{"id":2039,"date":"2025-04-09T08:37:55","date_gmt":"2025-04-09T08:37:55","guid":{"rendered":"https:\/\/chamrungroup.com\/mdis\/?page_id=2039"},"modified":"2025-04-09T21:23:44","modified_gmt":"2025-04-09T21:23:44","slug":"hostel-application-form","status":"publish","type":"page","link":"https:\/\/chamrungroup.com\/mdis\/hostel-application-form\/","title":{"rendered":"Hostel Application Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2039\" class=\"elementor elementor-2039\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-af2a526 e-flex e-con-boxed e-con e-parent\" data-id=\"af2a526\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-88ba947 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"88ba947\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;zoomIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">HOSTEL application<\/h2>\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-f77b48b e-flex e-con-boxed e-con e-parent\" data-id=\"f77b48b\" data-element_type=\"container\" id=\"Campus-Experience\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-56b45b2 e-con-full e-flex e-con e-child\" data-id=\"56b45b2\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c08ee2c elementor-widget elementor-widget-wpforms\" data-id=\"c08ee2c\" data-element_type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style id=\"wpforms-css-vars-root\">\n\t\t\t\t:root {\n\t\t\t\t\t--wpforms-field-border-radius: 3px;\n--wpforms-field-border-style: solid;\n--wpforms-field-border-size: 1px;\n--wpforms-field-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-border-color-spare: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\n--wpforms-field-menu-color: #ffffff;\n--wpforms-label-color: rgba( 0, 0, 0, 0.85 );\n--wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 );\n--wpforms-label-error-color: #d63637;\n--wpforms-button-border-radius: 3px;\n--wpforms-button-border-style: none;\n--wpforms-button-border-size: 1px;\n--wpforms-button-background-color: #066aab;\n--wpforms-button-border-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-page-break-color: #066aab;\n--wpforms-background-image: none;\n--wpforms-background-position: center center;\n--wpforms-background-repeat: no-repeat;\n--wpforms-background-size: cover;\n--wpforms-background-width: 100px;\n--wpforms-background-height: 100px;\n--wpforms-background-color: rgba( 0, 0, 0, 0 );\n--wpforms-background-url: none;\n--wpforms-container-padding: 0px;\n--wpforms-container-border-style: none;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-color: #000000;\n--wpforms-container-border-radius: 3px;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\n\t\t\t\t}\n\t\t\t<\/style><style id=\"wpforms-css-vars-elementor-widget-c08ee2c\">\n\t\t\t\t.elementor-widget-wpforms.elementor-element-c08ee2c {\n\t\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-1925\"><form id=\"wpforms-form-1925\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1925\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/mdis\/wp-json\/wp\/v2\/pages\/2039?wpforms_form_id=1925\" data-token=\"69400a29e104f7d99ea3df2083029b94\" data-token-time=\"1777405571\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#9d2236\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"7\" tabindex=\"-1\"><span class=\"wpforms-page-indicator-page-title\" data-page-1-title=\"Step 1 of 7 - Personal Information\" data-page-2-title=\"Step 2 of 7 - Programme Enrolled\" data-page-3-title=\"Step 3 of 7 - Expected Date of Arrival\" data-page-4-title=\"Step 4 of 7 - Emergency Contact\" data-page-5-title=\"Step 5 of 7 - Medical History\" data-page-6-title=\"Step 6 of 7 - Upload a Passport Size Photo\" data-page-7-title=\"Step 7 of 7 - Type of Accommodation Preferred\">Step 1 of 7 - Personal Information<\/span><span class=\"wpforms-page-indicator-page-title-sep\" > - <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 7<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:14.285714285714%;background-color:#9d2236\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-1925-field_24-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"24\"><\/div><div id=\"wpforms-1925-field_1-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"1\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_2\" aria-hidden=\"false\">Full Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" placeholder=\"Full Name\" aria-errormessage=\"wpforms-1925-field_2-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_3\" aria-hidden=\"false\">Student ID <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" placeholder=\"Student ID\" aria-errormessage=\"wpforms-1925-field_3-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_4\" aria-hidden=\"false\">MyKad\/Passport No. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" placeholder=\"MyKad\/Passport No.\" aria-errormessage=\"wpforms-1925-field_4-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_5-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"5\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_5\" aria-hidden=\"false\">Date of Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1925-field_5\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][5][date]\" placeholder=\"Date of Birth\" aria-errormessage=\"wpforms-1925-field_5-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_7\" aria-hidden=\"false\">Gender <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-1925-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Gender<\/option><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"9\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_9\" aria-hidden=\"false\">Marital Status <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-1925-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Marital Status<\/option><option value=\"Single\" >Single<\/option><option value=\"Married\" >Married<\/option><option value=\"Divorced\" >Divorced<\/option><option value=\"Widowed\" >Widowed<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_8-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"8\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_8\" aria-hidden=\"false\">Race <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-1925-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Race<\/option><option value=\"Malay\" >Malay<\/option><option value=\"Chinese\" >Chinese<\/option><option value=\"Indian\" >Indian<\/option><option value=\"Others\" >Others<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"10\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_10\" aria-hidden=\"false\">Religion <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-1925-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Religion<\/option><option value=\"Islam\" >Islam<\/option><option value=\"Buddhism\" >Buddhism<\/option><option value=\"Daoism\" >Daoism<\/option><option value=\"Christianity\" >Christianity<\/option><option value=\"Hinduism\" >Hinduism<\/option><option