{"id":1610,"date":"2019-11-26T11:18:12","date_gmt":"2019-11-26T11:18:12","guid":{"rendered":"http:\/\/qa.sphss108.co.za\/?page_id=1610"},"modified":"2019-11-27T13:54:20","modified_gmt":"2019-11-27T13:54:20","slug":"bursary-study-loan-application-form","status":"publish","type":"page","link":"https:\/\/www.sphss108.co.za\/index.php\/bursary-study-loan-application-form\/","title":{"rendered":"bursary study loan application form"},"content":{"rendered":"<section class=\"kc-elm kc-css-194609 kc_row\"><div class=\"kc-row-container  kc-container\"><div class=\"kc-wrap-columns\"><div class=\"kc-elm kc-css-567311 kc_col-sm-1 kc_column kc_col-sm-1\"><div class=\"kc-col-container\"><\/div><\/div><div class=\"kc-elm kc-css-196608 kc_col-sm-10 kc_column kc_col-sm-10\"><div class=\"kc-col-container\"><style type=\"text\/css\">#nex-forms{display:none;}<\/style>\r\n\t\t\r\n\t\t<style type=\"text\/css\">\r\n\t\t\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-spinner div:after {background: #40C4FF; }\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-grid div {background: #40C4FF; }\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-ellipsis div { background: #40C4FF;}\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-default div {background: #40C4FF;}\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-roller div:after {background: #40C4FF;}\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-heart div,\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-heart div:after,\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-heart div:before {background: #40C4FF;}\r\n\r\n\t\t\t\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-facebook div {background: #40C4FF;}\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-circle > div {background: #40C4FF;}\r\n\t\t\t\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-dual-ring:after {border: 6px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-ring div {border: 8px solid #40C4FF;border-color: #40C4FF transparent transparent transparent;}\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-hourglass:after {border: 32px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\r\n\t\t\t#nex-forms.bursary_and_student_loan_application_form .nf-loader-lds-ripple div {border: 4px solid #40C4FF;}\r\n\t\t<\/style>\r\n\t\t\r\n\t\t\r\n\t\t<div id=\"nex-forms\" data-loader=\"ellipsis\"data-msg-hide-form=\"yes\" data-msg-position=\"top\" data-msg-placement=\"outside\"  class=\"nex-forms bursary_and_student_loan_application_form  \"><div class=\"pre_fill_fields\"><\/div><div class=\"set_form_theme theme-default\"><div class=\"nex_success_message oldv animated\" style=\"display:none;\"><div class=\"success_header\" ><div class=\"success_icon animated\" style=\"display:none;\"><span class=\"fa fa-check\"><\/span><\/div><\/div><div class=\"msg_box\"><div class=\"msg_text\" style=\"display:none;\"><p>Thank you for connecting with us. We will respond to you shortly.<\/p>\n<\/div><\/div><\/div><div data-timer-start=\"1\" data-timer-end=\"0\" class=\"inner-canvas-container ui-nex-forms-container  bootstrap\" id=\"ui-nex-forms-container\"  ><div class=\"current_step\" style=\"display:none;\">1<\/div><div class=\"last_visited_step\" style=\"display:none;\">1<\/div><div class=\"nf_step_breadcrumb\">\n\t\t\t\t\t\t\t\t\t<ol class=\"triangular cd-breadcrumb   triangle   md-color-light-blue\" data-text-pos=\"text-bottom\" data-breadcrumb-type=\"triangular\" data-theme=\"light-blue\" data-show-front-end=\"yes\" data-show-inside=\"no\"><li class=\"current\"><a data-show-step=\"1\">Information<\/a><\/li><li><a data-show-step=\"2\">Applicant Details<\/a><\/li><li><a data-show-step=\"3\">Educational Qualifications<\/a><\/li><li><a data-show-step=\"4\">Details of Proposed Course:<\/a><\/li><li><a data-show-step=\"5\">Nature of Application:<\/a><\/li><li><a data-show-step=\"6\">For Office Use Only<\/a><\/li><\/ol>\n\t\t\t\t\t\t\t\t<\/div><div id=\"the_plugin_url\" style=\"display:none;\">https:\/\/www.sphss108.co.za\/wp-content\/plugins\/nex-forms<\/div><div id=\"nf_save_form_progress\" style=\"display:none;\">true<\/div><div id=\"confirmation_page\" class=\"confirmation_page\" style=\"display:none;\"><\/div><div id=\"on_form_submmision\" class=\"on_form_submmision\" style=\"display:none;\">message<\/div><div class=\"hidden\" id=\"nf_ajax_url\" style=\"display:none;\">https:\/\/www.sphss108.co.za\/wp-admin\/admin-ajax.php<\/div><div class=\"hidden\" id=\"paypal_return_url\" style=\"display:none;\">https:\/\/www.sphss108.co.za\/wp-json\/wp\/v2\/pages\/1610<\/div><div class=\"hidden\" id=\"ms_scroll_to_top\" style=\"display:none;\">yes<\/div><div class=\"v7_container form_type_normal   \" style=\"\"><div class=\"current_field_on_focus\" style=\"display:none\">1<\/div><form id=\"nf_form_61562\" class=\"submit-nex-form\" name=\"nex_form\" action=\"https:\/\/www.sphss108.co.za\/wp-admin\/admin-ajax.php\" method=\"post\" enctype=\"multipart\/form-data\"><div class=\"step_transition_in\" style=\"display:none;\">fadeIn<\/div><div class=\"step_transition_out\" style=\"display:none;\">fadeOut<\/div><input type=\"hidden\" name=\"nex_forms_Id\" value=\"61\"><input type=\"hidden\" name=\"page\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/1610\"><input type=\"hidden\" name=\"ip\" value=\"\"><input type=\"hidden\" name=\"nf_page_id\" value=\"1610\"><input type=\"hidden\" name=\"nf_page_title\" value=\"bursary study loan application form\"><input type=\"hidden\" name=\"submittedon\"  data-original-value=\"April 14, 2026 9:41 am\" value=\"April 14, 2026 9:41 am\"><input type=\"hidden\" name=\"username\"  data-original-value=\"\" value=\"\"><input type=\"hidden\" name=\"userip\"  data-original-value=\"216.73.216.104\" value=\"216.73.216.104\"><input type=\"hidden\" name=\"useremail\"  data-original-value=\"\" value=\"\"><input type=\"text\" name=\"company_url\" value=\"\" placeholder=\"enter company url\" class=\"form-control req\">\n\t\t\t\t\t\t\t<div class=\"form_field hidden\" id=\"_35654\" style=\"\">\n\t\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"custom-fields step nf_multi_step_1 is_grid\" id=\"_68413\" data-step-name=\"Information\" data-step-num=\"1\" style=\"display: block;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" id=\"_72669\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element style_bold\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">SAMAJ STUDY LOAN &amp; BURSARY APPLICATION FORM<\/h1><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields html html_fields\" id=\"_7617\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element align_left\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\"><p style=\"text-align: left;\"><strong>THIS FORM IS THE OFFICIAL APPLICATION FORM FOR STUDENT LOANS AND BURSARIES FROM THE SHREE<\/strong>\n<strong>PRETORIA HINDU SEVA SAMAJ AND MUST BE COMPLETED IN FULL<\/strong><\/p>\n<p style=\"text-align: left;\"><strong>CONDITIONS OF GRANTING OF BURSARY \/ STUDY LOAN<\/strong><\/p>\n\n<ol>\n \t<li style=\"text-align: left;\">This document should be read in conjunction with the Samaj Study Loan and Samaj Bursary Policies.<\/li>\n \t<li style=\"text-align: left;\">Bursaries &amp; loans are granted for one year only. All prior recipients need to reapply annually.