{"id":7170,"date":"2026-03-22T21:24:42","date_gmt":"2026-03-22T15:54:42","guid":{"rendered":"https:\/\/medcollegedarshan.com\/?post_type=formgent_form&#038;p=7170"},"modified":"2026-03-22T21:29:52","modified_gmt":"2026-03-22T15:59:52","slug":"application-form","status":"publish","type":"formgent_form","link":"https:\/\/medcollegedarshan.com\/index.php\/form\/application-form\/","title":{"rendered":"Application Form"},"content":{"rendered":"\n<style>\n    .formgent-form-7170 {\n        \/* Form variables *\/\n        --formgent-form-background-color: #ffffff;\n        --formgent-form-background-image: ;\n        --formgent-form-background-image-position:\n        center center;\n\n        --formgent-form-padding-desktop: 20px 20px 40px 20px;\n        --formgent-form-padding-tablet: 20px 20px 40px 20px;\n        --formgent-form-padding-mobile: 20px 20px 40px 20px;\n        --formgent-form-margin-desktop: 0 0 0 0;\n        --formgent-form-margin-tablet: 0 0 0 0;\n        --formgent-form-margin-mobile: 0 0 0 0;\n        --formgent-form-border-width: 0;\n        --formgent-form-border: 0 solid transparent;\n        --formgent-form-border-radius: 16px 16px 16px 16px;\n\n        \/* Field variables *\/\n        --formgent-field-vertical-spacing-desktop: 35px;\n        --formgent-field-vertical-spacing-tablet: 35px;\n        --formgent-field-vertical-spacing-mobile: 35px;\n        --formgent-field-horizontal-spacing-desktop: 12px;\n        --formgent-field-horizontal-spacing-tablet: 12px;\n        --formgent-field-horizontal-spacing-mobile: 12px;\n        --formgent-field-background-color: transparent;\n        --formgent-field-background-color-hover: transparent;\n        --formgent-field-placeholder-color: #a1a9b2;\n        --formgent-field-label-color: #000000;\n        --formgent-field-description-color: #747c89;\n        --formgent-field-error-message-color: #c83a3a;\n        --formgent-field-input-color: #4d5761 ;\n        --formgent-field-options-color: #4d5761;\n        --formgent-field-border: 1px solid #d2d6db;\n        --formgent-field-border-radius: 8px 8px 8px 8px;\n        --formgent-field-rating-color: #a1a9b2;\n        --formgent-field-rating-color-hover: #5e53f9;\n        --formgent-field-range-slider-color: #000000;\n        \/* Fixed submit button variables *\/\n        --formgent-fixed-btn-bg-color: #000000;\n        --formgent-fixed-btn-text-color: #ffffff;\n        --formgent-fixed-btn-border-color: #000000;\n        --formgent-fixed-btn-style: default;\n        --formgent-fixed-btn-alignment: left;\n    }\n    .display-none {\n        display: none;\n    }\n<\/style><style>\n    <\/style>\n<div class=\"formgent-form formgent-form-7170 formgent-form-general \">\n            <div class=\"formgent-confirmation-wrap formgent-confirmation-wrap--hidden\">\n            <div class=\"formgent-notices formgent-notices--classic-form\"\n                data-message=\"&lt;p style=&#039;text-align: center;&#039;&gt;&lt;img class=&#039;size-full wp-image-6549 aligncenter&#039; src=&#039;https:\/\/formgent.com\/wp-content\/plugins\/formgent\/assets\/images\/success.gif&#039; alt=&#039;&#039; width=&#039;110&#039; height=&#039;110&#039; \/&gt;&lt;\/p&gt; &lt;h3 style=&#039;text-align: center; font-size: 32px; font-weight: bold;&#039;&gt;Thank you&lt;\/h3&gt; &lt;p style=&#039;text-align: center;&#039;&gt;We&#039;ve received your email and will get back to you as soon as possible. If you don\u2019t see our reply, please check your spam or junk folder.&lt;\/p&gt;\">\n            <\/div>\n            <div class=\"formgent-quiz-result\"><\/div>\n        <\/div>\n        <form id=\"formgent-formgent_store2\"         data-wp-interactive=\"formgent\/form\"\n        data-wp-context='{&quot;form_id&quot;:7170,&quot;blocks_settings&quot;:{&quot;full-name&quot;:{&quot;id&quot;:&quot;9ysJwx4jmnEIXDF4xDHIM&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;name&quot;:&quot;full-name&quot;,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;className&quot;:&quot;formgent-editor-block-list formgent-editor-block-listu002du002dfrontend&quot;,&quot;field_type&quot;:&quot;name&quot;,&quot;children&quot;:{&quot;first_name&quot;:{&quot;id&quot;:&quot;cJbZ71f8WStv&quot;,&quot;name&quot;:&quot;first_name&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;correct_answer&quot;:&quot;&quot;,&quot;points&quot;:1,&quot;block_width&quot;:&quot;33.33&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;metadata&quot;:{&quot;name&quot;:&quot;First 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specify&quot;,&quot;correct_answer&quot;:[],&quot;points&quot;:1,&quot;enable_numeric_value&quot;:false,&quot;field_type&quot;:&quot;multiple-choice&quot;},&quot;dropdown-3&quot;:{&quot;id&quot;:&quot;z347UBlWi7P9&quot;,&quot;name&quot;:&quot;dropdown-3&quot;,&quot;value&quot;:&quot;&quot;,&quot;options&quot;:[{&quot;value&quot;:&quot;yes&quot;},{&quot;value&quot;:&quot;no&quot;,&quot;is_default&quot;:false}],&quot;default_option&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;correct_answer&quot;:&quot;&quot;,&quot;points&quot;:1,&quot;enable_numeric_value&quot;:false,&quot;disable_search&quot;:false,&quot;field_type&quot;:&quot;dropdown&quot;},&quot;why-do-you-want-to-work-with-us&quot;:{&quot;id&quot;:&quot;rvi-KE_BXqGoCQT-9aGB4&quot;,&quot;name&quot;:&quot;why-do-you-want-to-work-with-us&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