{"id":1009833,"date":"2023-12-27T15:25:59","date_gmt":"2023-12-27T11:25:59","guid":{"rendered":"https:\/\/lp.regenteducation.ae\/?page_id=1009833"},"modified":"2024-01-05T14:45:10","modified_gmt":"2024-01-05T10:45:10","slug":"sharjah_nestomuweilah-05012024","status":"publish","type":"page","link":"https:\/\/lp.regenteducation.ae\/sharjah_nestomuweilah-05012024\/","title":{"rendered":"Sharjah Nesto Muweilah &#8211; Lead Collection Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1009833\" class=\"elementor elementor-1009833\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a50589e e-flex e-con-boxed e-con e-parent\" data-id=\"a50589e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-50703bf elementor-widget elementor-widget-html\" data-id=\"50703bf\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div 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title=\"original-logo4a-png\" alt=\"original-logo4a-png\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\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<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2fcd815\" data-id=\"2fcd815\" data-element_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-d9363bc elementor-widget elementor-widget-text-editor\" data-id=\"d9363bc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 18-04-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px 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<\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \">Step 1<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-113 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: #0b4d8a !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover 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.star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #7b1d59;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #7b1d59 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #7b1d59;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #8c2166;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113\t\t\t{\n\t\t\t\tfont-family: 'Trebuchet MS', Helvetica, Arial, sans-serif;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: #0b4d8a;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"0.1\" data-id=\"113\" class=\"fc-form fc-form-113 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left   options-fade\" style=\"width: 650px; color: #666666; font-size: 90%; background: #0b4d8a\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field4\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field4 options-false form-element-0 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >First Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter your full name\" make-read-only=\"false\" data-field-id=\"field4\" name=\"field4[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"alphabets\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter your full name\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field5 options-false form-element-1 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone Number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter your phone number with country code\" make-read-only=\"false\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"10\" data-max-char=\"20\" data-val-type=\"alphanumeric\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"false\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter your phone number with country code\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field22\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field22 options-false form-element-2 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Mobile Number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter your mobile number with country code\" make-read-only=\"false\" data-field-id=\"field22\" name=\"field22[]\" data-min-char=\"10\" data-max-char=\"20\" data-val-type=\"alphanumeric\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"false\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter your mobile number with country code\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field6 options-false form-element-3 default-false form-element-type-email is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field6\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"false\" name=\"field6\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"4\" style=\"width: 100%\" class=\" form-element form-element-field13 options-false form-element-4 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Parent Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter parent's name\" make-read-only=\"false\" data-field-id=\"field13\" name=\"field13[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter parent's name\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field14\" data-index=\"5\" style=\"width: 100%\" class=\" even form-element form-element-field14 options-false form-element-5 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Parent Number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter parent's number\" make-read-only=\"false\" data-field-id=\"field14\" name=\"field14[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter parent's number\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field34 options-false form-element-6 default-false form-element-type-dropdown is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Owner<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field34\" name=\"field34\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Gigi Abraham\" class=\" \">Gigi Abraham<\/option><option value=\"Patson Sachirarwe\" class=\" \">Patson Sachirarwe<\/option><option value=\"Ishaan Shah\" class=\" \">Ishaan Shah<\/option><option value=\"Tammam Khalilo\" class=\" \">Tammam Khalilo<\/option><option value=\"Ali Almarkabi\" class=\" \">Ali Almarkabi<\/option><option value=\"Aishwarya Kangale\" class=\" \">Aishwarya Kangale<\/option><option value=\"Gayatri Patil\" class=\" \">Gayatri Patil<\/option><option value=\"Hopeson Gangmei\" class=\" \">Hopeson Gangmei<\/option><option value=\"Rishabh Sahni\" class=\" \">Rishabh Sahni<\/option><option value=\"Harveen Tarsemlal Jamba\" class=\" \">Harveen Tarsemlal Jamba<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"7\" style=\"width: 100%\" class=\" form-element form-element-field11 options-false default-false form-element-type-oneLineText