{"id":280255,"date":"2023-10-17T15:28:41","date_gmt":"2023-10-17T08:28:41","guid":{"rendered":"https:\/\/desco.la\/?page_id=280255"},"modified":"2023-10-29T23:21:08","modified_gmt":"2023-10-29T16:21:08","slug":"online-trainee-application-form","status":"publish","type":"page","link":"https:\/\/desco.la\/en\/our-services\/employment-services\/online-trainee-application-form\/","title":{"rendered":"Online Trainee Application Form"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.22.2&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-16px||||false|false&#8221; custom_padding=&#8221;30px||30px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.22.2&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.22.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.22.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" data-token=\"ca996a9060947c624db197b2b96e2033\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_traineesapplicationform\" data-token=\"ca996a9060947c624db197b2b96e2033\">\n<div class=\"frm_form_fields  frm_page_num_1\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Trainee's Application Form<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"traineesapplicationform\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"1b3a7a67a8\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/280255\" \/><div id=\"frm_field_39_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<div style=\"background: #e5e5e5; padding: 10px; border-radius: 15px; margin-top: 20px; margin-bottom: 20px;\">\n<h2 style=\"padding-bottom: 0px; text-align: center; line-height: 1.3em;\"><strong>\u0ec3\u0e9a\u0eaa\u0eb0\u0edd\u0eb1\u0e81\u0ec4\u0e9b\u0e9d\u0eb6\u0e81\u0ec0\u0eae\u0eb1\u0e94\u0ea7\u0ebd\u0e81\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb9\u0ec8\u0e99 (Trainee's Application Form)<\/strong><\/h2>\n<\/div>\n<\/div>\n<div id=\"frm_field_6_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_41mgu_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8 & \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (First name & Last name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_41mgu_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\t\u0e8a\u0eb7\u0ec8 &amp; \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (First name &amp; Last name)\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_6\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_6-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_41mgu_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\t\u0e8a\u0eb7\u0ec8 (First name)\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_41mgu_first\" value=\"\" name=\"item_meta[6][first]\" autocomplete=\"given-name\" data-invmsg=\"\u0e8a\u0eb7\u0ec8 &amp; \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (First name &amp; Last name) is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_6_first_desc\">\u0e8a\u0eb7\u0ec8 (First name)<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_6-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_41mgu_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\t\u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (Last name)\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_41mgu_last\" value=\"\" name=\"item_meta[6][last]\" autocomplete=\"family-name\" data-invmsg=\"\u0e8a\u0eb7\u0ec8 &amp; \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (First name &amp; Last name) is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_6_last_desc\">\u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (Last name)<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_100_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_5ii4b\" id=\"field_5ii4b_label\" class=\"frm_primary_label\">\u0ec0\u0e9a\u0eb5\u0ec2\u0e97\u0ea5\u0eb0\u0eaa\u0eb1\u0e9a (Phone Number or WhatsApp)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_5ii4b\" name=\"item_meta[100]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_99_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_xs2kv\" id=\"field_xs2kv_label\" class=\"frm_primary_label\">\u0ead\u0eb5\u0ec0\u0ea1\u0ea7 (Email)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_xs2kv\" name=\"item_meta[99]\" value=\"\"  data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_84_container\" class=\"frm_form_field form-field  frm_top_container frm_full\">\r\n    <label for=\"field_vchzr\" id=\"field_vchzr_label\" class=\"frm_primary_label\">\u0eae\u0eb9\u0e9a\u0e95\u0eb4\u0e94\u0e9a\u0eb1\u0e94 (3.5 x 4.5)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"   name=\"item_meta[84]\"  value=\"\" data-frmfile=\"84\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file84_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file84\" id=\"field_vchzr\"\n\t\t\t data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"\u0eae\u0eb9\u0e9a\u0e95\u0eb4\u0e94\u0e9a\u0eb1\u0e94 (3.5 x 4.5). Drop a file here or click to upload. Maximum file size: 104.86MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"\u0eae\u0eb9\u0e9a\u0e95\u0eb4\u0e94\u0e9a\u0eb1\u0e94 (3.5 x 4.5). Choose File. Maximum file size: 104.86MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 104.86MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_two_col\">\r\n    <div  id=\"field_4ia0p_label\" class=\"frm_primary_label\">\u0ec0\u0e9e\u0e94 (Sex)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_4ia0p_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_7-0\">\t\t\t<label  for=\"field_4ia0p-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[7]\" id=\"field_4ia0p-0\" value=\"\u0e8a\u0eb2\u0e8d (Male)\"\n\t\t data-invmsg=\"\u0ec0\u0e9e\u0e94 (Sex) is invalid\"   \/> \u0e8a\u0eb2\u0e8d (Male)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_7-1\">\t\t\t<label  for=\"field_4ia0p-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[7]\" id=\"field_4ia0p-1\" value=\"\u0e8d\u0eb4\u0e87 (Female)\"\n\t\t data-invmsg=\"\u0ec0\u0e9e\u0e94 (Sex) is invalid\"   \/> \u0e8d\u0eb4\u0e87 (Female)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_untgl\" id=\"field_untgl_label\" class=\"frm_primary_label\">\u0ea5\u0ea7\u0e87\u0eaa\u0eb9\u0e87 (Height)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_untgl\" name=\"item_meta[8]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/><span class=\"frm_inline_box\">\u0e8a\u0eb1\u0e87\u0e95\u0eb5 (Cm)<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm4\">\r\n    <label for=\"field_g3oy1\" id=\"field_g3oy1_label\" class=\"frm_primary_label\">\u0e99\u0ecd\u0ec9\u0eb2\u0edc\u0eb1\u0e81 (Weight)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_g3oy1\" name=\"item_meta[9]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/><span class=\"frm_inline_box\">\u0e81\u0eb4\u0ec2\u0ea5\u0e81\u0ea3\u0eb2\u0ea1 (Kg)<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_101_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_avi2n\" id=\"field_avi2n_label\" class=\"frm_primary_label\">\u0ea7\u0eb1\u0e99-\u0ec0\u0e94\u0eb7\u0ead\u0e99-\u0e9b\u0eb5 \u0ec0\u0e81\u0eb5\u0e94 (DOB)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_avi2n\" name=\"item_meta[101]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_syenb\" id=\"field_syenb_label\" class=\"frm_primary_label\">\u0ead\u0eb2\u0e8d\u0eb8 (Age)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_syenb\" name=\"item_meta[12]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_uquux\" id=\"field_uquux_label\" class=\"frm_primary_label\">\u0eaa\u0eb0\u0e96\u0eb2\u0e99\u0e97\u0eb5\u0ec8\u0ec0\u0e81\u0eb5\u0e94 (Place of Birth)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_uquux\" name=\"item_meta[13]\" value=\"\"  placeholder=\"\u0ec1\u0e82\u0ea7\u0e87...