:false,&quot;character_limit&quot;:false,&quot;limit&quot;:300,&quot;correct_answer&quot;:&quot;&quot;,&quot;points&quot;:1,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;field_type&quot;:&quot;textarea&quot;},&quot;gdpr&quot;:{&quot;id&quot;:&quot;uEaprTIuvRwZ&quot;,&quot;name&quot;:&quot;gdpr&quot;,&quot;value&quot;:0,&quot;label_alignment&quot;:&quot;left&quot;,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;field_type&quot;:&quot;gdpr&quot;}},&quot;form_type&quot;:&quot;general&quot;,&quot;data&quot;:{&quot;full-name&quot;:{&quot;first_name&quot;:&quot;&quot;,&quot;last_name&quot;:&quot;&quot;},&quot;email-address&quot;:&quot;&quot;,&quot;phone-number&quot;:&quot;&quot;,&quot;date-picker&quot;:&quot;&quot;,&quot;dropdown&quot;:&quot;&quot;,&quot;dropdown-1&quot;:&quot;&quot;,&quot;text&quot;:&quot;&quot;,&quot;text-1&quot;:&quot;&quot;,&quot;about-yourself&quot;:&quot;&quot;,&quot;dropdown-2&quot;:&quot;&quot;,&quot;text-2&quot;:&quot;&quot;,&quot;multiple-choice&quot;:&quot;&quot;,&quot;dropdown-3&quot;:&quot;&quot;,&quot;why-do-you-want-to-work-with-us&quot;:&quot;&quot;,&quot;gdpr&quot;:0},&quot;preset_values&quot;:{&quot;site_title&quot;:&quot;Med College Darshan&quot;,&quot;site_name&quot;:&quot;Med College Darshan&quot;,&quot;site_url&quot;:&quot;https:\\\/\\\/medcollegedarshan.com&quot;,&quot;form_title&quot;:&quot;Application Form&quot;,&quot;browser_name&quot;:&quot;&quot;,&quot;browser_platform&quot;:&quot;&quot;,&quot;embedded_post_id&quot;:&quot;7170&quot;,&quot;embedded_post_title&quot;:&quot;Application Form&quot;,&quot;current_date&quot;:&quot;04\\\/14\\\/2026&quot;,&quot;admin_name&quot;:&quot;Admin&quot;},&quot;is_form_loaded&quot;:false,&quot;is_partial_submitting&quot;:false,&quot;global&quot;:{&quot;is_response_submitting&quot;:false,&quot;is_response_token_generating&quot;:false,&quot;is_enabled_honeypot_protection&quot;:true,&quot;payment&quot;:{&quot;enable_summary&quot;:false,&quot;payment_summary&quot;:&quot;&quot;,&quot;items&quot;:[],&quot;total_amount&quot;:&quot;&quot;}},&quot;quiz_result&quot;:false,&quot;confirmation&quot;:{&quot;type&quot;:&quot;message&quot;,&quot;page&quot;:0,&quot;url&quot;:&quot;https:\\\/\\\/google.com&quot;,&quot;after_submission&quot;:&quot;reset&quot;},&quot;plugin_url&quot;:&quot;https:\\\/\\\/medcollegedarshan.com\\\/wp-content\\\/plugins&quot;,&quot;external_data&quot;:[]}'\n        data-wp-init=\"callbacks.initClassicForm\"\n        data-wp-bind--disabled=\"context.global.is_response_submitting\" data-wp-watch=\"callbacks.watchForm\">\n                        <div class=\"formgent-field-list formgent-field-list--frontend\"\n            data-wp-class--formgent-field-list-loading=\"!context.is_form_loaded\"\n            data-wp-class--formgent-partial-submitting=\"!context.is_partial_submitting\">\n            <div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"full-name\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\" id=\"formgent-9ysJwx4jmnEIXDF4xDHIM\">\n    <div class=\"formgent-field-single formgent-field-align-top\" data-wp-context='{ \"parent_name\": \"full-name\" }'>\n        <span class=\"formgent-field-label formgent-label-align-top\">\n        Full Name    <\/span>\n    \n<div class=\"formgent-field-list formgent-field-list--frontend\">\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"first_name\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-33\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-cJbZ71f8WStv\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                First Name                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-cJbZ71f8WStv\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"last_name\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-33\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-K8BL-Oo6aqex\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Last Name                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-K8BL-Oo6aqex\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div><\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"email-address\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field formgent-field-width-100 formgent-field-email\">\n    <div class=\"formgent-field-single formgent-field-align-top formgent-field-single-email-primary\">\n                    <label\n                for=\"formgent-DAH6GUCGmmhfRnza40tye\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Email Address                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <div class='formgent-has-input-icon'>\n                \n                <input\n                    class=\"formgent-field-single__input\"\n                    type=\"email\"\n                    id=\"formgent-DAH6GUCGmmhfRnza40tye\"\n                    placeholder=\"Enter your email address\"\n                    data-wp-on--input=\"actions.updateInput\"\n                    data-wp-bind--value=\"state.getValue\"\n                \/>\n            <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"phone-number\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-single--csr formgent-field-align-top\">\n                    <label\n                for=\"formgent-DL7bWK_B2uwh5OEvU8XET\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                WhatsApp Number                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div\n            