{"id":136,"date":"2021-04-13T16:26:21","date_gmt":"2021-04-13T16:26:21","guid":{"rendered":"https:\/\/nits.academy\/?page_id=136"},"modified":"2024-12-30T10:51:21","modified_gmt":"2024-12-30T05:06:21","slug":"apply-online","status":"publish","type":"page","link":"https:\/\/nits.academy\/en\/apply-online\/","title":{"rendered":"Apply Online"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"136\" class=\"elementor elementor-136\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c71e3a8 elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"c71e3a8\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3a2d606\" data-id=\"3a2d606\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ad9e0fc elementor-widget elementor-widget-html\" data-id=\"ad9e0fc\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<script>window.enableEventObserver=true<\/script>\r\n<script src=\"https:\/\/cdn03.jotfor.ms\/static\/prototype.forms.js?v=3.3.59857\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn01.jotfor.ms\/static\/jotform.forms.js?v=3.3.59857\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn02.jotfor.ms\/js\/vendor\/imageinfo.js?v=3.3.59857\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn03.jotfor.ms\/file-uploader\/fileuploader.js?v=3.3.59857\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn01.jotfor.ms\/js\/punycode-1.4.1.min.js?v=3.3.59857\" type=\"text\/javascript\" defer><\/script>\r\n<script src=\"https:\/\/cdn02.jotfor.ms\/js\/vendor\/maskedinput_5.0.9.min.js?v=3.3.59857\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn01.jotfor.ms\/s\/umd\/b28d7bd6436\/for-form-branding-footer.js?v=3.3.59857\" type=\"text\/javascript\" defer><\/script>\r\n<script src=\"https:\/\/cdn01.jotfor.ms\/s\/umd\/b28d7bd6436\/for-sanitize.js?v=3.3.59857\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn03.jotfor.ms\/js\/vendor\/smoothscroll.min.js?v=3.3.59857\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn01.jotfor.ms\/js\/errorNavigation.js?v=3.3.59857\" type=\"text\/javascript\"><\/script>\r\n<script type=\"text\/javascript\">\tJotForm.newDefaultTheme = false;\r\n\tJotForm.extendsNewTheme = true;\r\n\tJotForm.singleProduct = false;\r\n\tJotForm.newPaymentUIForNewCreatedForms = true;\r\n\tJotForm.texts = {\"confirmEmail\":\"E-mail does not match\",\"pleaseWait\":\"Please wait...\",\"validateEmail\":\"You need to validate this e-mail\",\"confirmClearForm\":\"Are you sure you want to clear the form\",\"lessThan\":\"Your score should be less than or equal to\",\"incompleteFields\":\"There are incomplete required fields. 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.signature-wrapper:focus,\r\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\r\n  .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover {\r\n    border-color: #2e69ff;\r\n  }\r\n\r\n  .calendar tr.days td:hover:not(.unselectable):after {\r\n    border-color: #e5eaf4;\r\n  }\r\n  .form-header-group,\r\n  .form-buttons-wrapper, .form-pagebreak, .form-submit-clear-wrapper,\r\n  .form-pagebreak-next,\r\n  .form-pagebreak-back,\r\n  .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before{\r\n    border-color: #FFFFFF;\r\n  }\r\n  .form-pagebreak-back:focus, .form-pagebreak-next:focus, .form-submit-button:focus {\r\n    border-color: rgba(46, 105, 255, 1);\r\n  }\r\n  \/* background-colors *\/\r\n  .form-line-active {\r\n    background-color: #F1F5FF;\r\n  }\r\n  .form-line-error {\r\n    background-color: #FFD6D6;\r\n  }\r\n  .form-matrix-column-headers, .form-matrix-row-headers,\r\n  .form-spinner-button-container>*,\r\n  .form-collapse-table,\r\n  .form-collapse-table:hover,\r\n  .appointmentDayPickerButton {\r\n    background-color: #e5eaf4;\r\n  }\r\n  .calendar.popup, .calendar.popup table,\r\n  .calendar.popup table tbody td:after{\r\n    background-color: #FFFFFF;\r\n  }\r\n\r\n  .appointmentCalendar .calendarDay.isActive .calendarDayEach,\r\n  .appointmentFieldRow.forSelectedDate,\r\n  .calendar.popup tr.days td.selected:after,\r\n  .calendar.popup:after,\r\n  .submit-button,\r\n  .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,\r\n  .form-radio+label:after, .form-radio+span:after,\r\n  .rating-item input:checked+label,\r\n  .appointmentCalendar .calendarDay:after,\r\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\r\n  .rating-item input:focus+label {\r\n    background-color: #2e69ff;\r\n  }\r\n  .appointmentSlot.active {\r\n    background-color: #2e69ff !important;\r\n  }\r\n  .clear-pad-btn,\r\n  .appointmentCalendar .dayOfWeek,\r\n  .calendar.popup th {\r\n    background-color: #eef3ff !important;\r\n  }\r\n  .appointmentField .timezonePicker:hover+.timezonePickerName,\r\n  .form-spinner-button-container>*:hover {\r\n    background-color: #eef3ff;\r\n  }\r\n  .form-matrix-values,\r\n  .form-matrix-values,\r\n  .signature-wrapper,\r\n  .signature-pad-passive,\r\n  .rating-item label,\r\n  .form-checkbox+label:before, .form-checkbox+span:before,\r\n  .form-radio+label:before, .form-radio+span:before {\r\n    background-color: #FFFFFF;\r\n  }\r\n  li[data-type=control_fileupload] .qq-upload-button {\r\n    background-color: #fbfcff;\r\n  }\r\n  .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected\r\n  .questionLine-editButton.forRemove:after, \r\n  .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected .questionLine-editButton.forRemove:before {\r\n    background-color: #FFFFFF;\r\n  }\r\n  .appointmentCalendarContainer, .appointmentSlot,\r\n  .rating-item-title.for-to > label:first-child,\r\n  .rating-item-title.for-from > label:first-child,\r\n  .rating-item-title .editor-container *,\r\n  .calendar-opened {\r\n    background-color: transparent;\r\n  }\r\n  .page-section li.form-line-active[data-type=\"control_button\"] {\r\n    background-color: #F1F5FF;\r\n  }\r\n  .appointmentCalendar .calendarDay.isSelected:after {\r\n    color: #FFFFFF;\r\n  }\r\n  \/* shadow *\/\r\n  .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover,\r\n  .calendar.popup:before,\r\n  .jSignature:hover,\r\n  li[data-type=control_fileupload] .qq-upload-button-hover,\r\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\r\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox:hover .select_border,\r\n  .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before,\r\n  .calendar.popup:before {\r\n    border-color: rgba(169, 191, 249, 0.5);\r\n    box-shadow: 0 0 0 2px rgba(201, 216, 254, 0.25);\r\n  }\r\n  .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,\r\n  li[data-type=control_fileupload] .qq-upload-button-focus,\r\n  .form-checkbox:focus+label:before, .form-checkbox:focus+span:before, .form-radio:focus+label:before, .form-radio:focus+span:before,\r\n  .calendar.popup:before {\r\n    border-color: rgba(46, 105, 255, 1);\r\n    box-shadow: 0 0 0 3px rgba(201, 216, 254, 0.25);\r\n  }\r\n  .calendar.popup table tbody td{\r\n    box-shadow: none;\r\n  }\r\n\r\n  \/* button colors *\/\r\n  .submit-button {\r\n    background-color: #18BD5B;\r\n    border-color: #18BD5B;\r\n  }\r\n  .submit-button:hover {\r\n    background-color: #16AA52;\r\n    border-color: #16AA52;\r\n  }\r\n  .form-pagebreak-next {\r\n    background-color: #2e69ff;\r\n  }\r\n  .form-pagebreak-back {\r\n    background-color: #e5e7f2;\r\n  }\r\n  .form-pagebreak-back:hover {\r\n    background-color: #CED0DA;\r\n    border-color: #CED0DA;\r\n  }\r\n  .form-pagebreak-next:hover {\r\n    background-color: #2554CC;\r\n    border-color: #2554CC;\r\n  }\r\n  .form-sacl-button, .form-submit-print {\r\n    background-color: transparent;\r\n    color: #2c3345;\r\n    border-color: rgba(195, 202, 216, 0.75);\r\n  }\r\n  .form-sacl-button:hover, .form-submit-print:hover,\r\n  .appointmentSlot:not(.disabled):not(.active):hover,\r\n  .appointmentDayPickerButton:hover,\r\n  .rating-item input:hover+label {\r\n    background-color: #96B4FF;\r\n  }\r\n\r\n  \/* payment styles *\/\r\n  \r\n  .form-line[data-payment=true] .form-textbox,\r\n  .form-line[data-payment=true] .select-area,\r\n  .form-line[data-payment=true] #coupon-input,\r\n  .form-line[data-payment=true] #coupon-container input,\r\n  .form-line[data-payment=true] input#productSearch-input,\r\n  .form-line[data-payment=true] .form-product-category-item:after,\r\n  .form-line[data-payment=true] .filter-container .dropdown-container .select-content,\r\n  .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,\r\n  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .select_border,\r\n  .form-line[data-payment=\"true\"] .form-product-item .form-product-container .form-sub-label-container span.select_cont,\r\n  .form-line[data-payment=true] select.form-dropdown {\r\n    border-color: rgba(195, 202, 216, 0.75);\r\n    border-color: undefined;\r\n  }\r\n  .form-line[data-payment=\"true\"] hr,\r\n  .form-line[data-payment=true] .p_item_separator,\r\n  .form-line[data-payment=\"true\"] .payment_footer.new_ui,\r\n  .form-line.card-3col .form-product-item.new_ui,\r\n  .form-line.card-2col .form-product-item.new_ui {\r\n    border-color: rgba(195, 202, 216, 0.75);\r\n    border-color: undefined;\r\n  }\r\n  .form-line[data-payment=true] .form-product-category-item {\r\n    border-color: rgba(195, 202, 216, 0.75);\r\n    border-color: undefined;\r\n  }\r\n  .form-line[data-payment=true] #coupon-input,\r\n  .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,\r\n  .form-line[data-payment=true] input#productSearch-input,\r\n  .form-line[data-payment=true] .select-area,\r\n  .form-line[data-payment=true] .custom_quantity,\r\n  .form-line[data-payment=true] .filter-container .select-content,\r\n  .form-line[data-payment=true] .p_checkbox .select_border {\r\n    background-color: #FFFFFF;\r\n  }\r\n  .form-product-category-item:after {\r\n   background-color: undefined;\r\n   border-color: undefined;\r\n  }\r\n  .form-line[data-payment=true].form-line.card-3col .form-product-item,\r\n  .form-line[data-payment=true].form-line.card-2col .form-product-item {\r\n   background-color: undefined;\r\n  }\r\n  .form-line[data-payment=true] .payment-form-table input.form-textbox,\r\n  .form-line[data-payment=true] .payment-form-table input.form-dropdown,\r\n  .form-line[data-payment=true] .payment-form-table .form-sub-label-container > div,\r\n  .form-line[data-payment=true] .payment-form-table span.form-sub-label-container iframe,\r\n  .form-line[data-type=control_square] .payment-form-table span.form-sub-label-container iframe {\r\n    border-color: rgba(195, 202, 216, 0.75);\r\n  }\r\n\r\n  \/* icons *\/\r\n  .appointmentField .timezonePickerName:before {\r\n    background-image: url(data:image\/svg+xml;base64,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);\r\n  }\r\n  .appointmentCalendarContainer .monthYearPicker .pickerArrow.prev:after {\r\n    background-image: url(data:image\/svg+xml;base64,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);\r\n  }\r\n  .appointmentCalendarContainer .monthYearPicker .pickerArrow.next:after {\r\n    background-image: url(data:image\/svg+xml;base64,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);\r\n  }\r\n  .appointmentField .timezonePickerName:after {\r\n    background-image: url(data:image\/svg+xml;base64,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);\r\n    width: 11px;\r\n  }\r\n  li[data-type=control_datetime] [data-wrapper-react=true].extended>div+.form-sub-label-container .form-textbox:placeholder-shown,\r\n  li[data-type=control_datetime] [data-wrapper-react=true]:not(.extended) .form-textbox:not(.time-dropdown):placeholder-shown,\r\n  .appointmentCalendarContainer .currentDate {\r\n    background-image: 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 }\r\n  li[data-type=control_fileupload] .qq-upload-button:before {\r\n    background-image: url(data:image\/svg+xml;base64,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);\r\n  }\r\n  .appointmentDayPickerButton {\r\n    background-image: url(data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iOCIgaGVpZ2h0PSIxNCIgdmlld0JveD0iMCAwIDggMTQiIGZpbGw9Im5vbmUiIHhtbG5zPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwL3N2ZyI+CjxwYXRoIGQ9Ik0xIDEzTDcgN0wxIDAuOTk5OTk5IiBzdHJva2U9IiM4Nzk1QUMiIHN0cm9rZS13aWR0aD0iMiIgc3Ryb2tlLWxpbmVjYXA9InJvdW5kIiBzdHJva2UtbGluZWpvaW49InJvdW5kIi8+Cjwvc3ZnPgo=);\r\n  }\r\n\r\n  \/* NEW THEME STYLE *\/\r\n  \/*PREFERENCES STYLE*\/\/*PREFERENCES STYLE*\/\r\n    .form-all {\r\n      font-family: Inter, sans-serif;\r\n    }\r\n    .form-all .qq-upload-button,\r\n    .form-all .form-submit-button,\r\n    .form-all .form-submit-reset,\r\n    .form-all .form-submit-print {\r\n      font-family: Inter, sans-serif;\r\n    }\r\n    .form-all .form-pagebreak-back-container,\r\n    .form-all .form-pagebreak-next-container {\r\n      font-family: Inter, sans-serif;\r\n    }\r\n    .form-header-group {\r\n      font-family: Inter, sans-serif;\r\n    }\r\n    .form-label {\r\n      font-family: Inter, sans-serif;\r\n    }\r\n  \r\n    \r\n  \r\n    .form-line {\r\n      margin-top: 12px;\r\n      margin-bottom: 12px;\r\n    }\r\n  \r\n    .form-all {\r\n      max-width: 860px;\r\n      width: 100%;\r\n    }\r\n  \r\n    .form-label.form-label-left,\r\n    .form-label.form-label-right,\r\n    .form-label.form-label-left.form-label-auto,\r\n    .form-label.form-label-right.form-label-auto {\r\n      width: 230px;\r\n    }\r\n  \r\n    .form-all {\r\n      font-size: 16px\r\n    }\r\n    .form-all .qq-upload-button,\r\n    .form-all .qq-upload-button,\r\n    .form-all .form-submit-button,\r\n    .form-all .form-submit-reset,\r\n    .form-all .form-submit-print {\r\n      font-size: 16px\r\n    }\r\n    .form-all .form-pagebreak-back-container,\r\n    .form-all .form-pagebreak-next-container {\r\n      font-size: 16px\r\n    }\r\n  \r\n    .supernova .form-all, .form-all {\r\n      background-color: #ffffff;\r\n    }\r\n  \r\n    .form-all {\r\n      color: #6f1714;\r\n    }\r\n    .form-header-group .form-header {\r\n      color: #6f1714;\r\n    }\r\n    .form-header-group .form-subHeader {\r\n      color: #6f1714;\r\n    }\r\n    .form-label-top,\r\n    .form-label-left,\r\n    .form-label-right,\r\n    .form-html,\r\n    .form-checkbox-item label,\r\n    .form-radio-item label {\r\n      color: #6f1714;\r\n    }\r\n    .form-sub-label {\r\n      color: #89312e;\r\n    }\r\n  \r\n    .supernova {\r\n      background-color: rgba(62,68,95,0.7);\r\n    }\r\n    .supernova body {\r\n      background: transparent;\r\n    }\r\n  \r\n    .form-textbox,\r\n    .form-textarea,\r\n    .form-dropdown,\r\n    .form-radio-other-input,\r\n    .form-checkbox-other-input,\r\n    .form-captcha input,\r\n    .form-spinner input {\r\n      background-color: #FFFFFF;\r\n    }\r\n  \r\n    .supernova {\r\n      background-image: none;\r\n    }\r\n    #stage {\r\n      background-image: none;\r\n    }\r\n  \r\n    .form-all {\r\n      background-image: none;\r\n    }\r\n  \r\n  .ie-8 .form-all:before { display: none; }\r\n  .ie-8 {\r\n    margin-top: auto;\r\n    margin-top: initial;\r\n  }\r\n  \r\n  \/*PREFERENCES STYLE*\/\/*__INSPECT_SEPERATOR__*\/#input_2 {color: white; background: #7c1a1a; border: 1px solid #7c1a1a;}\r\n#input_2:hover {color: #7c1a1a; background: white;}\r\n.form-label.form-label-auto {\r\n        \r\n      display: block;\r\n      float: none;\r\n      text-align: left;\r\n      width: 100%;\r\n    \r\n      }\r\n    \/* Injected CSS Code *\/\r\n<\/style>\r\n\r\n<form class=\"jotform-form\" onsubmit=\"return typeof testSubmitFunction !== 'undefined' && testSubmitFunction();\" action=\"https:\/\/submit.jotform.com\/submit\/212021444997456\" method=\"post\" enctype=\"multipart\/form-data\" name=\"form_212021444997456\" id=\"212021444997456\" accept-charset=\"utf-8\" autocomplete=\"on\"><input type=\"hidden\" name=\"formID\" value=\"212021444997456\" \/><input type=\"hidden\" id=\"JWTContainer\" value=\"\" \/><input type=\"hidden\" id=\"cardinalOrderNumber\" value=\"\" \/><input type=\"hidden\" id=\"jsExecutionTracker\" name=\"jsExecutionTracker\" value=\"build-date-1735535041570\" \/><input type=\"hidden\" id=\"submitSource\" name=\"submitSource\" value=\"unknown\" \/><input type=\"hidden\" id=\"buildDate\" name=\"buildDate\" value=\"1735535041570\" \/><input type=\"hidden\" name=\"uploadServerUrl\" value=\"https:\/\/upload.jotform.com\/upload\" \/><input type=\"hidden\" name=\"eventObserver\" value=\"1\" \/>\r\n  <div id=\"formCoverLogo\" style=\"margin-bottom:32px\" class=\"form-cover-wrapper form-has-cover form-page-cover-image-align-center\">\r\n    <div class=\"form-page-cover-image-wrapper\" style=\"max-width:860px\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.jotform.com\/uploads\/noits4international\/form_files\/Final%20Logo.661e1d4f12c896.86119348.jpg\" class=\"form-page-cover-image\" width=\"80\" height=\"78\" alt=\"NITS Online Application Form Logo\" style=\"aspect-ratio:80\/78\" \/><\/div>\r\n  <\/div>\r\n  <div role=\"main\" class=\"form-all\">\r\n    <ul class=\"form-section page-section\" role=\"presentation\">\r\n      <li id=\"cid_1\" class=\"form-input-wide\" data-type=\"control_head\">\r\n        <div class=\"form-header-group  header-large\">\r\n          <div class=\"header-text httac htvam\">\r\n            <h1 id=\"header_1\" class=\"form-header\" data-component=\"header\">Nepali International Theological Seminary<\/h1>\r\n            <div id=\"subHeader_1\" class=\"form-subHeader\">Online Application Form<\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-1\" data-type=\"control_fileupload\" id=\"id_54\"><label class=\"form-label form-label-top\" id=\"label_54\" for=\"input_54\" aria-hidden=\"false\"> Your Photo <\/label>\r\n        <div id=\"cid_54\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"jfQuestion-fields\" data-wrapper-react=\"true\">\r\n            <div class=\"jfField isFilled\">\r\n              <div class=\"jfUpload-wrapper\">\r\n                <div class=\"jfUpload-container\">\r\n                  <div class=\"jfUpload-button-container\">\r\n                    <div class=\"jfUpload-button\" aria-hidden=\"true\" tabindex=\"0\" style=\"display:none\" data-version=\"v2\">Browse Images<div class=\"jfUpload-heading forDesktop\">Drag and drop files here<\/div>\r\n                      <div class=\"jfUpload-heading forMobile\">Choose a file<\/div>\r\n                    <\/div>\r\n                  <\/div>\r\n                <\/div>\r\n                <div class=\"jfUpload-files-container\">\r\n                  <div class=\"validate[multipleUpload]\"><input type=\"file\" id=\"input_54\" name=\"q54_yourPhoto[]\" multiple=\"\" class=\"form-submit-button-simple_white form-upload-multiple\" data-imagevalidate=\"yes\" data-file-accept=\"jpg, jpeg, png\" data-file-maxsize=\"700\" data-file-minsize=\"0\" data-file-limit=\"1\" data-component=\"fileupload\" aria-label=\"Browse Images\" \/><\/div>\r\n                <\/div>\r\n              <\/div><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_54\" id=\"sublabel_input_54\" style=\"min-height:13px\">Supported: jpg, jpeg, png<\/label><\/span>\r\n            <\/div><span style=\"display:none\" class=\"cancelText\">Cancel<\/span><span style=\"display:none\" class=\"ofText\">of<\/span>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_fullname\" id=\"id_3\"><label class=\"form-label form-label-top form-label-extended form-label-auto\" id=\"label_3\" for=\"first_3\" aria-hidden=\"false\"> Official Name<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_3\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div data-wrapper-react=\"true\" class=\"extended\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"first\"><input type=\"text\" id=\"first_3\" name=\"q3_officialName[first]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_3 given-name\" size=\"10\" data-component=\"first\" aria-labelledby=\"label_3 sublabel_3_first\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"first_3\" id=\"sublabel_3_first\" style=\"min-height:13px\">First Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"middle\"><input type=\"text\" id=\"middle_3\" name=\"q3_officialName[middle]\" class=\"form-textbox\" data-defaultvalue=\"\" autoComplete=\"section-input_3 additional-name\" size=\"10\" data-component=\"middle\" aria-labelledby=\"label_3 sublabel_3_middle\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"middle_3\" id=\"sublabel_3_middle\" style=\"min-height:13px\">Middle Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\"><input type=\"text\" id=\"last_3\" name=\"q3_officialName[last]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_3 family-name\" size=\"15\" data-component=\"last\" aria-labelledby=\"label_3 sublabel_3_last\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"last_3\" id=\"sublabel_3_last\" style=\"min-height:13px\">Last Name<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-1\" data-type=\"control_textbox\" id=\"id_6\"><label class=\"form-label form-label-top\" id=\"label_6\" for=\"input_6\" aria-hidden=\"false\"> Preferred Name <\/label>\r\n        <div id=\"cid_6\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_6\" name=\"q6_preferredName\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" maxLength=\"100\" data-component=\"textbox\" aria-labelledby=\"label_6 sublabel_input_6\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_6\" id=\"sublabel_input_6\" style=\"min-height:13px\">Family Name\/Nick Name<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-2 jf-required\" data-type=\"control_number\" id=\"id_62\"><label class=\"form-label form-label-top\" id=\"label_62\" for=\"input_62\" aria-hidden=\"false\"> Contact Number<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_62\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"number\" id=\"input_62\" name=\"q62_contactNumber62\" data-type=\"input-number\" class=\" form-number-input form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"number\" aria-labelledby=\"label_62 sublabel_input_62\" required=\"\" step=\"any\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_62\" id=\"sublabel_input_62\" style=\"min-height:13px\">Do not include &quot;-&quot;<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-3\" data-type=\"control_email\" id=\"id_64\"><label class=\"form-label form-label-top\" id=\"label_64\" for=\"input_64\" aria-hidden=\"false\"> Email Address <\/label>\r\n        <div id=\"cid_64\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"email\" id=\"input_64\" name=\"q64_emailAddress64\" class=\"form-textbox validate[Email]\" data-defaultvalue=\"\" autoComplete=\"section-input_64 email\" style=\"width:310px\" size=\"310\" data-component=\"email\" aria-labelledby=\"label_64 sublabel_input_64\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_64\" id=\"sublabel_input_64\" style=\"min-height:13px\">example@example.com<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-4\" data-type=\"control_textbox\" id=\"id_44\"><label class=\"form-label form-label-top\" id=\"label_44\" for=\"input_44\" aria-hidden=\"false\"> Date of Birth (DOB) <\/label>\r\n        <div id=\"cid_44\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_44\" name=\"q44_dateOf\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_44 sublabel_input_44\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_44\" id=\"sublabel_input_44\" style=\"min-height:13px\">DD\/MM\/YYYY in B.S.