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_uquux\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_uquux\">\u0ec1\u0e82\u0ea7\u0e87 (Province)\r\n<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_two_col frm_display_format_buttons frm_text_align_center\">\r\n    <div  id=\"field_268nm_label\" class=\"frm_primary_label\">\u0eaa\u0eb1\u0e81\u0ea5\u0eb2\u0e8d (Tattoo)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_268nm_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_10-0\">\t\t\t<label  for=\"field_268nm-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[10]\" id=\"field_268nm-0\" value=\"\u0eaa\u0eb1\u0e81 (Yes)\"\n\t\t data-invmsg=\"\u0eaa\u0eb1\u0e81\u0ea5\u0eb2\u0e8d (Tattoo) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0eaa\u0eb1\u0e81 (Yes)<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_10-1\">\t\t\t<label  for=\"field_268nm-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[10]\" id=\"field_268nm-1\" value=\"\u0e9a\u0ecd\u0ec8\u0ec4\u0e94\u0ec9\u0eaa\u0eb1\u0e81 (No)\"\n\t\t data-invmsg=\"\u0eaa\u0eb1\u0e81\u0ea5\u0eb2\u0e8d (Tattoo) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0e9a\u0ecd\u0ec8\u0ec4\u0e94\u0ec9\u0eaa\u0eb1\u0e81 (No)<\/div><\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_5z78n\" id=\"field_5z78n_label\" class=\"frm_primary_label\">\u0ec0\u0e9a\u0eb5\u0ec0\u0e81\u0eb5\u0e9a (Foot Size)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_5z78n\" name=\"item_meta[14]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/><span class=\"frm_inline_box\">\u0e8a\u0eb1\u0e87\u0e95\u0eb5 (Cm)<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_two_col frm_display_format_buttons frm_text_align_center\">\r\n    <div  id=\"field_8bf6o_label\" class=\"frm_primary_label\">\u0ec1\u0eae\u0e87\u0ec1\u0e82\u0e99 (Dominant Hand)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_8bf6o_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_15-0\">\t\t\t<label  for=\"field_8bf6o-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_8bf6o-0\" value=\"\u0e8a\u0ec9\u0eb2\u0e8d (Left)\"\n\t\t data-invmsg=\"\u0ec1\u0eae\u0e87\u0ec1\u0e82\u0e99 (Dominant Hand) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0e8a\u0ec9\u0eb2\u0e8d (Left)<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-1\">\t\t\t<label  for=\"field_8bf6o-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_8bf6o-1\" value=\"\u0e82\u0ea7\u0eb2 (Right)\"\n\t\t data-invmsg=\"\u0ec1\u0eae\u0e87\u0ec1\u0e82\u0e99 (Dominant Hand) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0e82\u0ea7\u0eb2 (Right)<\/div><\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_four_col\">\r\n    <div  id=\"field_tr3sc_label\" class=\"frm_primary_label\">\u0e81\u0eb8\u0ec8\u0ea1\u0ec0\u0ea5\u0eb7\u0ead\u0e94 (Blood Group)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_tr3sc_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_16-0\">\t\t\t<label  for=\"field_tr3sc-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_tr3sc-0\" value=\"A\"\n\t\t data-invmsg=\"\u0e81\u0eb8\u0ec8\u0ea1\u0ec0\u0ea5\u0eb7\u0ead\u0e94 (Blood Group) is invalid\"   \/> A<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-1\">\t\t\t<label  for=\"field_tr3sc-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_tr3sc-1\" value=\"B\"\n\t\t data-invmsg=\"\u0e81\u0eb8\u0ec8\u0ea1\u0ec0\u0ea5\u0eb7\u0ead\u0e94 (Blood Group) is invalid\"   \/> B<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-2\">\t\t\t<label  for=\"field_tr3sc-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_tr3sc-2\" value=\"AB\"\n\t\t data-invmsg=\"\u0e81\u0eb8\u0ec8\u0ea1\u0ec0\u0ea5\u0eb7\u0ead\u0e94 (Blood Group) is invalid\"   \/> AB<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-3\">\t\t\t<label  for=\"field_tr3sc-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_tr3sc-3\" value=\"O\"\n\t\t data-invmsg=\"\u0e81\u0eb8\u0ec8\u0ea1\u0ec0\u0ea5\u0eb7\u0ead\u0e94 (Blood Group) is invalid\"   \/> O<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_8eqip\" id=\"field_8eqip_label\" class=\"frm_primary_label\">\u0eaa\u0eb1\u0e99\u0e8a\u0eb2\u0e94 (Nationality)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8eqip\" name=\"item_meta[17]\" value=\"LAO\"  data-frmval=\"LAO\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_45_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_three_col\">\r\n    <div  id=\"field_lgkwx_label\" class=\"frm_primary_label\">\u0eaa\u0eb0\u0e96\u0eb2\u0e99\u0eb0 (Material Status)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_lgkwx_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_45-0\">\t\t\t<label  for=\"field_lgkwx-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[45]\" id=\"field_lgkwx-0\" value=\"\u0ec2\u0eaa\u0e94 (Single)\"\n\t\t data-invmsg=\"\u0eaa\u0eb0\u0e96\u0eb2\u0e99\u0eb0 (Material Status) is invalid\"   \/> \u0ec2\u0eaa\u0e94 (Single)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_45-1\">\t\t\t<label  for=\"field_lgkwx-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[45]\" id=\"field_lgkwx-1\" value=\"\u0ec1\u0e95\u0ec8\u0e87 (Married)\"\n\t\t data-invmsg=\"\u0eaa\u0eb0\u0e96\u0eb2\u0e99\u0eb0 (Material Status) is invalid\"   \/> \u0ec1\u0e95\u0ec8\u0e87 (Married)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_45-2\">\t\t\t<label  for=\"field_lgkwx-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[45]\" id=\"field_lgkwx-2\" value=\"\u0ea2\u0ec8\u0eb2\u0eae\u0ec9\u0eb2\u0e87 (Divorced)\"\n\t\t data-invmsg=\"\u0eaa\u0eb0\u0e96\u0eb2\u0e99\u0eb0 (Material Status) is invalid\"   \/> \u0ea2\u0ec8\u0eb2\u0eae\u0ec9\u0eb2\u0e87 (Divorced)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_46_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_gupsv\" id=\"field_gupsv_label\" class=\"frm_primary_label\">\u0ec0\u0eab\u0e94\u0e9c\u0ebb\u0e99\u0ea2\u0ec8\u0eb2\u0eae\u0ec9\u0eb2\u0e87 (Divorce Reason)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[46]\" id=\"field_gupsv\" rows=\"5\"  data-invmsg=\"Paragraph is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_two_col frm_display_format_buttons frm_text_align_center\">\r\n    <div  id=\"field_bs81q_label\" class=\"frm_primary_label\">\u0e8d\u0eb2\u0e94\u0e9e\u0eb5\u0ec8\u0e99\u0ec9\u0ead\u0e87\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Relative in Japan)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_bs81q_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_18-0\">\t\t\t<label  for=\"field_bs81q-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_bs81q-0\" value=\"\u0ea1\u0eb5\"\n\t\t data-invmsg=\"\u0e8d\u0eb2\u0e94\u0e9e\u0eb5\u0ec8\u0e99\u0ec9\u0ead\u0e87\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Relative in Japan) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0ea1\u0eb5<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-1\">\t\t\t<label  for=\"field_bs81q-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_bs81q-1\" value=\"\u0e9a\u0ecd\u0ec8\u0ea1\u0eb5\"\n\t\t data-invmsg=\"\u0e8d\u0eb2\u0e94\u0e9e\u0eb5\u0ec8\u0e99\u0ec9\u0ead\u0e87\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Relative in Japan) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0e9a\u0ecd\u0ec8\u0ea1\u0eb5<\/div><\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_38_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_two_col frm_display_format_buttons frm_text_align_center\">\r\n    <div  id=\"field_2y8zm_label\" class=\"frm_primary_label\">\u0edd\u0eb9\u0ec8\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Friend in Japan)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_2y8zm_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_38-0\">\t\t\t<label  for=\"field_2y8zm-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[38]\" id=\"field_2y8zm-0\" value=\"\u0ea1\u0eb5\"\n\t\t data-invmsg=\"\u0edd\u0eb9\u0ec8\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Friend in Japan) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0ea1\u0eb5<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_38-1\">\t\t\t<label  for=\"field_2y8zm-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[38]\" id=\"field_2y8zm-1\" value=\"\u0e9a\u0ecd\u0ec8\u0ea1\u0eb5\"\n\t\t data-invmsg=\"\u0edd\u0eb9\u0ec8\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Friend in