{"id":2034,"date":"2023-08-02T14:27:55","date_gmt":"2023-08-02T07:27:55","guid":{"rendered":"https:\/\/mics.ac.th\/%e5%85%a5%e5%ad%a6\/%e7%bd%91%e4%b8%8a%e5%bd%95%e5%8f%96\/"},"modified":"2023-10-26T19:51:34","modified_gmt":"2023-10-26T12:51:34","slug":"%e7%bd%91%e4%b8%8a%e5%bd%95%e5%8f%96","status":"publish","type":"page","link":"https:\/\/mics.ac.th\/zh-hans\/%e5%85%a5%e5%ad%a6\/%e7%bd%91%e4%b8%8a%e5%bd%95%e5%8f%96\/","title":{"rendered":"\u7f51\u4e0a\u5f55\u53d6"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2034\" class=\"elementor elementor-2034 elementor-53\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2a323bc9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2a323bc9\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6774995f\" data-id=\"6774995f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4e68cc82 elementor-widget elementor-widget-heading\" data-id=\"4e68cc82\" data-element_type=\"widget\" data-e-type=\"widget\" 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\">\u5728\u7ebf\u5165\u5b66<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6b442af elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6b442af\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d263ad4\" data-id=\"d263ad4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4f3e7c1 fluent-form-widget-step-header-yes fluent-form-widget-step-progressbar-yes fluentform-widget-submit-button-custom elementor-widget elementor-widget-fluent-form-widget\" data-id=\"4f3e7c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-align-default\">\n\n            \n            <div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Student Application Form<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='2034' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"0a4615efbe\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/zh-hans\/wp-json\/wp\/v2\/pages\/2034\" \/><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 70%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_1\" ><h2 style=\"text-align: center\">Student Application Form<\/h2><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 30%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_student_photo_1' id='label_ff_3_student_photo_1' aria-label=\"Your Photo\">Your Photo<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_student_photo_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"student_photo\" id=\"ff_3_student_photo_1\" class=\"ff-el-form-control  ff-screen-reader-element\" accept=\"image\/*\" data-name=\"student_photo\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_2\" ><p>Max File Size: 5 MB (JPG or PNG)<\/p><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_application_date' id='label_ff_3_application_date' aria-label=\"Application date\">Application date<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Application date \u4f7f\u7528\u7bad\u5934\u952e\u6d4f\u89c8\u65e5\u671f\u3002\u6309 Enter \u952e\u9009\u62e9\u65e5\u671f\u3002'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"application_date\" value=\"28\/04\/2026\" id=\"ff_3_application_date\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"application_date\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_for_the_academic_year_of' id='label_ff_3_for_the_academic_year_of' aria-label=\"For the academic year of\">For the academic year of<\/label><\/div><div class='ff-el-input--content'><select name=\"for_the_academic_year_of\" id=\"ff_3_for_the_academic_year_of\" class=\"ff-el-form-control\" data-name=\"for_the_academic_year_of\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_for_the_academic_year_of\"><option value=\"\">- Select -<\/option><option value=\"2018-2019\"  >2018-2019<\/option><option value=\"2019-2020\"  >2019-2020<\/option><option value=\"2020-2021\"  >2020-2021<\/option><option value=\"2021-2022\"  >2021-2022<\/option><option value=\"2022-2023\"  >2022-2023<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_applying_for' id='label_ff_3_applying_for' aria-label=\"Applying for\">Applying for<\/label><\/div><div class='ff-el-input--content'><select name=\"applying_for\" id=\"ff_3_applying_for\" class=\"ff-el-form-control\" data-name=\"applying_for\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_applying_for\"><option value=\"\">- Select -<\/option><option value=\"Kindergarten\"  >Kindergarten<\/option><option value=\"Primary School\"  >Primary School<\/option><option value=\"Secondary School\"  >Secondary School<\/option><option value=\"High School\"  >High School<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_3\" ><h2>Personal Record<\/h2><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 80%;'><div data-type=\"name-element\" data-name=\"student_names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_student_names_first_name_' id='label_ff_3_student_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"student_names[first_name]\" id=\"ff_3_student_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_student_names_middle_name_' id='label_ff_3_student_names_middle_name_' >Middle Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"student_names[middle_name]\" id=\"ff_3_student_names_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Middle Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_student_names_last_name_' id='label_ff_3_student_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"student_names[last_name]\" id=\"ff_3_student_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 20%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_nick_name' id='label_ff_3_nick_name' >Nick Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"nick_name\" class=\"ff-el-form-control\" placeholder=\"Nick Name\" data-name=\"nick_name\" id=\"ff_3_nick_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_citizen_passport_id' id='label_ff_3_citizen_passport_id' aria-label=\"Citizen or Passport ID\">Citizen or Passport ID<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"citizen_passport_id\" class=\"ff-el-form-control\" placeholder=\"Citizen or Passport ID\" maxlength=\"13\" data-name=\"citizen_passport_id\" id=\"ff_3_citizen_passport_id\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_current_address' id='label_ff_3_current_address' aria-label=\"Current Address\">Current Address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"current_address\" class=\"ff-el-form-control\" placeholder=\"Current Address\" data-name=\"current_address\" id=\"ff_3_current_address\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_registered_address' id='label_ff_3_registered_address' aria-label=\"Registered