{"id":26,"date":"2016-02-12T08:13:33","date_gmt":"2016-02-12T08:13:33","guid":{"rendered":"http:\/\/demos.famethemes.com\/onepress\/?page_id=26"},"modified":"2025-03-13T11:50:30","modified_gmt":"2025-03-13T10:50:30","slug":"service-title-4","status":"publish","type":"page","link":"https:\/\/linde.edu.pl\/?page_id=26","title":{"rendered":"FORMULARZ ZG\u0141OSZENIA"},"content":{"rendered":"<p><strong><span style=\"color: #3366ff;\">Zapraszamy do Linde!\u00a0<\/span><\/strong><\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n<div class=\"wp-block-contact-form-7-contact-form-selector\"><div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f2404-o1\" lang=\"pl-PL\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F26#wpcf7-f2404-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"2404\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2404-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<table>\n<tr>\n<th colspan=\"2\">DANE OSOBOWE <font size=\"2\" color=\"#e3e3e3\"><i>\/\/ personal data<\/i><\/font><\/th>\n<\/tr>\n<tr>\n<td width=\"50%\" class=\"td-rek\">imi\u0119* <font size=\"2\" color=\"#00667d\"><i>\/\/ first name<\/i><\/font><\/td>\n<td width=\"50%\"><span class=\"wpcf7-form-control-wrap imie\"><input type=\"text\" name=\"imie\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">drugie imi\u0119 <font size=\"2\" color=\"#00667d\"><i>\/\/ middle name<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap drugie-imie\"><input type=\"text\" name=\"drugie-imie\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text rek-wsjo-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">nazwisko* <font size=\"2\" color=\"#00667d\"><i>\/\/ family name<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap nazwisko\"><input type=\"text\" name=\"nazwisko\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">imi\u0119 matki* <font size=\"2\" color=\"#00667d\"><i>\/\/ mother\u2019s first name<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap imie-matki\"><input type=\"text\" name=\"imie-matki\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">imi\u0119 ojca* <font size=\"2\" color=\"#00667d\"><i>\/\/ father\u2019s first name<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap imie-ojca\"><input type=\"text\" name=\"imie-ojca\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">data urodzenia (dd-mm-rrrr)* <font size=\"2\" color=\"#00667d\"><i>\/\/ date of birth (dd-mm-yyyy)<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap data-urodzenia\"><input type=\"text\" name=\"data-urodzenia\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">miejsce urodzenia* <font size=\"2\" color=\"#00667d\"><i>\/\/ place of birth<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap miejsce-ur\"><input type=\"text\" name=\"miejsce-ur\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">p\u0142e\u0107 (K-kobieta, M-m\u0119\u017cczyzna)* <font size=\"2\" color=\"#00667d\"><i>\/\/ sex (K-female, M-male)<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap plec\"><select name=\"plec\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required rek-wsjo-select\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"K\">K<\/option><option value=\"M\">M<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">obywatelstwo* <font size=\"2\" color=\"#00667d\"><i>\/\/ nationality<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap obywatelstwo\"><select name=\"obywatelstwo\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required rek-wsjo-select\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"polskie\">polskie<\/option><option value=\"----\">----<\/option><option value=\"afga\u0144skie\">afga\u0144skie<\/option><option value=\"alandzkie\">alandzkie<\/option><option value=\"alba\u0144skie\">alba\u0144skie<\/option><option value=\"algierskie\">algierskie<\/option><option value=\"ameryka\u0144skie\">ameryka\u0144skie<\/option><option value=\"andorskie\">andorskie<\/option><option value=\"angielskie\">angielskie<\/option><option value=\"angolskie\">angolskie<\/option><option value=\"anguilskie\">anguilskie<\/option><option value=\"argenty\u0144skie\">argenty\u0144skie<\/option><option value=\"arme\u0144skie\">arme\u0144skie<\/option><option value=\"aruba\u0144skie\">aruba\u0144skie<\/option><option value=\"australijskie\">australijskie<\/option><option value=\"austriackie\">austriackie<\/option><option value=\"azerbejd\u017ca\u0144skie\">azerbejd\u017ca\u0144skie<\/option><option value=\"bahamskie\">bahamskie<\/option><option value=\"bahara\u0144skie\">bahara\u0144skie<\/option><option value=\"bangladeskie\">bangladeskie<\/option><option value=\"barbadoskie\">barbadoskie<\/option><option value=\"belgijskie\">belgijskie<\/option><option value=\"belize\u0144skie\">belize\u0144skie<\/option><option value=\"benijskie\">benijskie<\/option><option value=\"bermudzkie\">bermudzkie<\/option><option value=\"bhuta\u0144skie\">bhuta\u0144skie<\/option><option value=\"bia\u0142oruskie\">bia\u0142oruskie<\/option><option value=\"birma\u0144skie\">birma\u0144skie<\/option><option value=\"boliwijskie\">boliwijskie<\/option><option value=\"bo\u015bniacko-hercegowi\u0144skie\">bo\u015bniacko-hercegowi\u0144skie<\/option><option value=\"botswa\u0144skie\">botswa\u0144skie<\/option><option value=\"brazylijskie\">brazylijskie<\/option><option value=\"brunejskie\">brunejskie<\/option><option value=\"bu\u0142garskie\">bu\u0142garskie<\/option><option value=\"burki\u0144skie\">burki\u0144skie<\/option><option value=\"burundyjskie\">burundyjskie<\/option><option value=\"chilijskie\">chilijskie<\/option><option value=\"chi\u0144skie\">chi\u0144skie<\/option><option