Japan) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0e9a\u0ecd\u0ec8\u0ea1\u0eb5<\/div><\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_40_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_two_col\">\r\n    <div  id=\"field_3jsz1_label\" class=\"frm_primary_label\">\u0e9c\u0ec8\u0eb2\u0e99\u0ea1\u0eb2\u0ec0\u0e84\u0eb5\u0e8d\u0ec4\u0e9b\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Past entry into\/stay in Japan)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_3jsz1_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_40-0\">\t\t\t<label  for=\"field_3jsz1-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[40]\" id=\"field_3jsz1-0\" value=\"\u0ec0\u0e84\u0eb5\u0e8d\"\n\t\t data-invmsg=\"\u0e9c\u0ec8\u0eb2\u0e99\u0ea1\u0eb2\u0ec0\u0e84\u0eb5\u0e8d\u0ec4\u0e9b\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Past entry into\/stay in Japan) is invalid\"   \/> \u0ec0\u0e84\u0eb5\u0e8d<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_40-1\">\t\t\t<label  for=\"field_3jsz1-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[40]\" id=\"field_3jsz1-1\" value=\"\u0e9a\u0ecd\u0ec8\u0ec0\u0e84\u0eb5\u0e8d\"\n\t\t data-invmsg=\"\u0e9c\u0ec8\u0eb2\u0e99\u0ea1\u0eb2\u0ec0\u0e84\u0eb5\u0e8d\u0ec4\u0e9b\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Past entry into\/stay in Japan) is invalid\"   \/> \u0e9a\u0ecd\u0ec8\u0ec0\u0e84\u0eb5\u0e8d<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field frm_section_heading form-field  frm4 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0e8a\u0eb7\u0ec8\u0e8d\u0eb2\u0e94\u0e9e\u0eb5\u0ec8\u0e99\u0ec9\u0ead\u0e87\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Name of Family in Japan)<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[19][form]\" value=\"3\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_19-0\" class=\"frm_repeat_sec frm_repeat_19 frm_first_repeat frm_grid_container\" data-column-count=\"3\" data-link-format=\"both\">\n<input type=\"hidden\" name=\"item_meta[19][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[19][0][0]\" value=\"\" \/><div id=\"frm_field_21-19-0_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first frm_field_21_container\">\r\n    <label for=\"field_gilka-0\" id=\"field_gilka-0_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8\u0e9e\u0eb5\u0ec8\u0e99\u0ec9\u0ead\u0e87\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_gilka-0\" name=\"item_meta[19][0][21]\" value=\"\"  data-sectionid=\"19\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_22-19-0_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_field_22_container\">\r\n    <label for=\"field_gsxv1-0\" id=\"field_gsxv1-0_label\" class=\"frm_primary_label\">\u0eaa\u0eb2\u0e8d\u0eaa\u0eb3\u0e9e\u0eb1\u0e99\u0ec0\u0e9b\u0eb1\u0e99\u0eab\u0e8d\u0eb1\u0e87\u0e81\u0eb1\u0e99\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_gsxv1-0\" name=\"item_meta[19][0][22]\" value=\"\"  data-sectionid=\"19\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"19\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"19\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_36_container\" class=\"frm_form_field frm_section_heading form-field  frm4\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0e8a\u0eb7\u0ec8 \u0ec1\u0ea5\u0eb0 \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99\u0edd\u0eb9\u0ec8 (Friend's First and Last name)<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[36][form]\" value=\"5\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_36-0\" class=\"frm_repeat_sec frm_repeat_36 frm_first_repeat frm_grid_container\" data-column-count=\"2\" data-link-format=\"both\">\n<input type=\"hidden\" name=\"item_meta[36][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[36][0][0]\" value=\"\" \/><div id=\"frm_field_34-36-0_container\" class=\"frm_form_field form-field  frm_top_container frm_field_34_container\">\r\n    <label for=\"field_kndri-0\" id=\"field_kndri-0_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8 \u0ec1\u0ea5\u0eb0 \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99\u0edd\u0eb9\u0ec8 (Friend's First and Last name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_kndri-0\" name=\"item_meta[36][0][34]\" value=\"\"  data-sectionid=\"36\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"36\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"36\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field frm_section_heading form-field  frm4\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0ea7\u0eb1\u0e99\u0e97\u0eb5\u0ec0\u0e84\u0eb5\u0e8d\u0ec4\u0e9b<\/h3>\r\n\r\n\r\n<div id=\"frm_field_43_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_y7dor\" id=\"field_y7dor_label\" class=\"frm_primary_label\">\u0ec4\u0e9b\u0ea7\u0eb1\u0e99\u0e97\u0eb5\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_y7dor\" name=\"item_meta[43]\" value=\"\"  data-sectionid=\"41\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_44_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_6v3xz\" id=\"field_6v3xz_label\" class=\"frm_primary_label\">\u0eab\u0eb2\u0ea7\u0eb1\u0e99\u0e97\u0eb5\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6v3xz\" name=\"item_meta[44]\" value=\"\"  data-sectionid=\"41\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_47_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_qbyh7\" id=\"field_qbyh7_label\" class=\"frm_primary_label\">\u0ec0\u0ea5\u0e81\u0e9a\u0eb1\u0e94\u0e9b\u0eb0\u0e88\u0eb3\u0e95\u0ebb\u0ea7 (ID Card No.)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_qbyh7\" name=\"item_meta[47]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_48_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_i78ls\" id=\"field_i78ls_label\" class=\"frm_primary_label\">\u0ec0\u0ea5\u0e81\u0edc\u0eb1\u0e87\u0eaa\u0eb7\u0ec0\u0e94\u0eb5\u0e99\u0e97\u0eb2\u0e87 (Passport No.)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_i78ls\" name=\"item_meta[48]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_49_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0e97\u0eb5\u0ec8\u0ea2\u0eb9\u0ec8\u0e9b\u0eb1\u0e94\u0e88\u0eb8\u0e9a\u0eb1\u0e99 (Home Address)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_51_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_npmwo\" id=\"field_npmwo_label\" class=\"frm_primary_label\">\u0e9a\u0ec9\u0eb2\u0e99\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_npmwo\" name=\"item_meta[51]\" value=\"\"  data-sectionid=\"49\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_52_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_58mc5\" id=\"field_58mc5_label\" class=\"frm_primary_label\">\u0ec0\u0ea1\u0eb7\u0ead\u0e87\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_58mc5\" name=\"item_meta[52]\" value=\"\"  data-sectionid=\"49\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_53_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_iopmb\" id=\"field_iopmb_label\" class=\"frm_primary_label\">\u0ec1\u0e82\u0ea7\u0e87\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_iopmb\" name=\"item_meta[53]\" value=\"\"  data-sectionid=\"49\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_54_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0ec4\u0ea5\u0e8d\u0eb0\u0e81\u0eb2\u0e99\u0ec0\u0e82\u0ebb\u0ec9\u0eb2\u0ec2\u0eae\u0e87\u0eae\u0ebd\u0e99 (Education from Junior School)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_56_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_14ria\" id=\"field_14ria_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8\u0ec2\u0eae\u0e87\u0eae\u0ebd\u0e99 \u0e9b\u0eb0\u0e96\u0ebb\u0ea1 (Primary School)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_14ria\" name=\"item_meta[56]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_57_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_22i2s\" id=\"field_22i2s_label\" class=\"frm_primary_label\">\u0e9b\u0eb5\u0ec0\u0ea5\u0eb5\u0ec8\u0ea1\u0eae\u0ebd\u0e99 - \u0e9b\u0eb5\u0e88\u0ebb\u0e9a \u0e9b\u0eb0\u0e96\u0ebb\u0ea1\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_22i2s\" name=\"item_meta[57]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_61_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_zdber\" id=\"field_zdber_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8\u0ec2\u0eae\u0e87\u0eae\u0ebd\u0e99 \u0ea1\u0eb1\u0e94\u0e97\u0eb0\u0e8d\u0ebb\u0ea1\u0e95\u0ebb\u0ec9\u0e99 (Secondary School)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_zdber\" name=\"item_meta[61]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_4i4wq\" id=\"field_4i4wq_label\" class=\"frm_primary_label\">\u0e9b\u0eb5\u0ec0\u0ea5\u0eb5\u0ec8\u0ea1\u0eae\u0ebd\u0e99 - \u0e9b\u0eb5\u0e88\u0ebb\u0e9a \u0ea1\u0eb1\u0e94\u0e97\u0eb0\u0e8d\u0ebb\u0ea1\u0e95\u0ebb\u0ec9\u0e99\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_4i4wq\" name=\"item_meta[62]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_1ubek\" id=\"field_1ubek_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8\u0ec2\u0eae\u0e87\u0eae\u0ebd\u0e99 \u0ea1\u0eb1\u0e94\u0e97\u0eb0\u0e8d\u0ebb\u0ea1\u0e9b\u0eb2\u0e8d (HighSchool)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1ubek\" name=\"item_meta[63]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_cz1m4\" id=\"field_cz1m4_label\" class=\"frm_primary_label\">\u0e9b\u0eb5\u0ec0\u0ea5\u0eb5\u0ec8\u0ea1\u0eae\u0ebd\u0e99 - \u0e9b\u0eb5\u0e88\u0ebb\u0e9a \u0ea1\u0eb1\u0e94\u0e97\u0eb0\u0e8d\u0ebb\u0ea1\u0e9b\u0eb2\u0e8d\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_cz1m4\" name=\"item_meta[64]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_69_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_aqc7h\" id=\"field_aqc7h_label\" class=\"frm_primary_label\">\u0ea7\u0ebd\u0e81\u0e9c\u0ec8\u0eb2\u0e99\u0ea1\u0eb2 (Previous Occupation)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_aqc7h\" name=\"item_meta[69]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_70_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_w6ehp\" id=\"field_w6ehp_label\" class=\"frm_primary_label\">\u0e9a\u0ec8\u0ead\u0e99\u0ec0\u0eae\u0eb1\u0e94\u0ea7\u0ebd\u0e81\u0e9c\u0ec8\u0eb2\u0e99\u0ea1\u0eb2 (Previous Occupation Place)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_w6ehp\" name=\"item_meta[70]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_67_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0e81\u0eb2\u0e99\u0ec0\u0eae\u0eb1\u0e94\u0ea7\u0ebd\u0e81 (Occupation)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_71_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm12 frm_first\">\r\n    <label for=\"field_dpozu\" id=\"field_dpozu_label\" class=\"frm_primary_label\">\u0ea7\u0ebd\u0e81\u0e9b\u0eb1\u0e94\u0e88\u0eb8\u0e9a\u0eb1\u0e99 (Current  Occupation)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_dpozu\" name=\"item_meta[71]\" value=\"\"  data-sectionid=\"67\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_72_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm12\">\r\n    <label for=\"field_folez\" id=\"field_folez_label\" class=\"frm_primary_label\">\u0e9a\u0ec8\u0ead\u0e99\u0ec0\u0eae\u0eb1\u0e94\u0ea7\u0ebd\u0e81\u0e9b\u0eb1\u0e94\u0e88\u0eb8\u0e9a\u0eb1\u0e99 (Current Occupation Place)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_folez\" name=\"item_meta[72]\" value=\"\"  data-sectionid=\"67\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_75_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0ea5\u0eb2\u0e8d\u0ea5\u0eb0\u0ead\u0ebd\u0e94\u0e84\u0ead\u0e9a\u0e84\u0ebb\u0ea7 (Family Details)<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[75][form]\" value=\"6\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_75-0\" class=\"frm_repeat_sec frm_repeat_75 frm_first_repeat frm_grid_container\" data-column-count=\"7\" data-link-format=\"both\">\n<input type=\"hidden\" name=\"item_meta[75][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[75][0][0]\" value=\"\" \/><div id=\"frm_field_78-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_field_78_container\">\r\n    <label for=\"field_u99z5-0\" id=\"field_u99z5-0_label\" class=\"frm_primary_label\">\u0eaa\u0eb2\u0e8d\u0eaa\u0eb3\u0e9e\u0eb1\u0e99\u0e84\u0ead\u0e9a\u0e84\u0ebb\u0ea7 (Relationship)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_u99z5-0\" name=\"item_meta[75][0][78]\" value=\"\"  data-sectionid=\"75\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_79-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_field_79_container\">\r\n    <label for=\"field_9uten-0\" id=\"field_9uten-0_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8 (Name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_9uten-0\" name=\"item_meta[75][0][79]\" value=\"\"  data-sectionid=\"75\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_81-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_field_81_container\">\r\n    <label for=\"field_oa6zo-0\" id=\"field_oa6zo-0_label\" class=\"frm_primary_label\">\u0ead\u0eb2\u0e8d\u0eb8 (Age)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_oa6zo-0\" name=\"item_meta[75][0][81]\" value=\"\" data-sectionid=\"75\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_80-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_field_80_container\">\r\n    <label for=\"field_z3tv8-0\" id=\"field_z3tv8-0_label\" class=\"frm_primary_label\">\u0ead\u0eb2\u0e8a\u0eb5\u0e9a (Occupation)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_z3tv8-0\" name=\"item_meta[75][0][80]\" value=\"\"  data-sectionid=\"75\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_82-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_field_82_container\">\r\n    <label for=\"field_ofjtc-0\" id=\"field_ofjtc-0_label\" class=\"frm_primary_label\">\u0e9a\u0ec8\u0ead\u0e99\u0ec0\u0eae\u0eb1\u0e94\u0ea7\u0ebd\u0e81 (Place of employment)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ofjtc-0\" name=\"item_meta[75][0][82]\" value=\"\"  data-sectionid=\"75\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_83-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_field_83_container\">\r\n    <label for=\"field_2emw4-0\" id=\"field_2emw4-0_label\" class=\"frm_primary_label\">\u0ea5\u0eb2\u0e8d\u0ec4\u0e94\u0ec9\/\u0ec0\u0e94\u0eb7\u0ead\u0e99 (Income\/month)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_2emw4-0\" name=\"item_meta[75][0][83]\" value=\"\" data-sectionid=\"75\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"75\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"75\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<input type=\"hidden\" name=\"frm_page_order_2\" id=\"frm_page_order_2\" value=\"90\" \/>\t\t<input  type=\"hidden\" name=\"item_meta[87]\" id=\"field_iqyoj\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[88]\" id=\"field_zv5ve-0\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[102]\" id=\"field_fs0m7\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[90]\" id=\"field_k25q3\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[91]\" id=\"field_3ikja\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[92]\" id=\"field_n4af5\" value=\"\"  data-sectionid=\"91\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[93]\" id=\"field_kxd5u\" value=\"\"  data-sectionid=\"91\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[94]\" id=\"field_ocrya\" value=\"\"  data-sectionid=\"91\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[96]\" id=\"field_je9fi\" value=\"\"  data-sectionid=\"91\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[95]\" id=\"field_464hs\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[97]\" id=\"field_w0knq\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[104]\" id=\"field_6r2ki\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[103]\" id=\"field_fr617\" value=\"\"     \/>\n\t\t<input type=\"hidden\" name=\"item_meta[105]\" id=\"field_v4un8\" value=\"\" data-frmval=\"\"\/>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_116_container\">\n\t\t\t<label