<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-5\" data-type=\"control_number\" id=\"id_8\"><label class=\"form-label form-label-top\" id=\"label_8\" for=\"input_8\" aria-hidden=\"false\"> Citizenship Number <\/label>\r\n        <div id=\"cid_8\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"number\" id=\"input_8\" name=\"q8_citizenshipNumber\" data-type=\"input-number\" class=\" form-number-input form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"number\" aria-labelledby=\"label_8 sublabel_input_8\" step=\"any\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_8\" id=\"sublabel_input_8\" style=\"min-height:13px\">exclude symbols<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-6\" data-type=\"control_number\" id=\"id_9\"><label class=\"form-label form-label-top\" id=\"label_9\" for=\"input_9\" aria-hidden=\"false\"> Passport Number <\/label>\r\n        <div id=\"cid_9\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"number\" id=\"input_9\" name=\"q9_passportNumber\" data-type=\"input-number\" class=\" form-number-input form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"number\" aria-labelledby=\"label_9\" step=\"any\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-7\" data-type=\"control_radio\" id=\"id_10\"><label class=\"form-label form-label-top\" id=\"label_10\" aria-hidden=\"false\"> Gender <\/label>\r\n        <div id=\"cid_10\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_10\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_10\" type=\"radio\" class=\"form-radio\" id=\"input_10_0\" name=\"q10_gender\" value=\"Male\" \/><label id=\"label_input_10_0\" for=\"input_10_0\">Male<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_10\" type=\"radio\" class=\"form-radio\" id=\"input_10_1\" name=\"q10_gender\" value=\"Female\" \/><label id=\"label_input_10_1\" for=\"input_10_1\">Female<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_address\" id=\"id_12\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_12\" for=\"input_12_addr_line1\" aria-hidden=\"false\"> Permanent Address<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_12\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div summary=\"\" class=\"form-address-table jsTest-addressField\">\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_12_addr_line1\" name=\"q12_permanentAddress[addr_line1]\" class=\"form-textbox validate[required] form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_12 address-line1\" data-component=\"address_line_1\" aria-labelledby=\"label_12 sublabel_12_addr_line1\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_12_addr_line1\" id=\"sublabel_12_addr_line1\" style=\"min-height:13px\">Village\/Town<\/label><\/span><\/span><\/div>\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\" style=\"display:none\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_12_addr_line2\" name=\"q12_permanentAddress[addr_line2]\" class=\"form-textbox form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_12 off\" data-component=\"address_line_2\" aria-labelledby=\"label_12 sublabel_12_addr_line2\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_12_addr_line2\" id=\"sublabel_12_addr_line2\" style=\"min-height:13px\">VDC\/Municipality<\/label><\/span><\/span><\/div>\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-city-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_12_city\" name=\"q12_permanentAddress[city]\" class=\"form-textbox validate[required] form-address-city\" data-defaultvalue=\"\" autoComplete=\"section-input_12 address-level2\" data-component=\"city\" aria-labelledby=\"label_12 sublabel_12_city\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_12_city\" id=\"sublabel_12_city\" style=\"min-height:13px\">District<\/label><\/span><\/span><span class=\"form-address-line form-address-state-line jsTest-address-lineField form-address-hiddenLine\" style=\"display:none\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_12_state\" name=\"q12_permanentAddress[state]\" class=\"form-textbox form-address-state\" data-defaultvalue=\"\" autoComplete=\"section-input_12 off\" data-component=\"state\" aria-labelledby=\"label_12 sublabel_12_state\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_12_state\" id=\"sublabel_12_state\" style=\"min-height:13px\">State \/ Province<\/label><\/span><\/span><\/div>\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-zip-line jsTest-address-lineField form-address-hiddenLine\" style=\"display:none\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_12_postal\" name=\"q12_permanentAddress[postal]\" class=\"form-textbox form-address-postal\" data-defaultvalue=\"\" autoComplete=\"section-input_12 off\" data-component=\"zip\" aria-labelledby=\"label_12 sublabel_12_postal\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_12_postal\" id=\"sublabel_12_postal\" style=\"min-height:13px\">Postal \/ Zip Code<\/label><\/span><\/span><span class=\"form-address-line form-address-country-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><select class=\"form-dropdown validate[required] form-address-country\" name=\"q12_permanentAddress[country]\" id=\"input_12_country\" data-component=\"country\" required=\"\" aria-labelledby=\"label_12 sublabel_12_country\" autoComplete=\"section-input_12 country\">\r\n                    <option value=\"\">Please Select<\/option>\r\n                    <option value=\"Afghanistan\">Afghanistan<\/option>\r\n                    <option value=\"Albania\">Albania<\/option>\r\n                    <option value=\"Algeria\">Algeria<\/option>\r\n                    <option value=\"American Samoa\">American Samoa<\/option>\r\n                    <option value=\"Andorra\">Andorra<\/option>\r\n                    <option value=\"Angola\">Angola<\/option>\r\n                    <option value=\"Anguilla\">Anguilla<\/option>\r\n                    <option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option>\r\n                    <option value=\"Argentina\">Argentina<\/option>\r\n                    <option value=\"Armenia\">Armenia<\/option>\r\n                    <option value=\"Aruba\">Aruba<\/option>\r\n                    <option value=\"Australia\">Australia<\/option>\r\n                    <option value=\"Austria\">Austria<\/option>\r\n                    <option value=\"Azerbaijan\">Azerbaijan<\/option>\r\n                    <option value=\"The Bahamas\">The Bahamas<\/option>\r\n                    <option value=\"Bahrain\">Bahrain<\/option>\r\n                    <option value=\"Bangladesh\">Bangladesh<\/option>\r\n                    <option value=\"Barbados\">Barbados<\/option>\r\n                    <option value=\"Belarus\">Belarus<\/option>\r\n                    <option value=\"Belgium\">Belgium<\/option>\r\n                    <option value=\"Belize\">Belize<\/option>\r\n                    <option value=\"Benin\">Benin<\/option>\r\n                    <option value=\"Bermuda\">Bermuda<\/option>\r\n                    <option value=\"Bhutan\">Bhutan<\/option>\r\n                    <option value=\"Bolivia\">Bolivia<\/option>\r\n                    <option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option>\r\n                    <option value=\"Botswana\">Botswana<\/option>\r\n                    <option value=\"Brazil\">Brazil<\/option>\r\n                    <option value=\"Brunei\">Brunei<\/option>\r\n                    <option value=\"Bulgaria\">Bulgaria<\/option>\r\n                    <option value=\"Burkina Faso\">Burkina Faso<\/option>\r\n                    <option value=\"Burundi\">Burundi<\/option>\r\n                    <option value=\"Cambodia\">Cambodia<\/option>\r\n                    <option value=\"Cameroon\">Cameroon<\/option>\r\n                    <option value=\"Canada\">Canada<\/option>\r\n                    <option value=\"Cape Verde\">Cape Verde<\/option>\r\n                    <option value=\"Cayman Islands\">Cayman Islands<\/option>\r\n                    <option value=\"Central African Republic\">Central African Republic<\/option>\r\n                    <option value=\"Chad\">Chad<\/option>\r\n                    <option value=\"Chile\">Chile<\/option>\r\n                    <option value=\"China\">China<\/option>\r\n                    <option value=\"Christmas Island\">Christmas Island<\/option>\r\n                    <option value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option>\r\n                    <option value=\"Colombia\">Colombia<\/option>\r\n                    <option value=\"Comoros\">Comoros<\/option>\r\n                    <option value=\"Congo\">Congo<\/option>\r\n                    <option value=\"Cook Islands\">Cook Islands<\/option>\r\n                    <option value=\"Costa Rica\">Costa Rica<\/option>\r\n                    <option value=\"Cote d&#x27;Ivoire\">Cote d&#x27;Ivoire<\/option>\r\n                    <option value=\"Croatia\">Croatia<\/option>\r\n                    <option value=\"Cuba\">Cuba<\/option>\r\n                    <option value=\"Cura\u00e7ao\">Cura\u00e7ao<\/option>\r\n                    <option value=\"Cyprus\">Cyprus<\/option>\r\n                    <option value=\"Czech Republic\">Czech Republic<\/option>\r\n                    <option value=\"Democratic Republic of the Congo\">Democratic Republic of the Congo<\/option>\r\n                    <option value=\"Denmark\">Denmark<\/option>\r\n                    <option value=\"Djibouti\">Djibouti<\/option>\r\n                    <option value=\"Dominica\">Dominica<\/option>\r\n                    <option value=\"Dominican Republic\">Dominican Republic<\/option>\r\n                    <option value=\"Ecuador\">Ecuador<\/option>\r\n                    <option value=\"Egypt\">Egypt<\/option>\r\n                    <option value=\"El Salvador\">El Salvador<\/option>\r\n                    <option value=\"Equatorial Guinea\">Equatorial Guinea<\/option>\r\n                    <option value=\"Eritrea\">Eritrea<\/option>\r\n                    <option value=\"Estonia\">Estonia<\/option>\r\n                    <option value=\"Ethiopia\">Ethiopia<\/option>\r\n                    <option value=\"Falkland Islands\">Falkland Islands<\/option>\r\n                    <option value=\"Faroe Islands\">Faroe Islands<\/option>\r\n                    <option value=\"Fiji\">Fiji<\/option>\r\n                    <option value=\"Finland\">Finland<\/option>\r\n                    <option value=\"France\">France<\/option>\r\n                    <option value=\"French Polynesia\">French Polynesia<\/option>\r\n                    <option value=\"Gabon\">Gabon<\/option>\r\n                    <option value=\"The Gambia\">The Gambia<\/option>\r\n                    <option value=\"Georgia\">Georgia<\/option>\r\n                    <option value=\"Germany\">Germany<\/option>\r\n                    <option value=\"Ghana\">Ghana<\/option>\r\n                    <option value=\"Gibraltar\">Gibraltar<\/option>\r\n                    <option value=\"Greece\">Greece<\/option>\r\n                    <option value=\"Greenland\">Greenland<\/option>\r\n                    <option value=\"Grenada\">Grenada<\/option>\r\n                    <option value=\"Guadeloupe\">Guadeloupe<\/option>\r\n                    <option value=\"Guam\">Guam<\/option>\r\n                    <option value=\"Guatemala\">Guatemala<\/option>\r\n                    <option value=\"Guernsey\">Guernsey<\/option>\r\n                    <option value=\"Guinea\">Guinea<\/option>\r\n                    <option value=\"Guinea-Bissau\">Guinea-Bissau<\/option>\r\n                    <option value=\"Guyana\">Guyana<\/option>\r\n                    <option value=\"Haiti\">Haiti<\/option>\r\n                    <option value=\"Honduras\">Honduras<\/option>\r\n                    <option value=\"Hong Kong\">Hong Kong<\/option>\r\n                    <option value=\"Hungary\">Hungary<\/option>\r\n                    <option value=\"Iceland\">Iceland<\/option>\r\n                    <option value=\"India\">India<\/option>\r\n                    <option value=\"Indonesia\">Indonesia<\/option>\r\n                    <option value=\"Iran\">Iran<\/option>\r\n                    <option