{"id":246,"date":"2024-10-17T12:52:59","date_gmt":"2024-10-17T12:52:59","guid":{"rendered":"https:\/\/riniaelbasan.al\/?page_id=246"},"modified":"2024-10-17T20:34:28","modified_gmt":"2024-10-17T20:34:28","slug":"formular-aplikimi-per-asamblene-rinore-te-elbasanit","status":"publish","type":"page","link":"https:\/\/riniaelbasan.al\/?page_id=246","title":{"rendered":"Formular Aplikimi p\u00ebr Asamblen\u00eb Rinore t\u00eb Elbasanit"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#ffc300&#8243; custom_padding=&#8221;38px|||||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_id=&#8221;form&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; header_text_color=&#8221;#FFFFFF&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 style=\"text-align: center;\"><span>\u00a0Aplikimi p\u00ebr Asamblen\u00eb Rinore t\u00eb Elbasanit<\/span><\/h1>\n<h1 style=\"text-align: center;\"><strong>Bashkohu dhe ti!<\/strong><\/h1>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;30px|30px|30px|30px|false|false&#8221; border_radii=&#8221;on|20px|20px|20px|20px&#8221; box_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;]<div class=\"forminator-ui forminator-custom-form forminator-custom-form-37 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-37\" data-uid=\"69eed87e30fc2\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-37\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-37 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"37\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69eed87e30fc2\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69eed87e30fc2\" id=\"forminator-field-name-1_69eed87e30fc2-label\" class=\"forminator-label\">Emri <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_69eed87e30fc2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69eed87e30fc2\" id=\"forminator-field-name-2_69eed87e30fc2-label\" class=\"forminator-label\">Mbiemri <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_69eed87e30fc2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69eed87e30fc2\" id=\"forminator-field-date-1-picker_69eed87e30fc2-label\" class=\"forminator-label\">Data e lindjes <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Zgjidh Dat\u00ebn\" id=\"forminator-field-date-1-picker_69eed87e30fc2\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-37__field--select-1_69eed87e30fc2\" id=\"forminator-form-37__field--select-1_69eed87e30fc2-label\" class=\"forminator-label\">Gjinia<\/label><select  id=\"forminator-form-37__field--select-1_69eed87e30fc2\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-37__field--select-1_69eed87e30fc2-label\"><option value=\"one\"  data-calculation=\"0\">Mashkull<\/option><option value=\"two\"  data-calculation=\"0\">Fem\u00ebr<\/option><option value=\"Tjet\u00ebr\"  data-calculation=\"0\">Tjet\u00ebr<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-37__field--select-5_69eed87e30fc2\" id=\"forminator-form-37__field--select-5_69eed87e30fc2-label\" class=\"forminator-label\">Bashkia<\/label><select  id=\"forminator-form-37__field--select-5_69eed87e30fc2\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-37__field--select-5_69eed87e30fc2-label\"><option value=\"Belsh\"  data-calculation=\"0\">Belsh<\/option><option value=\"Cerrik\"  data-calculation=\"0\">Cerrik<\/option><option value=\"one\"  data-calculation=\"0\">Elbasan<\/option><option value=\"Tjet\u00ebr\"  data-calculation=\"0\">Gramsh<\/option><option value=\"two\"  data-calculation=\"0\">Librazhd<\/option><option value=\"Peqin\"  data-calculation=\"0\">Peqin<\/option><option value=\"Prrenjas\"  data-calculation=\"0\">Prrenjas<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69eed87e30fc2\" id=\"forminator-field-textarea-1_69eed87e30fc2-label\" class=\"forminator-label\">Tjet\u00ebr <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69eed87e30fc2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69eed87e30fc2\" id=\"forminator-field-textarea-2_69eed87e30fc2-label\" class=\"forminator-label\">Adresa e banimit <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_69eed87e30fc2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69eed87e30fc2\" id=\"forminator-field-phone-1_69eed87e30fc2-label\" class=\"forminator-label\">Numri