{"id":3661,"date":"2026-08-12T07:27:15","date_gmt":"2026-08-12T07:27:15","guid":{"rendered":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/?page_id=3661"},"modified":"2026-08-12T07:28:13","modified_gmt":"2026-08-12T07:28:13","slug":"family-and-business-application","status":"publish","type":"page","link":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/family-and-business-application\/","title":{"rendered":"Family And Business Application"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3661\" class=\"elementor elementor-3661\" data-elementor-post-type=\"page\">\n\t\t\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-d8ec198 e-con-full bg e-flex e-con e-parent\" data-id=\"d8ec198\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_scale_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_scale_direction&quot;:&quot;in-out&quot;,&quot;background_motion_fx_scale_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:2,&quot;sizes&quot;:[]},&quot;background_motion_fx_scale_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:20,&quot;end&quot;:80}},&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d0bea0c elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"d0bea0c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Business Application\n<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-8867444 e-con-full e-flex e-con e-parent\" data-id=\"8867444\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-15e5142 e-con-full e-flex e-con e-child\" data-id=\"15e5142\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-420ca55 eael-gravity-form-button-custom elementor-widget elementor-widget-eael-gravity-form\" data-id=\"420ca55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"eael-contact-form eael-gravity-form placeholder-hide eael-contact-form-align-default\">\n\t\t        <script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_10' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_10'  action='\/Ethiopian-Association\/wp-json\/wp\/v2\/pages\/3661' data-formid='10' novalidate><input name=\"geolocation_submitter_location\" id=\"geolocation_submitter_location\" type=\"hidden\" data-js=\"geolocation_submitter_location\" value=\"\" \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_10_9\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Family Section\n<\/div><div id=\"field_10_129\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Husband Information<\/div><div id=\"field_10_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_1'><span class='gform-field-label__text'>Full Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_10_1' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_29'><span class='gform-field-label__text'>Residential Address<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_10_29' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_12\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_12'><span class='gform-field-label__text'>Date Of Birth<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_10_12'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_12'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_10_12' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_10_12' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_10_12' aria-label='Date Of Birth: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_10_65\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_65'><span class='gform-field-label__text'>Date Of Marriage<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_10_65'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_65'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_10_65' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_10_65' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_10_65' aria-label='Date Of Marriage: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_10_66\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_66'><span class='gform-field-label__text'>Age<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_10_66' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Marriage Status<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_68'>\n\t\t\t<div class='gchoice gchoice_10_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Civil Marriages'  id='choice_10_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_68_0' id='label_10_68_0' class='gform-field-label gform-field-label--type-inline'>Civil Marriages<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Customary Marriages'  id='choice_10_68_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_68_1' id='label_10_68_1' class='gform-field-label gform-field-label--type-inline'>Customary Marriages<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_68_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Civil Unions'  id='choice_10_68_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_68_2' id='label_10_68_2' class='gform-field-label gform-field-label--type-inline'>Civil Unions<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_6'><span class='gform-field-label__text'>Cell Number<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_10_6' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_10_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_7'><span class='gform-field-label__text'>Whatsapp Number<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_10_7' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_10_11\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_11'><span class='gform-field-label__text'>Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_11' id='input_10_11' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_10_63\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_63'><span class='gform-field-label__text'>Occupation<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_63' id='input_10_63' class='large gfield_select'     aria-invalid=\"false\" ><option value='Employed' >Employed<\/option><option value='Self Employed' >Self Employed<\/option><option value='Business Owner' >Business Owner<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_10_64\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_64'><span class='gform-field-label__text'>Other<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_10_64' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_81\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Status In SouthAfrica<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_81'><div class='gchoice gchoice_10_81_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.1' type='checkbox'  value='Citizen And Citizenship'  id='choice_10_81_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_81_1' id='label_10_81_1' class='gform-field-label gform-field-label--type-inline'>Citizen And Citizenship<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_81_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.2' type='checkbox'  value='Permanent Resident Non-Citizen'  id='choice_10_81_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_81_2' id='label_10_81_2' class='gform-field-label gform-field-label--type-inline'>Permanent Resident Non-Citizen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_81_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.3' type='checkbox'  value='Refuge States'  id='choice_10_81_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_81_3' id='label_10_81_3' class='gform-field-label gform-field-label--type-inline'>Refuge States<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_81_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.4' type='checkbox'  value='Asylum Seeker'  id='choice_10_81_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_81_4' id='label_10_81_4' class='gform-field-label gform-field-label--type-inline'>Asylum Seeker<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_81_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.5' type='checkbox'  value='Other'  id='choice_10_81_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_81_5' id='label_10_81_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_19'><span class='gform-field-label__text'>ID Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_10_19' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_82\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_82'><span class='gform-field-label__text'>Passport Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_10_82' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_83\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_83'><span class='gform-field-label__text'>Refuge States<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_10_83' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_85\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_85'><span class='gform-field-label__text'>Asylum Seeker Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_10_85' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_86\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_86'><span class='gform-field-label__text'>Other<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_10_86' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_13\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_13'><span class='gform-field-label__text'>ID Document<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_13' id='input_10_13' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_13\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_13'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_13'><\/div> <\/div><\/div><div id=\"field_10_31\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_31'><span class='gform-field-label__text'>Marriage Certificate<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_31' id='input_10_31' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_31\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_31'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_31'><\/div> <\/div><\/div><div id=\"field_10_30\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_30'><span class='gform-field-label__text'>Proof of