class=\"formgent-field-single__wrapper\"\n        >\n            <div class=\"formgent-field-single__phone\">\n                <div class=\"formgent-field-single__dialer__content\">\n                    <input\n                        class=\"formgent-field-single__input \"\n                        type=\"tel\"\n                        id=\"formgent-DL7bWK_B2uwh5OEvU8XET\"\n                        placeholder=\"Enter your phone number\"\n                        data-wp-init=\"callbacks.phoneNumberInit\"\n                    >\n                <\/div>\n            <\/div>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initDatePicker\" data-wp-context='{ \"name\": \"date-picker\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-9YVg7kFgE3m6\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Date of Birth                            <\/label>\n        \n        <div\n            class='formgent-has-input-icon formgent-suffix date'\n            style=\"width: 100%;\"\n        >\n            <input\n                autocomplete=\"off\"\n                class='formgent-field-single__input formgent-datepicker'\n                type=\"text\"\n                readonly\n                id=\"formgent-9YVg7kFgE3m6\"\n                data-wp-bind--value=\"state.getDatePickerValue\"\n                placeholder=\"Select date\"\n            \/>\n        <\/div>\n            <\/div>\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{&quot;name&quot;:&quot;dropdown&quot;,&quot;field_label&quot;:&quot;Batch&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;-QqnEZ8poBfKZw0Yexyuc&quot;,&quot;label&quot;:&quot;2026&quot;,&quot;value&quot;:&quot;2026&quot;},{&quot;label&quot;:&quot;2025&quot;,&quot;id&quot;:&quot;1&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;2025&quot;},{&quot;label&quot;:&quot;2024&quot;,&quot;id&quot;:&quot;2&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;2024&quot;},{&quot;label&quot;:&quot;2023&quot;,&quot;id&quot;:&quot;3&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;2023&quot;}]}' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-tBT21aBNswHl\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Batch                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <select class=\"formgent-field-single__input formgent-field-single__input--select\"\n                id=\"formgent-tBT21aBNswHl\"\n                data-wp-init=\"callbacks.dropdownInit\"\n                data-placeholder=\"Select an option...\"\n                autocomplete=\"off\"\n            >\n                                    <option value=\"\">Select an option...<\/option>\n                                            <option value=\"2026\">\n                            2026                        <\/option>\n                                            <option value=\"2025\">\n                            2025                        <\/option>\n                                            <option value=\"2024\">\n                            2024                        <\/option>\n                                            <option value=\"2023\">\n                            2023                        <\/option>\n                                                <\/select>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{&quot;name&quot;:&quot;dropdown-1&quot;,&quot;field_label&quot;:&quot;Course&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;7hiOiLoQI8sLqwDwVLkvC&quot;,&quot;label&quot;:&quot;MBBS&quot;,&quot;value&quot;:&quot;mbbs&quot;},{&quot;label&quot;:&quot;BDS&quot;,&quot;id&quot;:&quot;1&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;bds&quot;},{&quot;label&quot;:&quot;BAMS&quot;,&quot;id&quot;:&quot;2&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;bams&quot;},{&quot;label&quot;:&quot;BHMS&quot;,&quot;id&quot;:&quot;3&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;bhms&quot;},{&quot;label&quot;:&quot;B.Sc. Nursing&quot;,&quot;id&quot;:&quot;4&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;b-sc-nursing&quot;}]}' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-hvnFzWLPMYcv\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Course                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <select class=\"formgent-field-single__input formgent-field-single__input--select\"\n                id=\"formgent-hvnFzWLPMYcv\"\n                data-wp-init=\"callbacks.dropdownInit\"\n                data-placeholder=\"Select an option...\"\n                autocomplete=\"off\"\n            >\n                                    <option value=\"\">Select an option...<\/option>\n                                            <option value=\"mbbs\">\n                            MBBS                        <\/option>\n                                            <option value=\"bds\">\n                            BDS                        <\/option>\n                                            <option value=\"bams\">\n                            BAMS                        <\/option>\n                                            <option value=\"bhms\">\n                            BHMS                        <\/option>\n                                            <option value=\"b-sc-nursing\">\n                            B.Sc. Nursing                        <\/option>\n                                                <\/select>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"text\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-hfSvq1H8XctU\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                College, City &amp; State                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-hfSvq1H8XctU\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"text-1\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-XPEsVW5K6Wzi\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Hometown                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-XPEsVW5K6Wzi\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"about-yourself\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-QIeXuUwaeXp4bWO32btzo\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Why do you want to join us?                