{"id":11127,"date":"2024-06-10T19:30:36","date_gmt":"2024-06-10T14:00:36","guid":{"rendered":"https:\/\/www.pakistanhc.lk\/?page_id=11127"},"modified":"2024-06-10T19:30:36","modified_gmt":"2024-06-10T14:00:36","slug":"community-registration-form","status":"publish","type":"page","link":"https:\/\/www.pakistanhc.lk\/?page_id=11127","title":{"rendered":"Community Registration Form"},"content":{"rendered":"<div class=\"forminator-ui forminator-custom-form forminator-custom-form-11126 forminator-design--bold  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-11126\" data-uid=\"69f40978e36b3\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-11126\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-11126 forminator-design--bold  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"11126\"\n\t\t\t\t\n\t\t\t\tdata-design=\"bold\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69f40978e36b3\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-11126--page-0\" class=\"forminator-pagination forminator-pagination-start\" aria-labelledby=\"forminator-custom-form-11126--page-0-label\" data-step=\"0\" data-label=\"Finish\" data-name=\"page-break-1\"><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"group-1\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">personal information<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:false,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69f40978e36b3\" id=\"forminator-field-name-1_69f40978e36b3-label\" class=\"forminator-label\">Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. muhammad akram\" id=\"forminator-field-name-1_69f40978e36b3\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_69f40978e36b3\" id=\"forminator-field-name-4_69f40978e36b3-label\" class=\"forminator-label\">Father Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"E.g. aslam\" id=\"forminator-field-name-4_69f40978e36b3\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-4  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-1_69f40978e36b3\" id=\"forminator-form-11126__field--select-1_69f40978e36b3-label\" class=\"forminator-label\">Gender <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-1_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-1\" data-default-value=\"Select\" data-hidden-behavior=\"zero\" data-placeholder=\"gender\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-1_69f40978e36b3-label\"><option value=\"\">gender<\/option><option value=\"Select\" selected=\"selected\" data-calculation=\"0\">Select from below<\/option><option value=\"one\"  data-calculation=\"0\">Male<\/option><option value=\"two\"  data-calculation=\"0\">Female<\/option><option value=\"Others\"  data-calculation=\"0\">Prefer not to state<\/option><\/select><\/div><\/div><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-4  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-6_69f40978e36b3\" id=\"forminator-form-11126__field--select-6_69f40978e36b3-label\" class=\"forminator-label\">Marital Status <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-6_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-6\" data-default-value=\"Select\" data-hidden-behavior=\"zero\" data-placeholder=\"married\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-6_69f40978e36b3-label\"><option value=\"\">married<\/option><option value=\"Select\" selected=\"selected\" data-calculation=\"0\">Select from below<\/option><option value=\"one\"  data-calculation=\"0\">Married<\/option><option value=\"two\"  data-calculation=\"0\">Unmarried<\/option><option value=\"divorced\"  data-calculation=\"0\">Divorced<\/option><option value=\"Widow\"  data-calculation=\"0\">Widow<\/option><\/select><\/div><\/div><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-4  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-2_69f40978e36b3\" id=\"forminator-form-11126__field--select-2_69f40978e36b3-label\" class=\"forminator-label\">Select Religion <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-2_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-2\" data-default-value=\"Select\" data-hidden-behavior=\"zero\" data-placeholder=\"Islam\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-2_69f40978e36b3-label\"><option value=\"\">Islam<\/option><option value=\"Select\" selected=\"selected\" data-calculation=\"0\">Select from below<\/option><option value=\"one\"  data-calculation=\"0\">Islam<\/option><option value=\"two\"  data-calculation=\"0\">Budhism<\/option><option value=\"Hinduism\"  data-calculation=\"0\">Hinduism<\/option><option value=\"Christianity\"  data-calculation=\"0\">Christianity<\/option><option value=\"Judism\"  data-calculation=\"0\">Judaism<\/option><option value=\"Qadiyani\"  data-calculation=\"0\">Qadiyani<\/option><option value=\"Others\"  data-calculation=\"0\">Others<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12  comn-date\"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">DoB <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-month_69f40978e36b3\" class=\"forminator-label\">Month <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" max=\"12\" name=\"date-1-month\" value=\"\" placeholder=\"E.g. 01\" id=\"forminator-field-date-1-month_69f40978e36b3\" class=\"forminator-input\" data-field=\"month\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" \/><\/div><\/div><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-day_69f40978e36b3\" class=\"forminator-label\">Day <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" max=\"31\" name=\"date-1-day\" value=\"\" placeholder=\"E.g. 01\" id=\"forminator-field-date-1-day_69f40978e36b3\" class=\"forminator-input\" data-field=\"day\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" \/><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-year_69f40978e36b3\" class=\"forminator-label\">Year <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" name=\"date-1-year\" placeholder=\"E.g. 2000\" id=\"forminator-field-date-1-year_69f40978e36b3\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-4  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_69f40978e36b3\" id=\"forminator-field-text-11_69f40978e36b3-label\" class=\"forminator-label\">Passport Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"E.g.n567865\" id=\"forminator-field-text-11_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-4  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_69f40978e36b3\" id=\"forminator-field-text-14_69f40978e36b3-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-14\" value=\"\" placeholder=\"E.g. +94743652850\" id=\"forminator-field-text-14_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-4  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69f40978e36b3\" id=\"forminator-field-email-1_69f40978e36b3-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. akram@gmail.com\" id=\"forminator-field-email-1_69f40978e36b3\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-6  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-4_69f40978e36b3\" id=\"forminator-form-11126__field--select-4_69f40978e36b3-label\" class=\"forminator-label\">Select ID Type <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-4_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-4\" data-default-value=\"Select\" data-hidden-behavior=\"zero\" data-placeholder=\"CNIC\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-4_69f40978e36b3-label\"><option value=\"\">CNIC<\/option><option value=\"Select\" selected=\"selected\" data-calculation=\"0\">Select from below<\/option><option value=\"one\"  data-calculation=\"0\">CNIC<\/option><option value=\"two\"  data-calculation=\"0\">POC<\/option><option value=\"NICOP\"  data-calculation=\"0\">NICOP<\/option><option value=\"Srilankan-NIC\"  data-calculation=\"0\">Srilankan NIC<\/option><\/select><\/div><\/div><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69f40978e36b3\" id=\"forminator-field-text-1_69f40978e36b3-label\" class=\"forminator-label\">Input ID Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"E.g. 81101-3848932-9\" id=\"forminator-field-text-1_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-3_69f40978e36b3\" id=\"forminator-form-11126__field--select-3_69f40978e36b3-label\" class=\"forminator-label\">Occupation Type <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-3_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-3\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"Employed\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-3_69f40978e36b3-label\"><option value=\"\">Employed<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">Self Employed<\/option><option value=\"two\"  data-calculation=\"0\">Official<\/option><option value=\"Businessman\"  data-calculation=\"0\">Businessman<\/option><option value=\"Employed\"  data-calculation=\"0\">Employeed<\/option><option value=\"Non-Government-Organization\"  data-calculation=\"0\">Non Government Organization<\/option><option value=\"Thinktank\"  data-calculation=\"0\">Thinktank<\/option><option value=\"Student\"  data-calculation=\"0\">Student<\/option><option value=\"unemployeed\"  data-calculation=\"0\">unemployeed<\/option><option value=\"Others\"  data-calculation=\"0\">Others<\/option><\/select><\/div><\/div><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-6  comn-textarea\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69f40978e36b3\" id=\"forminator-field-textarea-1_69f40978e36b3-label\" class=\"forminator-label\">Occupation Detail <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"E.g. businessman , teacher\nYou can add new line\" id=\"forminator-field-textarea-1_69f40978e36b3\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-8\" class=\"forminator-field-select forminator-col forminator-col-12  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-8_69f40978e36b3\" id=\"forminator-form-11126__field--select-8_69f40978e36b3-label\" class=\"forminator-label\">Education<\/label><select