Residence<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_30' id='input_10_30' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_30\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_30'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_30'><\/div> <\/div><\/div><div id=\"field_10_69\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_69'><span class='gform-field-label__text'>Image Of Self<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_69' id='input_10_69' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_69\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_69'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_69'><\/div> <\/div><\/div><div id=\"field_10_14\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_14'><span class='gform-field-label__text'>Signature<\/span><\/label><input type='hidden' value='' name='input_14' id='input_10_14_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_10_14_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_10_14' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_10_14_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_10_14_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_10_14_data' name='input_10_14_data' value=''><\/div><\/div><div id=\"field_10_10\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Wife Information<\/div><div id=\"field_10_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_4'><span class='gform-field-label__text'>First Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_10_4' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_5'><span class='gform-field-label__text'>Last Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_10_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_20'><span class='gform-field-label__text'>ID Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_10_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_21\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_21'><span class='gform-field-label__text'>Birth Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_10_21'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_21'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_10_21' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_10_21' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_10_21' aria-label='Birth Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_10_27\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_27'><span class='gform-field-label__text'>ID Document<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_27' id='input_10_27' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_27\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_27'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_27'><\/div> <\/div><\/div><div id=\"field_10_70\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_70'><span class='gform-field-label__text'>Image Of Self<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_70' id='input_10_70' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_70\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_70'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_70'><\/div> <\/div><\/div><div id=\"field_10_131\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_131'><span class='gform-field-label__text'>Wife Signature<\/span><\/label><input type='hidden' value='' name='input_131' id='input_10_131_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_10_131_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_10_131' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_10_131_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_10_131_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_10_131_data' name='input_10_131_data' value=''><\/div><\/div><div id=\"field_10_22\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Child Information<\/div><div id=\"field_10_33\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_33'><span class='gform-field-label__text'>Number of Children<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_10_33' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Number of Children<\/option><option value='One' >One<\/option><option value='Two' >Two<\/option><option value='Three' >Three<\/option><option value='Four' >Four<\/option><option value='Five' >Five<\/option><\/select><\/div><\/div><div id=\"field_10_36\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >First Child<\/div><div id=\"field_10_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_23'><span class='gform-field-label__text'>First Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_10_23' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_24'><span class='gform-field-label__text'>Last Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_10_24' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_87\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_87'><span class='gform-field-label__text'>Residential Address<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_10_87' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_25'><span class='gform-field-label__text'>ID Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_10_25' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_78\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Gender<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_78'>\n\t\t\t<div class='gchoice gchoice_10_78_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='Male'  id='choice_10_78_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_78_0' id='label_10_78_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_78_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='Female'  id='choice_10_78_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_78_1' id='label_10_78_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_26\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_26'><span class='gform-field-label__text'>Birth Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_10_26'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_26'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_10_26' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_10_26' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_10_26' aria-label='Birth Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_10_28\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_28'><span class='gform-field-label__text'>Birth Certificate<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_28' id='input_10_28' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_28\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_28'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_28'><\/div> <\/div><\/div><div id=\"field_10_32\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_32'><span class='gform-field-label__text'>Photo of Child<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_32' id='input_10_32' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_32\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_32'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_32'><\/div> <\/div><\/div><div id=\"field_10_37\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Second Child<\/div><div id=\"field_10_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_38'><span class='gform-field-label__text'>First Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_10_38' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_39\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_39'><span class='gform-field-label__text'>Last Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_10_39' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_88'><span class='gform-field-label__text'>Residential Address<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_10_88' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_40\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_40'><span class='gform-field-label__text'>ID Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_10_40' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_80\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Gender<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_80'>\n\t\t\t<div class='gchoice gchoice_10_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Male'  id='choice_10_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_80_0' id='label_10_80_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Female'  id='choice_10_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_80_1' id='label_10_80_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_41\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_41'><span class='gform-field-label__text'>Birth Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_10_41'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_41'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_10_41' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_10_41' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_10_41' aria-label='Birth Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_10_42\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_42'><span class='gform-field-label__text'>Birth Certificate<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_42' id='input_10_42' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_42\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_42'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_42'><\/div> <\/div><\/div><div id=\"field_10_43\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_43'><span class='gform-field-label__text'>Photo of Child<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_43' id='input_10_43' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_43\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_43'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_43'><\/div> <\/div><\/div><div id=\"field_10_34\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Third Child<\/div><div id=\"field_10_44\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_44'><span class='gform-field-label__text'>First Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_10_44' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_45'><span