Address\">Registered Address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"registered_address\" class=\"ff-el-form-control\" placeholder=\"Registered Address\" data-name=\"registered_address\" id=\"ff_3_registered_address\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_date_of_birth' id='label_ff_3_date_of_birth' aria-label=\"Date of Birth\">Date of Birth<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date of Birth \u4f7f\u7528\u7bad\u5934\u952e\u6d4f\u89c8\u65e5\u671f\u3002\u6309 Enter \u952e\u9009\u62e9\u65e5\u671f\u3002'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"date_of_birth\" id=\"ff_3_date_of_birth\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Date of Birth\" data-name=\"date_of_birth\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_religion' id='label_ff_3_religion' aria-label=\"Religion\">Religion<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"religion\" class=\"ff-el-form-control\" placeholder=\"Religion\" data-name=\"religion\" id=\"ff_3_religion\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_age' id='label_ff_3_age' aria-label=\"Age (Year)\">Age (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"age\" class=\"ff-el-form-control\" placeholder=\"Age (Year)\" maxlength=\"2\" data-name=\"age\" id=\"ff_3_age\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_nationality' id='label_ff_3_nationality' aria-label=\"Nationality\">Nationality<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"nationality\" class=\"ff-el-form-control\" placeholder=\"Nationality\" data-name=\"nationality\" id=\"ff_3_nationality\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_gender' id='label_ff_3_gender' aria-label=\"Gender\">Gender<\/label><\/div><div class='ff-el-input--content'><select name=\"gender\" id=\"ff_3_gender\" class=\"ff-el-form-control\" data-name=\"gender\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_gender\"><option value=\"\">- Gender -<\/option><option value=\"Male\"  >Male<\/option><option value=\"Female\"  >Female<\/option><\/select><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_race_ethnicity' id='label_ff_3_race_ethnicity' aria-label=\"Race\/Ethnicity\">Race\/Ethnicity<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"race_ethnicity\" class=\"ff-el-form-control\" placeholder=\"Race\/Ethnicity\" data-name=\"race_ethnicity\" id=\"ff_3_race_ethnicity\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_4\" ><h2>Education Record<\/h2><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_5\" ><p>Max File Size: 5 MB (PDF, JPG or PNG)<\/p><\/div><\/div><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_4 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 20%;'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"nursery_kindergarten_level\" class=\"ff-el-form-control\" placeholder=\"Nursery\/Kindergarten\" data-name=\"nursery_kindergarten_level\" id=\"ff_3_nursery_kindergarten_level\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 20%;'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"nursery_kindergarten_school_name\" class=\"ff-el-form-control\" placeholder=\"School name\" data-name=\"nursery_kindergarten_school_name\" id=\"ff_3_nursery_kindergarten_school_name\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 40%;'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"nursery_kindergarten_leaving_reason\" class=\"ff-el-form-control\" placeholder=\"Reason for leaving school\" data-name=\"nursery_kindergarten_leaving_reason\" id=\"ff_3_nursery_kindergarten_leaving_reason\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 20%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_kindergarten_certificate_1' id='label_ff_3_kindergarten_certificate_1' aria-label=\"Kindergarten Certificate\">Kindergarten Certificate<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_kindergarten_certificate_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"kindergarten_certificate\" id=\"ff_3_kindergarten_certificate_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"kindergarten_certificate\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_4 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 20%;'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"primary_level\" class=\"ff-el-form-control\" placeholder=\"Primary Level\" data-name=\"primary_level\" id=\"ff_3_primary_level\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 20%;'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"primary_school_name\" class=\"ff-el-form-control\" placeholder=\"School name\" data-name=\"primary_school_name\" id=\"ff_3_primary_school_name\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 40%;'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"primary_leaving_reason\" class=\"ff-el-form-control\" placeholder=\"Reason for leaving school\" data-name=\"primary_leaving_reason\" id=\"ff_3_primary_leaving_reason\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 20%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_primary_certificate_1' id='label_ff_3_primary_certificate_1' aria-label=\"Certificate\">Certificate<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_primary_certificate_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"primary_certificate\" id=\"ff_3_primary_certificate_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"primary_certificate\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_10\"  class='ff-t-container ff-column-container ff_columns_total_4 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 20%;'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"secondary_level\" class=\"ff-el-form-control\" placeholder=\"Secondary Level\" data-name=\"secondary_level\" id=\"ff_3_secondary_level\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 20%;'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"secondary_school_name\" class=\"ff-el-form-control\" placeholder=\"School name\" data-name=\"secondary_school_name\" id=\"ff_3_secondary_school_name\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 40%;'><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"secondary_leaving_reason\" class=\"ff-el-form-control\" placeholder=\"Reason for leaving school\" data-name=\"secondary_leaving_reason\" id=\"ff_3_secondary_leaving_reason\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 20%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_secondary_certificate_1' id='label_ff_3_secondary_certificate_1' aria-label=\"Certificate\">Certificate<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_secondary_certificate_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"secondary_certificate\" id=\"ff_3_secondary_certificate_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"secondary_certificate\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_11\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Has the student ever had disciplinary difficulty at school?