value=\"chorwackie\">chorwackie<\/option><option value=\"cypryjskie\">cypryjskie<\/option><option value=\"czadyjskie\">czadyjskie<\/option><option value=\"czarnog\u00f3rskie\">czarnog\u00f3rskie<\/option><option value=\"czeskie\">czeskie<\/option><option value=\"dominickie\">dominickie<\/option><option value=\"dominika\u0144skie\">dominika\u0144skie<\/option><option value=\"du\u0144skie\">du\u0144skie<\/option><option value=\"d\u017cibutyjskie\">d\u017cibutyjskie<\/option><option value=\"egipskie\">egipskie<\/option><option value=\"ekwadorskie\">ekwadorskie<\/option><option value=\"emiradzkie\">emiradzkie<\/option><option value=\"erytejskie\">erytejskie<\/option><option value=\"esto\u0144skie\">esto\u0144skie<\/option><option value=\"etiopskie\">etiopskie<\/option><option value=\"falklandzkie\">falklandzkie<\/option><option value=\"fid\u017cyjskie\">fid\u017cyjskie<\/option><option value=\"filipi\u0144skie\">filipi\u0144skie<\/option><option value=\"fi\u0144skie\">fi\u0144skie<\/option><option value=\"francuskie\">francuskie<\/option><option value=\"gabo\u0144skie\">gabo\u0144skie<\/option><option value=\"gambijskie\">gambijskie<\/option><option value=\"gha\u0144skie\">gha\u0144skie<\/option><option value=\"gibraltarskie\">gibraltarskie<\/option><option value=\"greckie\">greckie<\/option><option value=\"grenadyjskie\">grenadyjskie<\/option><option value=\"grenlandzkie\">grenlandzkie<\/option><option value=\"gruzi\u0144skie\">gruzi\u0144skie<\/option><option value=\"guamskie\">guamskie<\/option><option value=\"guernseyskie\">guernseyskie<\/option><option value=\"guja\u0144skie\">guja\u0144skie<\/option><option value=\"gwadelupskie\">gwadelupskie<\/option><option value=\"gwatemalskie\">gwatemalskie<\/option><option value=\"gwinejskie\">gwinejskie<\/option><option value=\"haita\u0144skie\">haita\u0144skie<\/option><option value=\"hiszpa\u0144skie\">hiszpa\u0144skie<\/option><option value=\"holenderskie\">holenderskie<\/option><option value=\"honduraskie\">honduraskie<\/option><option value=\"hongko\u0144skie\">hongko\u0144skie<\/option><option value=\"indonezyjskie\">indonezyjskie<\/option><option value=\"indyjskie\">indyjskie<\/option><option value=\"irackie\">irackie<\/option><option value=\"ira\u0144skie\">ira\u0144skie<\/option><option value=\"irlandzkie\">irlandzkie<\/option><option value=\"islandzkie\">islandzkie<\/option><option value=\"izraelskie\">izraelskie<\/option><option value=\"jamajskie\">jamajskie<\/option><option value=\"japo\u0144skie\">japo\u0144skie<\/option><option value=\"jeme\u0144skie\">jeme\u0144skie<\/option><option value=\"jorda\u0144skie\">jorda\u0144skie<\/option><option value=\"kajma\u0144skie\">kajma\u0144skie<\/option><option value=\"kambod\u017ca\u0144skie\">kambod\u017ca\u0144skie<\/option><option value=\"kameru\u0144skie\">kameru\u0144skie<\/option><option value=\"kanadyjskie\">kanadyjskie<\/option><option value=\"katarskie\">katarskie<\/option><option value=\"kazachsta\u0144skie\">kazachsta\u0144skie<\/option><option value=\"kenijskie\">kenijskie<\/option><option value=\"kirgiskie\">kirgiskie<\/option><option value=\"kiribatyjskie\">kiribatyjskie<\/option><option value=\"kolumbijskie\">kolumbijskie<\/option><option value=\"komoryjskie\">komoryjskie<\/option><option value=\"kongijskie\">kongijskie<\/option><option value=\"kostaryka\u0144skie\">kostaryka\u0144skie<\/option><option value=\"kuba\u0144skie\">kuba\u0144skie<\/option><option value=\"kuwejdzkie\">kuwejdzkie<\/option><option value=\"lankijskie\">lankijskie<\/option><option value=\"laota\u0144skie\">laota\u0144skie<\/option><option value=\"liba\u0144skie\">liba\u0144skie<\/option><option value=\"liberyjskie\">liberyjskie<\/option><option value=\"libijskie\">libijskie<\/option><option value=\"litewskie\">litewskie<\/option><option value=\"\u0142otewskie\">\u0142otewskie<\/option><option value=\"luksemburskie\">luksemburskie<\/option><option value=\"macedo\u0144skie\">macedo\u0144skie<\/option><option value=\"madagaskarskie\">madagaskarskie<\/option><option value=\"malawijskie\">malawijskie<\/option><option value=\"malediwskie\">malediwskie<\/option><option value=\"malezyjskie\">malezyjskie<\/option><option value=\"malijskie\">malijskie<\/option><option value=\"malta\u0144skie\">malta\u0144skie<\/option><option value=\"maroka\u0144skie\">maroka\u0144skie<\/option><option value=\"marszalskie\">marszalskie<\/option><option value=\"maureta\u0144skie\">maureta\u0144skie<\/option><option value=\"maurytyjskie\">maurytyjskie<\/option><option value=\"meksyka\u0144skie\">meksyka\u0144skie<\/option><option value=\"mikronezyjskie\">mikronezyjskie<\/option><option value=\"mo\u0142dawskie\">mo\u0142dawskie<\/option><option value=\"monakijskie\">monakijskie<\/option><option value=\"mongolskie\">mongolskie<\/option><option value=\"mozambickie\">mozambickie<\/option><option value=\"nambijskie\">nambijskie<\/option><option value=\"naurua\u0144skie\">naurua\u0144skie<\/option><option value=\"nepalskie\">nepalskie<\/option><option value=\"niemieckie\">niemieckie<\/option><option value=\"nigerskie\">nigerskie<\/option><option value=\"nigeryjska\">nigeryjska<\/option><option value=\"nikaragua\u0144skie\">nikaragua\u0144skie<\/option><option value=\"norweskie\">norweskie<\/option><option value=\"nowozelandzkie\">nowozelandzkie<\/option><option value=\"obywatelstwo Republiki Po\u0142udniowej Afryki\">obywatelstwo Republiki Po\u0142udniowej Afryki<\/option><option value=\"oma\u0144skie\">oma\u0144skie<\/option><option value=\"pakista\u0144skie\">pakista\u0144skie<\/option><option value=\"palesty\u0144skie\">palesty\u0144skie<\/option><option value=\"panamskie\">panamskie<\/option><option