guinea<\/option><option value=\"PY\">Paraguay<\/option><option value=\"PE\">Peru<\/option><option value=\"PH\">F\u00fcl\u00f6p-szigetek<\/option><option value=\"PN\">Pitcairn-szigetek<\/option><option value=\"PL\">Lengyelorsz\u00e1g<\/option><option value=\"PT\">Portug\u00e1lia<\/option><option value=\"QA\">Katar<\/option><option value=\"RE\">Reunion<\/option><option value=\"RO\">Rom\u00e1nia<\/option><option value=\"RU\">Oroszorsz\u00e1g<\/option><option value=\"RW\">Ruanda<\/option><option value=\"BL\">Saint Barth&eacute;lemy<\/option><option value=\"SH\">Szent Ilona<\/option><option value=\"KN\">Saint Kitts \u00e9s Nevis<\/option><option value=\"LC\">Saint Lucia<\/option><option value=\"MF\">Saint Martin (francia r\u00e9sz)<\/option><option value=\"SX\">Saint Martin (holland r\u00e9sz)<\/option><option value=\"PM\">Saint Pierre \u00e9s Miquelon<\/option><option value=\"VC\">Saint Vincent \u00e9s Grenadine-szigetek<\/option><option value=\"SM\">San Marino K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"ST\">S&atilde;o Tom&eacute; \u00e9s Pr&iacute;ncipe<\/option><option value=\"SA\">Sza\u00fad-Ar\u00e1bia<\/option><option value=\"SN\">Szeneg\u00e1l<\/option><option value=\"RS\">Szerbia<\/option><option value=\"SC\">Seychelle-szigetek<\/option><option value=\"SL\">Sierra Leone<\/option><option value=\"SG\">Szingap\u00far<\/option><option value=\"SK\" selected='selected'>Szlov\u00e1kia<\/option><option value=\"SI\">Szlov\u00e9nia<\/option><option value=\"SB\">Salamon-szigetek<\/option><option value=\"SO\">Szom\u00e1lia<\/option><option value=\"ZA\">D\u00e9l-Afrika<\/option><option value=\"GS\">D\u00e9l-Georgia\/Sandwich-szigetek<\/option><option value=\"KR\">D\u00e9l-Korea<\/option><option value=\"SS\">D\u00e9l-Szud\u00e1n<\/option><option value=\"ES\">Spanyolorsz\u00e1g<\/option><option value=\"LK\">Sri Lanka<\/option><option value=\"SD\">Szud\u00e1n<\/option><option value=\"SR\">Suriname K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"SJ\">Svalbard \u00e9s Jan Mayen-szigetek<\/option><option value=\"SZ\">Szv\u00e1zif\u00f6ld<\/option><option value=\"SE\">Sv\u00e9dorsz\u00e1g<\/option><option value=\"CH\">Sv\u00e1jc<\/option><option value=\"SY\">Sz\u00edria<\/option><option value=\"TW\">Tajvan<\/option><option value=\"TJ\">T\u00e1dzsikiszt\u00e1n<\/option><option value=\"TZ\">Tanz\u00e1nia<\/option><option value=\"TH\">Thaif\u00f6ld<\/option><option value=\"TL\">Kelet-Timor<\/option><option value=\"TG\">Togo<\/option><option value=\"TK\">Tokelau-szigetek<\/option><option value=\"TO\">Tongai Kir\u00e1lys\u00e1g<\/option><option value=\"TT\">Trinidad \u00e9s Tobago<\/option><option value=\"TN\">Tun\u00e9zia<\/option><option value=\"TR\">T\u00f6r\u00f6korsz\u00e1g<\/option><option value=\"TM\">T\u00fcrkmeniszt\u00e1n<\/option><option value=\"TC\">Turks-\u00e9s Caicos-szigetek<\/option><option value=\"TV\">Tuvalu<\/option><option value=\"UG\">Uganda<\/option><option value=\"UA\">Ukrajna<\/option><option value=\"AE\">Egyes\u00fclt Arab Em\u00edrs\u00e9gek<\/option><option value=\"UY\">Uruguay<\/option><option value=\"UZ\">\u00dczbegiszt\u00e1n<\/option><option value=\"VU\">Vanuatu<\/option><option value=\"VA\">Vatik\u00e1n<\/option><option value=\"VE\">Venezuela<\/option><option value=\"VN\">Vietnam<\/option><option value=\"WF\">Wallis \u00e9s Futuna<\/option><option value=\"EH\">Nyugat-Szahara<\/option><option value=\"WS\">Nyugat-Szamoa<\/option><option value=\"YE\">Jemen<\/option><option value=\"ZM\">Zambia<\/option><option value=\"ZW\">Zimbabwe<\/option><\/select><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-21-city\" class=\"vfb-address-label\">Helys\u00e9g<\/label><input id=\"vfb-field-21-city\" class=\"vfb-form-control vfb-addresspart-city\" placeholder=\"\" type=\"text\" name=\"vfb-field-21[city]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-21-zip\" class=\"vfb-address-label\">Ir\u00e1ny\u00edt\u00f3sz\u00e1m<\/label><input id=\"vfb-field-21-zip\" class=\"vfb-form-control vfb-addresspart-zip\" placeholder=\"\" type=\"text\" name=\"vfb-field-21[zip]\"><\/div><span class=\"vfb-help-block\">vyplnit\u030c v pri\u0301pade, ak nie je totoz\u030cna\u0301 s trvaly\u0301m bydliskom<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField22\"><label for=\"vfb-field-22\" class=\"vfb-control-label\">\ufffc Pobera\u0301te starobny\u0301 do\u0302chodok v Raku\u0301sku?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-22-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-22\" value=\"&aacute;no\">\u00e1no<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-22-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-22\" value=\"nie\">nie<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField23\"><div class=\"vfb-form-group\"><label for=\"vfb-field-23\" class=\"vfb-control-label\">Vy\u0301s\u030cka raku\u0301skeho do\u0302chodku mesa\u010dne<\/label><div><input id=\"vfb-field-23\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-23\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField29\"><div class=\"vfb-form-group\"><label for=\"vfb-field-29\" class=\"vfb-control-label\">Rak\u00fasky d\u00f4chodok vyplaten\u00fd za kal. rok<\/label><div><input id=\"vfb-field-29\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-29\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField30\"><label for=\"vfb-field-30\" class=\"vfb-control-label\">Pobera\u0301te invalidny\u0301, predc\u030casny\u0301 alebo starobny\u0301 do\u0302chodok na Slovensku?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-30-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-30\" value=\"&aacute;no\">\u00e1no<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-30-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-30\" value=\"nie\">nie<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-select\" id=\"vfbField31\"><label for=\"vfb-field-31\" class=\"vfb-control-label\">Aky\u0301 typ d\u00f4chodku?<\/label><div><div class=\"vfb-form-group\"><select id=\"vfb-field-31\" class=\"vfb-form-control\" placeholder=\"\" name=\"vfb-field-31\"><option value=\"starobn&yacute;\">starobn\u00fd<\/option><option value=\"invalidn&yacute;\">invalidn\u00fd<\/option><option value=\"pred\u010dasn&yacute;\">pred\u010dasn\u00fd<\/option><\/select><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField32\"><div class=\"vfb-form-group\"><label for=\"vfb-field-32\" class=\"vfb-control-label\">Od d\u00e1tumu<\/label><div><input id=\"vfb-field-32\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-32\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField33\"><div class=\"vfb-form-group\"><label for=\"vfb-field-33\" class=\"vfb-control-label\">Mesa\u010dn\u00e1 vy\u0301s\u030cka do\u0302chodku na Slovensku<\/label><div><input id=\"vfb-field-33\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-33\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField34\"><div class=\"vfb-form-group\"><label for=\"vfb-field-34\" class=\"vfb-control-label\">Slovensk\u00fd d\u00f4chodok vyplaten\u00fd za kal. rok<\/label><div><input id=\"vfb-field-34\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-34\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-select\" id=\"vfbField35\"><label for=\"vfb-field-35\" class=\"vfb-control-label\">Rodinny\u0301 stav ku 31.12 zda\u0148ovacieho obdobia<\/label><div><div class=\"vfb-form-group\"><select id=\"vfb-field-35\" class=\"vfb-form-control\" placeholder=\"\" name=\"vfb-field-35\"><option value=\"vydat&aacute;\">vydat\u00e1<\/option><option value=\"slobodn&aacute;\">slobodn\u00e1<\/option><option value=\"rozveden&aacute;\">rozveden\u00e1<\/option><option value=\"v partnerskom zv&auml;zku\">v partnerskom zv\u00e4zku<\/option><option value=\"vdova\">vdova<\/option><\/select><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField36\"><div class=\"vfb-form-group\"><label for=\"vfb-field-36\" class=\"vfb-control-label\">Od<\/label><div><input id=\"vfb-field-36\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-36\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-name\" id=\"vfbField37\"><div class=\"vfb-form-group\"><label for=\"vfb-field-37\" class=\"vfb-control-label\">Meno man\u017eela \/ partnera<\/label><div class=\"vfb-name-block\"><div class=\"vfb-form-group\"><div class=\"vfb-col-2\"><input id=\"vfb-field-37-title\" class=\"vfb-form-control vfb-namepart-title\" placeholder=\"C&iacute;m\" type=\"text\" name=\"vfb-field-37[title]\"><\/div><\/div><div