\">Has the student ever had disciplinary difficulty at school?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='disciplinary_difficulty_4ba0efa6d40cc9249c7fdfc8362625b6'><input  type=\"radio\" name=\"disciplinary_difficulty\" data-name=\"disciplinary_difficulty\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='disciplinary_difficulty_4ba0efa6d40cc9249c7fdfc8362625b6' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='disciplinary_difficulty_eeeaa9914ce32c1998d95d3d1ef857ad'><input  type=\"radio\" name=\"disciplinary_difficulty\" data-name=\"disciplinary_difficulty\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='disciplinary_difficulty_eeeaa9914ce32c1998d95d3d1ef857ad' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_disciplinary_difficulty_explaination' id='label_ff_3_disciplinary_difficulty_explaination' aria-label=\"Disciplinary difficulty explaination\">Disciplinary difficulty explaination<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"disciplinary_difficulty_explaination\" class=\"ff-el-form-control\" placeholder=\"If yes, please explain\" data-name=\"disciplinary_difficulty_explaination\" id=\"ff_3_disciplinary_difficulty_explaination\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Has the student ever failed an academic subject in school?\">Has the student ever failed an academic subject in school?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='failed_academic_subject_80dd7912859edcc916201cf2d3762a59'><input  type=\"radio\" name=\"failed_academic_subject\" data-name=\"failed_academic_subject\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='failed_academic_subject_80dd7912859edcc916201cf2d3762a59' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='failed_academic_subject_6b81769f5e4bb823ee4beccf2abcef14'><input  type=\"radio\" name=\"failed_academic_subject\" data-name=\"failed_academic_subject\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='failed_academic_subject_6b81769f5e4bb823ee4beccf2abcef14' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_failed_academic_subject_explaination' id='label_ff_3_failed_academic_subject_explaination' aria-label=\"Failed an academic subject explaination\">Failed an academic subject explaination<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"failed_academic_subject_explaination\" class=\"ff-el-form-control\" placeholder=\"If yes, please explain\" data-name=\"failed_academic_subject_explaination\" id=\"ff_3_failed_academic_subject_explaination\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_12\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_6\" ><h2>Family Information<\/h2><\/div><\/div><\/div><div data-name=\"ff_cn_id_13\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Parent&#039;s martial status\">Parent's martial status<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='parent_martial_status_de7e4de3c165ec393bc6684b9fb514f8'><input  type=\"radio\" name=\"parent_martial_status\" data-name=\"parent_martial_status\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Married\"  id='parent_martial_status_de7e4de3c165ec393bc6684b9fb514f8' aria-label='Married' aria-invalid='false' aria-required=true> <span>Married<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='parent_martial_status_b320be14aa014d3a07e4fcb338ce7e50'><input  type=\"radio\" name=\"parent_martial_status\" data-name=\"parent_martial_status\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Divorced\"  id='parent_martial_status_b320be14aa014d3a07e4fcb338ce7e50' aria-label='Divorced' aria-invalid='false' aria-required=true> <span>Divorced<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='parent_martial_status_31fa511882c8937def3d1ac7c5b3e5c8'><input  type=\"radio\" name=\"parent_martial_status\" data-name=\"parent_martial_status\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Separated\"  id='parent_martial_status_31fa511882c8937def3d1ac7c5b3e5c8' aria-label='Separated' aria-invalid='false' aria-required=true> <span>Separated<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='parent_martial_status_0d7cb17dfa0281ecd2fd776bdcf2d8cf'><input  type=\"radio\" name=\"parent_martial_status\" data-name=\"parent_martial_status\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Deceased\"  id='parent_martial_status_0d7cb17dfa0281ecd2fd776bdcf2d8cf' aria-label='Deceased' aria-invalid='false' aria-required=true> <span>Deceased<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Student is supervision of.\">Student is supervision of.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='student_supervision_18e337132c49db2352e111a1cfb95c9a'><input  type=\"checkbox\" name=\"student_supervision[]\" data-name=\"student_supervision\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Father\"  id='student_supervision_18e337132c49db2352e111a1cfb95c9a' aria-label='Father' aria-invalid='false' aria-required=true> <span>Father<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='student_supervision_2b58aaed7b30129b95a915f3a8fd3ee4'><input  type=\"checkbox\" name=\"student_supervision[]\" data-name=\"student_supervision\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Mother\"  id='student_supervision_2b58aaed7b30129b95a915f3a8fd3ee4' aria-label='Mother' aria-invalid='false' aria-required=true> <span>Mother<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='student_supervision_7c412edf500595498c2cd9ffd6d963e6'><input  type=\"checkbox\" name=\"student_supervision[]\" data-name=\"student_supervision\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Other\"  id='student_supervision_7c412edf500595498c2cd9ffd6d963e6' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"student_supervision_specify\" class=\"ff-el-form-control\" placeholder=\"If other, please specify\" data-name=\"student_supervision_specify\" id=\"ff_3_student_supervision_specify\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_14\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_7\" ><h2>Record of Father<\/h2><\/div><\/div><\/div><div