value=\"Iraq\">Iraq<\/option>\r\n                    <option value=\"Ireland\">Ireland<\/option>\r\n                    <option value=\"Israel\">Israel<\/option>\r\n                    <option value=\"Italy\">Italy<\/option>\r\n                    <option value=\"Jamaica\">Jamaica<\/option>\r\n                    <option value=\"Japan\">Japan<\/option>\r\n                    <option value=\"Jersey\">Jersey<\/option>\r\n                    <option value=\"Jordan\">Jordan<\/option>\r\n                    <option value=\"Kazakhstan\">Kazakhstan<\/option>\r\n                    <option value=\"Kenya\">Kenya<\/option>\r\n                    <option value=\"Kiribati\">Kiribati<\/option>\r\n                    <option value=\"North Korea\">North Korea<\/option>\r\n                    <option value=\"South Korea\">South Korea<\/option>\r\n                    <option value=\"Kosovo\">Kosovo<\/option>\r\n                    <option value=\"Kuwait\">Kuwait<\/option>\r\n                    <option value=\"Kyrgyzstan\">Kyrgyzstan<\/option>\r\n                    <option value=\"Laos\">Laos<\/option>\r\n                    <option value=\"Latvia\">Latvia<\/option>\r\n                    <option value=\"Lebanon\">Lebanon<\/option>\r\n                    <option value=\"Lesotho\">Lesotho<\/option>\r\n                    <option value=\"Liberia\">Liberia<\/option>\r\n                    <option value=\"Libya\">Libya<\/option>\r\n                    <option value=\"Liechtenstein\">Liechtenstein<\/option>\r\n                    <option value=\"Lithuania\">Lithuania<\/option>\r\n                    <option value=\"Luxembourg\">Luxembourg<\/option>\r\n                    <option value=\"Macau\">Macau<\/option>\r\n                    <option value=\"Macedonia\">Macedonia<\/option>\r\n                    <option value=\"Madagascar\">Madagascar<\/option>\r\n                    <option value=\"Malawi\">Malawi<\/option>\r\n                    <option value=\"Malaysia\">Malaysia<\/option>\r\n                    <option value=\"Maldives\">Maldives<\/option>\r\n                    <option value=\"Mali\">Mali<\/option>\r\n                    <option value=\"Malta\">Malta<\/option>\r\n                    <option value=\"Marshall Islands\">Marshall Islands<\/option>\r\n                    <option value=\"Martinique\">Martinique<\/option>\r\n                    <option value=\"Mauritania\">Mauritania<\/option>\r\n                    <option value=\"Mauritius\">Mauritius<\/option>\r\n                    <option value=\"Mayotte\">Mayotte<\/option>\r\n                    <option value=\"Mexico\">Mexico<\/option>\r\n                    <option value=\"Micronesia\">Micronesia<\/option>\r\n                    <option value=\"Moldova\">Moldova<\/option>\r\n                    <option value=\"Monaco\">Monaco<\/option>\r\n                    <option value=\"Mongolia\">Mongolia<\/option>\r\n                    <option value=\"Montenegro\">Montenegro<\/option>\r\n                    <option value=\"Montserrat\">Montserrat<\/option>\r\n                    <option value=\"Morocco\">Morocco<\/option>\r\n                    <option value=\"Mozambique\">Mozambique<\/option>\r\n                    <option value=\"Myanmar\">Myanmar<\/option>\r\n                    <option value=\"Nagorno-Karabakh\">Nagorno-Karabakh<\/option>\r\n                    <option value=\"Namibia\">Namibia<\/option>\r\n                    <option value=\"Nauru\">Nauru<\/option>\r\n                    <option value=\"Nepal\" selected=\"\">Nepal<\/option>\r\n                    <option value=\"Netherlands\">Netherlands<\/option>\r\n                    <option value=\"Netherlands Antilles\">Netherlands Antilles<\/option>\r\n                    <option value=\"New Caledonia\">New Caledonia<\/option>\r\n                    <option value=\"New Zealand\">New Zealand<\/option>\r\n                    <option value=\"Nicaragua\">Nicaragua<\/option>\r\n                    <option value=\"Niger\">Niger<\/option>\r\n                    <option value=\"Nigeria\">Nigeria<\/option>\r\n                    <option value=\"Niue\">Niue<\/option>\r\n                    <option value=\"Norfolk Island\">Norfolk Island<\/option>\r\n                    <option value=\"Turkish Republic of Northern Cyprus\">Turkish Republic of Northern Cyprus<\/option>\r\n                    <option value=\"Northern Mariana\">Northern Mariana<\/option>\r\n                    <option value=\"Norway\">Norway<\/option>\r\n                    <option value=\"Oman\">Oman<\/option>\r\n                    <option value=\"Pakistan\">Pakistan<\/option>\r\n                    <option value=\"Palau\">Palau<\/option>\r\n                    <option value=\"Palestine\">Palestine<\/option>\r\n                    <option value=\"Panama\">Panama<\/option>\r\n                    <option value=\"Papua New Guinea\">Papua New Guinea<\/option>\r\n                    <option value=\"Paraguay\">Paraguay<\/option>\r\n                    <option value=\"Peru\">Peru<\/option>\r\n                    <option value=\"Philippines\">Philippines<\/option>\r\n                    <option value=\"Pitcairn Islands\">Pitcairn Islands<\/option>\r\n                    <option value=\"Poland\">Poland<\/option>\r\n                    <option value=\"Portugal\">Portugal<\/option>\r\n                    <option value=\"Puerto Rico\">Puerto Rico<\/option>\r\n                    <option value=\"Qatar\">Qatar<\/option>\r\n                    <option value=\"Republic of the Congo\">Republic of the Congo<\/option>\r\n                    <option value=\"Romania\">Romania<\/option>\r\n                    <option value=\"Russia\">Russia<\/option>\r\n                    <option value=\"Rwanda\">Rwanda<\/option>\r\n                    <option value=\"Saint Barthelemy\">Saint Barthelemy<\/option>\r\n                    <option value=\"Saint Helena\">Saint Helena<\/option>\r\n                    <option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option>\r\n                    <option value=\"Saint Lucia\">Saint Lucia<\/option>\r\n                    <option value=\"Saint Martin\">Saint Martin<\/option>\r\n                    <option value=\"Saint Pierre and Miquelon\">Saint Pierre and Miquelon<\/option>\r\n                    <option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option>\r\n                    <option value=\"Samoa\">Samoa<\/option>\r\n                    <option value=\"San Marino\">San Marino<\/option>\r\n                    <option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option>\r\n                    <option value=\"Saudi Arabia\">Saudi Arabia<\/option>\r\n                    <option value=\"Senegal\">Senegal<\/option>\r\n                    <option value=\"Serbia\">Serbia<\/option>\r\n                    <option value=\"Seychelles\">Seychelles<\/option>\r\n                    <option value=\"Sierra Leone\">Sierra Leone<\/option>\r\n                    <option value=\"Singapore\">Singapore<\/option>\r\n                    <option value=\"Slovakia\">Slovakia<\/option>\r\n                    <option value=\"Slovenia\">Slovenia<\/option>\r\n                    <option value=\"Solomon Islands\">Solomon Islands<\/option>\r\n                    <option value=\"Somalia\">Somalia<\/option>\r\n                    <option value=\"Somaliland\">Somaliland<\/option>\r\n                    <option value=\"South Africa\">South Africa<\/option>\r\n                    <option value=\"South Ossetia\">South Ossetia<\/option>\r\n                    <option value=\"South Sudan\">South Sudan<\/option>\r\n                    <option value=\"Spain\">Spain<\/option>\r\n                    <option value=\"Sri Lanka\">Sri Lanka<\/option>\r\n                    <option value=\"Sudan\">Sudan<\/option>\r\n                    <option value=\"Suriname\">Suriname<\/option>\r\n                    <option value=\"Svalbard\">Svalbard<\/option>\r\n                    <option value=\"eSwatini\">eSwatini<\/option>\r\n                    <option value=\"Sweden\">Sweden<\/option>\r\n                    <option value=\"Switzerland\">Switzerland<\/option>\r\n                    <option value=\"Syria\">Syria<\/option>\r\n                    <option value=\"Taiwan\">Taiwan<\/option>\r\n                    <option value=\"Tajikistan\">Tajikistan<\/option>\r\n                    <option value=\"Tanzania\">Tanzania<\/option>\r\n                    <option value=\"Thailand\">Thailand<\/option>\r\n                    <option value=\"Timor-Leste\">Timor-Leste<\/option>\r\n                    <option value=\"Togo\">Togo<\/option>\r\n                    <option value=\"Tokelau\">Tokelau<\/option>\r\n                    <option value=\"Tonga\">Tonga<\/option>\r\n                    <option value=\"Transnistria Pridnestrovie\">Transnistria Pridnestrovie<\/option>\r\n                    <option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option>\r\n                    <option value=\"Tristan da Cunha\">Tristan da Cunha<\/option>\r\n                    <option value=\"Tunisia\">Tunisia<\/option>\r\n                    <option value=\"Turkey\">Turkey<\/option>\r\n                    <option value=\"Turkmenistan\">Turkmenistan<\/option>\r\n                    <option value=\"Turks and Caicos Islands\">Turks and Caicos Islands<\/option>\r\n                    <option value=\"Tuvalu\">Tuvalu<\/option>\r\n                    <option value=\"Uganda\">Uganda<\/option>\r\n                    <option value=\"Ukraine\">Ukraine<\/option>\r\n                    <option value=\"United Arab Emirates\">United Arab Emirates<\/option>\r\n                    <option value=\"United Kingdom\">United Kingdom<\/option>\r\n                    <option value=\"United States\">United States<\/option>\r\n                    <option value=\"Uruguay\">Uruguay<\/option>\r\n                    <option value=\"Uzbekistan\">Uzbekistan<\/option>\r\n                    <option value=\"Vanuatu\">Vanuatu<\/option>\r\n                    <option value=\"Vatican City\">Vatican City<\/option>\r\n                    <option value=\"Venezuela\">Venezuela<\/option>\r\n                    <option value=\"Vietnam\">Vietnam<\/option>\r\n                    <option value=\"British Virgin Islands\">British Virgin Islands<\/option>\r\n                    <option value=\"Isle of Man\">Isle of Man<\/option>\r\n                    <option value=\"US Virgin Islands\">US Virgin Islands<\/option>\r\n                    <option value=\"Wallis and Futuna\">Wallis and Futuna<\/option>\r\n                    <option value=\"Western Sahara\">Western Sahara<\/option>\r\n                    <option value=\"Yemen\">Yemen<\/option>\r\n                    <option value=\"Zambia\">Zambia<\/option>\r\n                    <option value=\"Zimbabwe\">Zimbabwe<\/option>\r\n                    <option value=\"other\">Other<\/option>\r\n                  <\/select><label class=\"form-sub-label\" for=\"input_12_country\" id=\"sublabel_12_country\" style=\"min-height:13px\">Country<\/label><\/span><\/span><\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_address\" id=\"id_66\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_66\" for=\"input_66_addr_line1\" aria-hidden=\"false\"> Current Address<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_66\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div summary=\"\" class=\"form-address-table jsTest-addressField\">\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_66_addr_line1\" name=\"q66_currentAddress[addr_line1]\" class=\"form-textbox validate[required] form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_66 address-line1\" data-component=\"address_line_1\" aria-labelledby=\"label_66 