id=\"forminator-form-11126__field--select-8_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"\" name=\"select-8\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"Masters\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-8_69f40978e36b3-label\"><option value=\"\">Masters<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">No Formal Education<\/option><option value=\"two\"  data-calculation=\"0\">Primary<\/option><option value=\"divorced\"  data-calculation=\"0\">Middle<\/option><option value=\"Matric\"  data-calculation=\"0\">Matric or equivalent<\/option><option value=\"intermediate\"  data-calculation=\"0\">intermediate or  equivalent<\/option><option value=\"BA\"  data-calculation=\"0\">BA<\/option><option value=\"BSC\"  data-calculation=\"0\">BSC<\/option><option value=\"BCS\"  data-calculation=\"0\">BCS<\/option><option value=\"BCOM\"  data-calculation=\"0\">BCOM<\/option><option value=\"Other-Bachelors-Degree\"  data-calculation=\"0\">Other Bachelors Degree<\/option><option value=\"MA\"  data-calculation=\"0\">MA<\/option><option value=\"MSC\"  data-calculation=\"0\">MSC<\/option><option value=\"MCS\"  data-calculation=\"0\">MCS<\/option><option value=\"MCOM\"  data-calculation=\"0\">MCOM<\/option><option value=\"Other-Masters-Degree\"  data-calculation=\"0\">Other Masters Degree<\/option><option value=\"PHD\"  data-calculation=\"0\">Mphil , MS or equivalent<\/option><option value=\"Postdoctoral\"  data-calculation=\"0\">PHD<\/option><option value=\"Postdoctoral\"  data-calculation=\"0\">Postdoctoral<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-11126--page-1\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-11126--page-1-label\" aria-hidden=\"true\" data-step=\"1\" data-label=\"Personal Information\" data-name=\"page-break-2\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"group-2\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Address Information in Pakistan<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:false,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-5_69f40978e36b3\" id=\"forminator-form-11126__field--select-5_69f40978e36b3-label\" class=\"forminator-label\">Select Province <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-5_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-5\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"Punjab\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-5_69f40978e36b3-label\"><option value=\"\">Punjab<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">Punjab<\/option><option value=\"two\"  data-calculation=\"0\">KPK<\/option><option value=\"Sindh\"  data-calculation=\"0\">Sindh<\/option><option value=\"Balochistan\"  data-calculation=\"0\">Balochistan<\/option><option value=\"AJK\"  data-calculation=\"0\">AJK<\/option><option value=\"GB\"  data-calculation=\"0\">GB<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69f40978e36b3\" id=\"forminator-field-text-2_69f40978e36b3-label\" class=\"forminator-label\">District <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"E.g. Jhelum\" id=\"forminator-field-text-2_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-12  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_69f40978e36b3\" id=\"forminator-field-text-10_69f40978e36b3-label\" class=\"forminator-label\">Tehsil <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"E.g. lahore\" id=\"forminator-field-text-10_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69f40978e36b3\" id=\"forminator-field-text-3_69f40978e36b3-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"E.g. lahore\" id=\"forminator-field-text-3_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69f40978e36b3\" id=\"forminator-field-text-4_69f40978e36b3-label\" class=\"forminator-label\">Street Address<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"E.g. 62 ist Lane Iqbal Town\" id=\"forminator-field-text-4_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-12  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_69f40978e36b3\" id=\"forminator-field-text-15_69f40978e36b3-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-15\" value=\"\" placeholder=\"E.G: +923406778890\" id=\"forminator-field-text-15_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-11126--page-2\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-11126--page-2-label\" aria-hidden=\"true\" data-step=\"2\" data-label=\"Address in Pakistan\" data-name=\"page-break-3\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"group-3\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Address Information-Srilanka<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:false,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"select-7\" class=\"forminator-field-select forminator-col forminator-col-12  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-7_69f40978e36b3\" id=\"forminator-form-11126__field--select-7_69f40978e36b3-label\" class=\"forminator-label\">Select Province <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-7_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-7\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"Western\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-7_69f40978e36b3-label\"><option