Services · Form

Sample Form: رزرو نوبت

رزرو نوبت حضوری با انتخاب روز و بازه‌ی زمانی؛ پس از ثبت، کد رهگیری برای پیگیری یا اعلام انصراف صادر می‌شود.

6 questions · Free up to 50 responses a month

Print-ready Word and PDF files — free, no sign-up.

About this template

“رزرو نوبت” has 6 questions; 5 are required and 1 optional. Question types: Short text (1), Mobile number (1), Dropdown (1), Date (1), Segmented buttons (1), Long text (1). 8 ready-made options across 2 choice questions, all editable in the online version.

In the online version of this template

  • Mobile numbers are validated against the Iranian number format.
  • Dates are picked and stored on the Jalali (Persian) calendar.

Questions in this template

  1. 1.

    نام و نام خانوادگی *

    (Short text)
  2. 2.

    شماره موبایل *

    (Mobile number)
  3. 3.

    نوع خدمت *

    (Dropdown)
    • مشاوره‌ی حضوری
    • پیگیری پرونده
    • تحویل مدارک
    • جلسه‌ی کاری
  4. 4.

    روز مراجعه *

    (Date)
  5. 5.

    بازه‌ی زمانی *

    (Segmented buttons)
    • ۹ تا ۱۰:۳۰
    • ۱۰:۳۰ تا ۱۲
    • ۱۳:۳۰ تا ۱۵
    • ۱۵ تا ۱۶:۳۰
  6. 6.

    موضوع مراجعه

    (Long text)

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you

Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too

How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “رزرو نوبت”.
  3. Change the questions as you like, publish the form and send the link.
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