sublabel_66_addr_line1\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_66_addr_line1\" id=\"sublabel_66_addr_line1\" style=\"min-height:13px\">Village\/Town<\/label><\/span><\/span><\/div>\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\" style=\"display:none\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_66_addr_line2\" name=\"q66_currentAddress[addr_line2]\" class=\"form-textbox form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_66 off\" data-component=\"address_line_2\" aria-labelledby=\"label_66 sublabel_66_addr_line2\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_66_addr_line2\" id=\"sublabel_66_addr_line2\" style=\"min-height:13px\">VDC\/Municipality<\/label><\/span><\/span><\/div>\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-city-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_66_city\" name=\"q66_currentAddress[city]\" class=\"form-textbox validate[required] form-address-city\" data-defaultvalue=\"\" autoComplete=\"section-input_66 address-level2\" data-component=\"city\" aria-labelledby=\"label_66 sublabel_66_city\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_66_city\" id=\"sublabel_66_city\" style=\"min-height:13px\">District<\/label><\/span><\/span><span class=\"form-address-line form-address-state-line jsTest-address-lineField form-address-hiddenLine\" style=\"display:none\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_66_state\" name=\"q66_currentAddress[state]\" class=\"form-textbox form-address-state\" data-defaultvalue=\"\" autoComplete=\"section-input_66 off\" data-component=\"state\" aria-labelledby=\"label_66 sublabel_66_state\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_66_state\" id=\"sublabel_66_state\" style=\"min-height:13px\">State \/ Province<\/label><\/span><\/span><\/div>\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-zip-line jsTest-address-lineField form-address-hiddenLine\" style=\"display:none\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_66_postal\" name=\"q66_currentAddress[postal]\" class=\"form-textbox form-address-postal\" data-defaultvalue=\"\" autoComplete=\"section-input_66 off\" data-component=\"zip\" aria-labelledby=\"label_66 sublabel_66_postal\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_66_postal\" id=\"sublabel_66_postal\" style=\"min-height:13px\">Postal \/ Zip Code<\/label><\/span><\/span><span class=\"form-address-line form-address-country-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><select class=\"form-dropdown validate[required] form-address-country\" name=\"q66_currentAddress[country]\" id=\"input_66_country\" data-component=\"country\" required=\"\" aria-labelledby=\"label_66 sublabel_66_country\" autoComplete=\"section-input_66 country\">\r\n                    <option value=\"\">Please Select<\/option>\r\n                    <option value=\"Afghanistan\">Afghanistan<\/option>\r\n                    <option value=\"Albania\">Albania<\/option>\r\n                    <option value=\"Algeria\">Algeria<\/option>\r\n                    <option value=\"American Samoa\">American Samoa<\/option>\r\n                    <option value=\"Andorra\">Andorra<\/option>\r\n                    <option value=\"Angola\">Angola<\/option>\r\n                    <option value=\"Anguilla\">Anguilla<\/option>\r\n                    <option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option>\r\n                    <option value=\"Argentina\">Argentina<\/option>\r\n                    <option value=\"Armenia\">Armenia<\/option>\r\n                    <option value=\"Aruba\">Aruba<\/option>\r\n                    <option value=\"Australia\">Australia<\/option>\r\n                    <option value=\"Austria\">Austria<\/option>\r\n                    <option value=\"Azerbaijan\">Azerbaijan<\/option>\r\n                    <option value=\"The Bahamas\">The Bahamas<\/option>\r\n                    <option value=\"Bahrain\">Bahrain<\/option>\r\n                    <option value=\"Bangladesh\">Bangladesh<\/option>\r\n                    <option value=\"Barbados\">Barbados<\/option>\r\n                    <option value=\"Belarus\">Belarus<\/option>\r\n                    <option value=\"Belgium\">Belgium<\/option>\r\n                    <option value=\"Belize\">Belize<\/option>\r\n                    <option value=\"Benin\">Benin<\/option>\r\n                    <option value=\"Bermuda\">Bermuda<\/option>\r\n                    <option value=\"Bhutan\">Bhutan<\/option>\r\n                    <option value=\"Bolivia\">Bolivia<\/option>\r\n                    <option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option>\r\n                    <option value=\"Botswana\">Botswana<\/option>\r\n                    <option value=\"Brazil\">Brazil<\/option>\r\n                    <option value=\"Brunei\">Brunei<\/option>\r\n                    <option value=\"Bulgaria\">Bulgaria<\/option>\r\n                    <option value=\"Burkina Faso\">Burkina Faso<\/option>\r\n                    <option value=\"Burundi\">Burundi<\/option>\r\n                    <option value=\"Cambodia\">Cambodia<\/option>\r\n                    <option value=\"Cameroon\">Cameroon<\/option>\r\n                    <option value=\"Canada\">Canada<\/option>\r\n                    <option value=\"Cape Verde\">Cape Verde<\/option>\r\n                    <option value=\"Cayman Islands\">Cayman Islands<\/option>\r\n                    <option value=\"Central African Republic\">Central African Republic<\/option>\r\n                    <option value=\"Chad\">Chad<\/option>\r\n                    <option value=\"Chile\">Chile<\/option>\r\n                    <option value=\"China\">China<\/option>\r\n                    <option value=\"Christmas Island\">Christmas Island<\/option>\r\n                    <option value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option>\r\n                    <option value=\"Colombia\">Colombia<\/option>\r\n                    <option value=\"Comoros\">Comoros<\/option>\r\n                    <option value=\"Congo\">Congo<\/option>\r\n                    <option value=\"Cook Islands\">Cook Islands<\/option>\r\n                    <option value=\"Costa Rica\">Costa Rica<\/option>\r\n                    <option value=\"Cote d&#x27;Ivoire\">Cote d&#x27;Ivoire<\/option>\r\n                    <option value=\"Croatia\">Croatia<\/option>\r\n                    <option value=\"Cuba\">Cuba<\/option>\r\n                    <option value=\"Cura\u00e7ao\">Cura\u00e7ao<\/option>\r\n                    <option value=\"Cyprus\">Cyprus<\/option>\r\n                    <option value=\"Czech Republic\">Czech Republic<\/option>\r\n                    <option value=\"Democratic Republic of the Congo\">Democratic Republic of the Congo<\/option>\r\n                    <option value=\"Denmark\">Denmark<\/option>\r\n                    <option value=\"Djibouti\">Djibouti<\/option>\r\n                    <option value=\"Dominica\">Dominica<\/option>\r\n                    <option value=\"Dominican Republic\">Dominican Republic<\/option>\r\n                    <option value=\"Ecuador\">Ecuador<\/option>\r\n                    <option value=\"Egypt\">Egypt<\/option>\r\n                    <option value=\"El Salvador\">El Salvador<\/option>\r\n                    <option value=\"Equatorial Guinea\">Equatorial Guinea<\/option>\r\n                    <option value=\"Eritrea\">Eritrea<\/option>\r\n                    <option value=\"Estonia\">Estonia<\/option>\r\n                    <option value=\"Ethiopia\">Ethiopia<\/option>\r\n                    <option value=\"Falkland Islands\">Falkland Islands<\/option>\r\n                    <option value=\"Faroe Islands\">Faroe Islands<\/option>\r\n                    <option value=\"Fiji\">Fiji<\/option>\r\n                    <option value=\"Finland\">Finland<\/option>\r\n                    <option value=\"France\">France<\/option>\r\n                    <option value=\"French Polynesia\">French Polynesia<\/option>\r\n                    <option value=\"Gabon\">Gabon<\/option>\r\n                    <option value=\"The Gambia\">The Gambia<\/option>\r\n                    <option value=\"Georgia\">Georgia<\/option>\r\n                    <option value=\"Germany\">Germany<\/option>\r\n                    <option value=\"Ghana\">Ghana<\/option>\r\n                    <option value=\"Gibraltar\">Gibraltar<\/option>\r\n                    <option value=\"Greece\">Greece<\/option>\r\n                    <option value=\"Greenland\">Greenland<\/option>\r\n                    <option value=\"Grenada\">Grenada<\/option>\r\n                    <option value=\"Guadeloupe\">Guadeloupe<\/option>\r\n                    <option value=\"Guam\">Guam<\/option>\r\n                    <option value=\"Guatemala\">Guatemala<\/option>\r\n                    <option value=\"Guernsey\">Guernsey<\/option>\r\n                    <option value=\"Guinea\">Guinea<\/option>\r\n                    <option value=\"Guinea-Bissau\">Guinea-Bissau<\/option>\r\n                    <option value=\"Guyana\">Guyana<\/option>\r\n                    <option value=\"Haiti\">Haiti<\/option>\r\n                    <option value=\"Honduras\">Honduras<\/option>\r\n                    <option value=\"Hong Kong\">Hong Kong<\/option>\r\n                    <option value=\"Hungary\">Hungary<\/option>\r\n                    <option value=\"Iceland\">Iceland<\/option>\r\n                    <option value=\"India\">India<\/option>\r\n                    <option value=\"Indonesia\">Indonesia<\/option>\r\n                    <option value=\"Iran\">Iran<\/option>\r\n                    <option value=\"Iraq\">Iraq<\/option>\r\n                    <option value=\"Ireland\">Ireland<\/option>\r\n                    <option value=\"Israel\">Israel<\/option>\r\n                    <option value=\"Italy\">Italy<\/option>\r\n                    <option value=\"Jamaica\">Jamaica<\/option>\r\n                    <option value=\"Japan\">Japan<\/option>\r\n                    <option value=\"Jersey\">Jersey<\/option>\r\n                    <option value=\"Jordan\">Jordan<\/option>\r\n                    <option value=\"Kazakhstan\">Kazakhstan<\/option>\r\n                    <option value=\"Kenya\">Kenya<\/option>\r\n                    <option value=\"Kiribati\">Kiribati<\/option>\r\n                    <option value=\"North Korea\">North Korea<\/option>\r\n                    <option value=\"South Korea\">South Korea<\/option>\r\n                    <option value=\"Kosovo\">Kosovo<\/option>\r\n                    <option value=\"Kuwait\">Kuwait<\/option>\r\n                    <option value=\"Kyrgyzstan\">Kyrgyzstan<\/option>\r\n                    <option value=\"Laos\">Laos<\/option>\r\n                    <option value=\"Latvia\">Latvia<\/option>\r\n                    <option value=\"Lebanon\">Lebanon<\/option>\r\n                    <option value=\"Lesotho\">Lesotho<\/option>\r\n                    <option value=\"Liberia\">Liberia<\/option>\r\n                    <option value=\"Libya\">Libya<\/option>\r\n                    <option value=\"Liechtenstein\">Liechtenstein<\/option>\r\n                    <option value=\"Lithuania\">Lithuania<\/option>\r\n                    <option value=\"Luxembourg\">Luxembourg<\/option>\r\n                    <option value=\"Macau\">Macau<\/option>\r\n                    <option value=\"Macedonia\">Macedonia<\/option>\r\n                    <option value=\"Madagascar\">Madagascar<\/option>\r\n                    <option value=\"Malawi\">Malawi<\/option>\r\n                    <option value=\"Malaysia\">Malaysia<\/option>\r\n                    <option value=\"Maldives\">Maldives<\/option>\r\n                    <option value=\"Mali\">Mali<\/option>\r\n                    <option value=\"Malta\">Malta<\/option>\r\n                    <option value=\"Marshall Islands\">Marshall Islands<\/option>\r\n                    <option