<\/li>\n \t<li style=\"text-align: left;\">If an application is approved, the bursary, including any subsequent bursaries, is not repayable. Loans are\nrepayable with interest of 5 % per annum calculated from date (year) of receipt of loan. Repayment terms\nare negotiable.<\/li>\n \t<li style=\"text-align: left;\">Institution fees, where applicable, will be paid directly to the institution by the Samaj. However, the onus\nis on the applicant to inform the Samaj of the due date for payments.<\/li>\n \t<li style=\"text-align: left;\">The Samaj reserves the right to request progress report from the applicant or from the institution\nconcerned.<\/li>\n \t<li style=\"text-align: left;\">The bursary or loan is to be utilized only for the course of study as per the approved application. The\nSamaj reserves the right to review or withdraw the bursary should any deviation from the approved\ncourse of study take place,<\/li>\n \t<li style=\"text-align: left;\">The Samaj reserves the right to withdraw any bursary or loan awarded if the candidate is found, in the\nopinion of the Samaj, to be abusing or misusing the funds.<\/li>\n \t<li style=\"text-align: left;\">The applicant must notify the Samaj, in writing, of any material changes that occur during the year that\nmay impact negatively on the conditions under which the bursary or loan was granted (e. g changes in the\nstudy course; changes in the hostel accommodation; receipt of funds from other sources as\nbursaries\/loans; etc.). Failure to do so may result in the Samaj withdrawing the bursary or loan and\ndemanding that all monies awarded to date be repaid with interest.<\/li>\n \t<li style=\"text-align: left;\">The applicant must inform the Samaj in writing, of any other loan\/bursary obtained, the amount thereof\nand from whom within 30 days of being awarded such a bursary.<\/li>\n \t<li style=\"text-align: left;\">The applicants agree to sign all documents required by the Samaj.<\/li>\n<\/ol><\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-2 nex_prev_steps is_grid\" style=\"\" id=\"_95356\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_63334\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default prev-step\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_78058\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default nex-step\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"field_settings grid\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_2 is_grid\" id=\"_83568\" data-step-name=\"Applicant Details\" data-step-num=\"2\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" id=\"_80715\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h2 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element style_bold\">TYPE OF STUDY LOAN OR BURSARY REQUIRED<\/h2><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  radio-group common_fields selection_fields  required\" data-settings=\"s-radios\" id=\"_30815\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">*Select the appropriate option:<\/span><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"radio_buttons_university_of_technologycollege\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"radio_buttons\" id=\"radio_buttons_university_of_technologycollege\" value=\"UNIVERSITY OF TECHNOLOGY\/COLLEGE\" style=\"display: none;\"><a class=\"fa ui-state-default\" style=\"background: rgb(255, 255, 255);\"><\/a><\/div><span class=\"input-label radio-label\" style=\"color: rgb(0, 0, 0);\">UNIVERSITY OF TECHNOLOGY\/COLLEGE<\/span><\/span><\/label><label class=\"radio-inline \" for=\"radio_buttons_university\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"radio_buttons\" id=\"radio_buttons_university\" value=\"UNIVERSITY\" style=\"display: none;\"><a class=\"fa ui-state-default\" style=\"background: rgb(255, 255, 255);\"><\/a><\/div><span class=\"input-label radio-label\" style=\"color: rgb(0, 0, 0);\">UNIVERSITY<\/span><\/span><\/label><label class=\"radio-inline\" for=\"radio_buttons_other_specify\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"radio_buttons\" id=\"radio_buttons_other_specify\" value=\"OTHER (SPECIFY)\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: rgb(255, 255, 255);\"><\/a><\/div><span class=\"input-label radio-label\" style=\"color: rgb(0, 0, 0);\">OTHER (SPECIFY)<\/span><\/span><\/label><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields\" data-settings=\"s-text\" id=\"_46025\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Please specify Details:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"please_specify_details:\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" maxlength=\"80\" data-length=\"80\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" id=\"_90382\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h2 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element style_bold\">PERSONAL PARTICULARS OF APPLICANT &amp; FAMILY<\/h2><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only has_prefix_icon required\" data-settings=\"s-text\" id=\"_32754\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">*Surname:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-user\"><\/span><\/span><input type=\"text\" name=\"surname:\" class=\"form-control error_message the_input_element  aling_left text_only required\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"100\" data-length=\"100\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_312\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">First Names:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"first_names:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"100\" data-length=\"100\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574776958424\" data-scale=\"scale(2.8000000000000003)\" data-x=\"18.578125\" data-y=\"11\" style=\"top:11px;left:18.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-4 is_grid\" id=\"_75477\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  date special_fields  required\" data-settings=\"s-date\" id=\"_86262\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">*Date of Birth:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-calendar-o\"><\/span><\/span><input type=\"text\" name=\"date_of_birth:\" class=\"error_message form-control the_input_element  aling_left required\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  select common_fields selection_fields  required\" data-settings=\"s-select\" id=\"_29087\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">*Gender:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"gender:\" class=\"the_input_element error_message text pre-format form-control  aling_left required\" data-content=\"Required\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">--- Select ---<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  select common_fields selection_fields\" data-settings=\"s-select\" id=\"_97023\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Marital Status:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"marital_status:\" class=\"the_input_element error_message text pre-format form-control  aling_left\" data-content=\"Required\" data-default-selected-value=\"0\" data-required=\"false\"><option value=\"0\" selected=\"selected\">--- Select ---<\/option><option value=\"Single\">Single<\/option><option value=\"Married\">Married<\/option><\/select><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574694116853\" data-scale=\"scale(2.8000000000000003)\" data-x=\"16.84375\" data-y=\"11\" style=\"top:11px;left:16.84375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  text common_fields  required\" data-settings=\"s-text\" id=\"_17152\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">*Identity Number:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"identity_number:\" class=\"form-control error_message the_input_element  aling_left required\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" maxlength=\"16\" data-length=\"16\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" id=\"_45307\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-6\"><div class=\"form_field all_fields phone_number phone_number preset_fields\" data-settings=\"s-text\" id=\"_30894\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">CELL:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-phone\"><\/span><\/span><input type=\"text\" name=\"cell:\" class=\"error_message phone_number form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" maxlength=\"12\" data-length=\"12\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-6\"><div class=\"form_field all_fields phone_number phone_number preset_fields required\" data-settings=\"s-text\" id=\"_27434\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Home:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-phone\"><\/span><\/span><input type=\"text\" name=\"home:\" class=\"error_message required phone_number form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" maxlength=\"12\" data-length=\"12\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574763958017\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.84375\" data-y=\"14\" style=\"top:14px;left:13.84375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><div class=\"form_field all_fields  textarea common_fields\" data-settings=\"s-textarea\" id=\"_23886\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Residential Address:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"residential_address:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" maxlength=\"300\" data-length=\"300\"><\/textarea><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  textarea common_fields\" data-settings=\"s-textarea\" id=\"_32960\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Postal Address:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"postal_address:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" maxlength=\"300\" data-length=\"300\"><\/textarea><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  required\" data-settings=\"s-text\" id=\"_41042\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">*Name Of Guardian\/Parent:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"name_of_guardianparent:\" class=\"form-control error_message the_input_element  aling_left required\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" maxlength=\"100\" data-length=\"100\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  textarea common_fields\" data-settings=\"s-textarea\" id=\"_55447\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Address:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"address:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" maxlength=\"300\" data-length=\"300\"><\/textarea><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574763821750\" data-scale=\"scale(2.8000000000000003)\" data-x=\"16.578125\" data-y=\"13\" style=\"top:13px;left:16.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574763894479\" data-scale=\"scale(2.8000000000000003)\" data-x=\"15.578125\" data-y=\"17\" style=\"top:17px;left:15.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields\" data-settings=\"s-text\" id=\"_42162\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Occupation:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"occupation:\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" maxlength=\"60\" data-length=\"60\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_17304\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields phone_number phone_number preset_fields\" data-settings=\"s-text\" id=\"_89937\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">CELL<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-phone\"><\/span><\/span><input type=\"text\" name=\"cell\" class=\"error_message phone_number form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" maxlength=\"12\" data-length=\"12\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields phone_number phone_number preset_fields\" data-settings=\"s-text\" id=\"_26288\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Telephone (H):<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-phone\"><\/span><\/span><input type=\"text\" name=\"telephone_h:\" class=\"error_message phone_number form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" maxlength=\"12\" data-length=\"12\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields phone_number phone_number preset_fields\" data-settings=\"s-text\" id=\"_47046\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Telephone (W):<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-phone\"><\/span><\/span><input type=\"text\" name=\"telephone_w:\" class=\"error_message phone_number form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" maxlength=\"12\" data-length=\"12\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574764185273\" data-scale=\"scale(2.8000000000000003)\" data-x=\"16.9375\" data-y=\"15\" style=\"top:15px;left:16.9375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574764193041\" data-scale=\"scale(2.8000000000000003)\" data-x=\"15.78125\" data-y=\"13\" style=\"top:13px;left:15.78125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-2 nex_prev_steps is_grid\" style=\"\" id=\"_38899\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_90972\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default prev-step\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_54641\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default nex-step\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"field_settings grid\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_3 is_grid\" id=\"_70206\" data-step-name=\"Educational Qualifications\" data-step-num=\"3\" style=\"position: relative; left: 0px; top: 0px; display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" id=\"_77685\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h2 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element style_bold\">EDUCATIONAL QUALIFICATIONS<\/h2><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" id=\"_29606\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">PLEASE FURNISH CERTIFIED COPIES OF CERTIFICATES\/RESULTS<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields\" data-settings=\"s-text\" id=\"_44274\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">NAME OF SECONDARY SCHOOL:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"name_of_secondary_school:\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" maxlength=\"100\" data-length=\"100\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_17627\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-2\"><div class=\"form_field all_fields heading html_fields\" id=\"_93860\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">Sr No.