class='gform-field-label__text'>Last Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_10_45' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_89\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_89'><span class='gform-field-label__text'>Residential Address<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_10_89' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_46\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_46'><span class='gform-field-label__text'>ID Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_10_46' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_79\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Gender<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_79'>\n\t\t\t<div class='gchoice gchoice_10_79_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Male'  id='choice_10_79_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_79_0' id='label_10_79_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_79_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Female'  id='choice_10_79_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_79_1' id='label_10_79_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_47\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_47'><span class='gform-field-label__text'>Birth Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_10_47'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_47'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_10_47' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_10_47' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_10_47' aria-label='Birth Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_10_48\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_48'><span class='gform-field-label__text'>Birth Certificate<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_48' id='input_10_48' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_48\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_48'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_48'><\/div> <\/div><\/div><div id=\"field_10_49\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_49'><span class='gform-field-label__text'>Photo of Child<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_49' id='input_10_49' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_49\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_49'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_49'><\/div> <\/div><\/div><div id=\"field_10_35\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Fourth Child<\/div><div id=\"field_10_50\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_50'><span class='gform-field-label__text'>First Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_10_50' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_51'><span class='gform-field-label__text'>Last Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_10_51' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_90\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_90'><span class='gform-field-label__text'>Residential Address<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_10_90' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_52'><span class='gform-field-label__text'>ID Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_10_52' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_76\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Gender<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_76'>\n\t\t\t<div class='gchoice gchoice_10_76_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='Male'  id='choice_10_76_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_76_0' id='label_10_76_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_76_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='Female'  id='choice_10_76_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_76_1' id='label_10_76_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_53\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_53'><span class='gform-field-label__text'>Birth Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_10_53'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_53'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_10_53' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_10_53' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_10_53' aria-label='Birth Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_10_54\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_54'><span class='gform-field-label__text'>Birth Certificate<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_54' id='input_10_54' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_54\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_54'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_54'><\/div> <\/div><\/div><div id=\"field_10_55\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_55'><span class='gform-field-label__text'>Photo of Child<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_55' id='input_10_55' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_55\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_55'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_55'><\/div> <\/div><\/div><div id=\"field_10_56\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Fifth Child<\/div><div id=\"field_10_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_57'><span class='gform-field-label__text'>First Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_10_57' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_58\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_58'><span class='gform-field-label__text'>Last Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_10_58' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_91\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_91'><span class='gform-field-label__text'>Residential Address<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_10_91' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_59\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_59'><span class='gform-field-label__text'>ID Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_10_59' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Gender<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_77'>\n\t\t\t<div class='gchoice gchoice_10_77_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='Male'  id='choice_10_77_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_77_0' id='label_10_77_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_77_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='Female'  id='choice_10_77_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_77_1' id='label_10_77_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_60\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_60'><span class='gform-field-label__text'>Birth Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_10_60'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_60'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_10_60' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_10_60' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_10_60' aria-label='Birth Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_10_61\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_61'><span class='gform-field-label__text'>Birth Certificate<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_61' id='input_10_61' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_61\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_61'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_61'><\/div> <\/div><\/div><div id=\"field_10_62\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_62'><span class='gform-field-label__text'>Photo of Child<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_62' id='input_10_62' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_62\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_62'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_62'><\/div> <\/div><\/div><div id=\"field_10_71\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Next Of Kin Information<\/div><div id=\"field_10_72\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_72'><span class='gform-field-label__text'>Full Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_10_72' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_74\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_74'><span class='gform-field-label__text'>Cell Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_10_74' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_75\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_75'><span class='gform-field-label__text'>Whatsapp Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_10_75' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_92\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Business Information<\/div><div id=\"field_10_93\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_93'><span class='gform-field-label__text'>Business Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_10_93' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_94\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_94'><span class='gform-field-label__text'>Business Registration Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_10_94' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_95\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_95'><span class='gform-field-label__text'>Director<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_10_95' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_96\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_96'><span class='gform-field-label__text'>Shareholder<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_10_96' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_97\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_97'><span class='gform-field-label__text'>Employment<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_97' id='input_10_97' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_98\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_98'><span class='gform-field-label__text'>Trading As<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_10_98' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_99\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_99'><span