value=\"papua\u0144skie\">papua\u0144skie<\/option><option value=\"paragwajskie\">paragwajskie<\/option><option value=\"peruwia\u0144skie\">peruwia\u0144skie<\/option><option value=\"polinezyjskie\">polinezyjskie<\/option><option value=\"p\u00f3\u0142nocno-korea\u0144skie\">p\u00f3\u0142nocno-korea\u0144skie<\/option><option value=\"po\u0142udniowosuda\u0144skie\">po\u0142udniowosuda\u0144skie<\/option><option value=\"portoryka\u0144skie\">portoryka\u0144skie<\/option><option value=\"portugalskie\">portugalskie<\/option><option value=\"rosyjskie\">rosyjskie<\/option><option value=\"rumu\u0144skie\">rumu\u0144skie<\/option><option value=\"rwandyjskie\">rwandyjskie<\/option><option value=\"salwatorskie\">salwatorskie<\/option><option value=\"samoa\u0144skie\">samoa\u0144skie<\/option><option value=\"saudyjskie\">saudyjskie<\/option><option value=\"senegalskie\">senegalskie<\/option><option value=\"serbskie\">serbskie<\/option><option value=\"seszelskie\">seszelskie<\/option><option value=\"sierraleo\u0144skie\">sierraleo\u0144skie<\/option><option value=\"singapurskie\">singapurskie<\/option><option value=\"s\u0142owakckie\">s\u0142owakckie<\/option><option value=\"s\u0142owe\u0144skie\">s\u0142owe\u0144skie<\/option><option value=\"somalijskie\">somalijskie<\/option><option value=\"sotyjskie\">sotyjskie<\/option><option value=\"\u015brodkowoafryka\u0144skie\">\u015brodkowoafryka\u0144skie<\/option><option value=\"suazyjskie\">suazyjskie<\/option><option value=\"suda\u0144skie\">suda\u0144skie<\/option><option value=\"surinamskie\">surinamskie<\/option><option value=\"syryjskie\">syryjskie<\/option><option value=\"szwajcarskie\">szwajcarskie<\/option><option value=\"szweckie\">szweckie<\/option><option value=\"tad\u017cykista\u0144skie\">tad\u017cykista\u0144skie<\/option><option value=\"tajlandzkie\">tajlandzkie<\/option><option value=\"tajwa\u0144skie\">tajwa\u0144skie<\/option><option value=\"tanza\u0144skie\">tanza\u0144skie<\/option><option value=\"togijskie\">togijskie<\/option><option value=\"tongijskie\">tongijskie<\/option><option value=\"trynidadzkie\">trynidadzkie<\/option><option value=\"tunezyjskie\">tunezyjskie<\/option><option value=\"tureckie\">tureckie<\/option><option value=\"turkme\u0144skie\">turkme\u0144skie<\/option><option value=\"tuwalskie\">tuwalskie<\/option><option value=\"ugandyjskie\">ugandyjskie<\/option><option value=\"ukrai\u0144skie\">ukrai\u0144skie<\/option><option value=\"urugwajskie\">urugwajskie<\/option><option value=\"uzbeckie\">uzbeckie<\/option><option value=\"wanauckie\">wanauckie<\/option><option value=\"watyka\u0144skie\">watyka\u0144skie<\/option><option value=\"w\u0119gierskie\">w\u0119gierskie<\/option><option value=\"wenezuelskie\">wenezuelskie<\/option><option value=\"wietnamskie\">wietnamskie<\/option><option value=\"w\u0142oskie\">w\u0142oskie<\/option><option value=\"zambijskie\">zambijskie<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<\/tr>\n<tr>\n<td class=\"td-rek\">pesel* (w przypadku braku: wpisz dat\u0119 urodzenia RRMMDD+00001) <font size=\"2\" color=\"#00667d\"><i>\/\/ (if you don\u2019t have PESEL \u2013 please type in your date of birth: YYMMDD+00001)<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap pesel\"><input type=\"text\" name=\"pesel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">nazwa i numer dokumentu to\u017csamo\u015bci (obowi\u0105zkowe TYLKO dla obcokrajowc\u00f3w) <font size=\"2\" color=\"#00667d\"><i>\/\/ passport number<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap dok-tozsa-pesel\"><input type=\"text\" name=\"dok-tozsa-pesel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text rek-wsjo-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<\/tr>\n<tr>\n<td class=\"td-rek\">pa\u0144stwo wydania <font size=\"2\" color=\"#00667d\"><i>\/\/ passport issued by (country)<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap dok-tozsa-wydany\"><input type=\"text\" name=\"dok-tozsa-wydany\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text rek-wsjo-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th colspan=\"2\">ADRES ZAMIESZKANIA <font size=\"2\" color=\"#e3e3e3\"><i>\/\/ residential address<\/i><\/font><\/th>\n<\/tr>\n<tr>\n<td class=\"td-rek\">ulica* <font size=\"2\" color=\"#00667d\"><i>\/\/ street<\/i><\/font><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span class=\"wpcf7-form-control-wrap ul-os-pl-zamel\"><select name=\"ul-os-pl-zamel\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required rek-wsjo-select\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"-\">-<\/option><option value=\"ul.\">ul.<\/option><option value=\"os.\">os.<\/option><option value=\"al.\">al.<\/option><option value=\"pl.\">pl.<\/option><\/select><\/span><\/td>\n<td><span class=\"wpcf7-form-control-wrap ulica-zamel\"><input type=\"text\" name=\"ulica-zamel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">nr domu* <font size=\"2\" color=\"#00667d\"><i>\/\/ house number<\/i><\/font> <span class=\"wpcf7-form-control-wrap nr-dom-zamel\"><input type=\"text\" name=\"nr-dom-zamel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/td>\n<td class=\"td-rek\">nr mieszkania <font size=\"2\" color=\"#00667d\"><i>\/\/ flat number<\/i><\/font> <span class=\"wpcf7-form-control-wrap nr-miesz-zamel\"><input type=\"text\" name=\"nr-miesz-zamel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text rek-wsjo-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">kod pocztowy* <font size=\"2\" color=\"#00667d\"><i>\/\/ postal code<\/i><\/font> <span class=\"wpcf7-form-control-wrap kod-pocztowy-zamel\"><input type=\"text\" name=\"kod-pocztowy-zamel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td