value=\"\">Western<\/option><option value=\"one\"  data-calculation=\"0\">Northern<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"two\"  data-calculation=\"0\">North Western<\/option><option value=\"Sindh\"  data-calculation=\"0\">Western<\/option><option value=\"Balochistan\"  data-calculation=\"0\">North Central<\/option><option value=\"AJK\"  data-calculation=\"0\">Central<\/option><option value=\"GB\"  data-calculation=\"0\">Sabaragamuwa<\/option><option value=\"Eastern\"  data-calculation=\"0\">Eastern<\/option><option value=\"Uva\"  data-calculation=\"0\">Uva<\/option><option value=\"Southern\"  data-calculation=\"0\">Southern<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_69f40978e36b3\" id=\"forminator-field-text-7_69f40978e36b3-label\" class=\"forminator-label\">District Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"E.g. colombo\" id=\"forminator-field-text-7_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69f40978e36b3\" id=\"forminator-field-text-6_69f40978e36b3-label\" class=\"forminator-label\">City Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"E.g. colombo\" id=\"forminator-field-text-6_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69f40978e36b3\" id=\"forminator-field-text-5_69f40978e36b3-label\" class=\"forminator-label\">Street Address<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"E.g. 62 ist Lane rajagiriya\" id=\"forminator-field-text-5_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-12  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_69f40978e36b3\" id=\"forminator-field-text-16_69f40978e36b3-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-16\" value=\"\" placeholder=\"E.g. +94743652850\" id=\"forminator-field-text-16_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-11126--page-3\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-11126--page-3-label\" aria-hidden=\"true\" data-step=\"3\" data-label=\"Address in Srilanka\" data-name=\"page-break-4\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"group-4\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Spouse Information<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add other Spouse&quot;,&quot;remove_text&quot;:&quot;Remove other spouse&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69f40978e36b3\" id=\"forminator-field-name-2_69f40978e36b3-label\" class=\"forminator-label\">Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"E.g. muhammad akram\" id=\"forminator-field-name-2_69f40978e36b3\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_69f40978e36b3\" id=\"forminator-field-name-5_69f40978e36b3-label\" class=\"forminator-label\">Father Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"E.g. muhammad akram\" id=\"forminator-field-name-5_69f40978e36b3\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-14\" class=\"forminator-field-select forminator-col forminator-col-6  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-14_69f40978e36b3\" id=\"forminator-form-11126__field--select-14_69f40978e36b3-label\" class=\"forminator-label\">Gender <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-14_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-14\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"gender\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-14_69f40978e36b3-label\"><option value=\"\">gender<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">Male<\/option><option value=\"two\"  data-calculation=\"0\">Female<\/option><option value=\"Others\"  data-calculation=\"0\">Others<\/option><\/select><\/div><\/div><div id=\"select-13\" class=\"forminator-field-select forminator-col forminator-col-6  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-13_69f40978e36b3\" id=\"forminator-form-11126__field--select-13_69f40978e36b3-label\" class=\"forminator-label\">Select Religion <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-13_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-13\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"Islam\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-13_69f40978e36b3-label\"><option value=\"\">Islam<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">Islam<\/option><option value=\"two\"  data-calculation=\"0\">Budhism<\/option><option value=\"Hinduism\"  data-calculation=\"0\">Hinduism<\/option><option value=\"Christianity\"  data-calculation=\"0\">Christianity<\/option><option value=\"Judism\"  data-calculation=\"0\">Judaism<\/option><option value=\"Qadiyani\"  data-calculation=\"0\">Qadiyani<\/option><option value=\"Others\"  data-calculation=\"0\">Others<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-12  comn-date\"><label for=\"forminator-field-date-2\" id=\"forminator-field-date-2-label\" class=\"forminator-label\">DoB <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-2-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-month_69f40978e36b3\" class=\"forminator-label\">Month <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" max=\"12\" name=\"date-2-month\" value=\"\" placeholder=\"E.g. 01\" id=\"forminator-field-date-2-month_69f40978e36b3\" class=\"forminator-input\" data-field=\"month\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" \/><\/div><\/div><div id=\"date-2-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-day_69f40978e36b3\" class=\"forminator-label\">Day <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" max=\"31\" name=\"date-2-day\" value=\"\" placeholder=\"E.g. 01\" id=\"forminator-field-date-2-day_69f40978e36b3\" class=\"forminator-input\" data-field=\"day\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" \/><\/div><\/div><div id=\"date-2-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-year_69f40978e36b3\" class=\"forminator-label\">Year <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" name=\"date-2-year\" placeholder=\"E.g. 2000\" id=\"forminator-field-date-2-year_69f40978e36b3\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"mm\/dd\/yy\" data-parent=\"date-2\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-12  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_69f40978e36b3\" id=\"forminator-field-text-12_69f40978e36b3-label\" class=\"forminator-label\">Input Passport Number<\/label><input type=\"text\" name=\"text-12\" value=\"\" placeholder=\"E.g. 81101-3848932-9\" id=\"forminator-field-text-12_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-11\" class=\"forminator-field-select forminator-col forminator-col-6  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-11_69f40978e36b3\" id=\"forminator-form-11126__field--select-11_69f40978e36b3-label\" class=\"forminator-label\">Select ID Type <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-11_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-11\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"CNIC\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-11_69f40978e36b3-label\"><option value=\"\">CNIC<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">CNIC<\/option><option value=\"two\"  data-calculation=\"0\">POC<\/option><option value=\"NICOP\"  data-calculation=\"0\">NICOP<\/option><option value=\"Srilankan-NIC\"  data-calculation=\"0\">Srilankan NIC<\/option><\/select><\/div><\/div><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_69f40978e36b3\" id=\"forminator-field-text-8_69f40978e36b3-label\" class=\"forminator-label\">Input ID Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"E.g. 81101-3848932-9\" id=\"forminator-field-text-8_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-12\" class=\"forminator-field-select forminator-col forminator-col-6  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-12_69f40978e36b3\" id=\"forminator-form-11126__field--select-12_69f40978e36b3-label\" class=\"forminator-label\">Occupation Type <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-12_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-12\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"Employed\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-12_69f40978e36b3-label\"><option value=\"\">Employed<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"House-wife\"  data-calculation=\"0\">House wife<\/option><option value=\"one\"  data-calculation=\"0\">Self Employed<\/option><option value=\"two\"  data-calculation=\"0\">Official<\/option><option value=\"Businessman\"  data-calculation=\"0\">Businessman<\/option><option value=\"Employed\"  data-calculation=\"0\">Employeed<\/option><option value=\"Non-Government-Organization\"  data-calculation=\"0\">Non Government Organization<\/option><option value=\"Thinktank\"  data-calculation=\"0\">Thinktank<\/option><option value=\"Student\"  data-calculation=\"0\">Student<\/option><option value=\"unemployeed\"  data-calculation=\"0\">unemployeed<\/option><option value=\"Others\"  data-calculation=\"0\">Others<\/option><\/select><\/div><\/div><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-6  comn-textarea\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69f40978e36b3\" id=\"forminator-field-textarea-2_69f40978e36b3-label\" class=\"forminator-label\">Occupation Detail <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-2\" placeholder=\"E.g. businessman , teacher\nYou can add new line\" id=\"forminator-field-textarea-2_69f40978e36b3\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_69f40978e36b3\" id=\"forminator-field-text-17_69f40978e36b3-label\" class=\"forminator-label\">Phone Number<\/label><input type=\"text\" name=\"text-17\" value=\"\" placeholder=\"E.g. +94743652850\" id=\"forminator-field-text-17_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_69f40978e36b3\" id=\"forminator-field-email-2_69f40978e36b3-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"E.g. akram@gmail.com\" id=\"forminator-field-email-2_69f40978e36b3\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-10\" class=\"forminator-field-select forminator-col forminator-col-12  