class=\"vfb-form-group\"><div class=\"vfb-col-5\"><input id=\"vfb-field-37-first\" class=\"vfb-form-control vfb-namepart-first\" placeholder=\"Els\u0151\" type=\"text\" name=\"vfb-field-37[first]\"><\/div><\/div><div class=\"vfb-form-group\"><div class=\"vfb-col-5\"><input id=\"vfb-field-37-last\" class=\"vfb-form-control vfb-namepart-last\" placeholder=\"Utols&oacute;\" type=\"text\" name=\"vfb-field-37[last]\"><\/div><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField38\"><div class=\"vfb-form-group\"><label for=\"vfb-field-38\" class=\"vfb-control-label\">Da\u0301tum narodenia<\/label><div><input id=\"vfb-field-38\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-38\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField39\"><div class=\"vfb-form-group\"><label for=\"vfb-field-39\" class=\"vfb-control-label\">Hruby\u0301 pri\u0301jem Va\u0301s\u030cho manz\u030cela dosiahnuty\u0301 za rok 2014<\/label><div><input id=\"vfb-field-39\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-39\" value=\"\"><span class=\"vfb-help-block\">v pri\u0301pade SZC\u030cO obrat a za\u0301klad dane)- do\u0302lez\u030cite\u0301 pre posu\u0301denie na\u0301roku na bonusy\r\nv Raku\u0301sku<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">\u010eal\u0161ie pr\u00edjmy<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField134\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField41\"><label for=\"vfb-field-41\" class=\"vfb-control-label\">Ma\u0301te aj d\u030cals\u030cie pri\u0301jmy v Raku\u0301sku podliehaju\u0301ce zdaneniu?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-41-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-41\" value=\"&aacute;no\">\u00e1no<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-41-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-41\" value=\"nie\">nie<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField42\"><label for=\"vfb-field-42\" class=\"vfb-control-label\">Ma\u0301te nejake\u0301 pri\u0301jmy aj na Slovensku. ktore\u0301 podliehaju\u0301 zdaneniu?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-42-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-42\" value=\"&aacute;no\">\u00e1no<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-42-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-42\" value=\"nie\">nie<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-select\" id=\"vfbField43\"><label for=\"vfb-field-43\" class=\"vfb-control-label\">Ak a\u0301no z akej c\u030cinnosti<\/label><div><div class=\"vfb-form-group\"><select id=\"vfb-field-43\" class=\"vfb-form-control\" placeholder=\"\" name=\"vfb-field-43\"><option value=\"z&aacute;visl&aacute; \u010dinnos\u0165 (zamestnanec)\">z\u00e1visl\u00e1 \u010dinnos\u0165 (zamestnanec)<\/option><option value=\"nez&aacute;visl&aacute; \u010dinnos\u0165 (z\u030civnost\u030c)\">nez\u00e1visl\u00e1 \u010dinnos\u0165 (z\u030civnost\u030c)<\/option><option value=\"in&eacute; (napr. pri\u0301jmy z prena\u0301jmu)\">in\u00e9 (napr. pri\u0301jmy z prena\u0301jmu)<\/option><\/select><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField48\"><label for=\"vfb-field-48\" class=\"vfb-control-label\">Boli Va\u0301m vypla\u0301cane\u0301 nemocenske\u0301 da\u0301vky v Raku\u0301sku v roku 2014?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-48-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-48\" value=\"&aacute;no\">\u00e1no<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-48-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-48\" value=\"nie\">nie<\/label><\/div><span class=\"vfb-help-block\">ak A\u0301NO je potrebne\u0301 dokladovat\u030c vy\u0301s\u030cku vyplateny\u0301ch da\u0301vok za kalenda\u0301rny rok<\/span><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField49\"><div class=\"vfb-form-group\"><label for=\"vfb-field-49\" class=\"vfb-control-label\">Vyplatena\u0301 suma za kalenda\u0301rny rok<\/label><div><input id=\"vfb-field-49\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-49\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">Vyplnit\u030c kvo\u0302li urc\u030ceniu na\u0301roku na dan\u030cove\u0301 bonusy v Raku\u0301sku a na Slovensku<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField135\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField51\"><div class=\"vfb-form-group\"><label for=\"vfb-field-51\" class=\"vfb-control-label\">Rodinne\u0301 pri\u0301davky v Raku\u0301sku pobera\u0301te a boli Va\u0301m priznane\u0301 od<\/label><div><input id=\"vfb-field-51\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-51\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField52\"><div class=\"vfb-form-group\"><label for=\"vfb-field-52\" class=\"vfb-control-label\">Boli uz\u030c vyplatene za rok 2014? uved\u030cte za kol\u030cko mesiacov<\/label><div><input id=\"vfb-field-52\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-52\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField54\"><div class=\"vfb-form-group\"><label for=\"vfb-field-54\" class=\"vfb-control-label\">na poc\u030cet deti\u0301:<\/label><div><input id=\"vfb-field-54\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-54\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField113\"><label for=\"vfb-field-113\" class=\"vfb-control-label\">\u017dijete v spoloc\u030cnej doma\u0301cnosti s otcom\/matkou diet\u030cat\u030ca?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-113-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-113\" value=\"&aacute;no\">\u00e1no<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-113-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-113\" value=\"nie\">nie<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-select\" id=\"vfbField56\"><label for=\"vfb-field-56\" class=\"vfb-control-label\">rodinne\u0301 pri\u0301davky su\u0301 Va\u0301m vypla\u0301cane\u0301 jednora\u0301zovo - Differenzzahlung, alebo pravidelne kaz\u030cde\u0301 dva mesiace<\/label><div><div class=\"vfb-form-group\"><select id=\"vfb-field-56\" class=\"vfb-form-control\" placeholder=\"\" name=\"vfb-field-56\"><option value=\"jednor&aacute;zovo\">jednor\u00e1zovo<\/option><option value=\"pravidelne\">pravidelne<\/option><\/select><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField57\"><label for=\"vfb-field-57\" class=\"vfb-control-label\">Uplatn\u030cuje si Va\u0301s\u030c manz\u030cel\/ka dan\u030covy\u0301 bonus na diet\u030ca na Slovensku?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-57-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-57\" value=\"&aacute;no\">\u00e1no<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-57-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-57\" value=\"nie\">nie<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">Deti<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField140\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField153\"><div class=\"vfb-form-group\"><label for=\"vfb-field-153\" class=\"vfb-control-label\">Meno<\/label><div><input id=\"vfb-field-153\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-153\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField154\"><div class=\"vfb-form-group\"><label for=\"vfb-field-154\" class=\"vfb-control-label\">Priezvisko<\/label><div><input id=\"vfb-field-154\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-154\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField62\"><div class=\"vfb-form-group\"><label for=\"vfb-field-62\" class=\"vfb-control-label\">Rodn\u00e9 \u010d\u00edslo<\/label><div><input id=\"vfb-field-62\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-62\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField63\"><div class=\"vfb-form-group\"><label for=\"vfb-field-63\" class=\"vfb-control-label\">\u010ci\u0301slo rak. soc. poistenia diet\u030cat\u030ca<\/label><div><input id=\"vfb-field-63\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-63\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField155\"><div class=\"vfb-form-group\"><label for=\"vfb-field-155\" class=\"vfb-control-label\">Meno<\/label><div><input id=\"vfb-field-155\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-155\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField156\"><div class=\"vfb-form-group\"><label for=\"vfb-field-156\" class=\"vfb-control-label\">Priezvisko<\/label><div><input