class=\"td-rek\">miejscowo\u015b\u0107* <font size=\"2\" color=\"#00667d\"><i>\/\/ city\/village<\/i><\/font> <span class=\"wpcf7-form-control-wrap miejscowosc-zamel\"><input type=\"text\" name=\"miejscowosc-zamel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">twoja miejscowo\u015b\u0107 to* <font size=\"2\" color=\"#00667d\"><i>\/\/ choose: (miasto - city, wie\u015b - village)<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap miasto-to-zamel\"><select name=\"miasto-to-zamel\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required rek-wsjo-select\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"miasto\">miasto<\/option><option value=\"wie\u015b\">wie\u015b<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<td>wojew\u00f3dztwo* <font size=\"2\" color=\"#00667d\"><i>\/\/ region <\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap woj-zameld\"><select name=\"woj-zameld\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required rek-wsjo-select\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"dolno\u015bl\u0105skie\">dolno\u015bl\u0105skie<\/option><option value=\"kujawsko-pomorskie\">kujawsko-pomorskie<\/option><option value=\"lubelskie\">lubelskie<\/option><option value=\"lubuskie\">lubuskie<\/option><option value=\"\u0142\u00f3dzkie\">\u0142\u00f3dzkie<\/option><option value=\"ma\u0142opolskie\">ma\u0142opolskie<\/option><option value=\"mazowieckie\">mazowieckie<\/option><option value=\"opolskie\">opolskie<\/option><option value=\"podkarpackie\">podkarpackie<\/option><option value=\"podlaskie\">podlaskie<\/option><option value=\"pomorskie\">pomorskie<\/option><option value=\"\u015bl\u0105skie\">\u015bl\u0105skie<\/option><option value=\"\u015bwi\u0119tokrzyskie\">\u015bwi\u0119tokrzyskie<\/option><option value=\"warmi\u0144sko-mazurskie\">warmi\u0144sko-mazurskie<\/option><option value=\"wielkopolskie\">wielkopolskie<\/option><option value=\"zachodniopomorskie\">zachodniopomorskie<\/option><option value=\"outside Poland\">outside Poland<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">adres e-mail* <font size=\"2\" color=\"#00667d\"><i>\/\/ personal e-mail address<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap email-stud\"><input type=\"email\" name=\"email-stud\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email rek-wsjo-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th colspan=\"2\">ADRES KORESPONDECYJNY - je\u015bli inny ni\u017c adres zamieszkania <font size=\"2\" color=\"#e3e3e3\"><i>\/\/ mail address<\/i><\/font><\/th>\n<\/tr>\n<tr>\n<td class=\"td-rek\">ulica <font size=\"2\" color=\"#00667d\"><i>\/\/ street<\/i><\/font><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span class=\"wpcf7-form-control-wrap ul-os-pl-zamiesz\"><select name=\"ul-os-pl-zamiesz\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"-\">-<\/option><option value=\"ul.\">ul.<\/option><option value=\"os.\">os.<\/option><option value=\"al.\">al.<\/option><option value=\"pl.\">pl.<\/option><\/select><\/span><\/td>\n<td><span class=\"wpcf7-form-control-wrap ulica-zamiesz\"><input type=\"text\" name=\"ulica-zamiesz\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text rek-wsjo-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">nr domu <font size=\"2\" color=\"#00667d\"><i>\/\/ house number<\/i><\/font> <span class=\"wpcf7-form-control-wrap nr-dom-zamiesz\"><input type=\"text\" name=\"nr-dom-zamiesz\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text rek-wsjo-text\" aria-invalid=\"false\" \/><\/span> <\/td>\n<td class=\"td-rek\">nr mieszkania <font size=\"2\" color=\"#00667d\"><i>\/\/ flat number<\/i><\/font> <span class=\"wpcf7-form-control-wrap nr-miesz-zamiesz\"><input type=\"text\" name=\"nr-miesz-zamiesz\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text rek-wsjo-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">kod pocztowy <font size=\"2\" color=\"#00667d\"><i>\/\/ postal code<\/i><\/font> <span class=\"wpcf7-form-control-wrap kod-pocztowy-zamiesz\"><input type=\"text\" name=\"kod-pocztowy-zamiesz\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text rek-wsjo-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<td class=\"td-rek\">miejscowo\u015b\u0107 <font size=\"2\" color=\"#00667d\"><i>\/\/ city\/village<\/i><\/font> <span class=\"wpcf7-form-control-wrap miejscowosc-zamiesz\"><input type=\"text\" name=\"miejscowosc-zamiesz\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text rek-wsjo-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">wojew\u00f3dztwo <font size=\"2\" color=\"#00667d\"><i>\/\/ region<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap woj-zamiesz\"><select name=\"woj-zamiesz\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"dolno\u015bl\u0105skie\">dolno\u015bl\u0105skie<\/option><option value=\"kujawsko-pomorskie\">kujawsko-pomorskie<\/option><option value=\"lubelskie\">lubelskie<\/option><option value=\"lubuskie\">lubuskie<\/option><option value=\"\u0142\u00f3dzkie\">\u0142\u00f3dzkie<\/option><option value=\"ma\u0142opolskie\">ma\u0142opolskie<\/option><option value=\"mazowieckie\">mazowieckie<\/option><option value=\"opolskie\">opolskie<\/option><option value=\"podkarpackie\">podkarpackie<\/option><option value=\"podlaskie\">podlaskie<\/option><option value=\"pomorskie\">pomorskie<\/option><option value=\"\u015bl\u0105skie\">\u015bl\u0105skie<\/option><option value=\"\u015bwi\u0119tokrzyskie\">\u015bwi\u0119tokrzyskie<\/option><option value=\"warmi\u0144sko-mazurskie\">warmi\u0144sko-mazurskie<\/option><option value=\"wielkopolskie\">wielkopolskie<\/option><option value=\"zachodniopomorskie\">zachodniopomorskie<\/option><option