for=\"field_89yxg\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_89yxg\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[116]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"EPkCRIZIAiuYr0gVTrj7YjenKe\/h5fcmxONT2b4wY18c6wQAFaXGngOHFUC2oCG\/\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Next<\/button>\r\n\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" data-token=\"ca996a9060947c624db197b2b96e2033\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_traineesapplicationform\" data-token=\"ca996a9060947c624db197b2b96e2033\">\n<div class=\"frm_form_fields  frm_page_num_1\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Trainee's Application Form<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"traineesapplicationform\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"1b3a7a67a8\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/280255\" \/><div id=\"frm_field_39_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<div style=\"background: #e5e5e5; padding: 10px; border-radius: 15px; margin-top: 20px; margin-bottom: 20px;\">\n<h2 style=\"padding-bottom: 0px; text-align: center; line-height: 1.3em;\"><strong>\u0ec3\u0e9a\u0eaa\u0eb0\u0edd\u0eb1\u0e81\u0ec4\u0e9b\u0e9d\u0eb6\u0e81\u0ec0\u0eae\u0eb1\u0e94\u0ea7\u0ebd\u0e81\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb9\u0ec8\u0e99 (Trainee's Application Form)<\/strong><\/h2>\n<\/div>\n<\/div>\n<div id=\"frm_field_6_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_41mgu_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8 & \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (First name & Last name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_41mgu_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\t\u0e8a\u0eb7\u0ec8 &amp; \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (First name &amp; Last name)\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_6\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_6-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_41mgu_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\t\u0e8a\u0eb7\u0ec8 (First name)\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_41mgu_first\" value=\"\" name=\"item_meta[6][first]\" autocomplete=\"given-name\" data-invmsg=\"\u0e8a\u0eb7\u0ec8 &amp; \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (First name &amp; Last name) is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_6_first_desc\">\u0e8a\u0eb7\u0ec8 (First name)<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_6-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_41mgu_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\t\u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (Last name)\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_41mgu_last\" value=\"\" name=\"item_meta[6][last]\" autocomplete=\"family-name\" data-invmsg=\"\u0e8a\u0eb7\u0ec8 &amp; \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (First name &amp; Last name) is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_6_last_desc\">\u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99 (Last name)<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_100_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_5ii4b\" id=\"field_5ii4b_label\" class=\"frm_primary_label\">\u0ec0\u0e9a\u0eb5\u0ec2\u0e97\u0ea5\u0eb0\u0eaa\u0eb1\u0e9a (Phone Number or WhatsApp)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_5ii4b\" name=\"item_meta[100]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_99_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_xs2kv\" id=\"field_xs2kv_label\" class=\"frm_primary_label\">\u0ead\u0eb5\u0ec0\u0ea1\u0ea7 (Email)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_xs2kv\" name=\"item_meta[99]\" value=\"\"  data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_84_container\" class=\"frm_form_field form-field  frm_top_container frm_full\">\r\n    <label for=\"field_vchzr\" id=\"field_vchzr_label\" class=\"frm_primary_label\">\u0eae\u0eb9\u0e9a\u0e95\u0eb4\u0e94\u0e9a\u0eb1\u0e94 (3.5 x 4.5)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"   name=\"item_meta[84]\"  value=\"\" data-frmfile=\"84\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file84_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file84\" id=\"field_vchzr\"\n\t\t\t data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"\u0eae\u0eb9\u0e9a\u0e95\u0eb4\u0e94\u0e9a\u0eb1\u0e94 (3.5 x 4.5). Drop a file here or click to upload. Maximum file size: 104.86MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"\u0eae\u0eb9\u0e9a\u0e95\u0eb4\u0e94\u0e9a\u0eb1\u0e94 (3.5 x 4.5). Choose File. Maximum file size: 104.86MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 104.86MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_two_col\">\r\n    <div  id=\"field_4ia0p_label\" class=\"frm_primary_label\">\u0ec0\u0e9e\u0e94 (Sex)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_4ia0p_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_7-0\">\t\t\t<label  for=\"field_4ia0p-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[7]\" id=\"field_4ia0p-0\" value=\"\u0e8a\u0eb2\u0e8d (Male)\"\n\t\t data-invmsg=\"\u0ec0\u0e9e\u0e94 (Sex) is invalid\"   \/> \u0e8a\u0eb2\u0e8d (Male)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_7-1\">\t\t\t<label  for=\"field_4ia0p-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[7]\" id=\"field_4ia0p-1\" value=\"\u0e8d\u0eb4\u0e87 (Female)\"\n\t\t data-invmsg=\"\u0ec0\u0e9e\u0e94 (Sex) is invalid\"   \/> \u0e8d\u0eb4\u0e87 (Female)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_untgl\" id=\"field_untgl_label\" class=\"frm_primary_label\">\u0ea5\u0ea7\u0e87\u0eaa\u0eb9\u0e87 (Height)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_untgl\" name=\"item_meta[8]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/><span class=\"frm_inline_box\">\u0e8a\u0eb1\u0e87\u0e95\u0eb5 (Cm)<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm4\">\r\n    <label for=\"field_g3oy1\" id=\"field_g3oy1_label\" class=\"frm_primary_label\">\u0e99\u0ecd\u0ec9\u0eb2\u0edc\u0eb1\u0e81 (Weight)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_g3oy1\" name=\"item_meta[9]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/><span class=\"frm_inline_box\">\u0e81\u0eb4\u0ec2\u0ea5\u0e81\u0ea3\u0eb2\u0ea1 (Kg)<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_101_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_avi2n\" id=\"field_avi2n_label\" class=\"frm_primary_label\">\u0ea7\u0eb1\u0e99-\u0ec0\u0e94\u0eb7\u0ead\u0e99-\u0e9b\u0eb5 \u0ec0\u0e81\u0eb5\u0e94 (DOB)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_avi2n\" name=\"item_meta[101]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_syenb\" id=\"field_syenb_label\" class=\"frm_primary_label\">\u0ead\u0eb2\u0e8d\u0eb8 (Age)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_syenb\" name=\"item_meta[12]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_uquux\" id=\"field_uquux_label\" class=\"frm_primary_label\">\u0eaa\u0eb0\u0e96\u0eb2\u0e99\u0e97\u0eb5\u0ec8\u0ec0\u0e81\u0eb5\u0e94 (Place of Birth)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_uquux\" name=\"item_meta[13]\" value=\"\"  placeholder=\"\u0ec1\u0e82\u0ea7\u0e87...