id=\"vfb-field-156\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-156\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField64\"><div class=\"vfb-form-group\"><label for=\"vfb-field-64\" class=\"vfb-control-label\">Rodn\u00e9 \u010d\u00edslo<\/label><div><input id=\"vfb-field-64\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-64\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField73\"><div class=\"vfb-form-group\"><label for=\"vfb-field-73\" class=\"vfb-control-label\">\u010ci\u0301slo rak. soc. poistenia diet\u030cat\u030ca<\/label><div><input id=\"vfb-field-73\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-73\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField157\"><div class=\"vfb-form-group\"><label for=\"vfb-field-157\" class=\"vfb-control-label\">Meno<\/label><div><input id=\"vfb-field-157\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-157\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField158\"><div class=\"vfb-form-group\"><label for=\"vfb-field-158\" class=\"vfb-control-label\">Priezvisko<\/label><div><input id=\"vfb-field-158\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-158\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField68\"><div class=\"vfb-form-group\"><label for=\"vfb-field-68\" class=\"vfb-control-label\">Rodn\u00e9 \u010d\u00edslo<\/label><div><input id=\"vfb-field-68\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-68\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField72\"><div class=\"vfb-form-group\"><label for=\"vfb-field-72\" class=\"vfb-control-label\">\u010ci\u0301slo rak. soc. poistenia diet\u030cat\u030ca<\/label><div><input id=\"vfb-field-72\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-72\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField159\"><div class=\"vfb-form-group\"><label for=\"vfb-field-159\" class=\"vfb-control-label\">Meno<\/label><div><input id=\"vfb-field-159\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-159\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField160\"><div class=\"vfb-form-group\"><label for=\"vfb-field-160\" class=\"vfb-control-label\">Priezvisko<\/label><div><input id=\"vfb-field-160\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-160\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField67\"><div class=\"vfb-form-group\"><label for=\"vfb-field-67\" class=\"vfb-control-label\">Rodn\u00e9 \u010d\u00edslo<\/label><div><input id=\"vfb-field-67\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-67\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField71\"><div class=\"vfb-form-group\"><label for=\"vfb-field-71\" class=\"vfb-control-label\">\u010ci\u0301slo rak. soc. poistenia diet\u030cat\u030ca<\/label><div><input id=\"vfb-field-71\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-71\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField161\"><div class=\"vfb-form-group\"><label for=\"vfb-field-161\" class=\"vfb-control-label\">Meno<\/label><div><input id=\"vfb-field-161\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-161\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField162\"><div class=\"vfb-form-group\"><label for=\"vfb-field-162\" class=\"vfb-control-label\">Priezvisko<\/label><div><input id=\"vfb-field-162\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-162\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField66\"><div class=\"vfb-form-group\"><label for=\"vfb-field-66\" class=\"vfb-control-label\">Rodn\u00e9 \u010d\u00edslo<\/label><div><input id=\"vfb-field-66\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-66\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField70\"><div class=\"vfb-form-group\"><label for=\"vfb-field-70\" class=\"vfb-control-label\">\u010ci\u0301slo rak. soc. poistenia diet\u030cat\u030ca<\/label><div><input id=\"vfb-field-70\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-70\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField163\"><div class=\"vfb-form-group\"><label for=\"vfb-field-163\" class=\"vfb-control-label\">Meno<\/label><div><input id=\"vfb-field-163\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-163\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-2 vfb-fieldType-text\" id=\"vfbField164\"><div class=\"vfb-form-group\"><label for=\"vfb-field-164\" class=\"vfb-control-label\">Priezvisko<\/label><div><input id=\"vfb-field-164\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-164\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField65\"><div class=\"vfb-form-group\"><label for=\"vfb-field-65\" class=\"vfb-control-label\">Rodn\u00e9 \u010d\u00edslo<\/label><div><input id=\"vfb-field-65\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-65\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField69\"><div class=\"vfb-form-group\"><label for=\"vfb-field-69\" class=\"vfb-control-label\">\u010ci\u0301slo rak. soc. poistenia diet\u030cat\u030ca<\/label><div><input id=\"vfb-field-69\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-69\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField80\"><div class=\"vfb-form-group\"><label for=\"vfb-field-80\" class=\"vfb-control-label\">Vpri\u0301pade,z\u030cediet\u030caukonc\u030cilos\u030ckolsku\u0301docha\u0301dzkuvpriebehukalenda\u0301rnehoroka2014, uved\u030cte ktore\u0301 a da\u0301tum ukonc\u030cenia<\/label><div><textarea id=\"vfb-field-80\" class=\"vfb-form-control\" placeholder=\"\" rows=\"10\" name=\"vfb-field-80\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">Zapi\u0301s\u030cte adresy rodi\u0301n, ak ste pracovali vo viac ako jednej v roku 2014<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField148\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">1.<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField141\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-address\" id=\"vfbField82\"><div class=\"vfb-form-group\"><label for=\"vfb-field-82\" class=\"vfb-control-label\">Adresa \u010fa\u013e\u0161ieho pacienta<\/label><div class=\"vfb-address-block\" id=\"vfb-field-82\"><div class=\"vfb-form-group\" style=\"\"><input id=\"vfb-field-82-address-1\" class=\"vfb-form-control vfb-addresspart-address-1\" placeholder=\"\" type=\"text\" name=\"vfb-field-82[address-1]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-82-country\" class=\"vfb-address-label\">Orsz\u00e1g<\/label><select id=\"vfb-field-82-country\" class=\"vfb-form-control vfb-addresspart-country\" placeholder=\"\" name=\"vfb-field-82[country]\"><option value=\"US\">Egyes\u00fclt \u00c1llamok (US)<\/option><option value=\"GB\">Egyes\u00fclt Kir\u00e1lys\u00e1g (UK)<\/option><option value=\"CA\">Kanada<\/option><option value=\"AU\">Ausztr\u00e1lia<\/option><option value=\"\">---<\/option><option value=\"AF\">Afganiszt\u00e1n<\/option><option value=\"AX\">&#197;lan-szigetek<\/option><option value=\"AL\">Alb\u00e1nia<\/option><option value=\"DZ\">Alg\u00e9ria<\/option><option value=\"AD\">Andorra<\/option><option value=\"AO\">Angola<\/option><option value=\"AI\">Anguilla<\/option><option value=\"AQ\">Antarktika<\/option><option value=\"AG\">Antigua \u00e9s Barbuda<\/option><option value=\"AR\">Argent\u00edna<\/option><option value=\"AM\">\u00d6rm\u00e9nyorsz\u00e1g<\/option><option value=\"AW\">Aruba<\/option><option value=\"AS\">Amerikai Szamoa<\/option><option value=\"AT\" selected='selected'>Ausztria<\/option><option value=\"AZ\">Azerbajdzs\u00e1n<\/option><option value=\"BS\">Bahama-szigetek<\/option><option value=\"BH\">Bahrein<\/option><option value=\"BD\">Banglades<\/option><option value=\"BB\">Barbados<\/option><option value=\"BY\">Feh\u00e9roroszorsz\u00e1g<\/option><option value=\"BE\">Belgium<\/option><option value=\"PW\">Belau<\/option><option value=\"BZ\">Belize<\/option><option value=\"BJ\">Benin<\/option><option value=\"BM\">Bermuda<\/option><option value=\"BT\">Bhut\u00e1n<\/option><option value=\"BO\">Bol\u00edvia<\/option><option value=\"BQ\">Bonaire, Saint Eustatius \u00e9s Saba<\/option><option value=\"BA\">Bosznia-Hercegovina<\/option><option value=\"BW\">Botswana<\/option><option value=\"BV\">Bouvet-sziget<\/option><option value=\"BR\">Braz\u00edlia<\/option><option value=\"IO\">Brit Indiai-\u00f3ce\u00e1ni Ter\u00fclet<\/option><option value=\"VG\">Brit Virgin-szigetek<\/option><option value=\"BN\">Brunei<\/option><option value=\"BG\">Bulg\u00e1ria<\/option><option value=\"BF\">Burkina Faso<\/option><option value=\"BI\">Burundi<\/option><option