value=\"Martinique\">Martinique<\/option>\r\n                    <option value=\"Mauritania\">Mauritania<\/option>\r\n                    <option value=\"Mauritius\">Mauritius<\/option>\r\n                    <option value=\"Mayotte\">Mayotte<\/option>\r\n                    <option value=\"Mexico\">Mexico<\/option>\r\n                    <option value=\"Micronesia\">Micronesia<\/option>\r\n                    <option value=\"Moldova\">Moldova<\/option>\r\n                    <option value=\"Monaco\">Monaco<\/option>\r\n                    <option value=\"Mongolia\">Mongolia<\/option>\r\n                    <option value=\"Montenegro\">Montenegro<\/option>\r\n                    <option value=\"Montserrat\">Montserrat<\/option>\r\n                    <option value=\"Morocco\">Morocco<\/option>\r\n                    <option value=\"Mozambique\">Mozambique<\/option>\r\n                    <option value=\"Myanmar\">Myanmar<\/option>\r\n                    <option value=\"Nagorno-Karabakh\">Nagorno-Karabakh<\/option>\r\n                    <option value=\"Namibia\">Namibia<\/option>\r\n                    <option value=\"Nauru\">Nauru<\/option>\r\n                    <option value=\"Nepal\" selected=\"\">Nepal<\/option>\r\n                    <option value=\"Netherlands\">Netherlands<\/option>\r\n                    <option value=\"Netherlands Antilles\">Netherlands Antilles<\/option>\r\n                    <option value=\"New Caledonia\">New Caledonia<\/option>\r\n                    <option value=\"New Zealand\">New Zealand<\/option>\r\n                    <option value=\"Nicaragua\">Nicaragua<\/option>\r\n                    <option value=\"Niger\">Niger<\/option>\r\n                    <option value=\"Nigeria\">Nigeria<\/option>\r\n                    <option value=\"Niue\">Niue<\/option>\r\n                    <option value=\"Norfolk Island\">Norfolk Island<\/option>\r\n                    <option value=\"Turkish Republic of Northern Cyprus\">Turkish Republic of Northern Cyprus<\/option>\r\n                    <option value=\"Northern Mariana\">Northern Mariana<\/option>\r\n                    <option value=\"Norway\">Norway<\/option>\r\n                    <option value=\"Oman\">Oman<\/option>\r\n                    <option value=\"Pakistan\">Pakistan<\/option>\r\n                    <option value=\"Palau\">Palau<\/option>\r\n                    <option value=\"Palestine\">Palestine<\/option>\r\n                    <option value=\"Panama\">Panama<\/option>\r\n                    <option value=\"Papua New Guinea\">Papua New Guinea<\/option>\r\n                    <option value=\"Paraguay\">Paraguay<\/option>\r\n                    <option value=\"Peru\">Peru<\/option>\r\n                    <option value=\"Philippines\">Philippines<\/option>\r\n                    <option value=\"Pitcairn Islands\">Pitcairn Islands<\/option>\r\n                    <option value=\"Poland\">Poland<\/option>\r\n                    <option value=\"Portugal\">Portugal<\/option>\r\n                    <option value=\"Puerto Rico\">Puerto Rico<\/option>\r\n                    <option value=\"Qatar\">Qatar<\/option>\r\n                    <option value=\"Republic of the Congo\">Republic of the Congo<\/option>\r\n                    <option value=\"Romania\">Romania<\/option>\r\n                    <option value=\"Russia\">Russia<\/option>\r\n                    <option value=\"Rwanda\">Rwanda<\/option>\r\n                    <option value=\"Saint Barthelemy\">Saint Barthelemy<\/option>\r\n                    <option value=\"Saint Helena\">Saint Helena<\/option>\r\n                    <option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option>\r\n                    <option value=\"Saint Lucia\">Saint Lucia<\/option>\r\n                    <option value=\"Saint Martin\">Saint Martin<\/option>\r\n                    <option value=\"Saint Pierre and Miquelon\">Saint Pierre and Miquelon<\/option>\r\n                    <option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option>\r\n                    <option value=\"Samoa\">Samoa<\/option>\r\n                    <option value=\"San Marino\">San Marino<\/option>\r\n                    <option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option>\r\n                    <option value=\"Saudi Arabia\">Saudi Arabia<\/option>\r\n                    <option value=\"Senegal\">Senegal<\/option>\r\n                    <option value=\"Serbia\">Serbia<\/option>\r\n                    <option value=\"Seychelles\">Seychelles<\/option>\r\n                    <option value=\"Sierra Leone\">Sierra Leone<\/option>\r\n                    <option value=\"Singapore\">Singapore<\/option>\r\n                    <option value=\"Slovakia\">Slovakia<\/option>\r\n                    <option value=\"Slovenia\">Slovenia<\/option>\r\n                    <option value=\"Solomon Islands\">Solomon Islands<\/option>\r\n                    <option value=\"Somalia\">Somalia<\/option>\r\n                    <option value=\"Somaliland\">Somaliland<\/option>\r\n                    <option value=\"South Africa\">South Africa<\/option>\r\n                    <option value=\"South Ossetia\">South Ossetia<\/option>\r\n                    <option value=\"South Sudan\">South Sudan<\/option>\r\n                    <option value=\"Spain\">Spain<\/option>\r\n                    <option value=\"Sri Lanka\">Sri Lanka<\/option>\r\n                    <option value=\"Sudan\">Sudan<\/option>\r\n                    <option value=\"Suriname\">Suriname<\/option>\r\n                    <option value=\"Svalbard\">Svalbard<\/option>\r\n                    <option value=\"eSwatini\">eSwatini<\/option>\r\n                    <option value=\"Sweden\">Sweden<\/option>\r\n                    <option value=\"Switzerland\">Switzerland<\/option>\r\n                    <option value=\"Syria\">Syria<\/option>\r\n                    <option value=\"Taiwan\">Taiwan<\/option>\r\n                    <option value=\"Tajikistan\">Tajikistan<\/option>\r\n                    <option value=\"Tanzania\">Tanzania<\/option>\r\n                    <option value=\"Thailand\">Thailand<\/option>\r\n                    <option value=\"Timor-Leste\">Timor-Leste<\/option>\r\n                    <option value=\"Togo\">Togo<\/option>\r\n                    <option value=\"Tokelau\">Tokelau<\/option>\r\n                    <option value=\"Tonga\">Tonga<\/option>\r\n                    <option value=\"Transnistria Pridnestrovie\">Transnistria Pridnestrovie<\/option>\r\n                    <option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option>\r\n                    <option value=\"Tristan da Cunha\">Tristan da Cunha<\/option>\r\n                    <option value=\"Tunisia\">Tunisia<\/option>\r\n                    <option value=\"Turkey\">Turkey<\/option>\r\n                    <option value=\"Turkmenistan\">Turkmenistan<\/option>\r\n                    <option value=\"Turks and Caicos Islands\">Turks and Caicos Islands<\/option>\r\n                    <option value=\"Tuvalu\">Tuvalu<\/option>\r\n                    <option value=\"Uganda\">Uganda<\/option>\r\n                    <option value=\"Ukraine\">Ukraine<\/option>\r\n                    <option value=\"United Arab Emirates\">United Arab Emirates<\/option>\r\n                    <option value=\"United Kingdom\">United Kingdom<\/option>\r\n                    <option value=\"United States\">United States<\/option>\r\n                    <option value=\"Uruguay\">Uruguay<\/option>\r\n                    <option value=\"Uzbekistan\">Uzbekistan<\/option>\r\n                    <option value=\"Vanuatu\">Vanuatu<\/option>\r\n                    <option value=\"Vatican City\">Vatican City<\/option>\r\n                    <option value=\"Venezuela\">Venezuela<\/option>\r\n                    <option value=\"Vietnam\">Vietnam<\/option>\r\n                    <option value=\"British Virgin Islands\">British Virgin Islands<\/option>\r\n                    <option value=\"Isle of Man\">Isle of Man<\/option>\r\n                    <option value=\"US Virgin Islands\">US Virgin Islands<\/option>\r\n                    <option value=\"Wallis and Futuna\">Wallis and Futuna<\/option>\r\n                    <option value=\"Western Sahara\">Western Sahara<\/option>\r\n                    <option value=\"Yemen\">Yemen<\/option>\r\n                    <option value=\"Zambia\">Zambia<\/option>\r\n                    <option value=\"Zimbabwe\">Zimbabwe<\/option>\r\n                    <option value=\"other\">Other<\/option>\r\n                  <\/select><label class=\"form-sub-label\" for=\"input_66_country\" id=\"sublabel_66_country\" style=\"min-height:13px\">Country<\/label><\/span><\/span><\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li id=\"cid_14\" class=\"form-input-wide\" data-type=\"control_head\">\r\n        <div class=\"form-header-group  header-default\">\r\n          <div class=\"header-text httal htvam\">\r\n            <h2 id=\"header_14\" class=\"form-header\" data-component=\"header\">Guardian Information<\/h2>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_fullname\" id=\"id_16\"><label class=\"form-label form-label-top form-label-extended form-label-auto\" id=\"label_16\" for=\"first_16\" aria-hidden=\"false\"> Guardian's Name<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_16\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div data-wrapper-react=\"true\" class=\"extended\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"first\"><input type=\"text\" id=\"first_16\" name=\"q16_guardiansName[first]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_16 given-name\" size=\"10\" data-component=\"first\" aria-labelledby=\"label_16 sublabel_16_first\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"first_16\" id=\"sublabel_16_first\" style=\"min-height:13px\">First Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"middle\"><input type=\"text\" id=\"middle_16\" name=\"q16_guardiansName[middle]\" class=\"form-textbox\" data-defaultvalue=\"\" autoComplete=\"section-input_16 additional-name\" size=\"10\" data-component=\"middle\" aria-labelledby=\"label_16 sublabel_16_middle\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"middle_16\" id=\"sublabel_16_middle\" style=\"min-height:13px\">Middle Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\"><input type=\"text\" id=\"last_16\" name=\"q16_guardiansName[last]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_16 family-name\" size=\"15\" data-component=\"last\" aria-labelledby=\"label_16 sublabel_16_last\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"last_16\" id=\"sublabel_16_last\" style=\"min-height:13px\">Last Name<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_67\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_67\" for=\"input_67\" aria-hidden=\"false\"> Occupation <\/label>\r\n        <div id=\"cid_67\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_67\" name=\"q67_occupation\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_67\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_number\" id=\"id_47\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_47\" for=\"input_47\" aria-hidden=\"false\"> Guardian 's Contact Number <\/label>\r\n        <div id=\"cid_47\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"number\" id=\"input_47\" name=\"q47_fathersContact47\" data-type=\"input-number\" class=\" form-number-input form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"number\" aria-labelledby=\"label_47 sublabel_input_47\" step=\"any\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_47\" id=\"sublabel_input_47\" style=\"min-height:13px\">Do not include &quot;-&quot;<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_matrix\" id=\"id_20\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_20\" for=\"input_20\" aria-hidden=\"false\"> Academic