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <textarea\n                class=\"formgent-field-single__input formgent-field-single__input--textarea\"\n                type=\"text\"\n                id=\"formgent-QIeXuUwaeXp4bWO32btzo\"\n                placeholder=\"Tell us about yourself\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            ><\/textarea>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{&quot;name&quot;:&quot;dropdown-2&quot;,&quot;field_label&quot;:&quot;Are you looking for any financial &lt;br&gt;motive behind this?&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;jMWInYnkP7UL6u3kvNJur&quot;,&quot;label&quot;:&quot;Yes&quot;,&quot;value&quot;:&quot;yes&quot;},{&quot;label&quot;:&quot;No&quot;,&quot;id&quot;:&quot;1&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;no&quot;}]}' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-1wC8OmK_UNTm\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Are you looking for any financial <br>motive behind this?                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <select class=\"formgent-field-single__input formgent-field-single__input--select\"\n                id=\"formgent-1wC8OmK_UNTm\"\n                data-wp-init=\"callbacks.dropdownInit\"\n                data-placeholder=\"Select an option...\"\n                autocomplete=\"off\"\n            >\n                                    <option value=\"\">Select an option...<\/option>\n                                            <option value=\"yes\">\n                            Yes                        <\/option>\n                                            <option value=\"no\">\n                            No                        <\/option>\n                                                <\/select>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"text-2\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-Y08J3gwPbbA7\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Field of interest                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-Y08J3gwPbbA7\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;multiple-choice&quot;,&quot;field_label&quot;:&quot;Applying for&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;VA6KCw-1jR1T0qBhUmj9s&quot;,&quot;label&quot;:&quot;Article\\\/Blog Writing&quot;,&quot;value&quot;:&quot;article-blog-writing&quot;},{&quot;id&quot;:&quot;6mj3wmL-wh9MU-IdT0dBP&quot;,&quot;label&quot;:&quot;Handling X (Twitter, Facebook) &quot;,&quot;value&quot;:&quot;handling-x-twitter-facebook&quot;},{&quot;id&quot;:&quot;FlKE8xMFr_g0i0GfjADBU&quot;,&quot;label&quot;:&quot;Handling Instagram \\u0026amp; oth platforms&quot;,&quot;value&quot;:&quot;handling-instagram-oth-platforms&quot;},{&quot;id&quot;:&quot;bw_dEZ0bE-lIi_KVCuA0F&quot;,&quot;label&quot;:&quot;Content Creation (Video\\\/shorts\\\/reels)&quot;,&quot;value&quot;:&quot;content-creation-video-shorts-reels&quot;},{&quot;id&quot;:&quot;5tnZn-bGa4mtlXGAx-MpK&quot;,&quot;label&quot;:&quot;Content Creation (post\\\/posters)&quot;,&quot;value&quot;:&quot;content-creation-post-posters&quot;},{&quot;id&quot;:&quot;XbRZkEV0n6GdWFLK_xSKZ&quot;,&quot;label&quot;:&quot;Video Editing&quot;,&quot;value&quot;:&quot;video-editing&quot;},{&quot;id&quot;:&quot;DliROqkVj3C6pdp1OtN6w&quot;,&quot;label&quot;:&quot;Handling Website&quot;,&quot;value&quot;:&quot;handling-website&quot;},{&quot;id&quot;:&quot;HItBiVwzEsf0DEKNMYnOI&quot;,&quot;label&quot;:&quot;Handling WordPress&quot;,&quot;value&quot;:&quot;handling-wordpress&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-multiple-choice\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Applying for                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-multiple-choice formgent-field-single__box--default\"\n                id=\"formgent-Jqe7ZhMIhfCG\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                    <template data-wp-each--option=\"context.options\">\n                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\">\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\"\n                                        fill=\"#fff\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\"\n                                        stroke-linejoin=\"round\">\n                                        <polyline points=\"20 6 9 17 4 12\"><\/polyline>\n                                    <\/svg>\n                                <\/span>\n                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                <input type=\"text\" class=\"formgent-field-other-input\"\n                                    