value=\"KH\">Kambodzsa<\/option><option value=\"CM\">Kamerun<\/option><option value=\"CV\">Z\u00f6ld-foki-szigetek<\/option><option value=\"KY\">Kajm\u00e1n-szigetek<\/option><option value=\"CF\">K\u00f6z\u00e9p-afrikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"TD\">Cs\u00e1d<\/option><option value=\"CL\">Chile<\/option><option value=\"CN\">K\u00edna<\/option><option value=\"CX\">Kar\u00e1csony-sziget<\/option><option value=\"CC\">K\u00f3kusz- (Keeling-)szigetek<\/option><option value=\"CO\">Kolumbia<\/option><option value=\"KM\">Comore-szigetek<\/option><option value=\"CG\">Kong\u00f3i (Brazzaville)<\/option><option value=\"CD\">Kong\u00f3 (Kinshasa)<\/option><option value=\"CK\">Cook-szigetek<\/option><option value=\"CR\">Costa Rica<\/option><option value=\"HR\">Horv\u00e1torsz\u00e1g<\/option><option value=\"CU\">Kuba<\/option><option value=\"CW\">Cura&Ccedil;ao<\/option><option value=\"CY\">Ciprus<\/option><option value=\"CZ\">Cseh K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"DK\">D\u00e1nia<\/option><option value=\"DJ\">Dzsibuti<\/option><option value=\"DM\">Dominika<\/option><option value=\"DO\">Dominikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"EC\">Ecuador<\/option><option value=\"EG\">Egyiptom<\/option><option value=\"SV\">Salvador<\/option><option value=\"GQ\">Egyenl\u00edt\u0151i-Guinea<\/option><option value=\"ER\">Eritrea<\/option><option value=\"EE\">\u00c9sztorsz\u00e1g<\/option><option value=\"ET\">Eti\u00f3pia<\/option><option value=\"FK\">Falkland-szigetek<\/option><option value=\"FO\">Fer\u00f6er szigetek<\/option><option value=\"FJ\">Fidzsi-szigetek<\/option><option value=\"FI\">Finnorsz\u00e1g<\/option><option value=\"FR\">Franciaorsz\u00e1g<\/option><option value=\"GF\">Francia Guyana<\/option><option value=\"PF\">Francia Polin\u00e9zia<\/option><option value=\"TF\">Francia D\u00e9li Ter\u00fcletek<\/option><option value=\"GA\">Gabon<\/option><option value=\"GM\">Gambia<\/option><option value=\"GE\">Gr\u00fazia<\/option><option value=\"DE\">N\u00e9metorsz\u00e1g<\/option><option value=\"GH\">Gh\u00e1na<\/option><option value=\"GI\">Gibralt\u00e1r<\/option><option value=\"GR\">G\u00f6r\u00f6gorsz\u00e1g<\/option><option value=\"GL\">Gr\u00f6nland<\/option><option value=\"GD\">Grenada<\/option><option value=\"GP\">Guadeloupe<\/option><option value=\"GT\">Guatemala<\/option><option value=\"GG\">Guernsey<\/option><option value=\"GN\">Guinea<\/option><option value=\"GW\">Bissau-Guinea<\/option><option value=\"GY\">Guyana<\/option><option value=\"HT\">Haiti<\/option><option value=\"HM\">Heard-sziget \u00e9s McDonald-szigetek<\/option><option value=\"HN\">Hondurasz<\/option><option value=\"HK\">Hongkong<\/option><option value=\"HU\">Magyarorsz\u00e1g<\/option><option value=\"IS\">Izland<\/option><option value=\"IN\">India<\/option><option value=\"ID\">Indon\u00e9zia<\/option><option value=\"IR\">Ir\u00e1n<\/option><option value=\"IQ\">Irak<\/option><option value=\"IE\">\u00cdrorsz\u00e1g<\/option><option value=\"IM\">Man-sziget<\/option><option value=\"IL\">Izrael<\/option><option value=\"IT\">Olaszorsz\u00e1g<\/option><option value=\"CI\">Elef\u00e1ntcsontpart<\/option><option value=\"JM\">Jamaica<\/option><option value=\"JP\">Jap\u00e1n<\/option><option value=\"JE\">Jersey<\/option><option value=\"JO\">Jord\u00e1nia<\/option><option value=\"KZ\">Kazahszt\u00e1n<\/option><option value=\"KE\">Kenya<\/option><option value=\"KI\">Kiribati<\/option><option value=\"KW\">Kuvait<\/option><option value=\"KG\">Kirgiziszt\u00e1n<\/option><option value=\"LA\">Laosz<\/option><option value=\"LV\">Lettorsz\u00e1g<\/option><option value=\"LB\">Libanon<\/option><option value=\"LS\">Lesotho<\/option><option value=\"LR\">Lib\u00e9ria<\/option><option value=\"LY\">L\u00edbia<\/option><option value=\"LI\">Liechtenstein<\/option><option value=\"LT\">Litv\u00e1nia<\/option><option value=\"LU\">Luxemburg<\/option><option value=\"MO\">Maka\u00f3 k\u00fcl\u00f6nleges k\u00f6zigazgat\u00e1si ter\u00fclet, K\u00edna<\/option><option value=\"MK\">Maced\u00f3nia<\/option><option value=\"MG\">Madagaszk\u00e1r<\/option><option value=\"MW\">Malawi<\/option><option value=\"MY\">Malajzia<\/option><option value=\"MV\">Mald\u00edv-szigetek<\/option><option value=\"ML\">Mali<\/option><option value=\"MT\">M\u00e1lta<\/option><option value=\"MH\">Marshall-szigetek<\/option><option value=\"MQ\">Martinique<\/option><option value=\"MR\">Maurit\u00e1nia<\/option><option value=\"MU\">Maur\u00edciusz<\/option><option value=\"YT\">Mayotte<\/option><option value=\"MX\">Mexik\u00f3<\/option><option value=\"FM\">Mikron\u00e9zia<\/option><option value=\"MD\">Moldova<\/option><option value=\"MC\">Monak\u00f3<\/option><option value=\"MN\">Mong\u00f3lia<\/option><option value=\"ME\">Montenegr\u00f3<\/option><option value=\"MS\">Montserrat<\/option><option value=\"MA\">Marokk\u00f3<\/option><option value=\"MZ\">Mozambik<\/option><option value=\"MM\">Mianmar<\/option><option value=\"NA\">Nam\u00edbia<\/option><option value=\"NR\">Nauru<\/option><option value=\"NP\">Nep\u00e1l<\/option><option value=\"NL\">Hollandia<\/option><option value=\"AN\">Holland Antill\u00e1k<\/option><option value=\"NC\">\u00daj-Kaled\u00f3nia<\/option><option value=\"NZ\">\u00daj-Z\u00e9land<\/option><option value=\"NI\">Nicaragua<\/option><option value=\"NE\">Niger<\/option><option value=\"NG\">Nig\u00e9ria<\/option><option value=\"NU\">Niue<\/option><option value=\"NF\">Norfolk-sziget<\/option><option value=\"KP\">\u00c9szak-Korea<\/option><option value=\"NO\">Norv\u00e9gia<\/option><option value=\"OM\">Om\u00e1n<\/option><option value=\"PK\">Pakiszt\u00e1n<\/option><option value=\"PS\">Paleszt\u00edn Ter\u00fclet<\/option><option value=\"PA\">Panama<\/option><option value=\"PG\">P\u00e1pua \u00daj-Guinea<\/option><option value=\"PY\">Paraguay<\/option><option value=\"PE\">Peru<\/option><option value=\"PH\">F\u00fcl\u00f6p-szigetek<\/option><option value=\"PN\">Pitcairn-szigetek<\/option><option value=\"PL\">Lengyelorsz\u00e1g<\/option><option value=\"PT\">Portug\u00e1lia<\/option><option value=\"QA\">Katar<\/option><option value=\"RE\">Reunion<\/option><option value=\"RO\">Rom\u00e1nia<\/option><option value=\"RU\">Oroszorsz\u00e1g<\/option><option value=\"RW\">Ruanda<\/option><option value=\"BL\">Saint Barth&eacute;lemy<\/option><option value=\"SH\">Szent Ilona<\/option><option value=\"KN\">Saint Kitts \u00e9s Nevis<\/option><option value=\"LC\">Saint Lucia<\/option><option value=\"MF\">Saint Martin (francia r\u00e9sz)<\/option><option value=\"SX\">Saint Martin (holland r\u00e9sz)<\/option><option value=\"PM\">Saint Pierre \u00e9s Miquelon<\/option><option value=\"VC\">Saint Vincent \u00e9s Grenadine-szigetek<\/option><option value=\"SM\">San Marino K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"ST\">S&atilde;o Tom&eacute; \u00e9s Pr&iacute;ncipe<\/option><option value=\"SA\">Sza\u00fad-Ar\u00e1bia<\/option><option value=\"SN\">Szeneg\u00e1l<\/option><option value=\"RS\">Szerbia<\/option><option value=\"SC\">Seychelle-szigetek<\/option><option value=\"SL\">Sierra Leone<\/option><option value=\"SG\">Szingap\u00far<\/option><option value=\"SK\">Szlov\u00e1kia<\/option><option value=\"SI\">Szlov\u00e9nia<\/option><option value=\"SB\">Salamon-szigetek<\/option><option value=\"SO\">Szom\u00e1lia<\/option><option value=\"ZA\">D\u00e9l-Afrika<\/option><option value=\"GS\">D\u00e9l-Georgia\/Sandwich-szigetek<\/option><option value=\"KR\">D\u00e9l-Korea<\/option><option value=\"SS\">D\u00e9l-Szud\u00e1n<\/option><option value=\"ES\">Spanyolorsz\u00e1g<\/option><option value=\"LK\">Sri Lanka<\/option><option value=\"SD\">Szud\u00e1n<\/option><option value=\"SR\">Suriname K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"SJ\">Svalbard \u00e9s Jan Mayen-szigetek<\/option><option value=\"SZ\">Szv\u00e1zif\u00f6ld<\/option><option value=\"SE\">Sv\u00e9dorsz\u00e1g<\/option><option value=\"CH\">Sv\u00e1jc<\/option><option value=\"SY\">Sz\u00edria<\/option><option value=\"TW\">Tajvan<\/option><option value=\"TJ\">T\u00e1dzsikiszt\u00e1n<\/option><option value=\"TZ\">Tanz\u00e1nia<\/option><option value=\"TH\">Thaif\u00f6ld<\/option><option value=\"TL\">Kelet-Timor<\/option><option value=\"TG\">Togo<\/option><option value=\"TK\">Tokelau-szigetek<\/option><option value=\"TO\">Tongai Kir\u00e1lys\u00e1g<\/option><option value=\"TT\">Trinidad \u00e9s Tobago<\/option><option value=\"TN\">Tun\u00e9zia<\/option><option