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_uquux\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_uquux\">\u0ec1\u0e82\u0ea7\u0e87 (Province)\r\n<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_two_col frm_display_format_buttons frm_text_align_center\">\r\n    <div  id=\"field_268nm_label\" class=\"frm_primary_label\">\u0eaa\u0eb1\u0e81\u0ea5\u0eb2\u0e8d (Tattoo)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_268nm_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_10-0\">\t\t\t<label  for=\"field_268nm-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[10]\" id=\"field_268nm-0\" value=\"\u0eaa\u0eb1\u0e81 (Yes)\"\n\t\t data-invmsg=\"\u0eaa\u0eb1\u0e81\u0ea5\u0eb2\u0e8d (Tattoo) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0eaa\u0eb1\u0e81 (Yes)<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_10-1\">\t\t\t<label  for=\"field_268nm-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[10]\" id=\"field_268nm-1\" value=\"\u0e9a\u0ecd\u0ec8\u0ec4\u0e94\u0ec9\u0eaa\u0eb1\u0e81 (No)\"\n\t\t data-invmsg=\"\u0eaa\u0eb1\u0e81\u0ea5\u0eb2\u0e8d (Tattoo) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0e9a\u0ecd\u0ec8\u0ec4\u0e94\u0ec9\u0eaa\u0eb1\u0e81 (No)<\/div><\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_5z78n\" id=\"field_5z78n_label\" class=\"frm_primary_label\">\u0ec0\u0e9a\u0eb5\u0ec0\u0e81\u0eb5\u0e9a (Foot Size)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_5z78n\" name=\"item_meta[14]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/><span class=\"frm_inline_box\">\u0e8a\u0eb1\u0e87\u0e95\u0eb5 (Cm)<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_two_col frm_display_format_buttons frm_text_align_center\">\r\n    <div  id=\"field_8bf6o_label\" class=\"frm_primary_label\">\u0ec1\u0eae\u0e87\u0ec1\u0e82\u0e99 (Dominant Hand)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_8bf6o_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_15-0\">\t\t\t<label  for=\"field_8bf6o-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_8bf6o-0\" value=\"\u0e8a\u0ec9\u0eb2\u0e8d (Left)\"\n\t\t data-invmsg=\"\u0ec1\u0eae\u0e87\u0ec1\u0e82\u0e99 (Dominant Hand) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0e8a\u0ec9\u0eb2\u0e8d (Left)<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_15-1\">\t\t\t<label  for=\"field_8bf6o-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[15]\" id=\"field_8bf6o-1\" value=\"\u0e82\u0ea7\u0eb2 (Right)\"\n\t\t data-invmsg=\"\u0ec1\u0eae\u0e87\u0ec1\u0e82\u0e99 (Dominant Hand) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0e82\u0ea7\u0eb2 (Right)<\/div><\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_four_col\">\r\n    <div  id=\"field_tr3sc_label\" class=\"frm_primary_label\">\u0e81\u0eb8\u0ec8\u0ea1\u0ec0\u0ea5\u0eb7\u0ead\u0e94 (Blood Group)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_tr3sc_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_16-0\">\t\t\t<label  for=\"field_tr3sc-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_tr3sc-0\" value=\"A\"\n\t\t data-invmsg=\"\u0e81\u0eb8\u0ec8\u0ea1\u0ec0\u0ea5\u0eb7\u0ead\u0e94 (Blood Group) is invalid\"   \/> A<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-1\">\t\t\t<label  for=\"field_tr3sc-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_tr3sc-1\" value=\"B\"\n\t\t data-invmsg=\"\u0e81\u0eb8\u0ec8\u0ea1\u0ec0\u0ea5\u0eb7\u0ead\u0e94 (Blood Group) is invalid\"   \/> B<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-2\">\t\t\t<label  for=\"field_tr3sc-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_tr3sc-2\" value=\"AB\"\n\t\t data-invmsg=\"\u0e81\u0eb8\u0ec8\u0ea1\u0ec0\u0ea5\u0eb7\u0ead\u0e94 (Blood Group) is invalid\"   \/> AB<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-3\">\t\t\t<label  for=\"field_tr3sc-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_tr3sc-3\" value=\"O\"\n\t\t data-invmsg=\"\u0e81\u0eb8\u0ec8\u0ea1\u0ec0\u0ea5\u0eb7\u0ead\u0e94 (Blood Group) is invalid\"   \/> O<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_8eqip\" id=\"field_8eqip_label\" class=\"frm_primary_label\">\u0eaa\u0eb1\u0e99\u0e8a\u0eb2\u0e94 (Nationality)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8eqip\" name=\"item_meta[17]\" value=\"LAO\"  data-frmval=\"LAO\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_45_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_three_col\">\r\n    <div  id=\"field_lgkwx_label\" class=\"frm_primary_label\">\u0eaa\u0eb0\u0e96\u0eb2\u0e99\u0eb0 (Material Status)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_lgkwx_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_45-0\">\t\t\t<label  for=\"field_lgkwx-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[45]\" id=\"field_lgkwx-0\" value=\"\u0ec2\u0eaa\u0e94 (Single)\"\n\t\t data-invmsg=\"\u0eaa\u0eb0\u0e96\u0eb2\u0e99\u0eb0 (Material Status) is invalid\"   \/> \u0ec2\u0eaa\u0e94 (Single)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_45-1\">\t\t\t<label  for=\"field_lgkwx-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[45]\" id=\"field_lgkwx-1\" value=\"\u0ec1\u0e95\u0ec8\u0e87 (Married)\"\n\t\t data-invmsg=\"\u0eaa\u0eb0\u0e96\u0eb2\u0e99\u0eb0 (Material Status) is invalid\"   \/> \u0ec1\u0e95\u0ec8\u0e87 (Married)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_45-2\">\t\t\t<label  for=\"field_lgkwx-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[45]\" id=\"field_lgkwx-2\" value=\"\u0ea2\u0ec8\u0eb2\u0eae\u0ec9\u0eb2\u0e87 (Divorced)\"\n\t\t data-invmsg=\"\u0eaa\u0eb0\u0e96\u0eb2\u0e99\u0eb0 (Material Status) is invalid\"   \/> \u0ea2\u0ec8\u0eb2\u0eae\u0ec9\u0eb2\u0e87 (Divorced)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_46_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_gupsv\" id=\"field_gupsv_label\" class=\"frm_primary_label\">\u0ec0\u0eab\u0e94\u0e9c\u0ebb\u0e99\u0ea2\u0ec8\u0eb2\u0eae\u0ec9\u0eb2\u0e87 (Divorce Reason)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[46]\" id=\"field_gupsv\" rows=\"5\"  data-invmsg=\"Paragraph is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_two_col frm_display_format_buttons frm_text_align_center\">\r\n    <div  id=\"field_bs81q_label\" class=\"frm_primary_label\">\u0e8d\u0eb2\u0e94\u0e9e\u0eb5\u0ec8\u0e99\u0ec9\u0ead\u0e87\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Relative in Japan)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_bs81q_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_18-0\">\t\t\t<label  for=\"field_bs81q-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_bs81q-0\" value=\"\u0ea1\u0eb5\"\n\t\t data-invmsg=\"\u0e8d\u0eb2\u0e94\u0e9e\u0eb5\u0ec8\u0e99\u0ec9\u0ead\u0e87\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Relative in Japan) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0ea1\u0eb5<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-1\">\t\t\t<label  for=\"field_bs81q-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_bs81q-1\" value=\"\u0e9a\u0ecd\u0ec8\u0ea1\u0eb5\"\n\t\t data-invmsg=\"\u0e8d\u0eb2\u0e94\u0e9e\u0eb5\u0ec8\u0e99\u0ec9\u0ead\u0e87\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Relative in Japan) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0e9a\u0ecd\u0ec8\u0ea1\u0eb5<\/div><\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_38_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_two_col frm_display_format_buttons frm_text_align_center\">\r\n    <div  id=\"field_2y8zm_label\" class=\"frm_primary_label\">\u0edd\u0eb9\u0ec8\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Friend in Japan)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_2y8zm_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_38-0\">\t\t\t<label  for=\"field_2y8zm-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[38]\" id=\"field_2y8zm-0\" value=\"\u0ea1\u0eb5\"\n\t\t data-invmsg=\"\u0edd\u0eb9\u0ec8\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Friend in Japan) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0ea1\u0eb5<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_38-1\">\t\t\t<label  for=\"field_2y8zm-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[38]\" id=\"field_2y8zm-1\" value=\"\u0e9a\u0ecd\u0ec8\u0ea1\u0eb5\"\n\t\t data-invmsg=\"\u0edd\u0eb9\u0ec8\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Friend in Japan) is invalid\"   \/> <div class=\"frm_label_button_container\">\u0e9a\u0ecd\u0ec8\u0ea1\u0eb5<\/div><\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_40_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_two_col\">\r\n    <div  id=\"field_3jsz1_label\" class=\"frm_primary_label\">\u0e9c\u0ec8\u0eb2\u0e99\u0ea1\u0eb2\u0ec0\u0e84\u0eb5\u0e8d\u0ec4\u0e9b\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Past entry into\/stay in