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-10_69f40978e36b3\" id=\"forminator-form-11126__field--select-10_69f40978e36b3-label\" class=\"forminator-label\">Education<\/label><select id=\"forminator-form-11126__field--select-10_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"\" name=\"select-10\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"Masters\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-10_69f40978e36b3-label\"><option value=\"\">Masters<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">No Formal Education<\/option><option value=\"two\"  data-calculation=\"0\">Primary<\/option><option value=\"divorced\"  data-calculation=\"0\">Middle<\/option><option value=\"Matric\"  data-calculation=\"0\">Matric or equivalent<\/option><option value=\"intermediate\"  data-calculation=\"0\">intermediate or  equivalent<\/option><option value=\"BA\"  data-calculation=\"0\">BA<\/option><option value=\"BSC\"  data-calculation=\"0\">BSC<\/option><option value=\"BCS\"  data-calculation=\"0\">BCS<\/option><option value=\"BCOM\"  data-calculation=\"0\">BCOM<\/option><option value=\"Other-Bachelors-Degree\"  data-calculation=\"0\">Other Bachelors Degree<\/option><option value=\"MA\"  data-calculation=\"0\">MA<\/option><option value=\"MSC\"  data-calculation=\"0\">MSC<\/option><option value=\"MCS\"  data-calculation=\"0\">MCS<\/option><option value=\"MCOM\"  data-calculation=\"0\">MCOM<\/option><option value=\"Other-Masters-Degree\"  data-calculation=\"0\">Other Masters Degree<\/option><option value=\"PHD\"  data-calculation=\"0\">Mphil , MS or equivalent<\/option><option value=\"Postdoctoral\"  data-calculation=\"0\">PHD<\/option><option value=\"Postdoctoral\"  data-calculation=\"0\">Postdoctoral<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Add other Spouse\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Remove other spouse\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-11126--page-4\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-11126--page-4-label\" aria-hidden=\"true\" data-step=\"4\" data-label=\"Spouse Information\" data-name=\"page-break-5\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"group-5\" class=\"forminator-field-group forminator-col forminator-col-12  comn-repeater\"><label class=\"forminator-label forminator-repeater-label\">Children Information<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add other Children&quot;,&quot;remove_text&quot;:&quot;Remove&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69f40978e36b3\" id=\"forminator-field-name-3_69f40978e36b3-label\" class=\"forminator-label\">Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"E.g. muhammad akram\" id=\"forminator-field-name-3_69f40978e36b3\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_69f40978e36b3\" id=\"forminator-field-name-6_69f40978e36b3-label\" class=\"forminator-label\">Father Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"E.g. muhammad akram\" id=\"forminator-field-name-6_69f40978e36b3\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-19\" class=\"forminator-field-select forminator-col forminator-col-4  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-19_69f40978e36b3\" id=\"forminator-form-11126__field--select-19_69f40978e36b3-label\" class=\"forminator-label\">Gender <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-19_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-19\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"gender\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-19_69f40978e36b3-label\"><option value=\"\">gender<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">Male<\/option><option value=\"two\"  data-calculation=\"0\">Female<\/option><option value=\"Others\"  data-calculation=\"0\">Others<\/option><\/select><\/div><\/div><div id=\"select-20\" class=\"forminator-field-select forminator-col forminator-col-4  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-20_69f40978e36b3\" id=\"forminator-form-11126__field--select-20_69f40978e36b3-label\" class=\"forminator-label\">Marital Status<\/label><select id=\"forminator-form-11126__field--select-20_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"\" name=\"select-20\" data-default-value=\"one\" data-hidden-behavior=\"zero\" data-placeholder=\"Select\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-20_69f40978e36b3-label\"><option value=\"\">Select<\/option><option value=\"one\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"two\"  data-calculation=\"0\">Married<\/option><option value=\"umarried\"  data-calculation=\"0\">umarried<\/option><option value=\"widow\"  data-calculation=\"0\">widow<\/option><option value=\"others\"  data-calculation=\"0\">others<\/option><\/select><\/div><\/div><div id=\"select-18\" class=\"forminator-field-select forminator-col forminator-col-4  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-18_69f40978e36b3\" id=\"forminator-form-11126__field--select-18_69f40978e36b3-label\" class=\"forminator-label\">Select Religion<\/label><select