value=\"TR\">T\u00f6r\u00f6korsz\u00e1g<\/option><option value=\"TM\">T\u00fcrkmeniszt\u00e1n<\/option><option value=\"TC\">Turks-\u00e9s Caicos-szigetek<\/option><option value=\"TV\">Tuvalu<\/option><option value=\"UG\">Uganda<\/option><option value=\"UA\">Ukrajna<\/option><option value=\"AE\">Egyes\u00fclt Arab Em\u00edrs\u00e9gek<\/option><option value=\"UY\">Uruguay<\/option><option value=\"UZ\">\u00dczbegiszt\u00e1n<\/option><option value=\"VU\">Vanuatu<\/option><option value=\"VA\">Vatik\u00e1n<\/option><option value=\"VE\">Venezuela<\/option><option value=\"VN\">Vietnam<\/option><option value=\"WF\">Wallis \u00e9s Futuna<\/option><option value=\"EH\">Nyugat-Szahara<\/option><option value=\"WS\">Nyugat-Szamoa<\/option><option value=\"YE\">Jemen<\/option><option value=\"ZM\">Zambia<\/option><option value=\"ZW\">Zimbabwe<\/option><\/select><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-82-city\" class=\"vfb-address-label\">Helys\u00e9g<\/label><input id=\"vfb-field-82-city\" class=\"vfb-form-control vfb-addresspart-city\" placeholder=\"\" type=\"text\" name=\"vfb-field-82[city]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-82-zip\" class=\"vfb-address-label\">Ir\u00e1ny\u00edt\u00f3sz\u00e1m<\/label><input id=\"vfb-field-82-zip\" class=\"vfb-form-control vfb-addresspart-zip\" placeholder=\"\" type=\"text\" name=\"vfb-field-82[zip]\"><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField91\"><div class=\"vfb-form-group\"><label for=\"vfb-field-91\" class=\"vfb-control-label\">Od<\/label><div><input id=\"vfb-field-91\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-91\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField84\"><div class=\"vfb-form-group\"><label for=\"vfb-field-84\" class=\"vfb-control-label\">Do<\/label><div><input id=\"vfb-field-84\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-84\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-name\" id=\"vfbField85\"><div class=\"vfb-form-group\"><label for=\"vfb-field-85\" class=\"vfb-control-label\">Meno osoby ktor\u00e1 vypl\u00e1cala peniaze<\/label><div class=\"vfb-name-block\"><div class=\"vfb-form-group\"><div class=\"vfb-col-2\"><input id=\"vfb-field-85-title\" class=\"vfb-form-control vfb-namepart-title\" placeholder=\"C&iacute;m\" type=\"text\" name=\"vfb-field-85[title]\"><\/div><\/div><div class=\"vfb-form-group\"><div class=\"vfb-col-5\"><input id=\"vfb-field-85-first\" class=\"vfb-form-control vfb-namepart-first\" placeholder=\"Els\u0151\" type=\"text\" name=\"vfb-field-85[first]\"><\/div><\/div><div class=\"vfb-form-group\"><div class=\"vfb-col-5\"><input id=\"vfb-field-85-last\" class=\"vfb-form-control vfb-namepart-last\" placeholder=\"Utols&oacute;\" type=\"text\" name=\"vfb-field-85[last]\"><\/div><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">2.<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField142\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-address\" id=\"vfbField89\"><div class=\"vfb-form-group\"><label for=\"vfb-field-89\" class=\"vfb-control-label\">Adresa \u010fa\u013e\u0161ieho pacienta<\/label><div class=\"vfb-address-block\" id=\"vfb-field-89\"><div class=\"vfb-form-group\" style=\"\"><input id=\"vfb-field-89-address-1\" class=\"vfb-form-control vfb-addresspart-address-1\" placeholder=\"\" type=\"text\" name=\"vfb-field-89[address-1]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-89-country\" class=\"vfb-address-label\">Orsz\u00e1g<\/label><select id=\"vfb-field-89-country\" class=\"vfb-form-control vfb-addresspart-country\" placeholder=\"\" name=\"vfb-field-89[country]\"><option value=\"US\">Egyes\u00fclt \u00c1llamok (US)<\/option><option value=\"GB\">Egyes\u00fclt Kir\u00e1lys\u00e1g (UK)<\/option><option value=\"CA\">Kanada<\/option><option value=\"AU\">Ausztr\u00e1lia<\/option><option value=\"\">---<\/option><option value=\"AF\">Afganiszt\u00e1n<\/option><option value=\"AX\">&#197;lan-szigetek<\/option><option value=\"AL\">Alb\u00e1nia<\/option><option value=\"DZ\">Alg\u00e9ria<\/option><option value=\"AD\">Andorra<\/option><option value=\"AO\">Angola<\/option><option value=\"AI\">Anguilla<\/option><option value=\"AQ\">Antarktika<\/option><option value=\"AG\">Antigua \u00e9s Barbuda<\/option><option value=\"AR\">Argent\u00edna<\/option><option value=\"AM\">\u00d6rm\u00e9nyorsz\u00e1g<\/option><option value=\"AW\">Aruba<\/option><option value=\"AS\">Amerikai Szamoa<\/option><option value=\"AT\" selected='selected'>Ausztria<\/option><option value=\"AZ\">Azerbajdzs\u00e1n<\/option><option value=\"BS\">Bahama-szigetek<\/option><option value=\"BH\">Bahrein<\/option><option value=\"BD\">Banglades<\/option><option value=\"BB\">Barbados<\/option><option value=\"BY\">Feh\u00e9roroszorsz\u00e1g<\/option><option value=\"BE\">Belgium<\/option><option value=\"PW\">Belau<\/option><option value=\"BZ\">Belize<\/option><option value=\"BJ\">Benin<\/option><option value=\"BM\">Bermuda<\/option><option value=\"BT\">Bhut\u00e1n<\/option><option value=\"BO\">Bol\u00edvia<\/option><option value=\"BQ\">Bonaire, Saint Eustatius \u00e9s Saba<\/option><option value=\"BA\">Bosznia-Hercegovina<\/option><option value=\"BW\">Botswana<\/option><option value=\"BV\">Bouvet-sziget<\/option><option value=\"BR\">Braz\u00edlia<\/option><option value=\"IO\">Brit Indiai-\u00f3ce\u00e1ni Ter\u00fclet<\/option><option value=\"VG\">Brit Virgin-szigetek<\/option><option value=\"BN\">Brunei<\/option><option value=\"BG\">Bulg\u00e1ria<\/option><option value=\"BF\">Burkina Faso<\/option><option value=\"BI\">Burundi<\/option><option value=\"KH\">Kambodzsa<\/option><option value=\"CM\">Kamerun<\/option><option value=\"CV\">Z\u00f6ld-foki-szigetek<\/option><option value=\"KY\">Kajm\u00e1n-szigetek<\/option><option value=\"CF\">K\u00f6z\u00e9p-afrikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"TD\">Cs\u00e1d<\/option><option value=\"CL\">Chile<\/option><option value=\"CN\">K\u00edna<\/option><option value=\"CX\">Kar\u00e1csony-sziget<\/option><option value=\"CC\">K\u00f3kusz- (Keeling-)szigetek<\/option><option value=\"CO\">Kolumbia<\/option><option value=\"KM\">Comore-szigetek<\/option><option value=\"CG\">Kong\u00f3i (Brazzaville)<\/option><option value=\"CD\">Kong\u00f3 (Kinshasa)<\/option><option value=\"CK\">Cook-szigetek<\/option><option value=\"CR\">Costa Rica<\/option><option value=\"HR\">Horv\u00e1torsz\u00e1g<\/option><option value=\"CU\">Kuba<\/option><option value=\"CW\">Cura&Ccedil;ao<\/option><option value=\"CY\">Ciprus<\/option><option value=\"CZ\">Cseh K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"DK\">D\u00e1nia<\/option><option value=\"DJ\">Dzsibuti<\/option><option value=\"DM\">Dominika<\/option><option value=\"DO\">Dominikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"EC\">Ecuador<\/option><option value=\"EG\">Egyiptom<\/option><option value=\"SV\">Salvador<\/option><option value=\"GQ\">Egyenl\u00edt\u0151i-Guinea<\/option><option value=\"ER\">Eritrea<\/option><option value=\"EE\">\u00c9sztorsz\u00e1g<\/option><option value=\"ET\">Eti\u00f3pia<\/option><option value=\"FK\">Falkland-szigetek<\/option><option value=\"FO\">Fer\u00f6er szigetek<\/option><option value=\"FJ\">Fidzsi-szigetek<\/option><option value=\"FI\">Finnorsz\u00e1g<\/option><option value=\"FR\">Franciaorsz\u00e1g<\/option><option value=\"GF\">Francia Guyana<\/option><option value=\"PF\">Francia Polin\u00e9zia<\/option><option value=\"TF\">Francia D\u00e9li Ter\u00fcletek<\/option><option value=\"GA\">Gabon<\/option><option value=\"GM\">Gambia<\/option><option value=\"GE\">Gr\u00fazia<\/option><option value=\"DE\">N\u00e9metorsz\u00e1g<\/option><option value=\"GH\">Gh\u00e1na<\/option><option value=\"GI\">Gibralt\u00e1r<\/option><option value=\"GR\">G\u00f6r\u00f6gorsz\u00e1g<\/option><option value=\"GL\">Gr\u00f6nland<\/option><option value=\"GD\">Grenada<\/option><option value=\"GP\">Guadeloupe<\/option><option value=\"GT\">Guatemala<\/option><option value=\"GG\">Guernsey<\/option><option value=\"GN\">Guinea<\/option><option value=\"GW\">Bissau-Guinea<\/option><option value=\"GY\">Guyana<\/option><option value=\"HT\">Haiti<\/option><option value=\"HM\">Heard-sziget \u00e9s McDonald-szigetek<\/option><option value=\"HN\">Hondurasz<\/option><option value=\"HK\">Hongkong<\/option><option value=\"HU\">Magyarorsz\u00e1g<\/option><option value=\"IS\">Izland<\/option><option value=\"IN\">India<\/option><option value=\"ID\">Indon\u00e9zia<\/option><option