is-required-false even form-element-7 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Grade<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter your grade\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter your grade\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field26 options-false default-false form-element-type-oneLineText is-required-false odd form-element-8 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Course<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter your interested course\" make-read-only=\"false\" data-field-id=\"field26\" name=\"field26[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter your interested course\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"9\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false default-false form-element-type-dropdown is-required-true even form-element-9 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Emirates Or Country<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field31\" name=\"field31\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"AF\" class=\" \">Afghanistan<\/option><option value=\"AL\" class=\" \">Albania<\/option><option value=\"DZ\" class=\" \">Algeria<\/option><option value=\"AS\" class=\" \">American Samoa<\/option><option value=\"AD\" class=\" \">Andorra<\/option><option value=\"AO\" class=\" \">Angola<\/option><option value=\"AI\" class=\" \">Anguilla<\/option><option value=\"AQ\" class=\" \">Antarctica<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda<\/option><option value=\"AR\" class=\" \">Argentina<\/option><option value=\"AM\" class=\" \">Armenia<\/option><option value=\"AW\" class=\" \">Aruba<\/option><option value=\"AU\" class=\" \">Australia<\/option><option value=\"AT\" class=\" \">Austria<\/option><option value=\"AZ\" class=\" \">Azerbaijan<\/option><option value=\"BS\" class=\" \">Bahamas<\/option><option value=\"BH\" class=\" \">Bahrain<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados<\/option><option value=\"BY\" class=\" \">Belarus<\/option><option value=\"BE\" class=\" \">Belgium<\/option><option value=\"BZ\" class=\" \">Belize<\/option><option value=\"BJ\" class=\" \">Benin<\/option><option value=\"BM\" class=\" \">Bermuda<\/option><option value=\"BT\" class=\" \">Bhutan<\/option><option value=\"BO\" class=\" \">Bolivia<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BW\" class=\" \">Botswana<\/option><option value=\"BV\" class=\" \">Bouvet Island<\/option><option value=\"BR\" class=\" \">Brazil<\/option><option value=\"IO\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BN\" class=\" \">Brunei Darussalam<\/option><option value=\"BG\" class=\" \">Bulgaria<\/option><option value=\"BF\" class=\" \">Burkina Faso<\/option><option value=\"BI\" class=\" \">Burundi<\/option><option value=\"KH\" class=\" \">Cambodia<\/option><option value=\"CM\" class=\" \">Cameroon<\/option><option value=\"CA\" class=\" \">Canada<\/option><option value=\"CV\" class=\" \">Cape Verde<\/option><option value=\"KY\" class=\" \">Cayman Islands<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"10\" style=\"width: 100%\" class=\" form-element form-element-field28 options-false default-false form-element-type-dropdown is-required-true odd form-element-10 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Vertical<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field28\" name=\"field28\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Online \" class=\" \"> Online<\/option><option value=\"Study Abroad \" class=\" \"> Study Abroad<\/option><option value=\"Regent Middle East \" class=\" \"> Regent Middle East<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"11\" style=\"width: 100%\" class=\" form-element form-element-field32 options-false default-false form-element-type-dropdown is-required-true even form-element-11 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Team Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field32\" name=\"field32\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Delita\" class=\" \">Delita<\/option><option value=\"Karpagam\" class=\" \">Karpagam<\/option><option value=\"Thoufeek\" class=\" \">Thoufeek<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field33\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field33 options-false default-false form-element-type-textarea is-required-false odd form-element-12 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Notes<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field33\" placeholder=\"\" class=\"validation-lenient\" name=\"field33\" value=\"\" rows=\"3\" data-min-char=\"1\" data-max-char=\"300\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 66.4792px\"><\/textarea><div class=\"count-true\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \">300<\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"13\" style=\"width: 100%\" class=\" form-element form-element-field9 options-false default-false form-element-type-submit is-required-false even form-element-13 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-center wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">SUBMIT<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"14\" style=\"width: 100%; position: relative; z-index: 101; left: 0px; top: 0px\" class=\" form-element form-element-field25 form-element-type-oneLineText is-required-false odd form-element-14 -handle options-true default-true\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Campaign Name<\/span><\/span><span class=\"sub-label\"><span >Campaign Name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field25\" name=\"field25[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"15\" style=\"width: 100%; position: relative; z-index: 999; left: 0px; top: 0px\" class=\" form-element form-element-field36 form-element-type-oneLineText is-required-false even form-element-15 -handle options-true default-true\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Lead Source<\/span><\/span><span class=\"sub-label\"><span >Lead Source<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field36\" name=\"field36[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 650px; color: #666666; font-size: 90%; background: #0b4d8a\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a9580bd mobile-section e-flex e-con-boxed e-con e-parent\" data-id=\"a9580bd\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7bebe39 e-flex e-con-boxed e-con e-child\" data-id=\"7bebe39\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f78f924 elementor-widget elementor-widget-shortcode\" data-id=\"f78f924\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div data-uniq='664b7590429fd' class='uniq-664b7590429fd formcraft-css form-live align-left'><style type='text\/css' scoped='scoped'>.field-cover label{\n    width: 100%;\n    font-size: 10px !important;\nline-height: 12px;\n}\nhtml .formcraft-css .fc-form .form-page-content{\npadding:20px\n}\n.main-label span, .images-.checkbox-cover.field-cover {\ncolor: white;\n}\n.form-element{\n  margin-top: 10px;\n}<\/style><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[113] = []; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \">Step 1<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-113 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: #0b4d8a !