class='gform-field-label__text'>Number of Employees<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_10_99' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_100\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_100'><span class='gform-field-label__text'>Type Of Business<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_100' id='input_10_100' class='large gfield_select'     aria-invalid=\"false\" ><option value='Informal Business' >Informal Business<\/option><option value='Distribution' >Distribution<\/option><option value='Wholesaler' >Wholesaler<\/option><option value='Liquor' >Liquor<\/option><option value='Fashion' >Fashion<\/option><option value='Retail Traditional' >Retail Traditional<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_10_101\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_101'><span class='gform-field-label__text'>Other<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_101' id='input_10_101' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_102\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_102'><span class='gform-field-label__text'>Business Cell Number<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_102' id='input_10_102' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_10_103\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_103'><span class='gform-field-label__text'>Business Whatsapp Number<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_103' id='input_10_103' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_10_104\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><link rel=\"stylesheet\" href=\"https:\/\/unpkg.com\/leaflet@1.9.4\/dist\/leaflet.css\" \/>\n<script src=\"https:\/\/unpkg.com\/leaflet@1.9.4\/dist\/leaflet.js\"><\/script>\n\n<div id=\"gf_custom_map\" style=\"height: 350px; width: 100%; border-radius: 6px; z-index: 1;\"><\/div>\n\n<script>\ndocument.addEventListener(\"DOMContentLoaded\", function() {\n    var defaultLat = -28.4793; \n    var defaultLng = 24.6727; \n\n    var map = L.map('gf_custom_map').setView([defaultLat, defaultLng], 5);\n    \n    L.tileLayer('https:\/\/tile.openstreetmap.org\/{z}\/{x}\/{y}.png', {\n        maxZoom: 19,\n        attribution: '&copy; OpenStreetMap'\n    }).addTo(map);\n\n    var marker = L.marker([defaultLat, defaultLng], {draggable: true}).addTo(map);\n    \n    var targetInput = document.querySelector('#input_7_105'); \n\n    function writeCoords(lat, lng) {\n        if(targetInput) {\n            targetInput.value = lat.toFixed(6) + ', ' + lng.toFixed(6);\n            targetInput.dispatchEvent(new Event('change'));\n        }\n    }\n\n    writeCoords(defaultLat, defaultLng);\n\n    map.locate({setView: true, maxZoom: 16});\n\n    map.on('locationfound', function(e) {\n        marker.setLatLng(e.latlng);\n        writeCoords(e.latlng.lat, e.latlng.lng);\n    });\n\n    map.on('locationerror', function(e) {\n        console.log(\"Location access denied or unavailable. Using default South Africa view.\");\n    });\n\n    marker.on('dragend', function() {\n        var pos = marker.getLatLng();\n        writeCoords(pos.lat, pos.lng);\n    });\n\n    map.on('click', function(e) {\n        marker.setLatLng(e.latlng);\n        writeCoords(e.latlng.lat, e.latlng.lng);\n    });\n});\n<\/script><\/div><div id=\"field_10_105\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gf_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><label class='gfield_label gform-field-label' for='input_10_105'><span class='gform-field-label__text'>Captured Coordinates<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_10_105' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_106\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_106'><span class='gform-field-label__text'>Business Address<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_106' id='input_10_106' type='text' value='' class='large'    placeholder='Business Address'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_107\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_107'><span class='gform-field-label__text'>Total Value of Stock<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_107' id='input_10_107' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Amount of Stock<\/option><option value='R0 - R10 000' >R0 - R10 000<\/option><option value='R10 000 - R50 000' >R10 000 - R50 000<\/option><option value='R50 000 - R100 000' >R50 000 - R100 000<\/option><option value='R100 000 - R500 000' >R100 000 - R500 000<\/option><option value='R500 000 - R1 000 000' >R500 000 - R1 000 000<\/option><option value='R1 000 000 - R5 000 000' >R1 000 000 - R5 000 000<\/option><\/select><\/div><\/div><fieldset id=\"field_10_108\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Compliances With Government<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_108'>\n\t\t\t<div class='gchoice gchoice_10_108_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='Yes'  id='choice_10_108_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_108_0' id='label_10_108_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_108_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='No'  id='choice_10_108_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_108_1' id='label_10_108_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_109\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Tyme Planning<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_109'>\n\t\t\t<div class='gchoice gchoice_10_109_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='Yes'  id='choice_10_109_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_109_0' id='label_10_109_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_109_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='No'  id='choice_10_109_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_109_1' id='label_10_109_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_110\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>AMS<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_110'>\n\t\t\t<div class='gchoice gchoice_10_110_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='Yes'  id='choice_10_110_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_110_0' id='label_10_110_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_110_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='No'  id='choice_10_110_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_110_1' id='label_10_110_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_111\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Economic Development<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_111'>\n\t\t\t<div class='gchoice gchoice_10_111_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_111' type='radio' value='Yes'  id='choice_10_111_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_111_0' id='label_10_111_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_111_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_111' type='radio' value='No'  id='choice_10_111_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_111_1' id='label_10_111_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_112\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Small Business Development<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_112'>\n\t\t\t<div class='gchoice gchoice_10_112_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_112' type='radio' value='Yes'  id='choice_10_112_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_112_0' id='label_10_112_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_112_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_112' type='radio' value='No'  id='choice_10_112_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_112_1' id='label_10_112_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_113\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Section 22 Permit<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_113'>\n\t\t\t<div class='gchoice gchoice_10_113_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_113' type='radio' value='Yes'  id='choice_10_113_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_113_0' id='label_10_113_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_113_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_113' type='radio' value='No'  id='choice_10_113_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_113_1' id='label_10_113_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_114\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Zoning Permit<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_114'>\n\t\t\t<div class='gchoice gchoice_10_114_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_114' type='radio' value='Yes'  id='choice_10_114_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_114_0' id='label_10_114_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_114_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_114' type='radio' value='No'  id='choice_10_114_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_114_1' id='label_10_114_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_115\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>EMS (Fire Certificate)<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_115'>\n\t\t\t<div class='gchoice gchoice_10_115_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_115' type='radio' value='Yes'  id='choice_10_115_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_115_0' id='label_10_115_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_115_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_115' type='radio' value='No'  id='choice_10_115_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_115_1' id='label_10_115_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_116\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Building Plans<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_116'>\n\t\t\t<div class='gchoice gchoice_10_116_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Yes'  