value=\"IR\">Ir\u00e1n<\/option><option value=\"IQ\">Irak<\/option><option value=\"IE\">\u00cdrorsz\u00e1g<\/option><option value=\"IM\">Man-sziget<\/option><option value=\"IL\">Izrael<\/option><option value=\"IT\">Olaszorsz\u00e1g<\/option><option value=\"CI\">Elef\u00e1ntcsontpart<\/option><option value=\"JM\">Jamaica<\/option><option value=\"JP\">Jap\u00e1n<\/option><option value=\"JE\">Jersey<\/option><option value=\"JO\">Jord\u00e1nia<\/option><option value=\"KZ\">Kazahszt\u00e1n<\/option><option value=\"KE\">Kenya<\/option><option value=\"KI\">Kiribati<\/option><option value=\"KW\">Kuvait<\/option><option value=\"KG\">Kirgiziszt\u00e1n<\/option><option value=\"LA\">Laosz<\/option><option value=\"LV\">Lettorsz\u00e1g<\/option><option value=\"LB\">Libanon<\/option><option value=\"LS\">Lesotho<\/option><option value=\"LR\">Lib\u00e9ria<\/option><option value=\"LY\">L\u00edbia<\/option><option value=\"LI\">Liechtenstein<\/option><option value=\"LT\">Litv\u00e1nia<\/option><option value=\"LU\">Luxemburg<\/option><option value=\"MO\">Maka\u00f3 k\u00fcl\u00f6nleges k\u00f6zigazgat\u00e1si ter\u00fclet, K\u00edna<\/option><option value=\"MK\">Maced\u00f3nia<\/option><option value=\"MG\">Madagaszk\u00e1r<\/option><option value=\"MW\">Malawi<\/option><option value=\"MY\">Malajzia<\/option><option value=\"MV\">Mald\u00edv-szigetek<\/option><option value=\"ML\">Mali<\/option><option value=\"MT\">M\u00e1lta<\/option><option value=\"MH\">Marshall-szigetek<\/option><option value=\"MQ\">Martinique<\/option><option value=\"MR\">Maurit\u00e1nia<\/option><option value=\"MU\">Maur\u00edciusz<\/option><option value=\"YT\">Mayotte<\/option><option value=\"MX\">Mexik\u00f3<\/option><option value=\"FM\">Mikron\u00e9zia<\/option><option value=\"MD\">Moldova<\/option><option value=\"MC\">Monak\u00f3<\/option><option value=\"MN\">Mong\u00f3lia<\/option><option value=\"ME\">Montenegr\u00f3<\/option><option value=\"MS\">Montserrat<\/option><option value=\"MA\">Marokk\u00f3<\/option><option value=\"MZ\">Mozambik<\/option><option value=\"MM\">Mianmar<\/option><option value=\"NA\">Nam\u00edbia<\/option><option value=\"NR\">Nauru<\/option><option value=\"NP\">Nep\u00e1l<\/option><option value=\"NL\">Hollandia<\/option><option value=\"AN\">Holland Antill\u00e1k<\/option><option value=\"NC\">\u00daj-Kaled\u00f3nia<\/option><option value=\"NZ\">\u00daj-Z\u00e9land<\/option><option value=\"NI\">Nicaragua<\/option><option value=\"NE\">Niger<\/option><option value=\"NG\">Nig\u00e9ria<\/option><option value=\"NU\">Niue<\/option><option value=\"NF\">Norfolk-sziget<\/option><option value=\"KP\">\u00c9szak-Korea<\/option><option value=\"NO\">Norv\u00e9gia<\/option><option value=\"OM\">Om\u00e1n<\/option><option value=\"PK\">Pakiszt\u00e1n<\/option><option value=\"PS\">Paleszt\u00edn Ter\u00fclet<\/option><option value=\"PA\">Panama<\/option><option value=\"PG\">P\u00e1pua \u00daj-Guinea<\/option><option value=\"PY\">Paraguay<\/option><option value=\"PE\">Peru<\/option><option value=\"PH\">F\u00fcl\u00f6p-szigetek<\/option><option value=\"PN\">Pitcairn-szigetek<\/option><option value=\"PL\">Lengyelorsz\u00e1g<\/option><option value=\"PT\">Portug\u00e1lia<\/option><option value=\"QA\">Katar<\/option><option value=\"RE\">Reunion<\/option><option value=\"RO\">Rom\u00e1nia<\/option><option value=\"RU\">Oroszorsz\u00e1g<\/option><option value=\"RW\">Ruanda<\/option><option value=\"BL\">Saint Barth&eacute;lemy<\/option><option value=\"SH\">Szent Ilona<\/option><option value=\"KN\">Saint Kitts \u00e9s Nevis<\/option><option value=\"LC\">Saint Lucia<\/option><option value=\"MF\">Saint Martin (francia r\u00e9sz)<\/option><option value=\"SX\">Saint Martin (holland r\u00e9sz)<\/option><option value=\"PM\">Saint Pierre \u00e9s Miquelon<\/option><option value=\"VC\">Saint Vincent \u00e9s Grenadine-szigetek<\/option><option value=\"SM\">San Marino K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"ST\">S&atilde;o Tom&eacute; \u00e9s Pr&iacute;ncipe<\/option><option value=\"SA\">Sza\u00fad-Ar\u00e1bia<\/option><option value=\"SN\">Szeneg\u00e1l<\/option><option value=\"RS\">Szerbia<\/option><option value=\"SC\">Seychelle-szigetek<\/option><option value=\"SL\">Sierra Leone<\/option><option value=\"SG\">Szingap\u00far<\/option><option value=\"SK\">Szlov\u00e1kia<\/option><option value=\"SI\">Szlov\u00e9nia<\/option><option value=\"SB\">Salamon-szigetek<\/option><option value=\"SO\">Szom\u00e1lia<\/option><option value=\"ZA\">D\u00e9l-Afrika<\/option><option value=\"GS\">D\u00e9l-Georgia\/Sandwich-szigetek<\/option><option value=\"KR\">D\u00e9l-Korea<\/option><option value=\"SS\">D\u00e9l-Szud\u00e1n<\/option><option value=\"ES\">Spanyolorsz\u00e1g<\/option><option value=\"LK\">Sri Lanka<\/option><option value=\"SD\">Szud\u00e1n<\/option><option value=\"SR\">Suriname K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"SJ\">Svalbard \u00e9s Jan Mayen-szigetek<\/option><option value=\"SZ\">Szv\u00e1zif\u00f6ld<\/option><option value=\"SE\">Sv\u00e9dorsz\u00e1g<\/option><option value=\"CH\">Sv\u00e1jc<\/option><option value=\"SY\">Sz\u00edria<\/option><option value=\"TW\">Tajvan<\/option><option value=\"TJ\">T\u00e1dzsikiszt\u00e1n<\/option><option value=\"TZ\">Tanz\u00e1nia<\/option><option value=\"TH\">Thaif\u00f6ld<\/option><option value=\"TL\">Kelet-Timor<\/option><option value=\"TG\">Togo<\/option><option value=\"TK\">Tokelau-szigetek<\/option><option value=\"TO\">Tongai Kir\u00e1lys\u00e1g<\/option><option value=\"TT\">Trinidad \u00e9s Tobago<\/option><option value=\"TN\">Tun\u00e9zia<\/option><option value=\"TR\">T\u00f6r\u00f6korsz\u00e1g<\/option><option value=\"TM\">T\u00fcrkmeniszt\u00e1n<\/option><option value=\"TC\">Turks-\u00e9s Caicos-szigetek<\/option><option value=\"TV\">Tuvalu<\/option><option value=\"UG\">Uganda<\/option><option value=\"UA\">Ukrajna<\/option><option value=\"AE\">Egyes\u00fclt Arab Em\u00edrs\u00e9gek<\/option><option value=\"UY\">Uruguay<\/option><option value=\"UZ\">\u00dczbegiszt\u00e1n<\/option><option value=\"VU\">Vanuatu<\/option><option value=\"VA\">Vatik\u00e1n<\/option><option value=\"VE\">Venezuela<\/option><option value=\"VN\">Vietnam<\/option><option value=\"WF\">Wallis \u00e9s Futuna<\/option><option value=\"EH\">Nyugat-Szahara<\/option><option value=\"WS\">Nyugat-Szamoa<\/option><option value=\"YE\">Jemen<\/option><option value=\"ZM\">Zambia<\/option><option value=\"ZW\">Zimbabwe<\/option><\/select><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-89-city\" class=\"vfb-address-label\">Helys\u00e9g<\/label><input id=\"vfb-field-89-city\" class=\"vfb-form-control vfb-addresspart-city\" placeholder=\"\" type=\"text\" name=\"vfb-field-89[city]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-89-zip\" class=\"vfb-address-label\">Ir\u00e1ny\u00edt\u00f3sz\u00e1m<\/label><input id=\"vfb-field-89-zip\" class=\"vfb-form-control vfb-addresspart-zip\" placeholder=\"\" type=\"text\" name=\"vfb-field-89[zip]\"><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField83\"><div class=\"vfb-form-group\"><label for=\"vfb-field-83\" class=\"vfb-control-label\">Od<\/label><div><input id=\"vfb-field-83\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-83\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField94\"><div class=\"vfb-form-group\"><label for=\"vfb-field-94\" class=\"vfb-control-label\">Do<\/label><div><input id=\"vfb-field-94\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-94\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-name\" id=\"vfbField96\"><div class=\"vfb-form-group\"><label for=\"vfb-field-96\" class=\"vfb-control-label\">Meno osoby ktor\u00e1 vypl\u00e1cala peniaze<\/label><div class=\"vfb-name-block\"><div class=\"vfb-form-group\"><div class=\"vfb-col-2\"><input id=\"vfb-field-96-title\" class=\"vfb-form-control vfb-namepart-title\" placeholder=\"C&iacute;m\" type=\"text\" name=\"vfb-field-96[title]\"><\/div><\/div><div class=\"vfb-form-group\"><div class=\"vfb-col-5\"><input id=\"vfb-field-96-first\" class=\"vfb-form-control vfb-namepart-first\" placeholder=\"Els\u0151\" type=\"text\" name=\"vfb-field-96[first]\"><\/div><\/div><div class=\"vfb-form-group\"><div class=\"vfb-col-5\"><input id=\"vfb-field-96-last\" class=\"vfb-form-control vfb-namepart-last\" placeholder=\"Utols&oacute;\" type=\"text\" name=\"vfb-field-96[last]\"><\/div><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">3.