id=\"forminator-form-11126__field--select-18_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"\" name=\"select-18\" data-default-value=\"Select-From-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"Islam\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-18_69f40978e36b3-label\"><option value=\"\">Islam<\/option><option value=\"Select-From-Below\" selected=\"selected\" data-calculation=\"0\">Select From Below<\/option><option value=\"one\"  data-calculation=\"0\">Islam<\/option><option value=\"two\"  data-calculation=\"0\">Budhism<\/option><option value=\"Hinduism\"  data-calculation=\"0\">Hinduism<\/option><option value=\"Christianity\"  data-calculation=\"0\">Christianity<\/option><option value=\"Judism\"  data-calculation=\"0\">Judaism<\/option><option value=\"Qadiyani\"  data-calculation=\"0\">Qadiyani<\/option><option value=\"Others\"  data-calculation=\"0\">Others<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12  comn-date\"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">DoB <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-month_69f40978e36b3\" class=\"forminator-label\">Month <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" max=\"12\" name=\"date-3-month\" value=\"\" placeholder=\"E.g. 01\" id=\"forminator-field-date-3-month_69f40978e36b3\" class=\"forminator-input\" data-field=\"month\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" \/><\/div><\/div><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-day_69f40978e36b3\" class=\"forminator-label\">Day <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" max=\"31\" name=\"date-3-day\" value=\"\" placeholder=\"E.g. 01\" id=\"forminator-field-date-3-day_69f40978e36b3\" class=\"forminator-input\" data-field=\"day\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" \/><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-year_69f40978e36b3\" class=\"forminator-label\">Year <span class=\"forminator-required\">*<\/span><\/label><input type=\"number\" min=\"1\" name=\"date-3-year\" placeholder=\"E.g. 2000\" id=\"forminator-field-date-3-year_69f40978e36b3\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-4  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_69f40978e36b3\" id=\"forminator-field-text-13_69f40978e36b3-label\" class=\"forminator-label\">passport number<\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"E.g. n5678789\" id=\"forminator-field-text-13_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-4  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_69f40978e36b3\" id=\"forminator-field-text-18_69f40978e36b3-label\" class=\"forminator-label\">Phone Number<\/label><input type=\"text\" name=\"text-18\" value=\"\" placeholder=\"E.g. +94743652850\" id=\"forminator-field-text-18_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"email-3\" class=\"forminator-field-email forminator-col forminator-col-4  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-email-3_69f40978e36b3\" id=\"forminator-field-email-3_69f40978e36b3-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-3\" value=\"\" placeholder=\"E.g. akram@gmail.com\" id=\"forminator-field-email-3_69f40978e36b3\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-16\" class=\"forminator-field-select forminator-col forminator-col-6  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-16_69f40978e36b3\" id=\"forminator-form-11126__field--select-16_69f40978e36b3-label\" class=\"forminator-label\">Select ID Type <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-11126__field--select-16_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-16\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"CNIC\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-16_69f40978e36b3-label\"><option value=\"\">CNIC<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">CNIC<\/option><option value=\"two\"  data-calculation=\"0\">POC<\/option><option value=\"NICOP\"  data-calculation=\"0\">NICOP<\/option><option value=\"Srilankan-NIC\"  data-calculation=\"0\">Srilankan NIC<\/option><\/select><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6  comn-input\"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_69f40978e36b3\" id=\"forminator-field-text-9_69f40978e36b3-label\" class=\"forminator-label\">Input ID Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"E.g. 81101-3848932-9\" id=\"forminator-field-text-9_69f40978e36b3\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-17\" class=\"forminator-field-select forminator-col forminator-col-6  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-17_69f40978e36b3\" id=\"forminator-form-11126__field--select-17_69f40978e36b3-label\" class=\"forminator-label\">Occupation Type<\/label><select id=\"forminator-form-11126__field--select-17_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"\" name=\"select-17\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"Employed\" data-search=\"true\" aria-labelledby=\"forminator-form-11126__field--select-17_69f40978e36b3-label\"><option value=\"\">Employed<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">Self Employed<\/option><option