data-name=\"ff_cn_id_15\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div data-type=\"name-element\" data-name=\"father_names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_father_names_first_name_' id='label_ff_3_father_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"father_names[first_name]\" id=\"ff_3_father_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_father_names_middle_name_' id='label_ff_3_father_names_middle_name_' >Middle Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"father_names[middle_name]\" id=\"ff_3_father_names_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Middle Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_father_names_last_name_' id='label_ff_3_father_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"father_names[last_name]\" id=\"ff_3_father_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_16\"  class='ff-t-container ff-column-container ff_columns_total_4 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_father_age' id='label_ff_3_father_age' aria-label=\"Father Age (Year)\">Father Age (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"father_age\" class=\"ff-el-form-control\" placeholder=\"Age (Year)\" data-name=\"father_age\" id=\"ff_3_father_age\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_father_religion' id='label_ff_3_father_religion' aria-label=\"Father Religion\">Father Religion<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"father_religion\" class=\"ff-el-form-control\" placeholder=\"Religion\" data-name=\"father_religion\" id=\"ff_3_father_religion\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_father_nationality' id='label_ff_3_father_nationality' aria-label=\"Father Nationality\">Father Nationality<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"father_nationality\" class=\"ff-el-form-control\" placeholder=\"Nationality\" data-name=\"father_nationality\" id=\"ff_3_father_nationality\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_father_race_ethnicity' id='label_ff_3_father_race_ethnicity' aria-label=\"Father Race\/Ethnicity\">Father Race\/Ethnicity<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"father_race_ethnicity\" class=\"ff-el-form-control\" placeholder=\"Race\/Ethnicity\" data-name=\"father_race_ethnicity\" id=\"ff_3_father_race_ethnicity\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_17\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_father_occupation' id='label_ff_3_father_occupation' aria-label=\"Father Occupation\">Father Occupation<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"father_occupation\" class=\"ff-el-form-control\" placeholder=\"Occupation\" data-name=\"father_occupation\" id=\"ff_3_father_occupation\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_father_mobile' id='label_ff_3_father_mobile' aria-label=\"Father Mobile\">Father Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"father_mobile\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"father_mobile\" id=\"ff_3_father_mobile\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_father_email' id='label_ff_3_father_email' aria-label=\"Father Email Address\">Father Email Address<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"father_email\" id=\"ff_3_father_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"father_email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_18\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_8\" ><h2>Record of Mother<\/h2><\/div><\/div><\/div><div data-name=\"ff_cn_id_19\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div data-type=\"name-element\" data-name=\"mother_names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mother_names_first_name_' id='label_ff_3_mother_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mother_names[first_name]\" id=\"ff_3_mother_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mother_names_middle_name_' id='label_ff_3_mother_names_middle_name_' >Middle Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mother_names[middle_name]\" id=\"ff_3_mother_names_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Middle Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mother_names_last_name_' id='label_ff_3_mother_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mother_names[last_name]\" id=\"ff_3_mother_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_20\"  class='ff-t-container ff-column-container ff_columns_total_4 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mother_age' id='label_ff_3_mother_age' aria-label=\"Mother Age (Year)\">Mother Age (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mother_age\" class=\"ff-el-form-control\" placeholder=\"Age (Year)\" data-name=\"mother_age\" id=\"ff_3_mother_age\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mother_religion' id='label_ff_3_mother_religion' aria-label=\"Mother Religion\">Mother Religion<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mother_religion\" class=\"ff-el-form-control\" placeholder=\"Religion\" data-name=\"mother_religion\" id=\"ff_3_mother_religion\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mother_nationality' id='label_ff_3_mother_nationality' aria-label=\"Mother Nationality\">Mother Nationality<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mother_nationality\" class=\"ff-el-form-control\" placeholder=\"Nationality\" data-name=\"mother_nationality\" id=\"ff_3_mother_nationality\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mother_race_ethnicity' id='label_ff_3_mother_race_ethnicity' aria-label=\"Mother Race\/Ethnicity\">Mother Race\/Ethnicity<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mother_race_ethnicity\" class=\"ff-el-form-control\" placeholder=\"Race\/Ethnicity\" data-name=\"mother_race_ethnicity\" id=\"ff_3_mother_race_ethnicity\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_21\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mother_occupation' id='label_ff_3_mother_occupation' aria-label=\"Mother Occupation\">Mother Occupation<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"mother_occupation\" class=\"ff-el-form-control\" placeholder=\"Occupation\" data-name=\"mother_occupation\" id=\"ff_3_mother_occupation\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mother_mobile' id='label_ff_3_mother_mobile' aria-label=\"Mother Mobile\">Mother Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"mother_mobile\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"mother_mobile\" id=\"ff_3_mother_mobile\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mother_email' id='label_ff_3_mother_email' aria-label=\"Mother