Qualifications<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_20\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <table summary=\"\" role=\"table\" aria-labelledby=\"label_20\" cellPadding=\"4\" cellSpacing=\"0\" class=\"form-matrix-table\" data-component=\"matrix\">\r\n            <tr class=\"form-matrix-tr form-matrix-header-tr\">\r\n              <th class=\"form-matrix-th\" style=\"border:none\"> <\/th>\r\n              <th scope=\"col\" class=\"form-matrix-headers form-matrix-column-headers form-matrix-column_0\"><label id=\"label_20_col_0\">Name Of The Course\/Degree<\/label><\/th>\r\n              <th scope=\"col\" class=\"form-matrix-headers form-matrix-column-headers form-matrix-column_1\"><label id=\"label_20_col_1\">Name Of The School\/College<\/label><\/th>\r\n              <th scope=\"col\" class=\"form-matrix-headers form-matrix-column-headers form-matrix-column_2\"><label id=\"label_20_col_2\">Location<\/label><\/th>\r\n              <th scope=\"col\" class=\"form-matrix-headers form-matrix-column-headers form-matrix-column_3\"><label id=\"label_20_col_3\">Course Duration<\/label><\/th>\r\n              <th scope=\"col\" class=\"form-matrix-headers form-matrix-column-headers form-matrix-column_4\"><label id=\"label_20_col_4\">Percentage Obtained<\/label><\/th>\r\n            <\/tr>\r\n            <tr class=\"form-matrix-tr form-matrix-value-tr\" aria-labelledby=\"label_20 label_20_row_0\">\r\n              <th scope=\"row\" class=\"form-matrix-headers form-matrix-row-headers\"><label id=\"label_20_row_0\">1<\/label><\/th>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_0_0\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[0][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_0 label_20_row_0\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_0_1\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[0][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_1 label_20_row_0\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_0_2\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[0][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_2 label_20_row_0\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_0_3\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[0][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_3 label_20_row_0\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_0_4\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[0][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_4 label_20_row_0\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n            <\/tr>\r\n            <tr class=\"form-matrix-tr form-matrix-value-tr\" aria-labelledby=\"label_20 label_20_row_1\">\r\n              <th scope=\"row\" class=\"form-matrix-headers form-matrix-row-headers\"><label id=\"label_20_row_1\">2<\/label><\/th>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_1_0\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[1][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_0 label_20_row_1\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_1_1\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[1][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_1 label_20_row_1\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_1_2\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[1][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_2 label_20_row_1\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_1_3\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[1][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_3 label_20_row_1\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_1_4\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[1][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_4 label_20_row_1\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n            <\/tr>\r\n            <tr class=\"form-matrix-tr form-matrix-value-tr\" aria-labelledby=\"label_20 label_20_row_2\">\r\n              <th scope=\"row\" class=\"form-matrix-headers form-matrix-row-headers\"><label id=\"label_20_row_2\">3<\/label><\/th>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_2_0\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[2][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_0 label_20_row_2\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_2_1\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[2][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_1 label_20_row_2\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_2_2\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[2][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_2 label_20_row_2\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_2_3\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[2][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_3 label_20_row_2\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_2_4\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[2][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_4 label_20_row_2\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n            <\/tr>\r\n            <tr class=\"form-matrix-tr form-matrix-value-tr\" aria-labelledby=\"label_20 label_20_row_3\">\r\n              <th scope=\"row\" class=\"form-matrix-headers form-matrix-row-headers\"><label id=\"label_20_row_3\">4<\/label><\/th>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_3_0\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[3][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_0 label_20_row_3\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_3_1\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[3][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_1 label_20_row_3\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_3_2\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[3][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_2 label_20_row_3\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_3_3\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[3][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_3 label_20_row_3\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n              <td class=\"form-matrix-values\"><input id=\"input_20_3_4\" class=\"form-textbox validate[required, requireOneAnswer]\" type=\"text\" size=\"5\" name=\"q20_academicQualifications[3][]\" style=\"width:100%;box-sizing:border-box\" aria-labelledby=\"label_20_col_4 label_20_row_3\" aria-label=\"Cells Text Box\" value=\"\" \/><\/td>\r\n            <\/tr>\r\n          <\/table>\r\n        <\/div>\r\n      <\/li>\r\n      <li id=\"cid_74\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\r\n        <div class=\"form-pagebreak\" data-component=\"pagebreak\">\r\n          <div class=\"form-pagebreak-back-container\"><button id=\"form-pagebreak-back_74\" type=\"button\" class=\"form-pagebreak-back  jf-form-buttons\" data-component=\"pagebreak-back\">Back<\/button><\/div>\r\n          <div class=\"form-pagebreak-next-container\"><button id=\"form-pagebreak-next_74\" type=\"button\" class=\"form-pagebreak-next  jf-form-buttons\" data-component=\"pagebreak-next\">Next<\/button><\/div>\r\n          <div style=\"clear:both\" class=\"pageInfo form-sub-label\" id=\"pageInfo_74\"><\/div>\r\n        <\/div>\r\n      <\/li>\r\n    <\/ul>\r\n    <ul class=\"form-section page-section\" role=\"presentation\" style=\"display:none;\">\r\n      <li class=\"form-line\" data-type=\"control_fileupload\" id=\"id_22\"><label class=\"form-label form-label-top\" id=\"label_22\" for=\"input_22\" aria-hidden=\"false\"> Upload Certificates for above mentioned Courses <\/label>\r\n        <div id=\"cid_22\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"jfQuestion-fields\" data-wrapper-react=\"true\">\r\n            <div class=\"jfField isFilled\">\r\n              <div class=\"jfUpload-wrapper\">\r\n                <div class=\"jfUpload-container\">\r\n                  <div class=\"jfUpload-button-container\">\r\n                    <div class=\"jfUpload-button\" aria-hidden=\"true\" tabindex=\"0\" style=\"display:none\" data-version=\"v2\">Browse Files<div class=\"jfUpload-heading forDesktop\">Drag and drop files here<\/div>\r\n                      <div class=\"jfUpload-heading forMobile\">Choose a file<\/div>\r\n                    <\/div>\r\n                  <\/div>\r\n                <\/div>\r\n                <div class=\"jfUpload-files-container\">\r\n                  <div class=\"validate[multipleUpload]\"><input type=\"file\" id=\"input_22\" name=\"q22_uploadCertificates[]\" multiple=\"\" class=\"form-submit-button-simple_grey form-upload-multiple\" data-imagevalidate=\"yes\" data-file-accept=\"pdf, jpg, jpeg, png\" data-file-maxsize=\"10872\" data-file-minsize=\"0\" data-file-limit=\"10\" data-component=\"fileupload\" aria-label=\"Browse Files\" \/><\/div>\r\n                <\/div>\r\n              <\/div><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_22\" id=\"sublabel_input_22\" style=\"min-height:13px\">Note: Attested copies of all the academic certificates are requesteda to attached.<\/label><\/span>\r\n            <\/div><span style=\"display:none\" class=\"cancelText\">Cancel<\/span><span style=\"display:none\" class=\"ofText\">of<\/span>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_24\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_24\" aria-hidden=\"false\"> Which course do you prefer to take?<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_24\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_24\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_24\" type=\"radio\" class=\"form-radio validate[required]\" id=\"input_24_0\" name=\"q24_whichCourse24\" required=\"\" value=\"Certificate of Theology (C.Th.)\" \/><label id=\"label_input_24_0\" for=\"input_24_0\">Certificate of Theology (C.Th.)<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_24\" type=\"radio\" class=\"form-radio validate[required]\" id=\"input_24_1\" name=\"q24_whichCourse24\" required=\"\" value=\"Bachelor of Theology (B.Th.)\" \/><label id=\"label_input_24_1\" for=\"input_24_1\">Bachelor of Theology (B.Th.)<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_24\" type=\"radio\" class=\"form-radio validate[required]\" id=\"input_24_2\" name=\"q24_whichCourse24\" required=\"\" value=\"Master of Divinity (M.Div.)\" \/><label id=\"label_input_24_2\" for=\"input_24_2\">Master of Divinity (M.Div.)