value=\"outside Poland\">outside Poland<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<th colspan=\"2\">KONTAKT TELEFONICZNY <font size=\"2\" color=\"#e3e3e3\"><i>\/\/ phone number<\/i><\/font><\/th>\n<\/tr>\n<tr>\n<td class=\"td-rek\">nr telefonu* <font size=\"2\" color=\"#00667d\"><i>\/\/ phone number<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap tel-kom\"><input type=\"tel\" name=\"tel-kom\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel rek-wsjo-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th colspan=\"2\">UKO\u0143CZONA SZKO\u0141A PODSTAWOWA <font size=\"2\" color=\"#e3e3e3\"><i>\/\/ School completed<\/i><\/font><\/th>\n<\/tr>\n<tr>\n<td class=\"td-rek\">nazwa* <font size=\"2\" color=\"#00667d\"><i>\/\/ school name<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap nazwa-szkoly-podstawowej\"><input type=\"text\" name=\"nazwa-szkoly-podstawowej\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">miejscowo\u015b\u0107* <font size=\"2\" color=\"#00667d\"><i>\/\/ city<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap miejscowosc-szkola-podstawowa\"><input type=\"text\" name=\"miejscowosc-szkola-podstawowa\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required rek-wsjo-text\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">rok uko\u0144czenia (RRRR)* <font size=\"2\" color=\"#00667d\"><i>\/\/ year of graduation (YYYY)<\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap rok-szkola-podstawowa\"><input type=\"number\" name=\"rok-szkola-podstawowa\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number rek-wsjo-number\" min=\"1900\" max=\"2099\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th colspan=\"2\">TWOJE OCENY (na p\u00f3\u0142rocze 2024\/2025):<\/th>\n<\/tr>\n<tr>\n<td class=\"td-rek\">j\u0119zyk polski <font size=\"2\" color=\"#00667d\"><i>\/\/ <\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap jezpol\"><select name=\"jezpol\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"6\">6<\/option><option value=\"5\">5<\/option><option value=\"4\">4<\/option><option value=\"3\">3<\/option><option value=\"2\">2<\/option><option value=\"1\">1<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">matematyka <font size=\"2\" color=\"#00667d\"><i>\/\/ <\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap matma\"><select name=\"matma\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"6\">6<\/option><option value=\"5\">5<\/option><option value=\"4\">4<\/option><option value=\"3\">3<\/option><option value=\"2\">2<\/option><option value=\"1\">1<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">j\u0119zyk angielski <font size=\"2\" color=\"#00667d\"><i>\/\/ <\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap jezang\"><select name=\"jezang\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"6\">6<\/option><option value=\"5\">5<\/option><option value=\"4\">4<\/option><option value=\"3\">3<\/option><option value=\"2\">2<\/option><option value=\"1\">1<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">przedmiot, kt\u00f3ry chcesz rozszerza\u0107 jako g\u0142\u00f3wny <font size=\"2\" color=\"#00667d\"><i>\/\/ <\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap przedm\"><select name=\"przedm\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"j\u0119zyk polski\">j\u0119zyk polski<\/option><option value=\"matematyka\">matematyka<\/option><option value=\"fizyka\">fizyka<\/option><option value=\"chemia\">chemia<\/option><option value=\"biologia\">biologia<\/option><option value=\"geografia\">geografia<\/option><option value=\"historia\">historia<\/option><option value=\"WOS\">WOS<\/option><\/select><\/span><span class=\"wpcf7-form-control-wrap przedm-oce\"><select name=\"przedm-oce\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"6\">6<\/option><option value=\"5\">5<\/option><option value=\"4\">4<\/option><option value=\"3\">3<\/option><option value=\"2\">2<\/option><option value=\"1\">1<\/option><\/select><\/span><\/td>\n<\/tr>\n<p><!--<\/p>\n<tr>\n<th colspan=\"2\">TWOJE WYNIKI Z EGZAMINU \u00d3SMOKLASISTY:<\/th>\n<\/tr>\n<tr>\n<td class=\"td-rek\">j\u0119zyk polski <font size=\"2\" color=\"#00667d\"><i>\/\/ <\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap jpol\"><select name=\"jpol\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"0%\">0%<\/option><option value=\"1%\">1%<\/option><option value=\"2%\">2%<\/option><option value=\"3%\">3%<\/option><option value=\"4%\">4%<\/option><option value=\"5%\">5%<\/option><option value=\"6%\">6%<\/option><option value=\"7%\">7%<\/option><option value=\"8%\">8%<\/option><option value=\"9%\">9%<\/option><option value=\"10%\">10%<\/option><option value=\"11%\">11%<\/option><option value=\"12%\">12%<\/option><option value=\"13%\">13%<\/option><option value=\"14%\">14%<\/option><option value=\"15%\">15%<\/option><option value=\"16%\">16%<\/option><option value=\"17%\">17%<\/option><option value=\"18%\">18%<\/option><option value=\"19%\">19%<\/option><option value=\"20%\">20%<\/option><option value=\"21%\">21%<\/option><option value=\"22%\">22%<\/option><option value=\"23%\">23%<\/option><option value=\"24%\">24%<\/option><option value=\"25%\">25%<\/option><option value=\"26%\">26%<\/option><option value=\"27%\">27%<\/option><option value=\"28%\">28%<\/option><option value=\"29%\">29%<\/option><option value=\"30%\">30%<\/option><option value=\"31%\">31%<\/option><option value=\"32%\">32%<\/option><option value=\"33%\">33%<\/option><option value=\"34%\">34%<\/option><option value=\"35%\">35%<\/option><option value=\"36%\">36%<\/option><option value=\"37%\">37%<\/option><option