<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField143\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-address\" id=\"vfbField88\"><div class=\"vfb-form-group\"><label for=\"vfb-field-88\" class=\"vfb-control-label\">Adresa \u010fa\u013e\u0161ieho pacienta<\/label><div class=\"vfb-address-block\" id=\"vfb-field-88\"><div class=\"vfb-form-group\" style=\"\"><input id=\"vfb-field-88-address-1\" class=\"vfb-form-control vfb-addresspart-address-1\" placeholder=\"\" type=\"text\" name=\"vfb-field-88[address-1]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-88-country\" class=\"vfb-address-label\">Orsz\u00e1g<\/label><select id=\"vfb-field-88-country\" class=\"vfb-form-control vfb-addresspart-country\" placeholder=\"\" name=\"vfb-field-88[country]\"><option value=\"US\">Egyes\u00fclt \u00c1llamok (US)<\/option><option value=\"GB\">Egyes\u00fclt Kir\u00e1lys\u00e1g (UK)<\/option><option value=\"CA\">Kanada<\/option><option value=\"AU\">Ausztr\u00e1lia<\/option><option value=\"\">---<\/option><option value=\"AF\">Afganiszt\u00e1n<\/option><option value=\"AX\">&#197;lan-szigetek<\/option><option value=\"AL\">Alb\u00e1nia<\/option><option value=\"DZ\">Alg\u00e9ria<\/option><option value=\"AD\">Andorra<\/option><option value=\"AO\">Angola<\/option><option value=\"AI\">Anguilla<\/option><option value=\"AQ\">Antarktika<\/option><option value=\"AG\">Antigua \u00e9s Barbuda<\/option><option value=\"AR\">Argent\u00edna<\/option><option value=\"AM\">\u00d6rm\u00e9nyorsz\u00e1g<\/option><option value=\"AW\">Aruba<\/option><option value=\"AS\">Amerikai Szamoa<\/option><option value=\"AT\" selected='selected'>Ausztria<\/option><option value=\"AZ\">Azerbajdzs\u00e1n<\/option><option value=\"BS\">Bahama-szigetek<\/option><option value=\"BH\">Bahrein<\/option><option value=\"BD\">Banglades<\/option><option value=\"BB\">Barbados<\/option><option value=\"BY\">Feh\u00e9roroszorsz\u00e1g<\/option><option value=\"BE\">Belgium<\/option><option value=\"PW\">Belau<\/option><option value=\"BZ\">Belize<\/option><option value=\"BJ\">Benin<\/option><option value=\"BM\">Bermuda<\/option><option value=\"BT\">Bhut\u00e1n<\/option><option value=\"BO\">Bol\u00edvia<\/option><option value=\"BQ\">Bonaire, Saint Eustatius \u00e9s Saba<\/option><option value=\"BA\">Bosznia-Hercegovina<\/option><option value=\"BW\">Botswana<\/option><option value=\"BV\">Bouvet-sziget<\/option><option value=\"BR\">Braz\u00edlia<\/option><option value=\"IO\">Brit Indiai-\u00f3ce\u00e1ni Ter\u00fclet<\/option><option value=\"VG\">Brit Virgin-szigetek<\/option><option value=\"BN\">Brunei<\/option><option value=\"BG\">Bulg\u00e1ria<\/option><option value=\"BF\">Burkina Faso<\/option><option value=\"BI\">Burundi<\/option><option value=\"KH\">Kambodzsa<\/option><option value=\"CM\">Kamerun<\/option><option value=\"CV\">Z\u00f6ld-foki-szigetek<\/option><option value=\"KY\">Kajm\u00e1n-szigetek<\/option><option value=\"CF\">K\u00f6z\u00e9p-afrikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"TD\">Cs\u00e1d<\/option><option value=\"CL\">Chile<\/option><option value=\"CN\">K\u00edna<\/option><option value=\"CX\">Kar\u00e1csony-sziget<\/option><option value=\"CC\">K\u00f3kusz- (Keeling-)szigetek<\/option><option value=\"CO\">Kolumbia<\/option><option value=\"KM\">Comore-szigetek<\/option><option value=\"CG\">Kong\u00f3i (Brazzaville)<\/option><option value=\"CD\">Kong\u00f3 (Kinshasa)<\/option><option value=\"CK\">Cook-szigetek<\/option><option value=\"CR\">Costa Rica<\/option><option value=\"HR\">Horv\u00e1torsz\u00e1g<\/option><option value=\"CU\">Kuba<\/option><option value=\"CW\">Cura&Ccedil;ao<\/option><option value=\"CY\">Ciprus<\/option><option value=\"CZ\">Cseh K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"DK\">D\u00e1nia<\/option><option value=\"DJ\">Dzsibuti<\/option><option value=\"DM\">Dominika<\/option><option value=\"DO\">Dominikai K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"EC\">Ecuador<\/option><option value=\"EG\">Egyiptom<\/option><option value=\"SV\">Salvador<\/option><option value=\"GQ\">Egyenl\u00edt\u0151i-Guinea<\/option><option value=\"ER\">Eritrea<\/option><option value=\"EE\">\u00c9sztorsz\u00e1g<\/option><option value=\"ET\">Eti\u00f3pia<\/option><option value=\"FK\">Falkland-szigetek<\/option><option value=\"FO\">Fer\u00f6er szigetek<\/option><option value=\"FJ\">Fidzsi-szigetek<\/option><option value=\"FI\">Finnorsz\u00e1g<\/option><option value=\"FR\">Franciaorsz\u00e1g<\/option><option value=\"GF\">Francia Guyana<\/option><option value=\"PF\">Francia Polin\u00e9zia<\/option><option value=\"TF\">Francia D\u00e9li Ter\u00fcletek<\/option><option value=\"GA\">Gabon<\/option><option value=\"GM\">Gambia<\/option><option value=\"GE\">Gr\u00fazia<\/option><option value=\"DE\">N\u00e9metorsz\u00e1g<\/option><option value=\"GH\">Gh\u00e1na<\/option><option value=\"GI\">Gibralt\u00e1r<\/option><option value=\"GR\">G\u00f6r\u00f6gorsz\u00e1g<\/option><option value=\"GL\">Gr\u00f6nland<\/option><option value=\"GD\">Grenada<\/option><option value=\"GP\">Guadeloupe<\/option><option value=\"GT\">Guatemala<\/option><option value=\"GG\">Guernsey<\/option><option value=\"GN\">Guinea<\/option><option value=\"GW\">Bissau-Guinea<\/option><option value=\"GY\">Guyana<\/option><option value=\"HT\">Haiti<\/option><option value=\"HM\">Heard-sziget \u00e9s McDonald-szigetek<\/option><option value=\"HN\">Hondurasz<\/option><option value=\"HK\">Hongkong<\/option><option value=\"HU\">Magyarorsz\u00e1g<\/option><option value=\"IS\">Izland<\/option><option value=\"IN\">India<\/option><option value=\"ID\">Indon\u00e9zia<\/option><option value=\"IR\">Ir\u00e1n<\/option><option value=\"IQ\">Irak<\/option><option value=\"IE\">\u00cdrorsz\u00e1g<\/option><option value=\"IM\">Man-sziget<\/option><option value=\"IL\">Izrael<\/option><option value=\"IT\">Olaszorsz\u00e1g<\/option><option value=\"CI\">Elef\u00e1ntcsontpart<\/option><option value=\"JM\">Jamaica<\/option><option value=\"JP\">Jap\u00e1n<\/option><option value=\"JE\">Jersey<\/option><option value=\"JO\">Jord\u00e1nia<\/option><option value=\"KZ\">Kazahszt\u00e1n<\/option><option value=\"KE\">Kenya<\/option><option value=\"KI\">Kiribati<\/option><option value=\"KW\">Kuvait<\/option><option value=\"KG\">Kirgiziszt\u00e1n<\/option><option value=\"LA\">Laosz<\/option><option value=\"LV\">Lettorsz\u00e1g<\/option><option value=\"LB\">Libanon<\/option><option value=\"LS\">Lesotho<\/option><option value=\"LR\">Lib\u00e9ria<\/option><option value=\"LY\">L\u00edbia<\/option><option value=\"LI\">Liechtenstein<\/option><option value=\"LT\">Litv\u00e1nia<\/option><option value=\"LU\">Luxemburg<\/option><option value=\"MO\">Maka\u00f3 k\u00fcl\u00f6nleges k\u00f6zigazgat\u00e1si ter\u00fclet, K\u00edna<\/option><option value=\"MK\">Maced\u00f3nia<\/option><option value=\"MG\">Madagaszk\u00e1r<\/option><option value=\"MW\">Malawi<\/option><option value=\"MY\">Malajzia<\/option><option value=\"MV\">Mald\u00edv-szigetek<\/option><option value=\"ML\">Mali<\/option><option value=\"MT\">M\u00e1lta<\/option><option value=\"MH\">Marshall-szigetek<\/option><option value=\"MQ\">Martinique<\/option><option value=\"MR\">Maurit\u00e1nia<\/option><option value=\"MU\">Maur\u00edciusz<\/option><option value=\"YT\">Mayotte<\/option><option value=\"MX\">Mexik\u00f3<\/option><option value=\"FM\">Mikron\u00e9zia<\/option><option value=\"MD\">Moldova<\/option><option value=\"MC\">Monak\u00f3<\/option><option value=\"MN\">Mong\u00f3lia<\/option><option value=\"ME\">Montenegr\u00f3<\/option><option value=\"MS\">Montserrat<\/option><option value=\"MA\">Marokk\u00f3<\/option><option value=\"MZ\">Mozambik<\/option><option value=\"MM\">Mianmar<\/option><option value=\"NA\">Nam\u00edbia<\/option><option value=\"NR\">Nauru<\/option><option value=\"NP\">Nep\u00e1l<\/option><option value=\"NL\">Hollandia<\/option><option value=\"AN\">Holland Antill\u00e1k<\/option><option value=\"NC\">\u00daj-Kaled\u00f3nia<\/option><option value=\"NZ\">\u00daj-Z\u00e9land<\/option><option value=\"NI\">Nicaragua<\/option><option value=\"NE\">Niger<\/option><option value=\"NG\">Nig\u00e9ria<\/option><option value=\"NU\">Niue<\/option><option value=\"NF\">Norfolk-sziget<\/option><option value=\"KP\">\u00c9szak-Korea<\/option><option value=\"NO\">Norv\u00e9gia<\/option><option value=\"OM\">Om\u00e1n<\/option><option value=\"PK\">Pakiszt\u00e1n<\/option><option value=\"PS\">Paleszt\u00edn Ter\u00fclet<\/option><option value=\"PA\">Panama<\/option><option