<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li id=\"cid_25\" class=\"form-input-wide\" data-type=\"control_head\">\r\n        <div class=\"form-header-group  header-default\">\r\n          <div class=\"header-text httal htvam\">\r\n            <h2 id=\"header_25\" class=\"form-header\" data-component=\"header\">Church Information<\/h2>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_29\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_29\" for=\"input_29\" aria-hidden=\"false\"> Name of your Local Church <\/label>\r\n        <div id=\"cid_29\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_29\" name=\"q29_nameOf\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_29\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_30\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_30\" for=\"input_30\" aria-hidden=\"false\"> Denomination\/Affiliation <\/label>\r\n        <div id=\"cid_30\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_30\" name=\"q30_denominationaffiliation\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_30\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_fullname\" id=\"id_26\"><label class=\"form-label form-label-top form-label-extended form-label-auto\" id=\"label_26\" for=\"first_26\" aria-hidden=\"false\"> Name of your Senior Pastor <\/label>\r\n        <div id=\"cid_26\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div data-wrapper-react=\"true\" class=\"extended\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"first\"><input type=\"text\" id=\"first_26\" name=\"q26_nameOf26[first]\" class=\"form-textbox\" data-defaultvalue=\"\" autoComplete=\"section-input_26 given-name\" size=\"10\" data-component=\"first\" aria-labelledby=\"label_26 sublabel_26_first\" value=\"\" \/><label class=\"form-sub-label\" for=\"first_26\" id=\"sublabel_26_first\" style=\"min-height:13px\">First Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"middle\"><input type=\"text\" id=\"middle_26\" name=\"q26_nameOf26[middle]\" class=\"form-textbox\" data-defaultvalue=\"\" autoComplete=\"section-input_26 additional-name\" size=\"10\" data-component=\"middle\" aria-labelledby=\"label_26 sublabel_26_middle\" value=\"\" \/><label class=\"form-sub-label\" for=\"middle_26\" id=\"sublabel_26_middle\" style=\"min-height:13px\">Middle Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\"><input type=\"text\" id=\"last_26\" name=\"q26_nameOf26[last]\" class=\"form-textbox\" data-defaultvalue=\"\" autoComplete=\"section-input_26 family-name\" size=\"15\" data-component=\"last\" aria-labelledby=\"label_26 sublabel_26_last\" value=\"\" \/><label class=\"form-sub-label\" for=\"last_26\" id=\"sublabel_26_last\" style=\"min-height:13px\">Last Name<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_number\" id=\"id_49\"><label class=\"form-label form-label-top\" id=\"label_49\" for=\"input_49\" aria-hidden=\"false\"> Pastor's Contact Number <\/label>\r\n        <div id=\"cid_49\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"number\" id=\"input_49\" name=\"q49_pastorsContact\" data-type=\"input-number\" class=\" form-number-input form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"number\" aria-labelledby=\"label_49 sublabel_input_49\" step=\"any\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_49\" id=\"sublabel_input_49\" style=\"min-height:13px\">Do not include &quot;-&quot;<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_email\" id=\"id_32\"><label class=\"form-label form-label-top\" id=\"label_32\" for=\"input_32\" aria-hidden=\"false\"> Pastor's Email Address <\/label>\r\n        <div id=\"cid_32\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"email\" id=\"input_32\" name=\"q32_pastorsEmail\" class=\"form-textbox validate[Email]\" data-defaultvalue=\"\" autoComplete=\"section-input_32 email\" style=\"width:310px\" size=\"310\" data-component=\"email\" aria-labelledby=\"label_32 sublabel_input_32\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_32\" id=\"sublabel_input_32\" style=\"min-height:13px\">example@example.com<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li id=\"cid_56\" class=\"form-input-wide\" data-type=\"control_head\">\r\n        <div class=\"form-header-group  header-default\">\r\n          <div class=\"header-text httal htvam\">\r\n            <h2 id=\"header_56\" class=\"form-header\" data-component=\"header\">Recommendation Information<\/h2>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_55\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_55\" for=\"input_55\" aria-hidden=\"false\"> Recommended By <\/label>\r\n        <div id=\"cid_55\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_55\" name=\"q55_recommendedBy\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_55 sublabel_input_55\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_55\" id=\"sublabel_input_55\" style=\"min-height:13px\">Enter Full Name<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_number\" id=\"id_57\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_57\" for=\"input_57\" aria-hidden=\"false\"> Referee's Contact Number <\/label>\r\n        <div id=\"cid_57\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"number\" id=\"input_57\" name=\"q57_refereesContact\" data-type=\"input-number\" class=\" form-number-input form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"number\" aria-labelledby=\"label_57 sublabel_input_57\" step=\"any\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_57\" id=\"sublabel_input_57\" style=\"min-height:13px\">Do not include &quot;-&quot;<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_email\" id=\"id_58\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_58\" for=\"input_58\" aria-hidden=\"false\"> Referee's Email Address <\/label>\r\n        <div id=\"cid_58\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"email\" id=\"input_58\" name=\"q58_refereesEmail\" class=\"form-textbox validate[Email]\" data-defaultvalue=\"\" autoComplete=\"section-input_58 email\" style=\"width:310px\" size=\"310\" data-component=\"email\" aria-labelledby=\"label_58 sublabel_input_58\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_58\" id=\"sublabel_input_58\" style=\"min-height:13px\">example@example.com<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_fileupload\" id=\"id_34\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_34\" for=\"input_34\" aria-hidden=\"false\"> Please upload the Recommendation Form\/Letter <\/label>\r\n        <div id=\"cid_34\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"jfQuestion-fields\" data-wrapper-react=\"true\">\r\n            <div class=\"jfField isFilled\">\r\n              <div class=\"jfUpload-wrapper\">\r\n                <div class=\"jfUpload-container\">\r\n                  <div class=\"jfUpload-button-container\">\r\n                    <div class=\"jfUpload-button\" aria-hidden=\"true\" tabindex=\"0\" style=\"display:none\" data-version=\"v2\">Browse Files<div class=\"jfUpload-heading forDesktop\">Drag and drop files here<\/div>\r\n                      <div class=\"jfUpload-heading forMobile\">Choose a file<\/div>\r\n                    <\/div>\r\n                  <\/div>\r\n                <\/div>\r\n                <div class=\"jfUpload-files-container\">\r\n                  <div class=\"validate[multipleUpload]\"><input type=\"file\" id=\"input_34\" name=\"q34_pleaseUpload34[]\" multiple=\"\" class=\"form-upload-multiple\" data-imagevalidate=\"yes\" data-file-accept=\"pdf, jpg, jpeg, png\" data-file-maxsize=\"10854\" data-file-minsize=\"0\" data-file-limit=\"\" data-component=\"fileupload\" aria-label=\"Browse Files\" \/><\/div>\r\n                <\/div>\r\n              <\/div>\r\n              <div data-wrapper-react=\"true\"><\/div>\r\n            <\/div><span style=\"display:none\" class=\"cancelText\">Cancel<\/span><span style=\"display:none\" class=\"ofText\">of<\/span>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_fileupload\" id=\"id_73\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_73\" for=\"input_73\" aria-hidden=\"false\"> PERSONAL TESTIMONY <\/label>\r\n        <div id=\"cid_73\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"jfQuestion-fields\" data-wrapper-react=\"true\">\r\n            <div class=\"jfField isFilled\">\r\n              <div class=\"jfUpload-wrapper\">\r\n                <div class=\"jfUpload-container\">\r\n                  <div class=\"jfUpload-button-container\">\r\n                    <div class=\"jfUpload-button\" aria-hidden=\"true\" tabindex=\"0\" style=\"display:none\" data-version=\"v2\">Browse Files<div class=\"jfUpload-heading forDesktop\">Drag and drop files here<\/div>\r\n                      <div class=\"jfUpload-heading forMobile\">Choose a file<\/div>\r\n                    <\/div>\r\n                  <\/div>\r\n                <\/div>\r\n                <div class=\"jfUpload-files-container\">\r\n                  <div class=\"validate[multipleUpload]\"><input type=\"file\" id=\"input_73\" name=\"q73_personalTestimony[]\" multiple=\"\" class=\"form-upload-multiple\" data-imagevalidate=\"yes\" data-file-accept=\"doc, docx,  pdf, jpg, jpeg, png\" data-file-maxsize=\"10854\" data-file-minsize=\"0\" data-file-limit=\"\" data-component=\"fileupload\" aria-label=\"Browse Files\" \/><\/div>\r\n                <\/div>\r\n              <\/div>\r\n              <div data-wrapper-react=\"true\"><\/div>\r\n            <\/div><span style=\"display:none\" class=\"cancelText\">Cancel<\/span><span style=\"display:none\" class=\"ofText\">of<\/span>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_divider\" id=\"id_60\">\r\n        <div id=\"cid_60\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"divider\" data-component=\"divider\" style=\"border-bottom-width:1px;border-bottom-style:solid;border-color:#e6e6e6;height:1px;margin-left:0px;margin-right:0px;margin-top:5px;margin-bottom:5px\"><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_69\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_69\" for=\"input_69\" aria-hidden=\"false\"> How did you know about NITS? <\/label>\r\n        <div id=\"cid_69\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_69\" class=\"form-textarea\" name=\"q69_howDid69\" style=\"width:648px;height:50px\" data-component=\"textarea\" aria-labelledby=\"label_69\"><\/textarea> <\/div>\r\n      <\/li>\r\n      <li id=\"cid_59\" class=\"form-input-wide\" data-type=\"control_head\">\r\n        <div class=\"form-header-group  header-default\">\r\n          <div class=\"header-text httal htvam\">\r\n            <h2 id=\"header_59\" class=\"form-header\" data-component=\"header\">Affirmation<\/h2>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_inline\" id=\"id_40\">\r\n        <div id=\"cid_40\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div id=\"FITB_40\" class=\"FITB formRender\">\r\n            <p>I, <span data-type=\"textbox\" data-grouptype=\"control_textbox\" class=\"FITB-inptCont\" data-blot-id=\"shorttext-1\"><input class=\"form-textbox  validate[required]\" name=\"q40_input40[shorttext-1]\" id=\"40_shorttext-1\" type=\"text\" required \/><label for=\"40_shorttext-1\">type your name<\/label><span class=\"form-required\">*<\/span><\/span>, hereby affirm that this form is filled by myself and all the statements mentioned are true at the best of my knowledge. I have read, and understand clearly what is expected of me. I promise to abide by the rules and regulations set by the Seminary during my course at NITS.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_datetime\" id=\"id_37\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_37\" for=\"lite_mode_37\" aria-hidden=\"false\"> Affirmed on <\/label>\r\n        <div id=\"cid_37\" class=\"form-input-wide\" data-layout=\"half\">\r\n          <div data-wrapper-react=\"true\">\r\n            <div style=\"display:none\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input readonly=\"\" class=\"form-textbox validate[limitDate]\" id=\"month_37\" name=\"q37_affirmedOn[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" autoComplete=\"off\" aria-labelledby=\"label_37 sublabel_37_month\" value=\"12\" \/><span class=\"date-separate\" aria-hidden=\"true\"> -<\/span><label class=\"form-sub-label\" for=\"month_37\" id=\"sublabel_37_month\" style=\"min-height:13px\">Month<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input readonly=\"\" class=\"currentDate form-textbox validate[limitDate]\" id=\"day_37\" name=\"q37_affirmedOn[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" autoComplete=\"off\" aria-labelledby=\"label_37 sublabel_37_day\" value=\"30\" \/><span class=\"date-separate\" aria-hidden=\"true\"> -<\/span><label class=\"form-sub-label\" for=\"day_37\" id=\"sublabel_37_day\" style=\"min-height:13px\">Day<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input readonly=\"\" class=\"form-textbox validate[limitDate]\" id=\"year_37\" name=\"q37_affirmedOn[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" data-age=\"\" maxLength=\"4\" autoComplete=\"off\" aria-labelledby=\"label_37 sublabel_37_year\" value=\"2024\" \/><label class=\"form-sub-label\" for=\"year_37\" 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