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #8c2166;\n\t\t\t\tcolor: #ffffff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #8c2166;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #7b1d59;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #7b1d59;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #4488ee;\n\t\t\t\tcolor: #ffffff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #8c2166;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #7b1d59;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-113.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #666666;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #666666;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #7b1d59;\n\t\t\t\tbackground: #8c2166;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #7b1d59;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #7b1d59 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #7b1d59;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #8c2166;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-113\t\t\t{\n\t\t\t\tfont-family: 'Trebuchet MS', Helvetica, Arial, sans-serif;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: #0b4d8a;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"0.1\" data-id=\"113\" class=\"fc-form fc-form-113 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left   options-fade\" style=\"width: 650px; color: #666666; font-size: 90%; background: #0b4d8a\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field4\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field4 options-false form-element-0 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >First Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter your full name\" make-read-only=\"false\" data-field-id=\"field4\" name=\"field4[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"alphabets\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter your full name\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field5 options-false form-element-1 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Phone Number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter your phone number with country code\" make-read-only=\"false\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"10\" data-max-char=\"20\" data-val-type=\"alphanumeric\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"false\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter your phone number with country code\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field22\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field22 options-false form-element-2 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Mobile Number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter your mobile number with country code\" make-read-only=\"false\" data-field-id=\"field22\" name=\"field22[]\" data-min-char=\"10\" data-max-char=\"20\" data-val-type=\"alphanumeric\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"false\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter your mobile number with country code\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field6 options-false form-element-3 default-false form-element-type-email is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field6\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"false\" name=\"field6\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"4\" style=\"width: 100%\" class=\" form-element form-element-field13 options-false form-element-4 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Parent Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter parent's name\" make-read-only=\"false\" data-field-id=\"field13\" name=\"field13[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter parent's name\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field14\" data-index=\"5\" style=\"width: 100%\" class=\" even form-element form-element-field14 options-false form-element-5 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Parent Number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter parent's number\" make-read-only=\"false\" data-field-id=\"field14\" name=\"field14[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter parent's number\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field34 options-false form-element-6 default-false form-element-type-dropdown is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Owner<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field34\" name=\"field34\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Gigi Abraham\" class=\" \">Gigi Abraham<\/option><option value=\"Patson Sachirarwe\" class=\" \">Patson Sachirarwe<\/option><option value=\"Ishaan Shah\" class=\" \">Ishaan Shah<\/option><option value=\"Tammam Khalilo\" class=\" \">Tammam Khalilo<\/option><option value=\"Ali Almarkabi\" class=\" \">Ali Almarkabi<\/option><option value=\"Aishwarya Kangale\" class=\" \">Aishwarya Kangale<\/option><option value=\"Gayatri Patil\" class=\" \">Gayatri Patil<\/option><option value=\"Hopeson Gangmei\" class=\" \">Hopeson Gangmei<\/option><option value=\"Rishabh Sahni\" class=\" \">Rishabh Sahni<\/option><option value=\"Harveen Tarsemlal Jamba\" class=\" \">Harveen Tarsemlal Jamba<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"7\" style=\"width: 100%\" class=\" form-element form-element-field11 options-false default-false form-element-type-oneLineText is-required-false even