value=\"Others\" >Others<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_11-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"11\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_11\" aria-hidden=\"false\">Nationality <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-1925-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Nationality<\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Albania\" >Albania<\/option><option value=\"Algeria\" >Algeria<\/option><option value=\"American Samoa\" >American Samoa<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antarctica\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Argentina\" >Argentina<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australia\" >Australia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Bermuda\" >Bermuda<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" >British Indian Ocean Territory<\/option><option value=\"British Virgin Islands\" >British Virgin Islands<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Chile\" >Chile<\/option><option value=\"China\" >China<\/option><option value=\"Christmas Island\" >Christmas Island<\/option><option value=\"Cocos Islands\" >Cocos Islands<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Curacao\" >Curacao<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Democratic Republic of the Congo\" >Democratic Republic of the Congo<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"East Timor\" >East Timor<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Falkland Islands\" >Falkland Islands<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"French Polynesia\" >French Polynesia<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Greenland\" >Greenland<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guernsey\" >Guernsey<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran, Islamic Republic of\" >Iran, Islamic Republic of<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Isle of Man\" >Isle of Man<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Ivory Coast\" >Ivory Coast<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jersey\" >Jersey<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macau\" >Macau<\/option><option value=\"Macedonia\" >Macedonia<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" >New Caledonia<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Niue\" >Niue<\/option><option value=\"North Korea\" >North Korea<\/option><option value=\"Northern Mariana Islands\" >Northern Mariana Islands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pitcairn\" >Pitcairn<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Puerto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Republic of the Congo\" >Republic of the Congo<\/option><option value=\"Reunion\" >Reunion<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barthelemy\" >Saint Barthelemy<\/option><option value=\"Saint Helena\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Martin\" >Saint Martin<\/option><option value=\"Saint Pierre and Miquelon\" >Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Sint Maarten\" >Sint Maarten<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"South Korea\" >South Korea<\/option><option value=\"South Sudan\" >South Sudan<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" >Swaziland<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Tanzania\" >Tanzania<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tokelau<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"Turks and Caicos Islands\" >Turks and Caicos Islands<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"U.S. Virgin Islands\" >U.S. Virgin Islands<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"United States\" >United States<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vatican\" >Vatican<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Wallis and Futuna\" >Wallis and Futuna<\/option><option value=\"Western Sahara\" >Western Sahara<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_20-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"20\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_20\" aria-hidden=\"false\">Mobile <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1925-field_20\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][20]\" placeholder=\"Mobile\" aria-label=\"Mobile\" aria-errormessage=\"wpforms-1925-field_20-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_75-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"75\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_75\" aria-hidden=\"false\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1925-field_75\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][75]\" placeholder=\"Email\" spellcheck=\"false\" aria-errormessage=\"wpforms-1925-field_75-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_13\" aria-hidden=\"false\">Permanent Home Address Line 1 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" placeholder=\"Permanent Home Address Line 1\" aria-errormessage=\"wpforms-1925-field_13-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_76-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"76\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_76\" aria-hidden=\"false\">Permanent Home Address Line 2 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_76\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][76]\" placeholder=\"Permanent Home Address Line 2\" aria-errormessage=\"wpforms-1925-field_76-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_15\" aria-hidden=\"false\">Postcode <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" placeholder=\"Postcode\" aria-errormessage=\"wpforms-1925-field_15-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-1925-field_23-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"23\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-1925-field_26-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"26\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-1925-field_77-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"77\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_77\" aria-hidden=\"false\">Programme Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-1925-field_77\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][77]\" required=\"required\"><option value=\"Certificate in English Language\" >Certificate in English Language<\/option><option value=\"Certificate in Business Management\" >Certificate in Business Management<\/option><option value=\"Foundation in Business\" >Foundation in Business<\/option><option value=\"Diploma in Business Management\" >Diploma in Business Management<\/option><option value=\"Diploma in Finance\" >Diploma in Finance<\/option><option value=\"Diploma in Accounting\" >Diploma in Accounting<\/option><option value=\"Diploma in International Business\" >Diploma in International Business<\/option><option value=\"Diploma in Marketing\" >Diploma in Marketing<\/option><option value=\"Diploma in Mass Communication\" >Diploma in Mass Communication<\/option><option value=\"Diploma in