id='choice_10_116_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_116_0' id='label_10_116_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_116_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='No'  id='choice_10_116_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_116_1' id='label_10_116_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_117\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Health Certificate<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_117'>\n\t\t\t<div class='gchoice gchoice_10_117_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_117' type='radio' value='Yes'  id='choice_10_117_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_117_0' id='label_10_117_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_117_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_117' type='radio' value='No'  id='choice_10_117_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_117_1' id='label_10_117_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_118\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Company Registration<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_118'>\n\t\t\t<div class='gchoice gchoice_10_118_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_118' type='radio' value='Yes'  id='choice_10_118_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_118_0' id='label_10_118_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_118_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_118' type='radio' value='No'  id='choice_10_118_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_118_1' id='label_10_118_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_119\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Tax No<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_119'>\n\t\t\t<div class='gchoice gchoice_10_119_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='Yes'  id='choice_10_119_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_119_0' id='label_10_119_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_119_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='No'  id='choice_10_119_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_119_1' id='label_10_119_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_120\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Business Permit From Municipality<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_120'>\n\t\t\t<div class='gchoice gchoice_10_120_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_120' type='radio' value='Yes'  id='choice_10_120_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_120_0' id='label_10_120_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_120_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_120' type='radio' value='No'  id='choice_10_120_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_120_1' id='label_10_120_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_121\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Certificate Of Acceptability<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_121'>\n\t\t\t<div class='gchoice gchoice_10_121_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_121' type='radio' value='Yes'  id='choice_10_121_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_121_0' id='label_10_121_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_121_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_121' type='radio' value='No'  id='choice_10_121_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_121_1' id='label_10_121_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_122\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_122'><span class='gform-field-label__text'>Company Documentation<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_122' id='input_10_122' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_122\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_122'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_122'><\/div> <\/div><\/div><div id=\"field_10_123\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_123'><span class='gform-field-label__text'>ID Documentation<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_123' id='input_10_123' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_123\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_123'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_123'><\/div> <\/div><\/div><div id=\"field_10_124\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_124'><span class='gform-field-label__text'>Picture of Shop<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_124' id='input_10_124' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_124\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_124'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_124'><\/div> <\/div><\/div><div id=\"field_10_125\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_125'><span class='gform-field-label__text'>Video Of Shop<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_125' id='input_10_125' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_125\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_125'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_125'><\/div> <\/div><\/div><div id=\"field_10_126\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_126'><span class='gform-field-label__text'>Picture Of Stock<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_126' id='input_10_126' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_126\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_126'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_126'><\/div> <\/div><\/div><div id=\"field_10_127\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_127'><span class='gform-field-label__text'>Video of Stock (No Interuptions)<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_127' id='input_10_127' type='file' class='large' aria-describedby=\"gfield_upload_rules_10_127\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_127'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_10_127'><\/div> <\/div><\/div><fieldset id=\"field_10_130\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Interested Services<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_130'><div class='gchoice gchoice_10_130_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.4' type='checkbox'  value='Company registration'  id='choice_10_130_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_1' id='label_10_130_1' class='gform-field-label gform-field-label--type-inline'>Company registration<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.5' type='checkbox'  value='Business cover of up to R700,000'  id='choice_10_130_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_2' id='label_10_130_2' class='gform-field-label gform-field-label--type-inline'>Business cover of up to R700,000<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.6' type='checkbox'  value='Assistance with opening business bank accounts'  id='choice_10_130_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_3' id='label_10_130_3' class='gform-field-label gform-field-label--type-inline'>Assistance with opening business bank accounts<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.7' type='checkbox'  value='Business Funding'  id='choice_10_130_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_4' id='label_10_130_4' class='gform-field-label gform-field-label--type-inline'>Business Funding<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.8' type='checkbox'  value='Micro loans'  id='choice_10_130_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_5' id='label_10_130_5' class='gform-field-label gform-field-label--type-inline'>Micro loans<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.9' type='checkbox'  value='Asset finance'  id='choice_10_130_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_6' id='label_10_130_6' class='gform-field-label gform-field-label--type-inline'>Asset finance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.11' type='checkbox'  value='Certificate of Acceptability'  id='choice_10_130_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_7' id='label_10_130_7' class='gform-field-label gform-field-label--type-inline'>Certificate of Acceptability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.12' type='checkbox'  value='Town planning'  id='choice_10_130_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_8' id='label_10_130_8' class='gform-field-label gform-field-label--type-inline'>Town planning<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.13' type='checkbox'  value='Zoning certificate'  id='choice_10_130_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_9' id='label_10_130_9' class='gform-field-label gform-field-label--type-inline'>Zoning certificate<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.14' type='checkbox'  value='Permit from the Department of Economic Development'  id='choice_10_130_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_11' id='label_10_130_11' class='gform-field-label gform-field-label--type-inline'>Permit from the Department of Economic Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.15' type='checkbox'  value='Fire and Safety Certificate'  id='choice_10_130_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_12' id='label_10_130_12' class='gform-field-label gform-field-label--type-inline'>Fire and Safety Certificate<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.16' type='checkbox'  value='Tax number (Tax No.) setup'  id='choice_10_130_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_13' id='label_10_130_13' class='gform-field-label gform-field-label--type-inline'>Tax number (Tax No.) setup<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.17' type='checkbox'  value='Labour law compliance'  id='choice_10_130_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_14' id='label_10_130_14' class='gform-field-label gform-field-label--type-inline'>Labour law compliance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.18' type='checkbox'  value='South African ID applications