i telefonit <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+355\" id=\"forminator-field-phone-1_69eed87e30fc2\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69eed87e30fc2\" id=\"forminator-field-email-1_69eed87e30fc2-label\" class=\"forminator-label\">Adresa e email-it <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69eed87e30fc2\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69eed87e30fc2\" id=\"forminator-field-text-1_69eed87e30fc2-label\" class=\"forminator-label\">Nr. i kart\u00ebs s\u00eb identitetit <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"ID\" id=\"forminator-field-text-1_69eed87e30fc2\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69eed87e30fc2\" id=\"forminator-field-textarea-3_69eed87e30fc2-label\" class=\"forminator-label\">Shkolla\/Universiteti <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_69eed87e30fc2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-37__field--select-2_69eed87e30fc2\" id=\"forminator-form-37__field--select-2_69eed87e30fc2-label\" class=\"forminator-label\">Niveli arsimor <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-37__field--select-2_69eed87e30fc2\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Zgjidh\" data-search=\"false\" data-search-placeholder=\"Zgjidh\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-37__field--select-2_69eed87e30fc2-label\"><option value=\"\"  >Zgjidh<\/option><option value=\"one\"  data-calculation=\"0\">Shkolla e mesme<\/option><option value=\"two\"  data-calculation=\"0\">Bachelor<\/option><option value=\"Master\"  data-calculation=\"0\">\u00a0Master<\/option><option value=\"Tjet\u00ebr\"  data-calculation=\"0\">Tjet\u00ebr<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69eed87e30fc2\" id=\"forminator-field-textarea-4_69eed87e30fc2-label\" class=\"forminator-label\">Tjet\u00ebr <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_69eed87e30fc2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_69eed87e30fc2\" id=\"forminator-field-textarea-5_69eed87e30fc2-label\" class=\"forminator-label\">Fusha e studimit\/profesioni <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-5\" placeholder=\"\" id=\"forminator-field-textarea-5_69eed87e30fc2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-37__field--select-3_69eed87e30fc2\" id=\"forminator-form-37__field--select-3_69eed87e30fc2-label\" class=\"forminator-label\">A keni marr\u00eb pjes\u00eb n\u00eb aktivitete rinore apo organizata? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-37__field--select-3_69eed87e30fc2\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Zgjidh\" data-search=\"false\" data-search-placeholder=\"Zgjidh\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-37__field--select-3_69eed87e30fc2-label\"><option value=\"\"  >Zgjidh<\/option><option value=\"one\"  data-calculation=\"0\">Po<\/option><option value=\"two\"  data-calculation=\"0\">Jo<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-6\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-6\" placeholder=\"N\u00ebse po, p\u00ebrshkruani shkurtimisht aktivitetet apo organizatat\" id=\"forminator-field-textarea-6_69eed87e30fc2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-7\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-7_69eed87e30fc2\" id=\"forminator-field-textarea-7_69eed87e30fc2-label\" class=\"forminator-label\">Pse d\u00ebshironi t\u00eb b\u00ebheni pjes\u00eb e Asambles\u00eb Rinore t\u00eb Elbasanit? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-7\" placeholder=\"\" id=\"forminator-field-textarea-7_69eed87e30fc2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-8\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-8_69eed87e30fc2\" id=\"forminator-field-textarea-8_69eed87e30fc2-label\" class=\"forminator-label\">Cilat \u00e7\u00ebshtje t\u00eb r\u00ebnd\u00ebsishme p\u00ebr t\u00eb rinjt\u00eb d\u00ebshironi t\u00eb adresoni p\u00ebrmes k\u00ebsaj asambleje? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-8\" placeholder=\"\" id=\"forminator-field-textarea-8_69eed87e30fc2\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-4\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-4_69eed87e30fc2\" id=\"forminator-field-upload-4_69eed87e30fc2-label\" class=\"forminator-label\">Foto <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-4_69eed87e30fc2\"><input type=\"file\" name=\"upload-4\" id=\"forminator-field-upload-4_69eed87e30fc2\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-4_69eed87e30fc2_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-4_69eed87e30fc2\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69eed87e30fc2-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69eed87e30fc2-label\" class=\"forminator-label\">Deklarat\u00eb personale<\/span><label id=\"forminator-field-checkbox-1-1-69eed87e30fc2-label\" for=\"forminator-field-checkbox-1-1-69eed87e30fc2\" class=\"forminator-checkbox\" title=\"Deklaroj se informacionet e m\u00ebsip\u00ebrme jan\u00eb t\u00eb sakta dhe t\u00eb v\u00ebrteta dhe  jam dakord q\u00eb t\u00eb dh\u00ebnat e mia personale t\u00eb p\u00ebrpunohen p\u00ebr q\u00ebllime t\u00eb k\u00ebtij aplikimi dhe p\u00ebr komunikime t\u00eb m\u00ebtejshme q\u00eb lidhen me aplikimin.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-69eed87e30fc2\" aria-labelledby=\"forminator-field-checkbox-1-1-69eed87e30fc2-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Deklaroj se informacionet e m\u00ebsip\u00ebrme jan\u00eb t\u00eb sakta dhe t\u00eb v\u00ebrteta dhe  jam dakord q\u00eb t\u00eb dh\u00ebnat e mia personale t\u00eb p\u00ebrpunohen p\u00ebr q\u00ebllime t\u00eb k\u00ebtij aplikimi dhe p\u00ebr komunikime t\u00eb m\u00ebtejshme q\u00eb lidhen me aplikimin.<\/span><\/label><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">D&euml;rgo<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"33bb144915\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F246\" \/><input type=\"hidden\" name=\"form_id\" value=\"37\"><input type=\"hidden\" name=\"page_id\" value=\"246\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/riniaelbasan.al\/?page_id=246\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; theme_builder_area=&#8221;post_content&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;1px||9px|||&#8221;][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Aplikimi p\u00ebr Asamblen\u00eb Rinore t\u00eb Elbasanit Bashkohu dhe ti!<div class=\"forminator-ui forminator-custom-form forminator-custom-form-37 forminator-design--default  forminator_ajax\" data-forminator-render=\"1\" data-form=\"forminator-module-37\" data-uid=\"69eed87e861ee\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-37\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-37 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"1\"\n\t\t\t\tdata-form-id=\"37\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69eed87e861ee\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69eed87e861ee\" id=\"forminator-field-name-1_69eed87e861ee-label\" class=\"forminator-label\">Emri <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_69eed87e861ee\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69eed87e861ee\" id=\"forminator-field-name-2_69eed87e861ee-label\" class=\"forminator-label\">Mbiemri <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_69eed87e861ee\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69eed87e861ee\" id=\"forminator-field-date-1-picker_69eed87e861ee-label\" class=\"forminator-label\">Data e lindjes <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Zgjidh Dat\u00ebn\" id=\"forminator-field-date-1-picker_69eed87e861ee\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-37__field--select-1_69eed87e861ee\" id=\"forminator-form-37__field--select-1_69eed87e861ee-label\" class=\"forminator-label\">Gjinia<\/label><select  id=\"forminator-form-37__field--select-1_69eed87e861ee\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-37__field--select-1_69eed87e861ee-label\"><option value=\"one\"  data-calculation=\"0\">Mashkull<\/option><option value=\"two\"  data-calculation=\"0\">Fem\u00ebr<\/option><option value=\"Tjet\u00ebr\"  data-calculation=\"0\">Tjet\u00ebr<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-37__field--select-5_69eed87e861ee\" id=\"forminator-form-37__field--select-5_69eed87e861ee-label\" class=\"forminator-label\">Bashkia<\/label><select  id=\"forminator-form-37__field--select-5_69eed87e861ee\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-37__field--select-5_69eed87e861ee-label\"><option