<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-7\"><div class=\"form_field all_fields heading html_fields\" id=\"_50377\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">Subjects taken and Symbols<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields heading html_fields\" id=\"_31336\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">Marks Attained<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_807\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-2\"><div class=\"form_field all_fields heading html_fields\" id=\"_7045\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">1<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-7\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_90207\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_96982\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" maxlength=\"3\" data-length=\"3\" minlength=\"\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574766584136\" data-scale=\"scale(2.8000000000000003)\" data-x=\"19.21875\" data-y=\"10\" style=\"top:10px;left:19.21875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_66771\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-2\"><div class=\"form_field all_fields heading html_fields\" id=\"_50642\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">2<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-7\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_31919\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_32268\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" maxlength=\"3\" data-length=\"3\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574766584136\" data-scale=\"scale(2.8000000000000003)\" data-x=\"19.21875\" data-y=\"10\" style=\"top:10px;left:19.21875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_28840\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-2\"><div class=\"form_field all_fields heading html_fields\" id=\"_20510\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">3<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-7\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_13732\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_66415\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" maxlength=\"3\" data-length=\"3\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574766584136\" data-scale=\"scale(2.8000000000000003)\" data-x=\"19.21875\" data-y=\"10\" style=\"top:10px;left:19.21875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_87784\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-2\"><div class=\"form_field all_fields heading html_fields\" id=\"_61453\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">4<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-7\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_11977\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_44595\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" maxlength=\"3\" data-length=\"3\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_48902\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-2\"><div class=\"form_field all_fields heading html_fields\" id=\"_32808\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">5<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-7\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_48162\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_148\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" maxlength=\"3\" data-length=\"3\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_17065\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-2\"><div class=\"form_field all_fields heading html_fields\" id=\"_74303\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">6<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-7\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_8754\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_73466\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" maxlength=\"3\" data-length=\"3\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_52347\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-2\"><div class=\"form_field all_fields heading html_fields\" id=\"_62334\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">7<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-7\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_51757\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_13250\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" maxlength=\"3\" data-length=\"3\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_52939\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-2\"><div class=\"form_field all_fields heading html_fields\" id=\"_58873\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">8<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-7\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_9366\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_28365\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" maxlength=\"3\" data-length=\"3\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_46062\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-2\"><div class=\"form_field all_fields heading html_fields\" id=\"_19014\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\"><\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-7\"><div class=\"form_field all_fields heading html_fields\" id=\"_9031\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">AGGREGATE PASS:<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-3\"><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_92362\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"\" class=\"form-control error_message the_input_element  aling_left numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" maxlength=\"6\" data-length=\"6\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" id=\"_80787\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">If you have already obtained a higher education qualification, please provide details:<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" id=\"_47875\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element\">UNIVERSITY\/ UNIVERSITY OF TECHNOLOGY\/COLLEGE\/POST-GRADUATE<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" id=\"_71903\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-8\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_31\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Degree or Diploma Completed:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"degree_or_diploma_completed:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields  text common_fields\" data-settings=\"s-text\" id=\"_40058\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Year:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"year:\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" maxlength=\"10\" data-length=\"10\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574767742332\" data-scale=\"scale(2.8000000000000003)\" data-x=\"16.765625\" data-y=\"15\" style=\"top:15px;left:16.765625px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_93604\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Name