for Ethiopian children born in South Africa'  id='choice_10_130_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_15' id='label_10_130_15' class='gform-field-label gform-field-label--type-inline'>South African ID applications for Ethiopian children born in South Africa<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.19' type='checkbox'  value='University funding for children who pass Matric'  id='choice_10_130_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_16' id='label_10_130_16' class='gform-field-label gform-field-label--type-inline'>University funding for children who pass Matric<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.21' type='checkbox'  value='R120 000 Funeral cover'  id='choice_10_130_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_17' id='label_10_130_17' class='gform-field-label gform-field-label--type-inline'>R120 000 Funeral cover<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.22' type='checkbox'  value='Renewal and extension of Section 22 (Asylum Seeker Permit) and Section 24 (Refugee Status Permit)'  id='choice_10_130_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_18' id='label_10_130_18' class='gform-field-label gform-field-label--type-inline'>Renewal and extension of Section 22 (Asylum Seeker Permit) and Section 24 (Refugee Status Permit)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.23' type='checkbox'  value='Assistance with obtaining an Asylum Seeker Permit for newcomers'  id='choice_10_130_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_19' id='label_10_130_19' class='gform-field-label gform-field-label--type-inline'>Assistance with obtaining an Asylum Seeker Permit for newcomers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.24' type='checkbox'  value='Resettlement country'  id='choice_10_130_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_21' id='label_10_130_21' class='gform-field-label gform-field-label--type-inline'>Resettlement country<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.25' type='checkbox'  value='Translation services'  id='choice_10_130_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_22' id='label_10_130_22' class='gform-field-label gform-field-label--type-inline'>Translation services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.26' type='checkbox'  value='Assistance with opening personal bank accounts'  id='choice_10_130_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_23' id='label_10_130_23' class='gform-field-label gform-field-label--type-inline'>Assistance with opening personal bank accounts<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.27' type='checkbox'  value='Legal services'  id='choice_10_130_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_24' id='label_10_130_24' class='gform-field-label gform-field-label--type-inline'>Legal services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.28' type='checkbox'  value='R1 million life insurance through Absa'  id='choice_10_130_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_25' id='label_10_130_25' class='gform-field-label gform-field-label--type-inline'>R1 million life insurance through Absa<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.29' type='checkbox'  value='Hospital cover'  id='choice_10_130_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_26' id='label_10_130_26' class='gform-field-label gform-field-label--type-inline'>Hospital cover<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.31' type='checkbox'  value='Cover for flood damage'  id='choice_10_130_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_27' id='label_10_130_27' class='gform-field-label gform-field-label--type-inline'>Cover for flood damage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.32' type='checkbox'  value='Cover for fire damage'  id='choice_10_130_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_28' id='label_10_130_28' class='gform-field-label gform-field-label--type-inline'>Cover for fire damage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_130_29'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_130.33' type='checkbox'  value='Cover for theft'  id='choice_10_130_29'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_130_29' id='label_10_130_29' class='gform-field-label gform-field-label--type-inline'>Cover for theft<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_128\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_128.1' id='input_10_128_1' type='checkbox' value='1'    aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_10_128_1' ><span class='gform-field-label__text'>I agree to the privacy policy.<\/span><\/label><input type='hidden' name='input_128.2' value='I agree to the privacy policy.' class='gform_hidden' \/><input type='hidden' name='input_128.3' value='5' class='gform_hidden' \/><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_10' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_10' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_10' id='gform_theme_10' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_10' id='gform_style_settings_10' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_10' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='10' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='ZAR' value='HDTS6Qt56Lu9CA2na3ymQDiSQBU6WtRQifV7RSb6zXz7GDVHA1UPLCaxjadNlbKdf82TfnOF64k40wp2xOfe6qHelaI+sqbNrm+DU5tkEl+lVLQ=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_10' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_10' id='gform_target_page_number_10' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_10' id='gform_source_page_number_10' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\t\t\t<\/div>\n\n            <script type=\"text\/javascript\">\n                var gf_global = {\"gf_currency_config\":{\"name\":\"South African Rand\",\"symbol_left\":\"R\",\"symbol_right\":\"\",\"symbol_padding\":\"\",\"thousand_separator\":\",\",\"decimal_separator\":\".\",\"decimals\":2,\"code\":\"ZAR\"},\"base_url\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/wp-content\\\/plugins\\\/gravityforms\",\"number_formats\":[],\"version_hash\":\"d0ba550c95c860e65aa30575699e78f0\",\"countries\":{\"AF\":\"Afghanistan\",\"AX\":\"\\u00c5land Islands\",\"AL\":\"Albania\",\"DZ\":\"Algeria\",\"AS\":\"American Samoa\",\"AD\":\"Andorra\",\"AO\":\"Angola\",\"AI\":\"Anguilla\",\"AQ\":\"Antarctica\",\"AG\":\"Antigua and Barbuda\",\"AR\":\"Argentina\",\"AM\":\"Armenia\",\"AW\":\"Aruba\",\"AU\":\"Australia\",\"AT\":\"Austria\",\"AZ\":\"Azerbaijan\",\"BS\":\"Bahamas\",\"BH\":\"Bahrain\",\"BD\":\"Bangladesh\",\"BB\":\"Barbados\",\"BY\":\"Belarus\",\"BE\":\"Belgium\",\"BZ\":\"Belize\",\"BJ\":\"Benin\",\"BM\":\"Bermuda\",\"BT\":\"Bhutan\",\"BO\":\"Bolivia\",\"BQ\":\"Bonaire, Sint Eustatius and Saba\",\"BA\":\"Bosnia and Herzegovina\",\"BW\":\"Botswana\",\"BV\":\"Bouvet Island\",\"BR\":\"Brazil\",\"IO\":\"British Indian Ocean Territory\",\"BN\":\"Brunei Darussalam\",\"BG\":\"Bulgaria\",\"BF\":\"Burkina Faso\",\"BI\":\"Burundi\",\"CV\":\"Cabo Verde\",\"KH\":\"Cambodia\",\"CM\":\"Cameroon\",\"CA\":\"Canada\",\"KY\":\"Cayman Islands\",\"CF\":\"Central African Republic\",\"TD\":\"Chad\",\"CL\":\"Chile\",\"CN\":\"China\",\"CX\":\"Christmas Island\",\"CC\":\"Cocos Islands\",\"CO\":\"Colombia\",\"KM\":\"Comoros\",\"CD\":\"Congo, Democratic Republic of the\",\"CG\":\"Congo\",\"CK\":\"Cook Islands\",\"CR\":\"Costa Rica\",\"CI\":\"C\\u00f4te d'Ivoire\",\"HR\":\"Croatia\",\"CU\":\"Cuba\",\"CW\":\"Cura\\u00e7ao\",\"CY\":\"Cyprus\",\"CZ\":\"Czechia\",\"DK\":\"Denmark\",\"DJ\":\"Djibouti\",\"DM\":\"Dominica\",\"DO\":\"Dominican Republic\",\"EC\":\"Ecuador\",\"EG\":\"Egypt\",\"SV\":\"El Salvador\",\"GQ\":\"Equatorial Guinea\",\"ER\":\"Eritrea\",\"EE\":\"Estonia\",\"SZ\":\"Eswatini\",\"ET\":\"Ethiopia\",\"FK\":\"Falkland Islands\",\"FO\":\"Faroe Islands\",\"FJ\":\"Fiji\",\"FI\":\"Finland\",\"FR\":\"France\",\"GF\":\"French Guiana\",\"PF\":\"French Polynesia\",\"TF\":\"French Southern Territories\",\"GA\":\"Gabon\",\"GM\":\"Gambia\",\"GE\":\"Georgia\",\"DE\":\"Germany\",\"GH\":\"Ghana\",\"GI\":\"Gibraltar\",\"GR\":\"Greece\",\"GL\":\"Greenland\",\"GD\":\"Grenada\",\"GP\":\"Guadeloupe\",\"GU\":\"Guam\",\"GT\":\"Guatemala\",\"GG\":\"Guernsey\",\"GN\":\"Guinea\",\"GW\":\"Guinea-Bissau\",\"GY\":\"Guyana\",\"HT\":\"Haiti\",\"HM\":\"Heard Island and McDonald Islands\",\"VA\":\"Holy See\",\"HN\":\"Honduras\",\"HK\":\"Hong Kong\",\"HU\":\"Hungary\",\"IS\":\"Iceland\",\"IN\":\"India\",\"ID\":\"Indonesia\",\"IR\":\"Iran\",\"IQ\":\"Iraq\",\"IE\":\"Ireland\",\"IM\":\"Isle of Man\",\"IL\":\"Israel\",\"IT\":\"Italy\",\"JM\":\"Jamaica\",\"JP\":\"Japan\",\"JE\":\"Jersey\",\"JO\":\"Jordan\",\"KZ\":\"Kazakhstan\",\"KE\":\"Kenya\",\"KI\":\"Kiribati\",\"KP\":\"Korea, Democratic People's Republic of\",\"KR\":\"Korea, Republic of\",\"KW\":\"Kuwait\",\"KG\":\"Kyrgyzstan\",\"LA\":\"Lao People's Democratic Republic\",\"LV\":\"Latvia\",\"LB\":\"Lebanon\",\"LS\":\"Lesotho\",\"LR\":\"Liberia\",\"LY\":\"Libya\",\"LI\":\"Liechtenstein\",\"LT\":\"Lithuania\",\"LU\":\"Luxembourg\",\"MO\":\"Macao\",\"MG\":\"Madagascar\",\"MW\":\"Malawi\",\"MY\":\"Malaysia\",\"MV\":\"Maldives\",\"ML\":\"Mali\",\"MT\":\"Malta\",\"MH\":\"Marshall Islands\",\"MQ\":\"Martinique\",\"MR\":\"Mauritania\",\"MU\":\"Mauritius\",\"YT\":\"Mayotte\",\"MX\":\"Mexico\",\"FM\":\"Micronesia\",\"MD\":\"Moldova\",\"MC\":\"Monaco\",\"MN\":\"Mongolia\",\"ME\":\"Montenegro\",\"MS\":\"Montserrat\",\"MA\":\"Morocco\",\"MZ\":\"Mozambique\",\"MM\":\"Myanmar\",\"NA\":\"Namibia\",\"NR\":\"Nauru\",\"NP\":\"Nepal\",\"NL\":\"Netherlands\",\"NC\":\"New Caledonia\",\"NZ\":\"New Zealand\",\"NI\":\"Nicaragua\",\"NE\":\"Niger\",\"NG\":\"Nigeria\",\"NU\":\"Niue\",\"NF\":\"Norfolk Island\",\"MK\":\"North Macedonia\",\"MP\":\"Northern Mariana Islands\",\"NO\":\"Norway\",\"OM\":\"Oman\",\"PK\":\"Pakistan\",\"PW\":\"Palau\",\"PS\":\"Palestine, State of\",\"PA\":\"Panama\",\"PG\":\"Papua New Guinea\",\"PY\":\"Paraguay\",\"PE\":\"Peru\",\"PH\":\"Philippines\",\"PN\":\"Pitcairn\",\"PL\":\"Poland\",\"PT\":\"Portugal\",\"PR\":\"Puerto