value=\"38%\">38%<\/option><option value=\"39%\">39%<\/option><option value=\"40%\">40%<\/option><option value=\"41%\">41%<\/option><option value=\"42%\">42%<\/option><option value=\"43%\">43%<\/option><option value=\"44%\">44%<\/option><option value=\"45%\">45%<\/option><option value=\"46%\">46%<\/option><option value=\"47%\">47%<\/option><option value=\"48%\">48%<\/option><option value=\"49%\">49%<\/option><option value=\"50%\">50%<\/option><option value=\"51%\">51%<\/option><option value=\"52%\">52%<\/option><option value=\"53%\">53%<\/option><option value=\"54%\">54%<\/option><option value=\"55%\">55%<\/option><option value=\"56%\">56%<\/option><option value=\"57%\">57%<\/option><option value=\"58%\">58%<\/option><option value=\"59%\">59%<\/option><option value=\"60%\">60%<\/option><option value=\"61%\">61%<\/option><option value=\"62%\">62%<\/option><option value=\"63%\">63%<\/option><option value=\"64%\">64%<\/option><option value=\"65%\">65%<\/option><option value=\"66%\">66%<\/option><option value=\"67%\">67%<\/option><option value=\"68%\">68%<\/option><option value=\"69%\">69%<\/option><option value=\"70%\">70%<\/option><option value=\"71%\">71%<\/option><option value=\"72%\">72%<\/option><option value=\"73%\">73%<\/option><option value=\"74%\">74%<\/option><option value=\"75%\">75%<\/option><option value=\"76%\">76%<\/option><option value=\"77%\">77%<\/option><option value=\"78%\">78%<\/option><option value=\"79%\">79%<\/option><option value=\"80%\">80%<\/option><option value=\"81%\">81%<\/option><option value=\"82%\">82%<\/option><option value=\"83%\">83%<\/option><option value=\"84%\">84%<\/option><option value=\"85%\">85%<\/option><option value=\"86%\">86%<\/option><option value=\"87%\">87%<\/option><option value=\"88%\">88%<\/option><option value=\"89%\">89%<\/option><option value=\"90%\">90%<\/option><option value=\"91%\">91%<\/option><option value=\"92%\">92%<\/option><option value=\"93%\">93%<\/option><option value=\"94%\">94%<\/option><option value=\"95%\">95%<\/option><option value=\"96%\">96%<\/option><option value=\"97%\">97%<\/option><option value=\"98%\">98%<\/option><option value=\"99%\">99%<\/option><option value=\"100%\">100%<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">matematyka <font size=\"2\" color=\"#00667d\"><i>\/\/ <\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap osiemat\"><select name=\"osiemat\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"0%\">0%<\/option><option value=\"1%\">1%<\/option><option value=\"2%\">2%<\/option><option value=\"3%\">3%<\/option><option value=\"4%\">4%<\/option><option value=\"5%\">5%<\/option><option value=\"6%\">6%<\/option><option value=\"7%\">7%<\/option><option value=\"8%\">8%<\/option><option value=\"9%\">9%<\/option><option value=\"10%\">10%<\/option><option value=\"11%\">11%<\/option><option value=\"12%\">12%<\/option><option value=\"13%\">13%<\/option><option value=\"14%\">14%<\/option><option value=\"15%\">15%<\/option><option value=\"16%\">16%<\/option><option value=\"17%\">17%<\/option><option value=\"18%\">18%<\/option><option value=\"19%\">19%<\/option><option value=\"20%\">20%<\/option><option value=\"21%\">21%<\/option><option value=\"22%\">22%<\/option><option value=\"23%\">23%<\/option><option value=\"24%\">24%<\/option><option value=\"25%\">25%<\/option><option value=\"26%\">26%<\/option><option value=\"27%\">27%<\/option><option value=\"28%\">28%<\/option><option value=\"29%\">29%<\/option><option value=\"30%\">30%<\/option><option value=\"31%\">31%<\/option><option value=\"32%\">32%<\/option><option value=\"33%\">33%<\/option><option value=\"34%\">34%<\/option><option value=\"35%\">35%<\/option><option value=\"36%\">36%<\/option><option value=\"37%\">37%<\/option><option value=\"38%\">38%<\/option><option value=\"39%\">39%<\/option><option value=\"40%\">40%<\/option><option value=\"41%\">41%<\/option><option value=\"42%\">42%<\/option><option value=\"43%\">43%<\/option><option value=\"44%\">44%<\/option><option value=\"45%\">45%<\/option><option value=\"46%\">46%<\/option><option value=\"47%\">47%<\/option><option value=\"48%\">48%<\/option><option value=\"49%\">49%<\/option><option value=\"50%\">50%<\/option><option value=\"51%\">51%<\/option><option value=\"52%\">52%<\/option><option value=\"53%\">53%<\/option><option value=\"54%\">54%<\/option><option value=\"55%\">55%<\/option><option value=\"56%\">56%<\/option><option value=\"57%\">57%<\/option><option value=\"58%\">58%<\/option><option value=\"59%\">59%<\/option><option value=\"60%\">60%<\/option><option value=\"61%\">61%<\/option><option value=\"62%\">62%<\/option><option value=\"63%\">63%<\/option><option value=\"64%\">64%<\/option><option value=\"65%\">65%<\/option><option value=\"66%\">66%<\/option><option value=\"67%\">67%<\/option><option value=\"68%\">68%<\/option><option value=\"69%\">69%<\/option><option value=\"70%\">70%<\/option><option value=\"71%\">71%<\/option><option value=\"72%\">72%<\/option><option value=\"73%\">73%<\/option><option value=\"74%\">74%<\/option><option value=\"75%\">75%<\/option><option value=\"76%\">76%<\/option><option value=\"77%\">77%<\/option><option value=\"78%\">78%<\/option><option value=\"79%\">79%<\/option><option value=\"80%\">80%<\/option><option value=\"81%\">81%<\/option><option value=\"82%\">82%<\/option><option value=\"83%\">83%<\/option><option value=\"84%\">84%<\/option><option value=\"85%\">85%<\/option><option value=\"86%\">86%<\/option><option value=\"87%\">87%<\/option><option value=\"88%\">88%<\/option><option value=\"89%\">89%<\/option><option value=\"90%\">90%<\/option><option value=\"91%\">91%<\/option><option value=\"92%\">92%<\/option><option