Of Institution:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"name_of_institution:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"80\" data-length=\"80\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574767775293\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.765625\" data-y=\"12\" style=\"top:12px;left:13.765625px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  textarea common_fields\" data-settings=\"s-textarea\" id=\"_43875\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">If you are currently studying towards a qualification but have not completed the course, state the details of the course, number of years studied and provide and official credit certificate. <\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"if_you_are_currently_studying_towards_a_qualification_but_have_not_completed_the_course_state_the_details_of_the_course_number_of_years_studied_and_provide_and_official_credit_certificate_\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" maxlength=\"300\" data-length=\"300\"><\/textarea><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-2 nex_prev_steps is_grid\" style=\"\" id=\"_45284\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_90739\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default prev-step\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_10392\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default nex-step\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"field_settings grid\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_4 is_grid\" id=\"_62507\" data-step-name=\"Details of Proposed Course:\" data-step-num=\"4\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" id=\"_312\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h2 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element style_bold\">DETAILS OF PROPOSED COURSE OF STUDY (DEGREE\/DIPLOMA)<\/h2><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_67255\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">First Option:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"first_option:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"60\" data-length=\"60\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_87352\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Second Option:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"second_option:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"60\" data-length=\"60\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574769044611\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.578125\" data-y=\"9\" style=\"top:9px;left:12.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  radio-group common_fields selection_fields\" data-settings=\"s-radios\" id=\"_82376\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Will you study Full Time\/Part Time:<\/span><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"will_you_study_full_timepart_time:_full_time\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"will_you_study_full_timepart_time:\" id=\"will_you_study_full_timepart_time:_full_time\" value=\"Full Time\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\" style=\"color: rgb(0, 0, 0);\">Full Time<\/span><\/span><\/label><label class=\"radio-inline \" for=\"will_you_study_full_timepart_time:_part_time\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"will_you_study_full_timepart_time:\" id=\"will_you_study_full_timepart_time:_part_time\" value=\"Part Time\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\" style=\"color: rgb(0, 0, 0);\">Part Time<\/span><\/span><\/label><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_94110\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Name of educational Institution:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"name_of_educational_institution:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"80\" data-length=\"80\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574769461452\" data-scale=\"scale(2.8000000000000003)\" data-x=\"15.578125\" data-y=\"13\" style=\"top:13px;left:15.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  radio-group common_fields selection_fields\" data-settings=\"s-radios\" id=\"_13875\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Has Admission to the Educational institution been received?<\/span><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline\" for=\"has_admission_to_the_educational_institution_been_received_yes\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"has_admission_to_the_educational_institution_been_received\" id=\"has_admission_to_the_educational_institution_been_received_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: rgb(255, 255, 255);\"><\/a><\/div><span class=\"input-label radio-label\" style=\"color: rgb(0, 0, 0);\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"has_admission_to_the_educational_institution_been_received_no\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"has_admission_to_the_educational_institution_been_received\" id=\"has_admission_to_the_educational_institution_been_received_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\" style=\"background: rgb(255, 255, 255);\"><\/a><\/div><span class=\"input-label radio-label\" style=\"color: rgb(0, 0, 0);\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574769517546\" data-scale=\"scale(2.8000000000000003)\" data-x=\"15.578125\" data-y=\"16\" style=\"top:16px;left:15.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  upload-single upload_fields  hidden\" data-settings=\"s-upload-file\" id=\"_78807\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">If yes, please enclose copy of the acceptance:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"fileinput fileinput-new\" data-provides=\"fileinput\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"input-group\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element form-control  aling_left uneditable-input span3 error_message\" data-content=\"Required\" data-secondary-message=\"Invalid file extension\" data-placement=\"bottom\" data-trigger=\"fileinput\" name=\"if_yes_please_enclose_copy_of_the_acceptance:\"><i class=\"glyphicon glyphicon-file fileinput-exists\"><\/i> <span class=\"fileinput-filename\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"input-group-addon btn-default btn-file postfix\"><span class=\"fa fa-cloud-upload\"><\/span><input type=\"file\" name=\"if_yes_please_enclose_copy_of_the_acceptance:\" class=\"the_input_element\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" class=\"input-group-addon btn btn-default fileinput-exists\" data-dismiss=\"fileinput\"><span class=\"fa fa-close\"><\/span><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"get_file_ext\" style=\"display:none;\">doc\ndocx\nmpg\nmpeg\nmp3\nmp4\nodt\nodp\nods\npdf\nppt\npptx\ntxt\nxls\nxlsx\n<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  hidden\" data-settings=\"s-text\" id=\"_4536\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">If not when will you know?