Tourism Management\" >Diploma in Tourism Management<\/option><option value=\"Diploma in Information Technology\" >Diploma in Information Technology<\/option><option value=\"Diploma in Information Technology (Digital Media)\" >Diploma in Information Technology (Digital Media)<\/option><option value=\"Bachelor of Science (Honours) in Business Management 3+0 in Collaboration with Bangor University, UK\" >Bachelor of Science (Honours) in Business Management 3+0 in Collaboration with Bangor University, UK<\/option><option value=\"Bachelor of Science (Honours) in Marketing 3+0 in Collaboration with Bangor University, UK\" >Bachelor of Science (Honours) in Marketing 3+0 in Collaboration with Bangor University, UK<\/option><option value=\"Bachelor of Science (Honours) in Accounting and Finance 3+0 in Collaboration with Bangor University, UK\" >Bachelor of Science (Honours) in Accounting and Finance 3+0 in Collaboration with Bangor University, UK<\/option><option value=\"Bachelor of Science (Honours) in Banking and Finance 3+0 in Collaboration with Bangor University, UK\" >Bachelor of Science (Honours) in Banking and Finance 3+0 in Collaboration with Bangor University, UK<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-1925-field_78-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"78\"><h3 id=\"wpforms-1925-field_78\" aria-errormessage=\"wpforms-1925-field_78-error\">Intake<\/h3><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-1925-field_82-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"82\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_83-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"83\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_83\" aria-hidden=\"false\">Month <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-1925-field_83\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][83]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Month<\/option><option value=\"January\" >January<\/option><option value=\"February\" >February<\/option><option value=\"April\" >April<\/option><option value=\"June\" >June<\/option><option value=\"September\" >September<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_84-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"84\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_84\" aria-hidden=\"false\">Year <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_84\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][84]\" placeholder=\"Year\" aria-errormessage=\"wpforms-1925-field_84-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-1925-field_33-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"33\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"2\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"2\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-1925-field_85-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"85\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_85\" aria-hidden=\"false\">Your Arrival Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1925-field_85\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][85][date]\" placeholder=\"Your Arrival Date\" aria-errormessage=\"wpforms-1925-field_85-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-1925-field_35-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"35\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"3\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"3\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-1925-field_36-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"36\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_37\" aria-hidden=\"false\">Full Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" placeholder=\"Full Name\" aria-errormessage=\"wpforms-1925-field_37-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_86-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"86\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_86\" aria-hidden=\"false\">Relationship <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-1925-field_86\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][86]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Relationship<\/option><option value=\"Mother\" >Mother<\/option><option value=\"Father\" >Father<\/option><option value=\"Brother\" >Brother<\/option><option value=\"Sister\" >Sister<\/option><option value=\"Guardian\" >Guardian<\/option><option value=\"Friend\" >Friend<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_87-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"87\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_87\" aria-hidden=\"false\">Mobile <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1925-field_87\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][87]\" placeholder=\"Mobile\" aria-label=\"Mobile\" aria-errormessage=\"wpforms-1925-field_87-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_88-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"88\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_88\" aria-hidden=\"false\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1925-field_88\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][88]\" placeholder=\"Email\" spellcheck=\"false\" aria-errormessage=\"wpforms-1925-field_88-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-1925-field_45-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"45\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"4\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"4\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5  \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-1925-field_92-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"92\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_93-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"93\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_93\" aria-hidden=\"false\">Allergies <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_93\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][93]\" placeholder=\"Allergies\" aria-errormessage=\"wpforms-1925-field_93-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1925-field_94-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"94\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_94\" aria-hidden=\"false\">Blood Type<\/label><select id=\"wpforms-1925-field_94\" class=\"wpforms-field-medium\" name=\"wpforms[fields][94]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Blood Type<\/option><option value=\"A\" >A<\/option><option value=\"B\" >B<\/option><option value=\"AB\" >AB<\/option><option value=\"O\" >O<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-1925-field_95-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"95\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-1925-field_96-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"96\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_96\" aria-hidden=\"false\">Illness <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_96\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][96]\" placeholder=\"Illness\" aria-errormessage=\"wpforms-1925-field_96-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-1925-field_97-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"97\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_97\" aria-hidden=\"false\">If you are physically disabled, please state the nature of the disability. If not, please write &#039;NIL&#039;. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_97\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][97]\" placeholder=\"If you are physically disabled, please state the nature of the disability. If not, please write &#039;NIL&#039;.\" aria-errormessage=\"wpforms-1925-field_97-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-1925-field_98-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"98\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_98\" aria-hidden=\"false\">Any medical condition which may be of concern other than stated above, if not, please write &#039;NIL&#039;. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_98\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][98]\" placeholder=\"Any medical condition which may be of concern other than stated above, if not, please write &#039;NIL&#039;.\" aria-errormessage=\"wpforms-1925-field_98-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-1925-field_61-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"61\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"5\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"5\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-6  \" data-page=\"6\" style=\"display:none;\"><div id=\"wpforms-1925-field_99-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"99\"><h3 id=\"wpforms-1925-field_99\" aria-errormessage=\"wpforms-1925-field_99-error\">Passport Size Photo<\/h3><\/div><div id=\"wpforms-1925-field_100-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"100\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_100\" aria-hidden=\"false\">Passport Size Photo <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"100\"\n\t\tdata-form-id=\"1925\"\n\t\tdata-input-name=\"wpforms_1925_100\"\n\t\tdata-extensions=\"jpg,jpeg,png,pdf\"\n\t\tdata-max-size=\"5242880\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"268435456\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-1925-field_100\"\n\t\tname=\"wpforms_1925_100\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-1925-field_101-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"101\"><div id=\"wpforms-1925-field_101\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-1925-field_101-error\"><p>Accepted file types: jpg, jpeg, png, pdf, Max file size: 5 MB, Max files: 1<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1925-field_67-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"67\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"6\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"6\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-7 last \" data-page=\"7\" style=\"display:none;\"><div id=\"wpforms-1925-field_68-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"68\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-1925-field_102-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"102\"><label class=\"wpforms-field-label\" for=\"wpforms-1925-field_102\">Room Type<\/label><select id=\"wpforms-1925-field_102\" class=\"wpforms-field-large\" name=\"wpforms[fields][102]\"><option value=\"Suite Room A (Ensuite)\" >Suite Room A (Ensuite)<\/option><option value=\"Suite Room B (Ensuite)\" >Suite Room B (Ensuite)<\/option><option value=\"Single Room with Shared Bathroom\" >Single Room with Shared Bathroom<\/option><option value=\"Double Room with Shared Bathroom\" >Double Room with Shared Bathroom<\/option><option value=\"Triple Room with Shared Bathroom\" >Triple Room with Shared Bathroom<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-1925-field_103-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"103\"><div id=\"wpforms-1925-field_103\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-1925-field_103-error\"><h5>Conditions of Reservation:<\/h5>\n<p>1. All successful applicants are required to sign a Tenancy Agreement.<br \/>\n2. Room deposit is equivalent to one month room rental.<br \/>\n3. Room access card deposit is RM50.00.<br \/>\n4. Payment of room rental and deposits will be paid to Finance Department upon signing the Tenancy Agreement.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-1925-field_104-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"104\"><h3 id=\"wpforms-1925-field_104\" aria-errormessage=\"wpforms-1925-field_104-error\">Please enter your full name here as an acceptance of the conditions<\/h3><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-1925-field_105-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"105\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1925-field_105\" aria-hidden=\"false\">Name of Applicant <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1925-field_105\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][105]\" placeholder=\"Name of Applicant\" aria-errormessage=\"wpforms-1925-field_105-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-1925-field_25-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"25\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"7\" data-formid=\"1925\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"1925\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/chamrungroup.com\/mdis\/wp-json\/wp\/v2\/pages\/2039\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1925\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/chamrungroup.com\/mdis\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>HOSTEL application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Step 1 of 7 &#8211; Personal Information &#8211; Step 1 of 7Full Name *Student ID *MyKad\/Passport No. *Date of Birth *Gender *GenderMaleFemaleMarital Status *Marital StatusSingleMarriedDivorcedWidowedRace *RaceMalayChineseIndianOthersReligion *ReligionIslamBuddhismDaoismChristianityHinduismOthersNationality *NationalityAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2039","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/chamrungroup.com\/mdis\/wp-json\/wp\/v2\/pages\/2039","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chamrungroup.com\/mdis\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/chamrungroup.com\/mdis\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/chamrungroup.com\/mdis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/chamrungroup.com\/mdis\/wp-json\/wp\/v2\/comments?post=2039"}],"version-history":[{"count":7,"href":"https:\/\/chamrungroup.com\/mdis\/wp-json\/wp\/v2\/pages\/2039\/revisions"}],"predecessor-version":[{"id":2419,"href":"https:\/\/chamrungroup.com\/mdis\/wp-json\/wp\/v2\/pages\/2039\/revisions\/2419"}],"wp:attachment":[{"href":"https:\/\/chamrungroup.com\/mdis\/wp-json\/wp\/v2\/media?parent=2039"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}