form-element-7 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Grade<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter your grade\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter your grade\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"8\" style=\"width: 100%\" class=\" form-element form-element-field26 options-false default-false form-element-type-oneLineText is-required-false odd form-element-8 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Course<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Enter your interested course\" make-read-only=\"false\" data-field-id=\"field26\" name=\"field26[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"Enter your interested course\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"9\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false default-false form-element-type-dropdown is-required-true even form-element-9 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Emirates Or Country<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field31\" name=\"field31\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"AF\" class=\" \">Afghanistan<\/option><option value=\"AL\" class=\" \">Albania<\/option><option value=\"DZ\" class=\" \">Algeria<\/option><option value=\"AS\" class=\" \">American Samoa<\/option><option value=\"AD\" class=\" \">Andorra<\/option><option value=\"AO\" class=\" \">Angola<\/option><option value=\"AI\" class=\" \">Anguilla<\/option><option value=\"AQ\" class=\" \">Antarctica<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda<\/option><option value=\"AR\" class=\" \">Argentina<\/option><option value=\"AM\" class=\" \">Armenia<\/option><option value=\"AW\" class=\" \">Aruba<\/option><option value=\"AU\" class=\" \">Australia<\/option><option value=\"AT\" class=\" \">Austria<\/option><option value=\"AZ\" class=\" \">Azerbaijan<\/option><option value=\"BS\" class=\" \">Bahamas<\/option><option value=\"BH\" class=\" \">Bahrain<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados<\/option><option value=\"BY\" class=\" \">Belarus<\/option><option value=\"BE\" class=\" \">Belgium<\/option><option value=\"BZ\" class=\" \">Belize<\/option><option value=\"BJ\" class=\" \">Benin<\/option><option value=\"BM\" class=\" \">Bermuda<\/option><option value=\"BT\" class=\" \">Bhutan<\/option><option value=\"BO\" class=\" \">Bolivia<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BW\" class=\" \">Botswana<\/option><option value=\"BV\" class=\" \">Bouvet Island<\/option><option value=\"BR\" class=\" \">Brazil<\/option><option value=\"IO\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BN\" class=\" \">Brunei Darussalam<\/option><option value=\"BG\" class=\" \">Bulgaria<\/option><option value=\"BF\" class=\" \">Burkina Faso<\/option><option value=\"BI\" class=\" \">Burundi<\/option><option value=\"KH\" class=\" \">Cambodia<\/option><option value=\"CM\" class=\" \">Cameroon<\/option><option value=\"CA\" class=\" \">Canada<\/option><option value=\"CV\" class=\" \">Cape Verde<\/option><option value=\"KY\" class=\" \">Cayman Islands<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"10\" style=\"width: 100%\" class=\" form-element form-element-field28 options-false default-false form-element-type-dropdown is-required-true odd form-element-10 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Vertical<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field28\" name=\"field28\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Online \" class=\" \"> Online<\/option><option value=\"Study Abroad \" class=\" \"> Study Abroad<\/option><option value=\"Regent Middle East \" class=\" \"> Regent Middle East<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"11\" style=\"width: 100%\" class=\" form-element form-element-field32 options-false default-false form-element-type-dropdown is-required-true even form-element-11 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Team Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field32\" name=\"field32\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Select An Option<\/option><option value=\"Delita\" class=\" \">Delita<\/option><option value=\"Karpagam\" class=\" \">Karpagam<\/option><option value=\"Thoufeek\" class=\" \">Thoufeek<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field33\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field33 options-false default-false form-element-type-textarea is-required-false odd form-element-12 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Notes<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field33\" placeholder=\"\" class=\"validation-lenient\" name=\"field33\" value=\"\" rows=\"3\" data-min-char=\"1\" data-max-char=\"300\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 66.4792px\"><\/textarea><div class=\"count-true\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \">300<\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"13\" style=\"width: 100%\" class=\" form-element form-element-field9 options-false default-false form-element-type-submit is-required-false even form-element-13 -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-center wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">SUBMIT<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"14\" style=\"width: 100%; position: relative; z-index: 101; left: 0px; top: 0px\" class=\" form-element form-element-field25 form-element-type-oneLineText is-required-false odd form-element-14 -handle options-true default-true\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Campaign Name<\/span><\/span><span class=\"sub-label\"><span >Campaign Name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field25\" name=\"field25[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"true\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"15\" style=\"width: 100%; position: relative; z-index: 999; left: 0px; top: 0px\" class=\" form-element form-element-field36 form-element-type-oneLineText is-required-false even form-element-15 -handle options-true default-true\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Lead Source<\/span><\/span><span class=\"sub-label\"><span >Lead Source<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field36\" name=\"field36[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon 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