Rico\",\"QA\":\"Qatar\",\"RE\":\"R\\u00e9union\",\"RO\":\"Romania\",\"RU\":\"Russian Federation\",\"RW\":\"Rwanda\",\"BL\":\"Saint Barth\\u00e9lemy\",\"SH\":\"Saint Helena, Ascension and Tristan da Cunha\",\"KN\":\"Saint Kitts and Nevis\",\"LC\":\"Saint Lucia\",\"MF\":\"Saint Martin\",\"PM\":\"Saint Pierre and Miquelon\",\"VC\":\"Saint Vincent and the Grenadines\",\"WS\":\"Samoa\",\"SM\":\"San Marino\",\"ST\":\"Sao Tome and Principe\",\"SA\":\"Saudi Arabia\",\"SN\":\"Senegal\",\"RS\":\"Serbia\",\"SC\":\"Seychelles\",\"SL\":\"Sierra Leone\",\"SG\":\"Singapore\",\"SX\":\"Sint Maarten\",\"SK\":\"Slovakia\",\"SI\":\"Slovenia\",\"SB\":\"Solomon Islands\",\"SO\":\"Somalia\",\"ZA\":\"South Africa\",\"GS\":\"South Georgia and the South Sandwich Islands\",\"SS\":\"South Sudan\",\"ES\":\"Spain\",\"LK\":\"Sri Lanka\",\"SD\":\"Sudan\",\"SR\":\"Suriname\",\"SJ\":\"Svalbard and Jan Mayen\",\"SE\":\"Sweden\",\"CH\":\"Switzerland\",\"SY\":\"Syria Arab Republic\",\"TW\":\"Taiwan\",\"TJ\":\"Tajikistan\",\"TZ\":\"Tanzania, the United Republic of\",\"TH\":\"Thailand\",\"TL\":\"Timor-Leste\",\"TG\":\"Togo\",\"TK\":\"Tokelau\",\"TO\":\"Tonga\",\"TT\":\"Trinidad and Tobago\",\"TN\":\"Tunisia\",\"TR\":\"T\\u00fcrkiye\",\"TM\":\"Turkmenistan\",\"TC\":\"Turks and Caicos Islands\",\"TV\":\"Tuvalu\",\"UG\":\"Uganda\",\"UA\":\"Ukraine\",\"AE\":\"United Arab Emirates\",\"GB\":\"United Kingdom\",\"US\":\"United States\",\"UY\":\"Uruguay\",\"UM\":\"US Minor Outlying Islands\",\"UZ\":\"Uzbekistan\",\"VU\":\"Vanuatu\",\"VE\":\"Venezuela\",\"VN\":\"Viet Nam\",\"VG\":\"Virgin Islands, British\",\"VI\":\"Virgin Islands, U.S.\",\"WF\":\"Wallis and Futuna\",\"EH\":\"Western Sahara\",\"YE\":\"Yemen\",\"ZM\":\"Zambia\",\"ZW\":\"Zimbabwe\"},\"strings\":{\"newRowAdded\":\"New row added.\",\"rowRemoved\":\"Row removed\",\"formSaved\":\"The form has been saved.  The content contains the link to return and complete the form.\"}};\t\t\t\tvar gf_vars = {\"active\":\"Active\",\"inactive\":\"Inactive\",\"save\":\"Save\",\"update\":\"Update\",\"previousLabel\":\"Previous\",\"selectFormat\":\"Select a format\",\"column\":\"Column\",\"editToViewAll\":\"5 of %d items shown. Edit field to view all\",\"selectAll\":\"Select All\",\"enterValue\":\"Enter a value\",\"formTitle\":\"Untitled Form\",\"formDescription\":\"We would love to hear from you! Please fill out this form and we will get in touch with you shortly.\",\"formConfirmationMessage\":\"Thanks for contacting us! We will get in touch with you shortly.\",\"submitButtonText\":\"Submit Button Text\",\"submitImageAltText\":\"Submit Image Alt Text\",\"buttonText\":\"Submit\",\"pageButtonText\":\"Button Text\",\"nextPageButtonAltText\":\"Next Image Alt Text\",\"previousPageButtonAltText\":\"Previous Image Alt Text\",\"next_page_button\":\"Next\",\"previous_page_button\":\"Previous\",\"buttonDescription\":\"The submit button for this form\",\"loading\":\"Loading...\",\"thisFieldIf\":\"this field if\",\"thisSectionIf\":\"this section if\",\"thisPage\":\"this page if\",\"thisFormButton\":\"this form button if\",\"show\":\"Show\",\"hide\":\"Hide\",\"enable\":\"Enable\",\"disable\":\"Disable\",\"enabled\":\"Enabled\",\"disabled\":\"Disabled\",\"configure\":\"Configure\",\"conditional_logic_text\":\"Conditional Logic\",\"conditional_logic_desc\":\"Conditional logic allows you to change what the user sees depending on the fields they select.\",\"conditional_logic_a11y\":\"Adding conditional logic to the form submit button could cause usability problems for some users and negatively impact the accessibility of your form. Learn more about button conditional logic in our <a href=\\\"https:\\\/\\\/docs.gravityforms.com\\\/field-accessibility-warning\\\/\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">documentation<span class=\\\"screen-reader-text\\\">(opens in a new tab)<\\\/span>&nbsp;<span class=\\\"gform-icon gform-icon--external-link\\\" aria-hidden=\\\"true\\\"><\\\/span><\\\/a>.\",\"page\":\"Page\",\"next_button\":\"Next Button\",\"button\":\"Submit Button\",\"all\":\"All\",\"any\":\"Any\",\"ofTheFollowingMatch\":\"of the following match:\",\"is\":\"is\",\"isNot\":\"is not\",\"greaterThan\":\"greater than\",\"lessThan\":\"less than\",\"contains\":\"contains\",\"startsWith\":\"starts with\",\"endsWith\":\"ends with\",\"emptyChoice\":\"Empty (no choices selected)\",\"alertLegacyMode\":\"This form has legacy markup enabled and doesn\\u2019t support field resizing within the editor. Please disable legacy markup in the form settings to enable live resizing.\",\"thisConfirmation\":\"Use this confirmation if\",\"thisNotification\":\"Send this notification if\",\"confirmationSave\":\"Save\",\"confirmationSaving\":\"Saving...\",\"confirmationAreYouSure\":\"Are you sure you wish to cancel these changes?\",\"confirmationIssueSaving\":\"There was an issue saving this confirmation.\",\"confirmationConfirmDelete\":\"Are you sure you wish to delete this confirmation?\",\"confirmationIssueDeleting\":\"There was an issue deleting this confirmation.\",\"confirmationConfirmDiscard\":\"There are unsaved changes to the current confirmation. Would you like to discard these changes?\",\"confirmationDefaultName\":\"Untitled Confirmation\",\"confirmationDefaultMessage\":\"Thanks for contacting us! We will get in touch with you shortly.\",\"confirmationInvalidPageSelection\":\"Please select a page.\",\"confirmationInvalidRedirect\":\"Please enter a URL.\",\"confirmationInvalidName\":\"Please enter a confirmation name.\",\"confirmationDeleteField\":\"Deleting this field will also delete all entry data associated with it. 'Cancel' to abort. 'OK' to delete.\",\"confirmationDeleteDisplayField\":\"You're about to delete this field. 'Cancel' to stop. 'OK' to delete\",\"confirmationDeleteDisplayFieldTitle\":\"Warning\",\"conditionalLogicDependency\":\"This form contains {type} conditional logic dependent upon this field. Deleting this field will deactivate those conditional logic rules and also delete all entry data associated with the field. 'Cancel' to abort. 'OK' to delete.\",\"conditionalLogicDependencyChoice\":\"This form contains {type} conditional logic dependent upon this choice. Are you sure you want to delete this choice? 'Cancel' to abort. 'OK' to delete.\",\"conditionalLogicDependencyChoiceEdit\":\"This form contains {type} conditional logic dependent upon this choice. Are you sure you want to modify this choice? 'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicDependencyAdminOnly\":\"This form contains {type} conditional logic dependent upon this field. Are you sure you want to mark this field as Administrative? 'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicRichTextEditorWarning\":\"This form contains conditional logic dependent upon this field. This will no longer work if the Rich Text Editor is enabled.  Are you sure you want to enable the Rich Text Editor?  'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicTypeButton\":\"button\",\"conditionalLogicTypeConfirmation\":\"confirmation\",\"conditionalLogicTypeNotification\":\"notification\",\"conditionalLogicTypeNoficationRouting\":\"notification routing\",\"conditionalLogicTypeField\":\"field\",\"conditionalLogicTypeFeed\":\"feed\",\"conditionalLogicWarningTitle\":\"Conditional Logic Warning\",\"mergeTagsText\":\"Insert Merge Tags\",\"baseUrl\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/wp-content\\\/plugins\\\/gravityforms\",\"gf_currency_config\":{\"name\":\"South African Rand\",\"symbol_left\":\"R\",\"symbol_right\":\"\",\"symbol_padding\":\"\",\"thousand_separator\":\",\",\"decimal_separator\":\".\",\"decimals\":2,\"code\":\"ZAR\"},\"otherChoiceValue\":\"Other\",\"isFormTrash\":false,\"currentlyAddingField\":false,\"visibilityOptions\":[{\"label\":\"Visible\",\"value\":\"visible\",\"description\":\"Default option. The field is visible when viewing the form.\"},{\"label\":\"Hidden\",\"value\":\"hidden\",\"description\":\"The field is hidden when viewing the form. Useful when you require the functionality of this field but do not want the user to be able to see this field.\"},{\"label\":\"Administrative\",\"value\":\"administrative\",\"description\":\"The field is only visible when administering submitted entries. The field is not visible or functional when viewing the form.\"}],\"addFieldFilter\":\"Add a condition\",\"removeFieldFilter\":\"Remove a condition\",\"filterAndAny\":\"{0} of the following match:\",\"customChoices\":\"Custom Choices\",\"predefinedChoices\":\"Predefined Choices\",\"fieldLabelAriaLabel\":\"{field_label} - {field_type}, jump to this field&#039;s settings\",\"fieldCanBeAddedTitle\":\"Field Limit\",\"fieldCanBeAddedMessage\":\"A form can only contain one {field_type} field.\",\"fieldCanBeAddedProductTitle\":\"Missing Product field\",\"fieldCanBeAddedProduct\":\"You must add a Product field to the form first.\",\"fieldForbiddenInRepeaterTitle\":\"Unrepeatable Field\",\"fieldForbiddenInRepeater\":\"{field_type} fields are not supported in Repeaters.\",\"legacyMarkupTitle\":\"Unsupported Markup\",\"fieldCanBeAddedMultipleChoice\":\"You cannot add a Multiple Choice field to a form that uses legacy markup. Please edit the form settings and turn off Legacy Markup.\",\"fieldCanBeAddedImageChoice\":\"You cannot add an Image Choice field to a form that uses legacy markup. Please edit the form settings and turn off Legacy Markup.\",\"FieldAjaxonErrorTitle\":\"Error\",\"StartAddFieldAjaxonError\":\"Ajax error while adding field. Please refresh the page and try again.\",\"StartChangeInputTypeAjaxonError\":\"Ajax error while changing input type. Please refresh the page and try again.\",\"MissingNameCustomChoicesTitle\":\"Missing Name\",\"MissingNameCustomChoices\":\"Please give this custom choice a name.\",\"DuplicateNameCustomChoicesTitle\":\"Duplicate Name\",\"DuplicateNameCustomChoices\":\"This custom choice name is already in use. Please enter another name.\",\"DuplicateTitleMessageTitle\":\"Duplicate Title\",\"DuplicateTitleMessage\":\"The form title you have entered is already taken. Please enter a unique form title.