data-wp-bind--hidden=\"!context.option.is_other\"\n                                    data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                    data-wp-bind--value=\"state.getOtherOptionValue\"\n                                    data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                    placeholder=\"Please specify\" \/>\n                            <\/label>\n                        <\/div>\n                    <\/template>\n                        <div data-wp-each-child=\"formgent\/form::context.options\"\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\">\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\"\n                                        fill=\"#fff\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\"\n                                        stroke-linejoin=\"round\">\n                                        <polyline points=\"20 6 9 17 4 12\"><\/polyline>\n                                    <\/svg>\n                                <\/span>\n                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                <input hidden type=\"text\" class=\"formgent-field-other-input\"\n                                    data-wp-bind--hidden=\"!context.option.is_other\"\n                                    data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                    data-wp-bind--value=\"state.getOtherOptionValue\"\n                                    data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                    placeholder=\"Please specify\" \/>\n                            <\/label>\n                        <\/div>\n                    \n                        <div data-wp-each-child=\"formgent\/form::context.options\"\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\">\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\"\n                                        fill=\"#fff\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\"\n                                        stroke-linejoin=\"round\">\n                                        <polyline points=\"20 6 9 17 4 12\"><\/polyline>\n                                    <\/svg>\n                                <\/span>\n                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                <input hidden type=\"text\" class=\"formgent-field-other-input\"\n                                    data-wp-bind--hidden=\"!context.option.is_other\"\n                                    data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                    data-wp-bind--value=\"state.getOtherOptionValue\"\n                                    data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                    placeholder=\"Please specify\" \/>\n                            <\/label>\n                        <\/div>\n                    \n                        <div data-wp-each-child=\"formgent\/form::context.options\"\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\">\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\"\n                                        fill=\"#fff\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\"\n                                        stroke-linejoin=\"round\">\n                                        <polyline points=\"20 6 9 17 4 12\"><\/polyline>\n                                    <\/svg>\n                                <\/span>\n                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                <input hidden type=\"text\" class=\"formgent-field-other-input\"\n                                    data-wp-bind--hidden=\"!context.option.is_other\"\n                                    data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                    data-wp-bind--value=\"state.getOtherOptionValue\"\n                                    data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                    placeholder=\"Please specify\" \/>\n                            <\/label>\n                        <\/div>\n                    \n                        <div data-wp-each-child=\"formgent\/form::context.options\"\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\">\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\"\n                                        fill=\"#fff\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\"\n                                        stroke-linejoin=\"round\">\n                                        <polyline points=\"20 6 9 17 4 12\"><\/polyline>\n                                    <\/svg>\n                                <\/span>\n                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                <input hidden type=\"text\" class=\"formgent-field-other-input\"\n                                    data-wp-bind--hidden=\"!context.option.is_other\"\n                                    data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                    data-wp-bind--value=\"state.getOtherOptionValue\"\n                                    data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                    placeholder=\"Please specify\" \/>\n                            <\/label>\n                        <\/div>\n                    \n                        <div data-wp-each-child=\"formgent\/form::context.options\"\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\">\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\"\n                                        