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"if_not_when_will_you_know\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" maxlength=\"60\" data-length=\"60\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields divider html_fields\" id=\"_37148\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" id=\"_5038\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h4 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element style_bold\">PLEASE FURNISH THE FOLLOWING INFORMATION (FOR FIRST OPTION ONLY):<\/h4><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_32945\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">ANNUAL FEES:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"annual_fees:\" class=\"form-control error_message the_input_element  aling_left align_left style_bold numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" value=\"\" data-value=\"\" maxlength=\"8\" data-length=\"8\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_92345\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">HOSTEL FEES\/BOARDING FEES, IF ANY:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"hostel_feesboarding_fees_if_any:\" class=\"form-control error_message the_input_element  aling_left align_left style_bold numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" value=\"\" data-value=\"\" maxlength=\"8\" data-length=\"8\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_71242\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">ESTIMATED COST OF BOOKS:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"estimated_cost_of_books:\" class=\"form-control error_message the_input_element  aling_left align_left style_bold numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" value=\"\" data-value=\"\" maxlength=\"8\" data-length=\"8\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574770187825\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.578125\" data-y=\"13\" style=\"top:13px;left:12.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574770211243\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.578125\" data-y=\"12\" style=\"top:12px;left:12.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_69324\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">OTHER (SPECIFY):<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"other_specify:\" class=\"form-control error_message the_input_element  aling_left align_left style_bold numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" value=\"\" data-value=\"\" maxlength=\"8\" data-length=\"8\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574770187825\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.578125\" data-y=\"13\" style=\"top:13px;left:12.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574770211243\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.578125\" data-y=\"12\" style=\"top:12px;left:12.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574770243695\" data-scale=\"scale(2.8000000000000003)\" data-x=\"10.578125\" data-y=\"11\" style=\"top:11px;left:10.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  numbers_only\" data-settings=\"s-text\" id=\"_20086\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">TOTAL ANNUAL COST<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"total_annual_cost\" class=\"form-control error_message the_input_element  aling_left align_left style_bold numbers_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only numbers are allowed\" title=\"\" value=\"\" data-value=\"\" maxlength=\"8\" data-length=\"8\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574770187825\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.578125\" data-y=\"13\" style=\"top:13px;left:12.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574770211243\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.578125\" data-y=\"12\" style=\"top:12px;left:12.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574770243695\" data-scale=\"scale(2.8000000000000003)\" data-x=\"10.578125\" data-y=\"11\" style=\"top:11px;left:10.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574770260373\" data-scale=\"scale(2.8000000000000003)\" data-x=\"18.578125\" data-y=\"11\" style=\"top:11px;left:18.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields\" data-settings=\"s-text\" id=\"_17006\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">WHEN DO THE TUITION FEES BECOME PAYABLE?<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"when_do_the_tuition_fees_become_payable\" class=\"form-control error_message the_input_element  aling_left align_left style_bold\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" value=\"\" data-value=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574770187825\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.578125\" data-y=\"13\" style=\"top:13px;left:12.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574770211243\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.578125\" data-y=\"12\" style=\"top:12px;left:12.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574770243695\" data-scale=\"scale(2.8000000000000003)\" data-x=\"10.578125\" data-y=\"11\" style=\"top:11px;left:10.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574770260373\" data-scale=\"scale(2.8000000000000003)\" data-x=\"18.578125\" data-y=\"11\" style=\"top:11px;left:18.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574770299633\" data-scale=\"scale(2.8000000000000003)\" data-x=\"11.578125\" data-y=\"9\" style=\"top:9px;left:11.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  textarea common_fields\" data-settings=\"s-textarea\" id=\"_50101\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">ARE YOU RECEIVING A LOAN\/BURSARY OR ANY FORM OF ASSISTANCE FROM ANY OTHER ORGANISATION? If YES, PROVIDE AMOUNT &amp; DETAILS OF BURSARY<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"are_you_receiving_a_loanbursary_or_any_form_of_assistance_from_any_other_organisation_if_yes_provide_amount__details_of_bursary\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" maxlength=\"300\" data-length=\"300\"><\/textarea><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-2 nex_prev_steps is_grid\" style=\"\" id=\"_14058\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_22423\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default prev-step\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_23412\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default nex-step\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"field_settings grid\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_5 is_grid\" id=\"_36670\" data-step-name=\"Nature of Application:\" data-step-num=\"5\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" id=\"_54436\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element style_bold\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">NATURE OF APPLICATION: <\/h1><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  check-group common_fields selection_fields radio-group\" data-settings=\"s-checks\" id=\"_33590\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Please be advised that the bursary amount is unlikely to cover full tuition and other expenses. If you require full cover, you should apply for both:<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline  radio-inline\" for=\"please_be_advised_that_the_bursary_amount_is_unlikely_to_cover_full_tuition_and_other_expenses_if_you_require_full_cover_you_should_apply_for_both:_bursary_non-refundable\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright  blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"please_be_advised_that_the_bursary_amount_is_unlikely_to_cover_full_tuition_and_other_expenses_if_you_require_full_cover_you_should_apply_for_both:[]\" id=\"please_be_advised_that_the_bursary_amount_is_unlikely_to_cover_full_tuition_and_other_expenses_if_you_require_full_cover_you_should_apply_for_both:_bursary_non-refundable\" value=\"BURSARY (non-refundable)\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(0, 0, 0);\">BURSARY (non-refundable)<\/span><\/span><\/label><label class=\"checkbox-inline  radio-inline\" for=\"please_be_advised_that_the_bursary_amount_is_unlikely_to_cover_full_tuition_and_other_expenses_if_you_require_full_cover_you_should_apply_for_both:_loan_refundable\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright  blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"please_be_advised_that_the_bursary_amount_is_unlikely_to_cover_full_tuition_and_other_expenses_if_you_require_full_cover_you_should_apply_for_both:[]\" id=\"please_be_advised_that_the_bursary_amount_is_unlikely_to_cover_full_tuition_and_other_expenses_if_you_require_full_cover_you_should_apply_for_both:_loan_refundable\" value=\"LOAN (refundable)\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(0, 0, 0);\">LOAN (refundable)<\/span><\/span><\/label><label class=\"checkbox-inline  radio-inline\" for=\"please_be_advised_that_the_bursary_amount_is_unlikely_to_cover_full_tuition_and_other_expenses_if_you_require_full_cover_you_should_apply_for_both:_bursary__loan_both\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright  blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"please_be_advised_that_the_bursary_amount_is_unlikely_to_cover_full_tuition_and_other_expenses_if_you_require_full_cover_you_should_apply_for_both:[]\" id=\"please_be_advised_that_the_bursary_amount_is_unlikely_to_cover_full_tuition_and_other_expenses_if_you_require_full_cover_you_should_apply_for_both:_bursary__loan_both\" value=\"BURSARY &amp; LOAN (Both)\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(0, 0, 0);\">BURSARY &amp; LOAN (Both)<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  check-group common_fields selection_fields  required radio-group\" data-settings=\"s-checks\" id=\"_60685\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">*WE CERTIFY THAT ALL INFORMATION FURNISHED HEREIN IS ACCURATE AND COMPLETE. WE FULLY UNDERSTAND AND ACCEPT THE CONDITIONS STATED HEREIN AND AGREE TO ABIDE BY THE AFSP POLICY<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline  radio-inline\" for=\"we_certify_that_all_information_furnished_herein_is_accurate_and_complete_we_fully_understand_and_accept_the_conditions_stated_herein_and_agree_to_abide_by_the_afsp_policy_i_agree:\" style=\"color: rgb(0, 0, 0);\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright  blue has-pretty-child\"><input class=\"check the_input_element required\" type=\"checkbox\" name=\"we_certify_that_all_information_furnished_herein_is_accurate_and_complete_we_fully_understand_and_accept_the_conditions_stated_herein_and_agree_to_abide_by_the_afsp_policy[]\" id=\"we_certify_that_all_information_furnished_herein_is_accurate_and_complete_we_fully_understand_and_accept_the_conditions_stated_herein_and_agree_to_abide_by_the_afsp_policy_i_agree:\" value=\"I Agree:\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(0, 0, 0);\">I Agree:<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" id=\"_81410\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-6\"><div class=\"form_field all_fields  date special_fields\" data-settings=\"s-date\" id=\"_62639\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Date<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-calendar-o\"><\/span><\/span><input type=\"text\" name=\"date\" class=\"error_message form-control the_input_element  aling_left \" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-6\"><div class=\"form_field all_fields  text common_fields\" data-settings=\"s-text\" id=\"_72171\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">Place:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"place:\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_96534\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">SIGNATURE OF APPLICANT:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"signature_of_applicant:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_67509\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">SIGNATURE OF PARENT\/GUARDIAN:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"signature_of_parentguardian:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574771142825\" data-scale=\"scale(2.8000000000000003)\" data-x=\"20.578125\" data-y=\"9\" style=\"top:9px;left:20.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" id=\"_12368\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-6\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_76949\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">WITNESSES 1:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"witnesses_1:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" value=\"\" data-value=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-6\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_97429\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"color: rgb(0, 0, 0);\">WITNESSES 2:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"witnesses_2:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" value=\"\" data-value=\"\" maxlength=\"50\" data-length=\"50\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574771208312\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.84375\" data-y=\"13\" style=\"top:13px;left:12.84375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><div class=\"grid-system-2 nex_prev_steps is_grid\" style=\"\" id=\"_20882\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_86217\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default prev-step\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_33757\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default nex-step\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"field_settings grid\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_6 is_grid\" id=\"_25073\" data-step-name=\"For Office Use Only\" data-step-num=\"6\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" id=\"_84794\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h2 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element style_bold\">For Office Use Only<\/h2><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_91456\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">Name of Applicant:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"name_of_applicant:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"100\" data-length=\"100\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  date special_fields\" data-settings=\"s-date\" id=\"_53508\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">Date of Interview:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-calendar-o\"><\/span><\/span><input type=\"text\" name=\"date_of_interview:\" class=\"error_message form-control the_input_element  aling_left \" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_29239\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">Panel Members<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"panel_members\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"200\" data-length=\"200\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_79239\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">Details of Decision Taken<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"details_of_decision_taken\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"200\" data-length=\"200\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574857281061\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.578125\" data-y=\"17\" style=\"top:17px;left:14.