\",\"ValidateFormMissingFormTitleTitle\":\"Missing Form Title\",\"ValidateFormMissingFormTitle\":\"Please enter a Title for this form. When adding the form to a page or post, you will have the option to hide the title.\",\"ValidateFormEmptyPageTitle\":\"Empty Page\",\"ValidateFormEmptyPage\":\"This form currently has one or more pages without any fields. Blank pages are a result of Page Breaks that are positioned as the first or last field in the form or right after each other. Please adjust the Page Breaks.\",\"ValidateFormMissingProductLabelTitle\":\"Missing Product Label\",\"ValidateFormMissingProductLabel\":\"This form has a Product field with a blank label. Please enter a label for every Product field.\",\"ValidateFormMissingProductFieldTitle\":\"Missing Product field\",\"ValidateFormMissingProductField\":\"This form has an Option field without a Product field. You must add a Product field to your form.\",\"FormulaIsValidTitle\":\"Success\",\"FormulaIsValid\":\"The formula appears to be valid.\",\"FormulaIsInvalid\":\"There appears to be a problem with the formula.\",\"DeleteFormTitle\":\"Confirm\",\"DeleteForm\":\"You are about to move this form to the trash. &#039;Cancel&#039; to abort. &#039;OK&#039; to delete.\",\"DeleteCustomChoice\":\"Delete this custom choice list? &#039;Cancel&#039; to abort. &#039;OK&#039; to delete.\",\"FieldAdded\":\"&nbsp;field added to form\",\"nameFieldDefaultPrefixes\":[{\"text\":\"Dr.\",\"value\":\"Dr.\"},{\"text\":\"Miss\",\"value\":\"Miss\"},{\"text\":\"Mr.\",\"value\":\"Mr.\"},{\"text\":\"Mrs.\",\"value\":\"Mrs.\"},{\"text\":\"Ms.\",\"value\":\"Ms.\"},{\"text\":\"Mx.\",\"value\":\"Mx.\"},{\"text\":\"Prof.\",\"value\":\"Prof.\"},{\"text\":\"Rev.\",\"value\":\"Rev.\"}]};\t\t\t<\/script>\n\n            <script type=\"text\/javascript\">\n                \/* EA Gravity Forms - ensure GF's per-form post-render event dispatches\n                 * even when the widget's render context prevents GF's standard\n                 * GFFormDisplay::footer_init_scripts() per-form trigger from executing.\n                 * Without this, third-party GF add-ons (e.g. Gravity Forms reCAPTCHA\n                 * Add-On v2.2.2+) that hook into `gform\/post_render` to register\n                 * submission filters will never fire, breaking v3 token population.\n                 *\/\n                ( function () {\n                    var formId = 10;\n                    if ( typeof window.gform === 'undefined'\n                         || typeof window.gform.initializeOnLoaded !== 'function' ) {\n                        return;\n                    }\n                    window.gform.initializeOnLoaded( function () {\n                        var flag = '__eaelGfPostRenderFired_' + formId;\n                        if ( window[ flag ] ) { return; }\n                        if ( window.gform && window.gform.core\n                             && typeof window.gform.core.triggerPostRenderEvents === 'function' ) {\n                            window[ flag ] = true;\n                            window.gform.core.triggerPostRenderEvents( formId, 1 );\n                        }\n                    } );\n                } )();\n            <\/script>\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Business Application Family Section Husband InformationFull Name(Required)Residential Address(Required)Date Of Birth(Required) Date Of Marriage(Required) Age(Required) Marriage Status(Required) In Community Of Property Antenuptial Contract Cell Number(Required)Whatsapp Number(Required)Email(Required) Occupation(Required)EmployedSelf EmployedBusiness OwnerOtherOther(Required) Status In SouthAfrica(Required) Citizen And Citizenship Permanent Resident Non-Citizen Refuge States Asylum Seeker Other ID Number(Required)Passport Number(Required)Refuge States(Required)Asylum Seeker Number(Required)Other(Required)ID Document(Required)Max. file size: 1 GB. Marriage Certificate(Required)Max. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3661","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Family And Business Application - Ethiopian Association in SA<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Family And Business Application - Ethiopian Association in SA\" \/>\n<meta property=\"og:description\" content=\"Business Application Family Section Husband InformationFull Name(Required)Residential Address(Required)Date Of Birth(Required) Date Of Marriage(Required) Age(Required) Marriage Status(Required) In Community Of Property Antenuptial Contract Cell Number(Required)Whatsapp Number(Required)Email(Required) Occupation(Required)EmployedSelf EmployedBusiness OwnerOtherOther(Required) Status In SouthAfrica(Required) Citizen And Citizenship Permanent Resident Non-Citizen Refuge States Asylum Seeker Other ID Number(Required)Passport Number(Required)Refuge States(Required)Asylum Seeker Number(Required)Other(Required)ID Document(Required)Max. file size: 1 GB. Marriage Certificate(Required)Max. [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/family-and-business-application\/\" \/>\n<meta property=\"og:site_name\" content=\"Ethiopian Association in SA\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-12T07:28:13+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/family-and-business-application\\\/\",\"url\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/family-and-business-application\\\/\",\"name\":\"Family And Business Application - Ethiopian Association in SA\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/#website\"},\"datePublished\":\"2026-08-12T07:27:15+00:00\",\"dateModified\":\"2026-08-12T07:28:13+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/family-and-business-application\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/family-and-business-application\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/family-and-business-application\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Family And Business Application\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/#website\",\"url\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/\",\"name\":\"Ethiopian Association in SA\",\"description\":\"Ethiopian Association in SA\",\"publisher\":{\"@id\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/#organization\",\"name\":\"Ethiopian Association in SA\",\"url\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/wp-content\\\/uploads\\\/2026\\\/05\\\/group-106.png\",\"contentUrl\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/wp-content\\\/uploads\\\/2026\\\/05\\\/group-106.png\",\"width\":498,\"height\":100,\"caption\":\"Ethiopian Association in SA\"},\"image\":{\"@id\":\"https:\\\/\\\/jonathan.rcm-test-web.co.za\\\/Ethiopian-Association\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Family And Business Application - Ethiopian Association in SA","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Family And Business Application - Ethiopian Association in SA","og_description":"Business Application Family Section Husband InformationFull Name(Required)Residential Address(Required)Date Of Birth(Required) Date Of Marriage(Required) Age(Required) Marriage Status(Required) In Community Of Property Antenuptial Contract Cell Number(Required)Whatsapp Number(Required)Email(Required) Occupation(Required)EmployedSelf EmployedBusiness OwnerOtherOther(Required) Status In SouthAfrica(Required) Citizen And Citizenship Permanent Resident Non-Citizen Refuge States Asylum Seeker Other ID Number(Required)Passport Number(Required)Refuge States(Required)Asylum Seeker Number(Required)Other(Required)ID Document(Required)Max. file size: 1 GB. Marriage Certificate(Required)Max. [&hellip;]","og_url":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/family-and-business-application\/","og_site_name":"Ethiopian Association in SA","article_modified_time":"2026-08-12T07:28:13+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/family-and-business-application\/","url":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/family-and-business-application\/","name":"Family And Business Application - Ethiopian Association in SA","isPartOf":{"@id":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/#website"},"datePublished":"2026-08-12T07:27:15+00:00","dateModified":"2026-08-12T07:28:13+00:00","breadcrumb":{"@id":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/family-and-business-application\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/family-and-business-application\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/family-and-business-application\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/"},{"@type":"ListItem","position":2,"name":"Family And Business Application"}]},{"@type":"WebSite","@id":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/#website","url":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/","name":"Ethiopian Association in SA","description":"Ethiopian Association in SA","publisher":{"@id":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/#organization","name":"Ethiopian Association in SA","url":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/#\/schema\/logo\/image\/","url":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-content\/uploads\/2026\/05\/group-106.png","contentUrl":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-content\/uploads\/2026\/05\/group-106.png","width":498,"height":100,"caption":"Ethiopian Association in SA"},"image":{"@id":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-json\/wp\/v2\/pages\/3661","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-json\/wp\/v2\/comments?post=3661"}],"version-history":[{"count":4,"href":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-json\/wp\/v2\/pages\/3661\/revisions"}],"predecessor-version":[{"id":3665,"href":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-json\/wp\/v2\/pages\/3661\/revisions\/3665"}],"wp:attachment":[{"href":"https:\/\/jonathan.rcm-test-web.co.za\/Ethiopian-Association\/wp-json\/wp\/v2\/media?parent=3661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}