Japan)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_3jsz1_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_40-0\">\t\t\t<label  for=\"field_3jsz1-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[40]\" id=\"field_3jsz1-0\" value=\"\u0ec0\u0e84\u0eb5\u0e8d\"\n\t\t data-invmsg=\"\u0e9c\u0ec8\u0eb2\u0e99\u0ea1\u0eb2\u0ec0\u0e84\u0eb5\u0e8d\u0ec4\u0e9b\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Past entry into\/stay in Japan) is invalid\"   \/> \u0ec0\u0e84\u0eb5\u0e8d<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_40-1\">\t\t\t<label  for=\"field_3jsz1-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[40]\" id=\"field_3jsz1-1\" value=\"\u0e9a\u0ecd\u0ec8\u0ec0\u0e84\u0eb5\u0e8d\"\n\t\t data-invmsg=\"\u0e9c\u0ec8\u0eb2\u0e99\u0ea1\u0eb2\u0ec0\u0e84\u0eb5\u0e8d\u0ec4\u0e9b\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Past entry into\/stay in Japan) is invalid\"   \/> \u0e9a\u0ecd\u0ec8\u0ec0\u0e84\u0eb5\u0e8d<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field frm_section_heading form-field  frm4 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0e8a\u0eb7\u0ec8\u0e8d\u0eb2\u0e94\u0e9e\u0eb5\u0ec8\u0e99\u0ec9\u0ead\u0e87\u0ea2\u0eb9\u0ec8\u0e8d\u0eb5\u0ec8\u0e9b\u0eb8\u0ec8\u0e99 (Name of Family in Japan)<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[19][form]\" value=\"3\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_19-0\" class=\"frm_repeat_sec frm_repeat_19 frm_first_repeat frm_grid_container\" data-column-count=\"3\" data-link-format=\"both\">\n<input type=\"hidden\" name=\"item_meta[19][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[19][0][0]\" value=\"\" \/><div id=\"frm_field_21-19-0_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first frm_field_21_container\">\r\n    <label for=\"field_gilka-0\" id=\"field_gilka-0_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8\u0e9e\u0eb5\u0ec8\u0e99\u0ec9\u0ead\u0e87\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_gilka-0\" name=\"item_meta[19][0][21]\" value=\"\"  data-sectionid=\"19\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_22-19-0_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_field_22_container\">\r\n    <label for=\"field_gsxv1-0\" id=\"field_gsxv1-0_label\" class=\"frm_primary_label\">\u0eaa\u0eb2\u0e8d\u0eaa\u0eb3\u0e9e\u0eb1\u0e99\u0ec0\u0e9b\u0eb1\u0e99\u0eab\u0e8d\u0eb1\u0e87\u0e81\u0eb1\u0e99\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_gsxv1-0\" name=\"item_meta[19][0][22]\" value=\"\"  data-sectionid=\"19\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"19\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"19\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_36_container\" class=\"frm_form_field frm_section_heading form-field  frm4\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0e8a\u0eb7\u0ec8 \u0ec1\u0ea5\u0eb0 \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99\u0edd\u0eb9\u0ec8 (Friend's First and Last name)<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[36][form]\" value=\"5\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_36-0\" class=\"frm_repeat_sec frm_repeat_36 frm_first_repeat frm_grid_container\" data-column-count=\"2\" data-link-format=\"both\">\n<input type=\"hidden\" name=\"item_meta[36][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[36][0][0]\" value=\"\" \/><div id=\"frm_field_34-36-0_container\" class=\"frm_form_field form-field  frm_top_container frm_field_34_container\">\r\n    <label for=\"field_kndri-0\" id=\"field_kndri-0_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8 \u0ec1\u0ea5\u0eb0 \u0e99\u0eb2\u0ea1\u0eaa\u0eb0\u0e81\u0eb8\u0e99\u0edd\u0eb9\u0ec8 (Friend's First and Last name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_kndri-0\" name=\"item_meta[36][0][34]\" value=\"\"  data-sectionid=\"36\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"36\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"36\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field frm_section_heading form-field  frm4\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0ea7\u0eb1\u0e99\u0e97\u0eb5\u0ec0\u0e84\u0eb5\u0e8d\u0ec4\u0e9b<\/h3>\r\n\r\n\r\n<div id=\"frm_field_43_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_y7dor\" id=\"field_y7dor_label\" class=\"frm_primary_label\">\u0ec4\u0e9b\u0ea7\u0eb1\u0e99\u0e97\u0eb5\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_y7dor\" name=\"item_meta[43]\" value=\"\"  data-sectionid=\"41\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_44_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_6v3xz\" id=\"field_6v3xz_label\" class=\"frm_primary_label\">\u0eab\u0eb2\u0ea7\u0eb1\u0e99\u0e97\u0eb5\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6v3xz\" name=\"item_meta[44]\" value=\"\"  data-sectionid=\"41\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_47_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_qbyh7\" id=\"field_qbyh7_label\" class=\"frm_primary_label\">\u0ec0\u0ea5\u0e81\u0e9a\u0eb1\u0e94\u0e9b\u0eb0\u0e88\u0eb3\u0e95\u0ebb\u0ea7 (ID Card No.)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_qbyh7\" name=\"item_meta[47]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_48_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_i78ls\" id=\"field_i78ls_label\" class=\"frm_primary_label\">\u0ec0\u0ea5\u0e81\u0edc\u0eb1\u0e87\u0eaa\u0eb7\u0ec0\u0e94\u0eb5\u0e99\u0e97\u0eb2\u0e87 (Passport No.)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_i78ls\" name=\"item_meta[48]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_49_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0e97\u0eb5\u0ec8\u0ea2\u0eb9\u0ec8\u0e9b\u0eb1\u0e94\u0e88\u0eb8\u0e9a\u0eb1\u0e99 (Home Address)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_51_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n    <label for=\"field_npmwo\" id=\"field_npmwo_label\" class=\"frm_primary_label\">\u0e9a\u0ec9\u0eb2\u0e99\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_npmwo\" name=\"item_meta[51]\" value=\"\"  data-sectionid=\"49\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_52_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_58mc5\" id=\"field_58mc5_label\" class=\"frm_primary_label\">\u0ec0\u0ea1\u0eb7\u0ead\u0e87\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_58mc5\" name=\"item_meta[52]\" value=\"\"  data-sectionid=\"49\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_53_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n    <label for=\"field_iopmb\" id=\"field_iopmb_label\" class=\"frm_primary_label\">\u0ec1\u0e82\u0ea7\u0e87\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_iopmb\" name=\"item_meta[53]\" value=\"\"  data-sectionid=\"49\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_54_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0ec4\u0ea5\u0e8d\u0eb0\u0e81\u0eb2\u0e99\u0ec0\u0e82\u0ebb\u0ec9\u0eb2\u0ec2\u0eae\u0e87\u0eae\u0ebd\u0e99 (Education from Junior School)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_56_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_14ria\" id=\"field_14ria_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8\u0ec2\u0eae\u0e87\u0eae\u0ebd\u0e99 \u0e9b\u0eb0\u0e96\u0ebb\u0ea1 (Primary School)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_14ria\" name=\"item_meta[56]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_57_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_22i2s\" id=\"field_22i2s_label\" class=\"frm_primary_label\">\u0e9b\u0eb5\u0ec0\u0ea5\u0eb5\u0ec8\u0ea1\u0eae\u0ebd\u0e99 - \u0e9b\u0eb5\u0e88\u0ebb\u0e9a \u0e9b\u0eb0\u0e96\u0ebb\u0ea1\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_22i2s\" name=\"item_meta[57]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_61_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_zdber\" id=\"field_zdber_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8\u0ec2\u0eae\u0e87\u0eae\u0ebd\u0e99 \u0ea1\u0eb1\u0e94\u0e97\u0eb0\u0e8d\u0ebb\u0ea1\u0e95\u0ebb\u0ec9\u0e99 (Secondary School)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_zdber\" name=\"item_meta[61]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_4i4wq\" id=\"field_4i4wq_label\" class=\"frm_primary_label\">\u0e9b\u0eb5\u0ec0\u0ea5\u0eb5\u0ec8\u0ea1\u0eae\u0ebd\u0e99 - \u0e9b\u0eb5\u0e88\u0ebb\u0e9a \u0ea1\u0eb1\u0e94\u0e97\u0eb0\u0e8d\u0ebb\u0ea1\u0e95\u0ebb\u0ec9\u0e99\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_4i4wq\" name=\"item_meta[62]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_1ubek\" id=\"field_1ubek_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8\u0ec2\u0eae\u0e87\u0eae\u0ebd\u0e99 \u0ea1\u0eb1\u0e94\u0e97\u0eb0\u0e8d\u0ebb\u0ea1\u0e9b\u0eb2\u0e8d (HighSchool)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1ubek\" name=\"item_meta[63]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_cz1m4\" id=\"field_cz1m4_label\" class=\"frm_primary_label\">\u0e9b\u0eb5\u0ec0\u0ea5\u0eb5\u0ec8\u0ea1\u0eae\u0ebd\u0e99 - \u0e9b\u0eb5\u0e88\u0ebb\u0e9a \u0ea1\u0eb1\u0e94\u0e97\u0eb0\u0e8d\u0ebb\u0ea1\u0e9b\u0eb2\u0e8d\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_cz1m4\" name=\"item_meta[64]\" value=\"\"  data-sectionid=\"54\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_69_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_aqc7h\" id=\"field_aqc7h_label\" class=\"frm_primary_label\">\u0ea7\u0ebd\u0e81\u0e9c\u0ec8\u0eb2\u0e99\u0ea1\u0eb2 (Previous Occupation)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_aqc7h\" name=\"item_meta[69]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_70_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_w6ehp\" id=\"field_w6ehp_label\" class=\"frm_primary_label\">\u0e9a\u0ec8\u0ead\u0e99\u0ec0\u0eae\u0eb1\u0e94\u0ea7\u0ebd\u0e81\u0e9c\u0ec8\u0eb2\u0e99\u0ea1\u0eb2 (Previous Occupation Place)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_w6ehp\" name=\"item_meta[70]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_67_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0e81\u0eb2\u0e99\u0ec0\u0eae\u0eb1\u0e94\u0ea7\u0ebd\u0e81 (Occupation)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_71_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm12 frm_first\">\r\n    <label for=\"field_dpozu\" id=\"field_dpozu_label\" class=\"frm_primary_label\">\u0ea7\u0ebd\u0e81\u0e9b\u0eb1\u0e94\u0e88\u0eb8\u0e9a\u0eb1\u0e99 (Current  Occupation)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_dpozu\" name=\"item_meta[71]\" value=\"\"  data-sectionid=\"67\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_72_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm12\">\r\n    <label for=\"field_folez\" id=\"field_folez_label\" class=\"frm_primary_label\">\u0e9a\u0ec8\u0ead\u0e99\u0ec0\u0eae\u0eb1\u0e94\u0ea7\u0ebd\u0e81\u0e9b\u0eb1\u0e94\u0e88\u0eb8\u0e9a\u0eb1\u0e99 (Current Occupation Place)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_folez\" name=\"item_meta[72]\" value=\"\"  data-sectionid=\"67\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_75_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">\u0ea5\u0eb2\u0e8d\u0ea5\u0eb0\u0ead\u0ebd\u0e94\u0e84\u0ead\u0e9a\u0e84\u0ebb\u0ea7 (Family Details)<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[75][form]\" value=\"6\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_75-0\" class=\"frm_repeat_sec frm_repeat_75 frm_first_repeat frm_grid_container\" data-column-count=\"7\" data-link-format=\"both\">\n<input type=\"hidden\" name=\"item_meta[75][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[75][0][0]\" value=\"\" \/><div id=\"frm_field_78-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_field_78_container\">\r\n    <label for=\"field_u99z5-0\" id=\"field_u99z5-0_label\" class=\"frm_primary_label\">\u0eaa\u0eb2\u0e8d\u0eaa\u0eb3\u0e9e\u0eb1\u0e99\u0e84\u0ead\u0e9a\u0e84\u0ebb\u0ea7 (Relationship)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_u99z5-0\" name=\"item_meta[75][0][78]\" value=\"\"  data-sectionid=\"75\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_79-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_field_79_container\">\r\n    <label for=\"field_9uten-0\" id=\"field_9uten-0_label\" class=\"frm_primary_label\">\u0e8a\u0eb7\u0ec8 (Name)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_9uten-0\" name=\"item_meta[75][0][79]\" value=\"\"  data-sectionid=\"75\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_81-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_field_81_container\">\r\n    <label for=\"field_oa6zo-0\" id=\"field_oa6zo-0_label\" class=\"frm_primary_label\">\u0ead\u0eb2\u0e8d\u0eb8 (Age)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_oa6zo-0\" name=\"item_meta[75][0][81]\" value=\"\" data-sectionid=\"75\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_80-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first frm_field_80_container\">\r\n    <label for=\"field_z3tv8-0\" id=\"field_z3tv8-0_label\" class=\"frm_primary_label\">\u0ead\u0eb2\u0e8a\u0eb5\u0e9a (Occupation)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_z3tv8-0\" name=\"item_meta[75][0][80]\" value=\"\"  data-sectionid=\"75\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_82-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_field_82_container\">\r\n    <label for=\"field_ofjtc-0\" id=\"field_ofjtc-0_label\" class=\"frm_primary_label\">\u0e9a\u0ec8\u0ead\u0e99\u0ec0\u0eae\u0eb1\u0e94\u0ea7\u0ebd\u0e81 (Place of employment)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ofjtc-0\" name=\"item_meta[75][0][82]\" value=\"\"  data-sectionid=\"75\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_83-75-0_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_field_83_container\">\r\n    <label for=\"field_2emw4-0\" id=\"field_2emw4-0_label\" class=\"frm_primary_label\">\u0ea5\u0eb2\u0e8d\u0ec4\u0e94\u0ec9\/\u0ec0\u0e94\u0eb7\u0ead\u0e99 (Income\/month)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_2emw4-0\" name=\"item_meta[75][0][83]\" value=\"\" data-sectionid=\"75\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"75\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"75\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<input type=\"hidden\" name=\"frm_page_order_2\" id=\"frm_page_order_2\" value=\"90\" \/>\t\t<input  type=\"hidden\" name=\"item_meta[87]\" id=\"field_iqyoj\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[88]\" id=\"field_zv5ve-0\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[102]\" id=\"field_fs0m7\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[90]\" id=\"field_k25q3\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[91]\" id=\"field_3ikja\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[92]\" id=\"field_n4af5\" value=\"\"  data-sectionid=\"91\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[93]\" id=\"field_kxd5u\" value=\"\"  data-sectionid=\"91\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[94]\" id=\"field_ocrya\" value=\"\"  data-sectionid=\"91\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[96]\" id=\"field_je9fi\" value=\"\"  data-sectionid=\"91\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[95]\" id=\"field_464hs\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[97]\" id=\"field_w0knq\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[104]\" id=\"field_6r2ki\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[103]\" id=\"field_fr617\" value=\"\"     \/>\n\t\t<input type=\"hidden\" name=\"item_meta[105]\" id=\"field_v4un8\" value=\"\" data-frmval=\"\"\/>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_117_container\">\n\t\t\t<label for=\"field_mj2p6\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_mj2p6\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[117]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"EPkCRIZIAiuYr0gVTrj7YjenKe\/h5fcmxONT2b4wY1+NmiAD60EaPgZS1HJBZYdC\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"   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