value=\"93%\">93%<\/option><option value=\"94%\">94%<\/option><option value=\"95%\">95%<\/option><option value=\"96%\">96%<\/option><option value=\"97%\">97%<\/option><option value=\"98%\">98%<\/option><option value=\"99%\">99%<\/option><option value=\"100%\">100%<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">j\u0119zyk angielski <font size=\"2\" color=\"#00667d\"><i>\/\/ <\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap osieang\"><select name=\"osieang\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"0%\">0%<\/option><option value=\"1%\">1%<\/option><option value=\"2%\">2%<\/option><option value=\"3%\">3%<\/option><option value=\"4%\">4%<\/option><option value=\"5%\">5%<\/option><option value=\"6%\">6%<\/option><option value=\"7%\">7%<\/option><option value=\"8%\">8%<\/option><option value=\"9%\">9%<\/option><option value=\"10%\">10%<\/option><option value=\"11%\">11%<\/option><option value=\"12%\">12%<\/option><option value=\"13%\">13%<\/option><option value=\"14%\">14%<\/option><option value=\"15%\">15%<\/option><option value=\"16%\">16%<\/option><option value=\"17%\">17%<\/option><option value=\"18%\">18%<\/option><option value=\"19%\">19%<\/option><option value=\"20%\">20%<\/option><option value=\"21%\">21%<\/option><option value=\"22%\">22%<\/option><option value=\"23%\">23%<\/option><option value=\"24%\">24%<\/option><option value=\"25%\">25%<\/option><option value=\"26%\">26%<\/option><option value=\"27%\">27%<\/option><option value=\"28%\">28%<\/option><option value=\"29%\">29%<\/option><option value=\"30%\">30%<\/option><option value=\"31%\">31%<\/option><option value=\"32%\">32%<\/option><option value=\"33%\">33%<\/option><option value=\"34%\">34%<\/option><option value=\"35%\">35%<\/option><option value=\"36%\">36%<\/option><option value=\"37%\">37%<\/option><option value=\"38%\">38%<\/option><option value=\"39%\">39%<\/option><option value=\"40%\">40%<\/option><option value=\"41%\">41%<\/option><option value=\"42%\">42%<\/option><option value=\"43%\">43%<\/option><option value=\"44%\">44%<\/option><option value=\"45%\">45%<\/option><option value=\"46%\">46%<\/option><option value=\"47%\">47%<\/option><option value=\"48%\">48%<\/option><option value=\"49%\">49%<\/option><option value=\"50%\">50%<\/option><option value=\"51%\">51%<\/option><option value=\"52%\">52%<\/option><option value=\"53%\">53%<\/option><option value=\"54%\">54%<\/option><option value=\"55%\">55%<\/option><option value=\"56%\">56%<\/option><option value=\"57%\">57%<\/option><option value=\"58%\">58%<\/option><option value=\"59%\">59%<\/option><option value=\"60%\">60%<\/option><option value=\"61%\">61%<\/option><option value=\"62%\">62%<\/option><option value=\"63%\">63%<\/option><option value=\"64%\">64%<\/option><option value=\"65%\">65%<\/option><option value=\"66%\">66%<\/option><option value=\"67%\">67%<\/option><option value=\"68%\">68%<\/option><option value=\"69%\">69%<\/option><option value=\"70%\">70%<\/option><option value=\"71%\">71%<\/option><option value=\"72%\">72%<\/option><option value=\"73%\">73%<\/option><option value=\"74%\">74%<\/option><option value=\"75%\">75%<\/option><option value=\"76%\">76%<\/option><option value=\"77%\">77%<\/option><option value=\"78%\">78%<\/option><option value=\"79%\">79%<\/option><option value=\"80%\">80%<\/option><option value=\"81%\">81%<\/option><option value=\"82%\">82%<\/option><option value=\"83%\">83%<\/option><option value=\"84%\">84%<\/option><option value=\"85%\">85%<\/option><option value=\"86%\">86%<\/option><option value=\"87%\">87%<\/option><option value=\"88%\">88%<\/option><option value=\"89%\">89%<\/option><option value=\"90%\">90%<\/option><option value=\"91%\">91%<\/option><option value=\"92%\">92%<\/option><option value=\"93%\">93%<\/option><option value=\"94%\">94%<\/option><option value=\"95%\">95%<\/option><option value=\"96%\">96%<\/option><option value=\"97%\">97%<\/option><option value=\"98%\">98%<\/option><option value=\"99%\">99%<\/option><option value=\"100%\">100%<\/option><\/select><\/span><\/td>\n<\/tr>\n<p>--><\/p>\n<tr>\n<th colspan=\"2\">Informacje o dokumentach poradni psychologiczno-pedagogicznej:<\/th>\n<\/tr>\n<tr>\n<td class=\"td-rek\">POSIADAM OPINI\u0118<font size=\"2\" color=\"#00667d\"><i>\/\/ <\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap opinia\"><select name=\"opinia\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"NIE\">NIE<\/option><option value=\"TAK\">TAK<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<td class=\"td-rek\">POSIADAM ORZECZENIE<font size=\"2\" color=\"#00667d\"><i>\/\/ <\/i><\/font><\/td>\n<td><span class=\"wpcf7-form-control-wrap orzeczenie\"><select name=\"orzeczenie\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"NIE\">NIE<\/option><option value=\"TAK\">TAK<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<th colspan=\"2\">O\u015aWIADCZENIE<\/th>\n<\/tr>\n<tr>\n<td colspan=\"2\" class=\"td-rek\"><span class=\"wpcf7-form-control-wrap zgoda-1\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"zgoda-1[]\" value=\"Potwierdzam prawid\u0142owo\u015b\u0107 niniejszych danych. Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych przez organ prowadz\u0105cy Liceum Akademickie linde.edu.pl Verbum sp. z o.o. z siedzib\u0105 przy ul. R\u00f3\u017canej 17a, 61-577 Pozna\u0144 zgodnie z obowi\u0105zuj\u0105c\u0105 ustaw\u0105 w tym r\u00f3wnie\u017c w przysz\u0142o\u015bci, w celu organizacji procesu kszta\u0142cenia przez LICEUM oraz w celach statystycznych zwi\u0105zanych z dzia\u0142alno\u015bci\u0105 administratora danych osobowych. O\u015bwiadczam, \u017ce zobowi\u0105zuj\u0119 si\u0119 do informowania administratora o wszelkich zmianach w zakresie podanych danych osobowych.