fill=\"#fff\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\"\n                                        stroke-linejoin=\"round\">\n                                        <polyline points=\"20 6 9 17 4 12\"><\/polyline>\n                                    <\/svg>\n                                <\/span>\n                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                <input hidden type=\"text\" class=\"formgent-field-other-input\"\n                                    data-wp-bind--hidden=\"!context.option.is_other\"\n                                    data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                    data-wp-bind--value=\"state.getOtherOptionValue\"\n                                    data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                    placeholder=\"Please specify\" \/>\n                            <\/label>\n                        <\/div>\n                    \n                        <div data-wp-each-child=\"formgent\/form::context.options\"\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\">\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\"\n                                        fill=\"#fff\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\"\n                                        stroke-linejoin=\"round\">\n                                        <polyline points=\"20 6 9 17 4 12\"><\/polyline>\n                                    <\/svg>\n                                <\/span>\n                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                <input hidden type=\"text\" class=\"formgent-field-other-input\"\n                                    data-wp-bind--hidden=\"!context.option.is_other\"\n                                    data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                    data-wp-bind--value=\"state.getOtherOptionValue\"\n                                    data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                    placeholder=\"Please specify\" \/>\n                            <\/label>\n                        <\/div>\n                    \n                        <div data-wp-each-child=\"formgent\/form::context.options\"\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\">\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\"\n                                        fill=\"#fff\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\"\n                                        stroke-linejoin=\"round\">\n                                        <polyline points=\"20 6 9 17 4 12\"><\/polyline>\n                                    <\/svg>\n                                <\/span>\n                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                <input hidden type=\"text\" class=\"formgent-field-other-input\"\n                                    data-wp-bind--hidden=\"!context.option.is_other\"\n                                    data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                    data-wp-bind--value=\"state.getOtherOptionValue\"\n                                    data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                    placeholder=\"Please specify\" \/>\n                            <\/label>\n                        <\/div>\n                    \n                        <div data-wp-each-child=\"formgent\/form::context.options\"\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\">\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" viewBox=\"0 0 24 24\"\n                                        fill=\"#fff\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\"\n                                        stroke-linejoin=\"round\">\n                                        <polyline points=\"20 6 9 17 4 12\"><\/polyline>\n                                    <\/svg>\n                                <\/span>\n                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                <input hidden type=\"text\" class=\"formgent-field-other-input\"\n                                    data-wp-bind--hidden=\"!context.option.is_other\"\n                                    data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                    data-wp-bind--value=\"state.getOtherOptionValue\"\n                                    data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                    placeholder=\"Please specify\" \/>\n                            <\/label>\n                        <\/div>\n                    \n                            <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{&quot;name&quot;:&quot;dropdown-3&quot;,&quot;field_label&quot;:&quot;Familiar with Canva\\\/Photoshop&lt;br&gt;\\\/adobe?&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;XzPRJAzxbyTBqlHw1WMWd&quot;,&quot;label&quot;:&quot;Yes&quot;,&quot;value&quot;:&quot;yes&quot;},{&quot;label&quot;:&quot;No&quot;,&quot;id&quot;:&quot;1&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;no&quot;}]}' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-z347UBlWi7P9\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Familiar with Canva\/Photoshop<br>\/adobe?                