Email Address\">Mother Email Address<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"mother_email\" id=\"ff_3_mother_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"mother_email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_22\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_9\" ><h2>Record of Siblings<\/h2><\/div><\/div><\/div><div data-name=\"ff_cn_id_23\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 15%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_10\" ><p style=\"text-align: center;font-size: 50px\">1<\/p><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 55%;'><div data-type=\"name-element\" data-name=\"sibling_1_name\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_1_name_first_name_' id='label_ff_3_sibling_1_name_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_1_name[first_name]\" id=\"ff_3_sibling_1_name_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_1_name_middle_name_' id='label_ff_3_sibling_1_name_middle_name_' >Middle Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_1_name[middle_name]\" id=\"ff_3_sibling_1_name_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Middle Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_1_name_last_name_' id='label_ff_3_sibling_1_name_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_1_name[last_name]\" id=\"ff_3_sibling_1_name_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_1_place_of_work_study' id='label_ff_3_sibling_1_place_of_work_study' aria-label=\"Sibling 1 Place of work\/study\">Sibling 1 Place of work\/study<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_1_place_of_work_study\" class=\"ff-el-form-control\" placeholder=\"Place of work\/study\" data-name=\"sibling_1_place_of_work_study\" id=\"ff_3_sibling_1_place_of_work_study\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 30%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_1_age' id='label_ff_3_sibling_1_age' aria-label=\"Sibling 1 Age (Year)\">Sibling 1 Age (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_1_age\" class=\"ff-el-form-control\" placeholder=\"Age (Year)\" data-name=\"sibling_1_age\" id=\"ff_3_sibling_1_age\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_1_mobile' id='label_ff_3_sibling_1_mobile' aria-label=\"Sibling 1 Mobile\">Sibling 1 Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"sibling_1_mobile\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"sibling_1_mobile\" id=\"ff_3_sibling_1_mobile\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_24\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 15%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_11\" ><p style=\"text-align: center;font-size: 50px\">2<\/p><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 55%;'><div data-type=\"name-element\" data-name=\"sibling_2_name\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_2_name_first_name_' id='label_ff_3_sibling_2_name_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_2_name[first_name]\" id=\"ff_3_sibling_2_name_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_2_name_middle_name_' id='label_ff_3_sibling_2_name_middle_name_' >Middle Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_2_name[middle_name]\" id=\"ff_3_sibling_2_name_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Middle Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_2_name_last_name_' id='label_ff_3_sibling_2_name_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_2_name[last_name]\" id=\"ff_3_sibling_2_name_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_2_place_of_work_study' id='label_ff_3_sibling_2_place_of_work_study' aria-label=\"Sibling 2 Place of work\/study\">Sibling 2 Place of work\/study<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_2_place_of_work_study\" class=\"ff-el-form-control\" placeholder=\"Place of work\/study\" data-name=\"sibling_2_place_of_work_study\" id=\"ff_3_sibling_2_place_of_work_study\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 30%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_2_age' id='label_ff_3_sibling_2_age' aria-label=\"Sibling 2 Age (Year)\">Sibling 2 Age (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_2_age\" class=\"ff-el-form-control\" placeholder=\"Age (Year)\" data-name=\"sibling_2_age\" id=\"ff_3_sibling_2_age\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_2_mobile' id='label_ff_3_sibling_2_mobile' aria-label=\"Sibling 2 Mobile\">Sibling 2 Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"sibling_2_mobile\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"sibling_2_mobile\" id=\"ff_3_sibling_2_mobile\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_25\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 15%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_12\" ><p style=\"text-align: center;font-size: 50px\">3<\/p><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 55%;'><div data-type=\"name-element\" data-name=\"sibling_3_name\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_3_name_first_name_' id='label_ff_3_sibling_3_name_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_3_name[first_name]\" id=\"ff_3_sibling_3_name_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_3_name_middle_name_' id='label_ff_3_sibling_3_name_middle_name_' >Middle Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_3_name[middle_name]\" id=\"ff_3_sibling_3_name_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Middle Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_3_name_last_name_' id='label_ff_3_sibling_3_name_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_3_name[last_name]\" id=\"ff_3_sibling_3_name_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_3_place_of_work_study' id='label_ff_3_sibling_3_place_of_work_study' aria-label=\"Sibling 3 Place of work\/study\">Sibling 3 Place of work\/study<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_3_place_of_work_study\" class=\"ff-el-form-control\" placeholder=\"Place of work\/study\" data-name=\"sibling_3_place_of_work_study\" id=\"ff_3_sibling_3_place_of_work_study\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 30%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_3_age' id='label_ff_3_sibling_3_age' aria-label=\"Sibling 3 Age (Year)\">Sibling 3 Age (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_3_age\" class=\"ff-el-form-control\" placeholder=\"Age (Year)\" data-name=\"sibling_3_age\" id=\"ff_3_sibling_3_age\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_3_mobile' id='label_ff_3_sibling_3_mobile' aria-label=\"Sibling 3 Mobile\">Sibling 3 Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"sibling_3_mobile\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"sibling_3_mobile\" id=\"ff_3_sibling_3_mobile\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_26\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 15%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_13\" ><p style=\"text-align: center;font-size: 50px\">4<\/p><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 55%;'><div data-type=\"name-element\" data-name=\"sibling_4_name\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_4_name_first_name_' id='label_ff_3_sibling_4_name_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_4_name[first_name]\" id=\"ff_3_sibling_4_name_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_4_name_middle_name_' id='label_ff_3_sibling_4_name_middle_name_' >Middle Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_4_name[middle_name]\" id=\"ff_3_sibling_4_name_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Middle Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_4_name_last_name_' id='label_ff_3_sibling_4_name_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_4_name[last_name]\" id=\"ff_3_sibling_4_name_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_4_place_of_work_study' id='label_ff_3_sibling_4_place_of_work_study' aria-label=\"Sibling 4 Place of work\/study\">Sibling 4 Place of work\/study<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_4_place_of_work_study\" class=\"ff-el-form-control\" placeholder=\"Place of work\/study\" data-name=\"sibling_4_place_of_work_study\" id=\"ff_3_sibling_4_place_of_work_study\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 30%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_4_age' id='label_ff_3_sibling_4_age' aria-label=\"Sibling 4 Age (Year)\">Sibling 4 Age (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_4_age\" class=\"ff-el-form-control\" placeholder=\"Age (Year)\" data-name=\"sibling_4_age\" id=\"ff_3_sibling_4_age\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_4_mobile' id='label_ff_3_sibling_4_mobile' aria-label=\"Sibling 4 Mobile\">Sibling 4 Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"sibling_4_mobile\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"sibling_4_mobile\" id=\"ff_3_sibling_4_mobile\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_27\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 15%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_14\" ><p style=\"text-align: center;font-size: 50px\">5<\/p><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 55%;'><div data-type=\"name-element\" data-name=\"sibling_5_name\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_5_name_first_name_' id='label_ff_3_sibling_5_name_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_5_name[first_name]\" id=\"ff_3_sibling_5_name_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_5_name_middle_name_' id='label_ff_3_sibling_5_name_middle_name_' >Middle Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_5_name[middle_name]\" id=\"ff_3_sibling_5_name_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Middle Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_5_name_last_name_' id='label_ff_3_sibling_5_name_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_5_name[last_name]\" id=\"ff_3_sibling_5_name_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_5_place_of_work_study' id='label_ff_3_sibling_5_place_of_work_study' aria-label=\"Sibling 5 Place of work\/study\">Sibling 5 Place of work\/study<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_5_place_of_work_study\" class=\"ff-el-form-control\" placeholder=\"Place of work\/study\" data-name=\"sibling_5_place_of_work_study\" id=\"ff_3_sibling_5_place_of_work_study\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 30%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_5_age' id='label_ff_3_sibling_5_age' aria-label=\"Sibling 5 Age (Year)\">Sibling 5 Age (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"sibling_5_age\" class=\"ff-el-form-control\" placeholder=\"Age (Year)\" data-name=\"sibling_5_age\" id=\"ff_3_sibling_5_age\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sibling_5_mobile' id='label_ff_3_sibling_5_mobile' aria-label=\"Sibling 5 Mobile\">Sibling 5 Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"sibling_5_mobile\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"sibling_5_mobile\" id=\"ff_3_sibling_5_mobile\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_28\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_15\" ><h2>Health and Medical Information<\/h2><\/div><\/div><\/div><div data-name=\"ff_cn_id_29\"  class='ff-t-container ff-column-container ff_columns_total_4 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 40%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_any_systemic_disease' id='label_ff_3_any_systemic_disease' aria-label=\"Any Systemic Disease?\">Any Systemic Disease?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"any_systemic_disease\" class=\"ff-el-form-control\" placeholder=\"Any Systemic Disease?\" data-name=\"any_systemic_disease\" id=\"ff_3_any_systemic_disease\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 20%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_weight' id='label_ff_3_weight' aria-label=\"Weight (KG.)\">Weight (KG.)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"weight\" class=\"ff-el-form-control\" placeholder=\"Weight (KG.)\" data-name=\"weight\" id=\"ff_3_weight\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 20%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_heigh' id='label_ff_3_heigh' aria-label=\"Heigh (Cm.)\">Heigh (Cm.)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"heigh\" class=\"ff-el-form-control\" placeholder=\"Heigh (Cm.)