value=\"two\"  data-calculation=\"0\">Official<\/option><option value=\"Businessman\"  data-calculation=\"0\">Businessman<\/option><option value=\"Employed\"  data-calculation=\"0\">Employeed<\/option><option value=\"Non-Government-Organization\"  data-calculation=\"0\">Non Government Organization<\/option><option value=\"Thinktank\"  data-calculation=\"0\">Thinktank<\/option><option value=\"Student\"  data-calculation=\"0\">Student<\/option><option value=\"unemployeed\"  data-calculation=\"0\">unemployeed<\/option><option value=\"Others\"  data-calculation=\"0\">Others<\/option><\/select><\/div><\/div><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-6  comn-textarea\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69f40978e36b3\" id=\"forminator-field-textarea-3_69f40978e36b3-label\" class=\"forminator-label\">Occupation Detail<\/label><textarea name=\"textarea-3\" placeholder=\"E.g. businessman , teacher\nYou can add new line\" id=\"forminator-field-textarea-3_69f40978e36b3\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-15\" class=\"forminator-field-select forminator-col forminator-col-12  comn-select\"><div class=\"forminator-field\"><label for=\"forminator-form-11126__field--select-15_69f40978e36b3\" id=\"forminator-form-11126__field--select-15_69f40978e36b3-label\" class=\"forminator-label\">Education<\/label><select id=\"forminator-form-11126__field--select-15_69f40978e36b3\" class=\"forminator-select--field forminator-select2\" data-required=\"\" name=\"select-15\" data-default-value=\"Select-from-Below\" data-hidden-behavior=\"zero\" data-placeholder=\"Masters\" data-search=\"false\" aria-labelledby=\"forminator-form-11126__field--select-15_69f40978e36b3-label\"><option value=\"\">Masters<\/option><option value=\"Select-from-Below\" selected=\"selected\" data-calculation=\"0\">Select from Below<\/option><option value=\"one\"  data-calculation=\"0\">No Formal Education<\/option><option value=\"two\"  data-calculation=\"0\">Primary<\/option><option value=\"divorced\"  data-calculation=\"0\">Middle<\/option><option value=\"Matric\"  data-calculation=\"0\">Matric or equivalent<\/option><option value=\"intermediate\"  data-calculation=\"0\">intermediate or  equivalent<\/option><option value=\"BA\"  data-calculation=\"0\">BA<\/option><option value=\"BSC\"  data-calculation=\"0\">BSC<\/option><option value=\"BCS\"  data-calculation=\"0\">BCS<\/option><option value=\"BCOM\"  data-calculation=\"0\">BCOM<\/option><option value=\"Other-Bachelors-Degree\"  data-calculation=\"0\">Other Bachelors Degree<\/option><option value=\"MA\"  data-calculation=\"0\">MA<\/option><option value=\"MSC\"  data-calculation=\"0\">MSC<\/option><option value=\"MCS\"  data-calculation=\"0\">MCS<\/option><option value=\"MCOM\"  data-calculation=\"0\">MCOM<\/option><option value=\"Other-Masters-Degree\"  data-calculation=\"0\">Other Masters Degree<\/option><option value=\"PHD\"  data-calculation=\"0\">Mphil , MS or equivalent<\/option><option value=\"Postdoctoral\"  data-calculation=\"0\">PHD<\/option><option value=\"Postdoctoral\"  data-calculation=\"0\">Postdoctoral<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Add other Children\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Remove\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-11126--page-5\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-11126--page-5-label\" aria-hidden=\"true\" data-step=\"5\" data-label=\"Children&#039;s Information\" data-name=\"\" hidden><div class=\"forminator-pagination--content\"><\/div><button class=\"forminator-button forminator-pagination-submit comn-submit-button\" style=\"display: none;\" disabled>Submit Information<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"ed383bb18a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F11127\" \/><input type=\"hidden\" name=\"form_id\" value=\"11126\"><input type=\"hidden\" name=\"page_id\" value=\"11127\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.pakistanhc.lk\/?page_id=11127\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_58\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_58\" type=\"text\" name=\"input_58\" value=\"\" autocomplete=\"off\"><\/label><\/form>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.pakistanhc.lk\/index.php?rest_route=\/wp\/v2\/pages\/11127"}],"collection":[{"href":"https:\/\/www.pakistanhc.lk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pakistanhc.lk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pakistanhc.lk\/index.php?rest_route=\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pakistanhc.lk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11127"}],"version-history":[{"count":1,"href":"https:\/\/www.pakistanhc.lk\/index.php?rest_route=\/wp\/v2\/pages\/11127\/revisions"}],"predecessor-version":[{"id":11129,"href":"https:\/\/www.pakistanhc.lk\/index.php?rest_route=\/wp\/v2\/pages\/11127\/revisions\/11129"}],"wp:attachment":[{"href":"https:\/\/www.pakistanhc.lk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}