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574857350789\" data-scale=\"scale(2.8000000000000003)\" data-x=\"16.578125\" data-y=\"10\" style=\"top:10px;left:16.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  radio-group common_fields selection_fields\" data-settings=\"s-radios\" id=\"_92397\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">Copy of Policy handed to Applicant?<\/span><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"copy_of_policy_handed_to_applicant_yes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"copy_of_policy_handed_to_applicant\" id=\"copy_of_policy_handed_to_applicant_yes\" value=\"Yes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Yes<\/span><\/span><\/label><label class=\"radio-inline \" for=\"copy_of_policy_handed_to_applicant_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright  blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"copy_of_policy_handed_to_applicant\" id=\"copy_of_policy_handed_to_applicant_no\" value=\"No\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">No<\/span><\/span><\/label><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields\" data-settings=\"s-text\" id=\"_57033\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">Date (Year) of Commencement of Repayment of Loan:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"date_year_of_commencement_of_repayment_of_loan:\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" maxlength=\"12\" data-length=\"12\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_40156\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">Details of Repayment agreement:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"details_of_repayment_agreement:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"200\" data-length=\"200\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_45511\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">General Comments:<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"general_comments:\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"200\" data-length=\"200\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574857449880\" data-scale=\"scale(2.8000000000000003)\" data-x=\"24.578125\" data-y=\"16\" style=\"top:16px;left:24.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1574857468127\" data-scale=\"scale(2.8000000000000003)\" data-x=\"16.578125\" data-y=\"16\" style=\"top:16px;left:16.578125px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" id=\"_33445\"><div class=\"row  grid_row\"><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_70074\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">CHAIRMAN OF PANEL<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"chairman_of_panel\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"100\" data-length=\"100\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields  text common_fields  text_only\" data-settings=\"s-text\" id=\"_49422\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">SIGNATURE<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"signature\" class=\"form-control error_message the_input_element  aling_left text_only\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Only text are allowed\" title=\"\" maxlength=\"100\" data-length=\"100\"><span class=\"character-counter\" style=\"float: right; font-size: 12px; height: 1px;\"><\/span><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1574857550494\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.9375\" data-y=\"13\" style=\"top:13px;left:13.9375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-4\"><div class=\"form_field all_fields  date special_fields\" data-settings=\"s-date\" id=\"_51935\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\">Date<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-calendar-o\"><\/span><\/span><input type=\"text\" name=\"date\" class=\"error_message form-control the_input_element  aling_left \" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields\" id=\"_37551\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h2 style=\"undefined\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element style_bold\">RECORD OF REPAYMENTS<\/h2><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields  textarea common_fields\" data-settings=\"s-textarea\" id=\"_1351\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title \"><span class=\"the_label style_bold\"><\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><textarea name=\"textarea\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left style_bold\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" value=\"DATE OF REPAYMENT | AMOUNT REPAID | SIGNATURE OF ADMINISTRATOR\" data-value=\"DATE OF REPAYMENT | AMOUNT REPAID | SIGNATURE OF ADMINISTRATOR\"><\/textarea><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-2 nex_prev_steps is_grid\" style=\"\" id=\"_91458\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_66391\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default prev-step\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder col-xs-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" id=\"_87701\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default nex-submit\">Submit<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_settings\" style=\"display:none\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"field_settings grid\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div style=\"clear:both;\"><\/div><\/form><\/div><\/div><\/div><\/div><style type=\"text\/css\" class=\"nex-forms-custom-css\"><\/style><\/div><\/div><div class=\"kc-elm kc-css-778992 kc_col-sm-1 kc_column kc_col-sm-1\"><div class=\"kc-col-container\"><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.sphss108.co.za\/index.php\/wp-json\/wp\/v2\/pages\/1610"}],"collection":[{"href":"https:\/\/www.sphss108.co.za\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sphss108.co.za\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sphss108.co.za\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sphss108.co.za\/index.php\/wp-json\/wp\/v2\/comments?post=1610"}],"version-history":[{"count":6,"href":"https:\/\/www.sphss108.co.za\/index.php\/wp-json\/wp\/v2\/pages\/1610\/revisions"}],"predecessor-version":[{"id":1617,"href":"https:\/\/www.sphss108.co.za\/index.php\/wp-json\/wp\/v2\/pages\/1610\/revisions\/1617"}],"wp:attachment":[{"href":"https:\/\/www.sphss108.co.za\/index.php\/wp-json\/wp\/v2\/media?parent=1610"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}