\" data-name=\"heigh\" id=\"ff_3_heigh\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 20%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_dropdown' id='label_ff_3_dropdown' aria-label=\"Blood Type\">Blood Type<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_3_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_3_dropdown\"><option value=\"\">- Blood Type -<\/option><option value=\"A+\"  >A+<\/option><option value=\"A-\"  >A-<\/option><option value=\"B+\"  >B+<\/option><option value=\"B-\"  >B-<\/option><option value=\"AB+\"  >AB+<\/option><option value=\"AB-\"  >AB-<\/option><option value=\"O+\"  >O+<\/option><option value=\"O-\"  >O-<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_30\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_hospital_with_regular_medical_record' id='label_ff_3_hospital_with_regular_medical_record' aria-label=\"Hospital with Regular Medical Record\">Hospital with Regular Medical Record<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"hospital_with_regular_medical_record\" class=\"ff-el-form-control\" placeholder=\"Hospital with Regular Medical Record\" data-name=\"hospital_with_regular_medical_record\" id=\"ff_3_hospital_with_regular_medical_record\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_personal_doctor' id='label_ff_3_personal_doctor' aria-label=\"Personal Doctor\">Personal Doctor<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"personal_doctor\" class=\"ff-el-form-control\" placeholder=\"Personal Doctor\" data-name=\"personal_doctor\" id=\"ff_3_personal_doctor\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_hospital_phone' id='label_ff_3_hospital_phone' aria-label=\"Hospital Phone\">Hospital Phone<\/label><\/div><div class='ff-el-input--content'><input name=\"hospital_phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Telephone no.\" data-name=\"hospital_phone\" id=\"ff_3_hospital_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_31\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_drub_allergy' id='label_ff_3_drub_allergy' aria-label=\"Drug allergy\">Drug allergy<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"drub_allergy\" class=\"ff-el-form-control\" placeholder=\"Drug allergy, Please specify\" data-name=\"drub_allergy\" id=\"ff_3_drub_allergy\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_food_allergy' id='label_ff_3_food_allergy' aria-label=\"Food allergy\">Food allergy<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"food_allergy\" class=\"ff-el-form-control\" placeholder=\"Food allergy, Please specify\" data-name=\"food_allergy\" id=\"ff_3_food_allergy\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_other_allergy' id='label_ff_3_other_allergy' aria-label=\"Other allergy\">Other allergy<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"other_allergy\" class=\"ff-el-form-control\" placeholder=\"Other allergy, Please specify\" data-name=\"other_allergy\" id=\"ff_3_other_allergy\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_vacination_records' id='label_ff_3_vacination_records' aria-label=\"Vacination records\">Vacination records<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"vacination_records\" class=\"ff-el-form-control\" placeholder=\"Vacination records\" data-name=\"vacination_records\" id=\"ff_3_vacination_records\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_32\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_16\" ><h2>Background Information<\/h2><\/div><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_child_first_language' id='label_ff_3_child_first_language' aria-label=\"Child&#039;s First Language\">Child's First Language<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"child_first_language\" class=\"ff-el-form-control\" placeholder=\"Child&#039;s First Language\" data-name=\"child_first_language\" id=\"ff_3_child_first_language\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_child_talents_and_gifts' id='label_ff_3_child_talents_and_gifts' aria-label=\"What do you feel about your child&#039;s talents and gifts?\">What do you feel about your child's talents and gifts?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"child_talents_and_gifts\" class=\"ff-el-form-control\" placeholder=\"What do you feel about your child&#039;s talents and gifts?\" data-name=\"child_talents_and_gifts\" id=\"ff_3_child_talents_and_gifts\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_child_good_behaviors' id='label_ff_3_child_good_behaviors' aria-label=\"What are your child&#039;s good behaviors?\">What are your child's good behaviors?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"child_good_behaviors\" class=\"ff-el-form-control\" placeholder=\"What are your child&#039;s good behaviors?\" data-name=\"child_good_behaviors\" id=\"ff_3_child_good_behaviors\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_child_improve_behaviors' id='label_ff_3_child_improve_behaviors' aria-label=\"What behavior would you like your child to improve?\">What behavior would you like your child to improve?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"child_improve_behaviors\" class=\"ff-el-form-control\" placeholder=\"What behavior would you like your child to improve?\" data-name=\"child_improve_behaviors\" id=\"ff_3_child_improve_behaviors\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_issue_affect_child_learning' id='label_ff_3_issue_affect_child_learning' aria-label=\"Is there any issue that may adversely affect your child&#039;s learning at school?\">Is there any issue that may adversely affect your child's learning at school?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"issue_affect_child_learning\" class=\"ff-el-form-control\" placeholder=\"Is there any issue that may adversely affect your child&#039;s learning at school?\" data-name=\"issue_affect_child_learning\" id=\"ff_3_issue_affect_child_learning\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_why_attend_mics' id='label_ff_3_why_attend_mics' aria-label=\"Why would you like your child to attend MICS?\">Why would you like your child to attend MICS?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"why_attend_mics\" class=\"ff-el-form-control\" placeholder=\"Why would you like your child to attend MICS?\" data-name=\"why_attend_mics\" id=\"ff_3_why_attend_mics\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_how_you_know_mics' id='label_ff_3_how_you_know_mics' aria-label=\"How did you know MICS?\">How did you know MICS?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"how_you_know_mics\" class=\"ff-el-form-control\" placeholder=\"How did you know MICS?