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <select class=\"formgent-field-single__input formgent-field-single__input--select\"\n                id=\"formgent-z347UBlWi7P9\"\n                data-wp-init=\"callbacks.dropdownInit\"\n                data-placeholder=\"Select an option...\"\n                autocomplete=\"off\"\n            >\n                                    <option value=\"\">Select an option...<\/option>\n                                            <option value=\"yes\">\n                            Yes                        <\/option>\n                                            <option value=\"no\">\n                            No                        <\/option>\n                                                <\/select>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"why-do-you-want-to-work-with-us\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-rvi-KE_BXqGoCQT-9aGB4\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Write something about yourself?                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <textarea\n                class=\"formgent-field-single__input formgent-field-single__input--textarea\"\n                type=\"text\"\n                id=\"formgent-rvi-KE_BXqGoCQT-9aGB4\"\n                placeholder=\"Tell us why you want to work with us\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            ><\/textarea>\n                    <\/div>\n    <\/div>\n<\/div>\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"gdpr\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single\">\n        <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--gdpr formgent-label-align-left\">\n            <input\n                class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                type=\"checkbox\"\n                id=\"formgent-uEaprTIuvRwZ\"\n                data-wp-on--change=\"actions.updateGdpr\"\n                data-wp-bind--checked=\"state.getValue\"\n            \/>\n            <label for=\"formgent-uEaprTIuvRwZ\" class=\"formgent-field-label\">\n                <span class=\"formgent-field-gdpr-checkbox\">\n                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" fill=\"#fff\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" class=\"feather feather-check\"><polyline points=\"20 6 9 17 4 12\"><\/polyline><\/svg>\n                <\/span>\n                <span class=\"formgent-field-sub-label\">\n                    I agree to the terms and conditions.<br><br>Read all the terms and conditions carefully.<br>1. 'Med College Darshan' is in its initial phase and step by step we are moving towards a established platform that will help lakhs of neet aspirants, medicos as well as entire medical fraternity.<br>2. Since we are in a progressive phase, lots of financial and technical challenges are there with us and as of now there is no monetary profit from our platform thus we will not be able to pay or reward you, neither we are looking for any financial help from any member of our team but ofcourse an appreciation will be there for the efforts for each individual on our platform.\u00a0<br>In future we will definitely look for monetization scope\u00a0and if we succeed then each individual will definitely be rewarded on the basis of their contribution, efforts and performance. Till then each of us will have to keep patience and dedication towards our goal.\u00a0<br>3. It's a humble request to maintain the dignity of the group. Avoid any misunderstanding \/ miscommunication\/ unnecessary debate or discussion with any member with regards to the work. Do not indulge in any type of jealousy or unhealthy competitive environment among the team mates and try to maintain a healthy and positive environment.<br>4. Feel free to share any idea or suggestion with respect to the work in the WhatsApp core group.\u00a0<br>5. Make sure you follow 'Med College Darshan' on each platform.\u00a0<br>6. The most important thing, maintain and respect the credibility and avoid any kind of blame game.<br>7. *Copyright infringement policy* : Please do not share any details or information be it any data, facts, contact details, personal information, photographs, videos or any kind of details of any college \/ individual \/ MCD website without the prior information or permission. It is strictly prohibited to reuse the data \/ content\/ images \/ logo\/ photographs or any kind of details on any other platform. Else he\/ she will have to face serious legal and copyright infringement consequences according to the law of Indian Penal Code Copyright Act 1957.                    <span class=\"formgent-field-required\">*<\/span>\n                <\/span>\n            <\/label>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div\n    data-wp-interactive=\"formgent\/form\"\n    data-wp-context='{ \"name\": \"button\" }'\n    data-wp-class--formgent-display-none=\"context.is_multi_step\"\n    data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field  formgent-field-width-100\">\n\n    <div\n        class=\"formgent-field-single formgent-field-single--button formgent-field-align-left formgent-show-button\"\n        style=\"--formgent-btn-bg-color: #4cafaa; --formgent-btn-text-color: #000000; --formgent-btn-border-color: #000000;\"\n        data-wp-class--formgent-show-button=\"!state.showPaypalButton\"\n        data-wp-class--formgent-hide-button=\"state.showPaypalButton\"\n    >\n       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