value=\"PG\">P\u00e1pua \u00daj-Guinea<\/option><option value=\"PY\">Paraguay<\/option><option value=\"PE\">Peru<\/option><option value=\"PH\">F\u00fcl\u00f6p-szigetek<\/option><option value=\"PN\">Pitcairn-szigetek<\/option><option value=\"PL\">Lengyelorsz\u00e1g<\/option><option value=\"PT\">Portug\u00e1lia<\/option><option value=\"QA\">Katar<\/option><option value=\"RE\">Reunion<\/option><option value=\"RO\">Rom\u00e1nia<\/option><option value=\"RU\">Oroszorsz\u00e1g<\/option><option value=\"RW\">Ruanda<\/option><option value=\"BL\">Saint Barth&eacute;lemy<\/option><option value=\"SH\">Szent Ilona<\/option><option value=\"KN\">Saint Kitts \u00e9s Nevis<\/option><option value=\"LC\">Saint Lucia<\/option><option value=\"MF\">Saint Martin (francia r\u00e9sz)<\/option><option value=\"SX\">Saint Martin (holland r\u00e9sz)<\/option><option value=\"PM\">Saint Pierre \u00e9s Miquelon<\/option><option value=\"VC\">Saint Vincent \u00e9s Grenadine-szigetek<\/option><option value=\"SM\">San Marino K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"ST\">S&atilde;o Tom&eacute; \u00e9s Pr&iacute;ncipe<\/option><option value=\"SA\">Sza\u00fad-Ar\u00e1bia<\/option><option value=\"SN\">Szeneg\u00e1l<\/option><option value=\"RS\">Szerbia<\/option><option value=\"SC\">Seychelle-szigetek<\/option><option value=\"SL\">Sierra Leone<\/option><option value=\"SG\">Szingap\u00far<\/option><option value=\"SK\">Szlov\u00e1kia<\/option><option value=\"SI\">Szlov\u00e9nia<\/option><option value=\"SB\">Salamon-szigetek<\/option><option value=\"SO\">Szom\u00e1lia<\/option><option value=\"ZA\">D\u00e9l-Afrika<\/option><option value=\"GS\">D\u00e9l-Georgia\/Sandwich-szigetek<\/option><option value=\"KR\">D\u00e9l-Korea<\/option><option value=\"SS\">D\u00e9l-Szud\u00e1n<\/option><option value=\"ES\">Spanyolorsz\u00e1g<\/option><option value=\"LK\">Sri Lanka<\/option><option value=\"SD\">Szud\u00e1n<\/option><option value=\"SR\">Suriname K\u00f6zt\u00e1rsas\u00e1g<\/option><option value=\"SJ\">Svalbard \u00e9s Jan Mayen-szigetek<\/option><option value=\"SZ\">Szv\u00e1zif\u00f6ld<\/option><option value=\"SE\">Sv\u00e9dorsz\u00e1g<\/option><option value=\"CH\">Sv\u00e1jc<\/option><option value=\"SY\">Sz\u00edria<\/option><option value=\"TW\">Tajvan<\/option><option value=\"TJ\">T\u00e1dzsikiszt\u00e1n<\/option><option value=\"TZ\">Tanz\u00e1nia<\/option><option value=\"TH\">Thaif\u00f6ld<\/option><option value=\"TL\">Kelet-Timor<\/option><option value=\"TG\">Togo<\/option><option value=\"TK\">Tokelau-szigetek<\/option><option value=\"TO\">Tongai Kir\u00e1lys\u00e1g<\/option><option value=\"TT\">Trinidad \u00e9s Tobago<\/option><option value=\"TN\">Tun\u00e9zia<\/option><option value=\"TR\">T\u00f6r\u00f6korsz\u00e1g<\/option><option value=\"TM\">T\u00fcrkmeniszt\u00e1n<\/option><option value=\"TC\">Turks-\u00e9s Caicos-szigetek<\/option><option value=\"TV\">Tuvalu<\/option><option value=\"UG\">Uganda<\/option><option value=\"UA\">Ukrajna<\/option><option value=\"AE\">Egyes\u00fclt Arab Em\u00edrs\u00e9gek<\/option><option value=\"UY\">Uruguay<\/option><option value=\"UZ\">\u00dczbegiszt\u00e1n<\/option><option value=\"VU\">Vanuatu<\/option><option value=\"VA\">Vatik\u00e1n<\/option><option value=\"VE\">Venezuela<\/option><option value=\"VN\">Vietnam<\/option><option value=\"WF\">Wallis \u00e9s Futuna<\/option><option value=\"EH\">Nyugat-Szahara<\/option><option value=\"WS\">Nyugat-Szamoa<\/option><option value=\"YE\">Jemen<\/option><option value=\"ZM\">Zambia<\/option><option value=\"ZW\">Zimbabwe<\/option><\/select><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-88-city\" class=\"vfb-address-label\">Helys\u00e9g<\/label><input id=\"vfb-field-88-city\" class=\"vfb-form-control vfb-addresspart-city\" placeholder=\"\" type=\"text\" name=\"vfb-field-88[city]\"><\/div><div class=\"vfb-form-group\" style=\"\"><label for=\"vfb-field-88-zip\" class=\"vfb-address-label\">Ir\u00e1ny\u00edt\u00f3sz\u00e1m<\/label><input id=\"vfb-field-88-zip\" class=\"vfb-form-control vfb-addresspart-zip\" placeholder=\"\" type=\"text\" name=\"vfb-field-88[zip]\"><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField90\"><div class=\"vfb-form-group\"><label for=\"vfb-field-90\" class=\"vfb-control-label\">Od<\/label><div><input id=\"vfb-field-90\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-90\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField93\"><div class=\"vfb-form-group\"><label for=\"vfb-field-93\" class=\"vfb-control-label\">Do<\/label><div><input id=\"vfb-field-93\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-93\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-name\" id=\"vfbField95\"><div class=\"vfb-form-group\"><label for=\"vfb-field-95\" class=\"vfb-control-label\">Meno osoby ktor\u00e1 vypl\u00e1cala peniaze<\/label><div class=\"vfb-name-block\"><div class=\"vfb-form-group\"><div class=\"vfb-col-2\"><input id=\"vfb-field-95-title\" class=\"vfb-form-control vfb-namepart-title\" placeholder=\"C&iacute;m\" type=\"text\" name=\"vfb-field-95[title]\"><\/div><\/div><div class=\"vfb-form-group\"><div class=\"vfb-col-5\"><input id=\"vfb-field-95-first\" class=\"vfb-form-control vfb-namepart-first\" placeholder=\"Els\u0151\" type=\"text\" name=\"vfb-field-95[first]\"><\/div><\/div><div class=\"vfb-form-group\"><div class=\"vfb-col-5\"><input id=\"vfb-field-95-last\" class=\"vfb-form-control vfb-namepart-last\" placeholder=\"Utols&oacute;\" type=\"text\" name=\"vfb-field-95[last]\"><\/div><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h1 class=\"\">C\u030ci\u0301sla u\u0301c\u030ctov pre vyplatenie bonusov a preplatkov<\/h1><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField145\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-section\" id=\"vfbField101\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField99\"><div class=\"vfb-form-group\"><label for=\"vfb-field-99\" class=\"vfb-control-label\">IBAN<\/label><div><input id=\"vfb-field-99\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-99\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField100\"><div class=\"vfb-form-group\"><label for=\"vfb-field-100\" class=\"vfb-control-label\">SWIFT\/BIC<\/label><div><input id=\"vfb-field-100\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-100\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-section\" id=\"vfbField102\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField103\"><div class=\"vfb-form-group\"><label for=\"vfb-field-103\" class=\"vfb-control-label\">IBAN<\/label><div><input id=\"vfb-field-103\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-103\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField104\"><div class=\"vfb-form-group\"><label for=\"vfb-field-104\" class=\"vfb-control-label\">SWIFT\/BIC<\/label><div><input id=\"vfb-field-104\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-104\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-captcha\" id=\"vfbField165\"><div class=\"vfb-form-group\"><label for=\"vfb-field-165\" class=\"vfb-control-label\">Overenie <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"g-recaptcha\" data-sitekey=\"6LcQqwMTAAAAADVZTxmSprJO1r_i79EOzHNHdkMI\"><\/div><input type=\"hidden\" name=\"_vfb_recaptcha_enabled\" value=\"1\" id=\"\"><div class=\"vfb-has-error\" id=\"vfb-recaptcha-error\"><span class=\"vfb-help-block\">reCAPTCHA is required.<\/span><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-submit\" id=\"vfbField4\"><button id=\"vfb-field-4\" class=\" btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Odosla\u0165<\/button><\/div><div class=\"vfb-clearfix\"><\/div><\/form>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/rakuskopraca.sk\/hu\/wp-json\/wp\/v2\/pages\/620"}],"collection":[{"href":"https:\/\/rakuskopraca.sk\/hu\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rakuskopraca.sk\/hu\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rakuskopraca.sk\/hu\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rakuskopraca.sk\/hu\/wp-json\/wp\/v2\/comments?post=620"}],"version-history":[{"count":1,"href":"https:\/\/rakuskopraca.sk\/hu\/wp-json\/wp\/v2\/pages\/620\/revisions"}],"predecessor-version":[{"id":2378,"href":"https:\/\/rakuskopraca.sk\/hu\/wp-json\/wp\/v2\/pages\/620\/revisions\/2378"}],"wp:attachment":[{"href":"https:\/\/rakuskopraca.sk\/hu\/wp-json\/wp\/v2\/media?parent=620"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}