value=\"Belsh\"  data-calculation=\"0\">Belsh<\/option><option value=\"Cerrik\"  data-calculation=\"0\">Cerrik<\/option><option value=\"one\"  data-calculation=\"0\">Elbasan<\/option><option value=\"Tjet\u00ebr\"  data-calculation=\"0\">Gramsh<\/option><option value=\"two\"  data-calculation=\"0\">Librazhd<\/option><option value=\"Peqin\"  data-calculation=\"0\">Peqin<\/option><option value=\"Prrenjas\"  data-calculation=\"0\">Prrenjas<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69eed87e861ee\" id=\"forminator-field-textarea-1_69eed87e861ee-label\" class=\"forminator-label\">Tjet\u00ebr <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69eed87e861ee\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69eed87e861ee\" id=\"forminator-field-textarea-2_69eed87e861ee-label\" class=\"forminator-label\">Adresa e banimit <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_69eed87e861ee\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69eed87e861ee\" id=\"forminator-field-phone-1_69eed87e861ee-label\" class=\"forminator-label\">Numri i telefonit <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"+355\" id=\"forminator-field-phone-1_69eed87e861ee\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69eed87e861ee\" id=\"forminator-field-email-1_69eed87e861ee-label\" class=\"forminator-label\">Adresa e email-it <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69eed87e861ee\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69eed87e861ee\" id=\"forminator-field-text-1_69eed87e861ee-label\" class=\"forminator-label\">Nr. i kart\u00ebs s\u00eb identitetit <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"ID\" id=\"forminator-field-text-1_69eed87e861ee\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69eed87e861ee\" id=\"forminator-field-textarea-3_69eed87e861ee-label\" class=\"forminator-label\">Shkolla\/Universiteti <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_69eed87e861ee\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-37__field--select-2_69eed87e861ee\" id=\"forminator-form-37__field--select-2_69eed87e861ee-label\" class=\"forminator-label\">Niveli arsimor <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-37__field--select-2_69eed87e861ee\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Zgjidh\" data-search=\"false\" data-search-placeholder=\"Zgjidh\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-37__field--select-2_69eed87e861ee-label\"><option value=\"\"  >Zgjidh<\/option><option value=\"one\"  data-calculation=\"0\">Shkolla e mesme<\/option><option value=\"two\"  data-calculation=\"0\">Bachelor<\/option><option value=\"Master\"  data-calculation=\"0\">\u00a0Master<\/option><option value=\"Tjet\u00ebr\"  data-calculation=\"0\">Tjet\u00ebr<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69eed87e861ee\" id=\"forminator-field-textarea-4_69eed87e861ee-label\" class=\"forminator-label\">Tjet\u00ebr <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_69eed87e861ee\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_69eed87e861ee\" id=\"forminator-field-textarea-5_69eed87e861ee-label\" class=\"forminator-label\">Fusha e studimit\/profesioni <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-5\" placeholder=\"\" id=\"forminator-field-textarea-5_69eed87e861ee\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-37__field--select-3_69eed87e861ee\" id=\"forminator-form-37__field--select-3_69eed87e861ee-label\" class=\"forminator-label\">A keni marr\u00eb pjes\u00eb n\u00eb aktivitete rinore apo organizata? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-37__field--select-3_69eed87e861ee\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Zgjidh\" data-search=\"false\" data-search-placeholder=\"Zgjidh\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-37__field--select-3_69eed87e861ee-label\"><option value=\"\"  >Zgjidh<\/option><option value=\"one\"  data-calculation=\"0\">Po<\/option><option value=\"two\"  data-calculation=\"0\">Jo<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-6\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-6\" placeholder=\"N\u00ebse po, p\u00ebrshkruani shkurtimisht aktivitetet apo organizatat\" id=\"forminator-field-textarea-6_69eed87e861ee\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-7\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-7_69eed87e861ee\" id=\"forminator-field-textarea-7_69eed87e861ee-label\" class=\"forminator-label\">Pse d\u00ebshironi t\u00eb b\u00ebheni pjes\u00eb e Asambles\u00eb Rinore t\u00eb Elbasanit? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-7\" placeholder=\"\" id=\"forminator-field-textarea-7_69eed87e861ee\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-8\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-8_69eed87e861ee\" id=\"forminator-field-textarea-8_69eed87e861ee-label\" class=\"forminator-label\">Cilat \u00e7\u00ebshtje t\u00eb r\u00ebnd\u00ebsishme p\u00ebr t\u00eb rinjt\u00eb d\u00ebshironi t\u00eb adresoni p\u00ebrmes k\u00ebsaj asambleje? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-8\" placeholder=\"\" id=\"forminator-field-textarea-8_69eed87e861ee\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-4\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-4_69eed87e861ee\" id=\"forminator-field-upload-4_69eed87e861ee-label\" class=\"forminator-label\">Foto <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-4_69eed87e861ee\"><input type=\"file\" name=\"upload-4\" id=\"forminator-field-upload-4_69eed87e861ee\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.json\" tabindex=\"-1\"><button id=\"forminator-field-upload-4_69eed87e861ee_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-4_69eed87e861ee\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69eed87e861ee-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69eed87e861ee-label\" class=\"forminator-label\">Deklarat\u00eb personale<\/span><label id=\"forminator-field-checkbox-1-1-69eed87e861ee-label\" for=\"forminator-field-checkbox-1-1-69eed87e861ee\" class=\"forminator-checkbox\" title=\"Deklaroj se informacionet e m\u00ebsip\u00ebrme jan\u00eb t\u00eb sakta dhe t\u00eb v\u00ebrteta dhe  jam dakord q\u00eb t\u00eb dh\u00ebnat e mia personale t\u00eb p\u00ebrpunohen p\u00ebr q\u00ebllime t\u00eb k\u00ebtij aplikimi dhe p\u00ebr komunikime t\u00eb m\u00ebtejshme q\u00eb lidhen me aplikimin.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-69eed87e861ee\" aria-labelledby=\"forminator-field-checkbox-1-1-69eed87e861ee-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Deklaroj se informacionet e m\u00ebsip\u00ebrme jan\u00eb t\u00eb sakta dhe t\u00eb v\u00ebrteta dhe  jam dakord q\u00eb t\u00eb dh\u00ebnat e mia personale t\u00eb p\u00ebrpunohen p\u00ebr q\u00ebllime t\u00eb k\u00ebtij aplikimi dhe p\u00ebr komunikime t\u00eb m\u00ebtejshme q\u00eb lidhen me aplikimin.<\/span><\/label><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">D&euml;rgo<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"33bb144915\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F246\" \/><input type=\"hidden\" name=\"form_id\" value=\"37\"><input type=\"hidden\" name=\"page_id\" value=\"246\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/riniaelbasan.al\/?page_id=246\"><input type=\"hidden\" name=\"render_id\" value=\"1\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"dipi_cpt_category":[],"class_list":["post-246","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/riniaelbasan.al\/index.php?rest_route=\/wp\/v2\/pages\/246","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/riniaelbasan.al\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/riniaelbasan.al\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/riniaelbasan.al\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/riniaelbasan.al\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=246"}],"version-history":[{"count":5,"href":"https:\/\/riniaelbasan.al\/index.php?rest_route=\/wp\/v2\/pages\/246\/revisions"}],"predecessor-version":[{"id":305,"href":"https:\/\/riniaelbasan.al\/index.php?rest_route=\/wp\/v2\/pages\/246\/revisions\/305"}],"wp:attachment":[{"href":"https:\/\/riniaelbasan.al\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=246"}],"wp:term":[{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/riniaelbasan.al\/index.php?rest_route=%2Fwp%2Fv2%2Fdipi_cpt_category&post=246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}