\" data-name=\"how_you_know_mics\" id=\"ff_3_how_you_know_mics\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div data-name=\"ff_cn_id_33\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_17\" ><h2>Supporting Documents<\/h2><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_18\" ><p>Max File Size: 5 MB (PDF, JPG or PNG)<\/p><\/div><\/div><\/div><div data-name=\"ff_cn_id_34\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_birth_certificate_file_1' id='label_ff_3_birth_certificate_file_1' aria-label=\"Photocopy of birth certificate\">Photocopy of birth certificate<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_birth_certificate_file_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"birth_certificate_file\" id=\"ff_3_birth_certificate_file_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"birth_certificate_file\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_house_registration_record_file_1' id='label_ff_3_house_registration_record_file_1' aria-label=\"Photocopy of house registration record (If any)\">Photocopy of house registration record (If any)<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_house_registration_record_file_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"house_registration_record_file\" id=\"ff_3_house_registration_record_file_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"house_registration_record_file\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_student_passport_photo_page_file_1' id='label_ff_3_student_passport_photo_page_file_1' aria-label=\"A copy of student&#039;s passport photo page. Please sign for true copy certification\">A copy of student's passport photo page. Please sign for true copy certification<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_student_passport_photo_page_file_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"student_passport_photo_page_file\" id=\"ff_3_student_passport_photo_page_file_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"student_passport_photo_page_file\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_35\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_parent_passport_photo_page_file_1' id='label_ff_3_parent_passport_photo_page_file_1' aria-label=\"A copy of parent&#039;s passport photo page. Please sign for true copy certification\">A copy of parent's passport photo page. Please sign for true copy certification<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_parent_passport_photo_page_file_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"parent_passport_photo_page_file\" id=\"ff_3_parent_passport_photo_page_file_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"parent_passport_photo_page_file\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_transcript_records_file_1' id='label_ff_3_transcript_records_file_1' aria-label=\"Most recent 2 years school reports of transcript of records (If any)\">Most recent 2 years school reports of transcript of records (If any)<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_transcript_records_file_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"transcript_records_file\" id=\"ff_3_transcript_records_file_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"transcript_records_file\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_recommendation_letter_file_1' id='label_ff_3_recommendation_letter_file_1' aria-label=\"Recommendation letter from Principals or Counselor (for high school student only)\">Recommendation letter from Principals or Counselor (for high school student only)<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_recommendation_letter_file_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"recommendation_letter_file\" id=\"ff_3_recommendation_letter_file_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"recommendation_letter_file\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_36\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_vaccination_records_file_1' id='label_ff_3_vaccination_records_file_1' aria-label=\"Vaccination records (If any)\">Vaccination records (If any)<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_vaccination_records_file_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"vaccination_records_file\" id=\"ff_3_vaccination_records_file_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"vaccination_records_file\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_medical_examination_file_1' id='label_ff_3_medical_examination_file_1' aria-label=\"Medical Examination Form (Can be submitted upon arrival)\">Medical Examination Form (Can be submitted upon arrival)<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_medical_examination_file_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"medical_examination_file\" id=\"ff_3_medical_examination_file_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"medical_examination_file\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_application_fee_slip_file_1' id='label_ff_3_application_fee_slip_file_1' aria-label=\"Transactional record of application fee - 1,500 THB (NON-REFUNDABLE)\">Transactional record of application fee - 1,500 THB (NON-REFUNDABLE)<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_application_fee_slip_file_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"application_fee_slip_file\" id=\"ff_3_application_fee_slip_file_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"application_fee_slip_file\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_37\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='\u6761\u6b3e\u548c\u6761\u4ef6\uff1aI have read and accept the website Privacy Policy\n\n \u5305\u542b 1 \u4e2a\u94fe\u63a5\u3002\u4f7f\u7528Tab\u5bfc\u822a\u8fdb\u884c\u67e5\u770b\u3002' class='ff-el-form-check-label ff_tc_label' for=gdpr-agreement_8f35ad9d37bbd605fc02591e138c8229><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"gdpr-agreement\" class=\"ff-el-form-check-input ff_gdpr_field\" data-name=\"gdpr-agreement\" id=\"gdpr-agreement_8f35ad9d37bbd605fc02591e138c8229\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'>I have read and accept the website <a href=\"https:\/\/pdpa.pro\/policies\/view\/en\/m4SDEfQXbWy7BMcr5PpyJkRF\" target=\"_blank\" rel=\"noopener\"><strong>Privacy Policy<\/strong><\/a>\n\n<\/div><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Submit Form\">Submit Form<\/button><\/div><\/fieldset><\/form><div id='fluentform_3_errors' class='ff-errors-in-stack ff_form_instance_3_1 ff-form-loading_errors ff_form_instance_3_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_3_1 = {\"id\":\"3\",\"ajaxUrl\":\"https:\\\/\\\/mics.ac.th\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\",\"asteriskPlacement\":\"asterisk-right\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_3_1\",\"form_id_selector\":\"fluentform_3\",\"rules\":{\"student_photo\":{\"required\":{\"value\":true,\"message\":\"This field is 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