*\" \/><span class=\"wpcf7-list-item-label\">Potwierdzam prawid\u0142owo\u015b\u0107 niniejszych danych. Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych przez organ prowadz\u0105cy Liceum Akademickie linde.edu.pl Verbum sp. z o.o. z siedzib\u0105 przy ul. R\u00f3\u017canej 17a, 61-577 Pozna\u0144 zgodnie z obowi\u0105zuj\u0105c\u0105 ustaw\u0105 w tym r\u00f3wnie\u017c w przysz\u0142o\u015bci, w celu organizacji procesu kszta\u0142cenia przez LICEUM oraz w celach statystycznych zwi\u0105zanych z dzia\u0142alno\u015bci\u0105 administratora danych osobowych. O\u015bwiadczam, \u017ce zobowi\u0105zuj\u0119 si\u0119 do informowania administratora o wszelkich zmianach w zakresie podanych danych osobowych.*<\/span><\/span><\/span><\/span><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" class=\"td-rek\"><span class=\"wpcf7-form-control-wrap zgoda-2\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"zgoda-2[]\" value=\"Zgodnie z art. 10 ust 1 ustawy z dnia 18 lipca 2002 roku o \u015bwiadczeniu us\u0142ug drog\u0105 elektroniczn\u0105 (DZ.U.nr 144, poz. 1204 z p\u00f3\u017aniejszymi zmianami) wyra\u017cam zgod\u0119 na otrzymywanie informacji drog\u0105 elektroniczn\u0105.*\" \/><span class=\"wpcf7-list-item-label\">Zgodnie z art. 10 ust 1 ustawy z dnia 18 lipca 2002 roku o \u015bwiadczeniu us\u0142ug drog\u0105 elektroniczn\u0105 (DZ.U.nr 144, poz. 1204 z p\u00f3\u017aniejszymi zmianami) wyra\u017cam zgod\u0119 na otrzymywanie informacji drog\u0105 elektroniczn\u0105.*<\/span><\/span><\/span><\/span><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" class=\"td-rek\"><span class=\"wpcf7-form-control-wrap zgoda-3\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"zgoda-3[]\" value=\"Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych przez organ prowadz\u0105cy Liceum Akademickie linde.edu.pl Verbum sp. z o.o. z siedzib\u0105 przy ul. R\u00f3\u017canej 17a, 61-577 Pozna\u0144 a tak\u017ce os\u00f3b trzecich powi\u0105zanych z nim kapita\u0142owo lub osobowo, w celach marketingowych i reklamowych.\" \/><span class=\"wpcf7-list-item-label\">Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych przez organ prowadz\u0105cy Liceum Akademickie linde.edu.pl Verbum sp. z o.o. z siedzib\u0105 przy ul. R\u00f3\u017canej 17a, 61-577 Pozna\u0144 a tak\u017ce os\u00f3b trzecich powi\u0105zanych z nim kapita\u0142owo lub osobowo, w celach marketingowych i reklamowych.<\/span><\/span><\/span><\/span><br \/>\n<\/tr>\n<tr>\n<th colspan=\"2\">ANKIETA INFORMACYJNA<\/th>\n<\/tr>\n<tr>\n<td colspan=\"2\" class=\"td-rek\">sk\u0105d Pan\/Pani dowiedzia\u0142\/\u0142a si\u0119 o naszej szkole<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><span class=\"wpcf7-form-control-wrap zrodlo-informacji\"><select name=\"zrodlo-informacji\" class=\"wpcf7-form-control wpcf7-select rek-wsjo-select\" aria-invalid=\"false\"><option value=\"\"><\/option><option value=\"strona internetowa Liceum\">strona internetowa Liceum<\/option><option value=\"Facebook\">Facebook<\/option><option value=\"znajomi\">znajomi<\/option><option value=\"inne strony www, portale internetowe\">inne strony www, portale internetowe<\/option><option value=\"targi edukacyjne\">targi edukacyjne<\/option><option value=\"reklamy w prasie\">reklamy w prasie<\/option><option value=\"Google +\">Google +<\/option><option value=\"inne\">inne<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<th colspan=\"2\">*POLA OBOWI\u0104ZKOWE<\/th>\n<\/tr>\n<tr>\n<td colspan=\"2\"><input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha-778\" value=\"3866982838\" \/><img class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha-778\" width=\"84\" height=\"28\" alt=\"captcha\" src=\"https:\/\/linde.edu.pl\/wp-content\/uploads\/wpcf7_captcha\/3866982838.png\" \/><br \/>\n<span class=\"wpcf7-form-control-wrap captcha-778\"><input type=\"text\" name=\"captcha-778\" value=\"\" size=\"4\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-captchar\" autocomplete=\"off\" aria-invalid=\"false\" \/><\/span> <\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><input type=\"submit\" value=\"Wy\u015blij formularz\" class=\"wpcf7-form-control wpcf7-submit submit-rek\" \/><\/td>\n<\/tr>\n<tr>\n<th colspan=\"4\">Potwierdzenie rejestracji do liceum zostanie przes\u0142ane na e-mail podany w formularzu zg\u0142oszenia. Sprawd\u017a r\u00f3wnie\u017c folder spamu.<\/th>\n<\/tr>\n<tr>\n<td colspan=\"4\" class=\"zapis\"><span class=\"wpcf7-form-control-wrap zaakceptowane\"><input type=\"text\" name=\"zaakceptowane\" value=\"0\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<\/table>\n<input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><\/div>\r\n","protected":false},"excerpt":{"rendered":"<p>Morbi in sem quis dui placerat ornare. Pellentesque odio nisi euismod in pharetra a ultricies.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/linde.edu.pl\/index.php?rest_route=\/wp\/v2\/pages\/26"}],"collection":[{"href":"https:\/\/linde.edu.pl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/linde.edu.pl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/linde.edu.pl\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/linde.edu.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=26"}],"version-history":[{"count":14,"href":"https:\/\/linde.edu.pl\/index.php?rest_route=\/wp\/v2\/pages\/26\/revisions"}],"predecessor-version":[{"id":2478,"href":"https:\/\/linde.edu.pl\/index.php?rest_route=\/wp\/v2\/pages\/26\/revisions\/2478"}],"wp:attachment":[{"href":"https:\/\/linde.edu.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}