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Transport and warehousing · Form

Sample Form: درخواست حمل بار

مبدأ، مقصد، نوع و وزن بار، زمان و بیمه؛ برای شرکت‌های باربری.

9 questions · Free up to 50 responses a month

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About this template

“درخواست حمل بار” has 9 questions; 6 are required and 3 optional. Question types: Postal address (2), Short text (1), Mobile number (1), Dropdown (1), Decimal (1), Date (1), Yes / No (1), Amount (1). 5 ready-made options across 1 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.
Related:Online form builderNumber to words

Questions in this template

  1. 1.

    نام و نام خانوادگی *

    (Short text)
  2. 2.

    شماره موبایل *

    (Mobile number)
  3. 3.

    مبدأ *

    (Postal address)
  4. 4.

    مقصد *

    (Postal address)
  5. 5.

    نوع بار *

    (Dropdown)
    • اثاث منزل
    • کالای تجاری
    • مواد غذایی
    • ماشین‌آلات
    • سایر
  6. 6.

    وزن تقریبی (کیلوگرم)

    (Decimal)
  7. 7.

    تاریخ *

    (Date)
  8. 8.

    بیمه‌ی بار می‌خواهید؟

    (Yes / No)
  9. 9.

    ارزش اظهارشده (تومان)

    (Amount)

Printable or online?

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
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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
Build the online version for free

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 “درخواست حمل بار”.
  3. Change the questions as you like, publish the form and send the link.

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