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| <html lang=""><head><title>Oratorio Member Birthday Card</title><link rel="canonical" href="https://form.jotform.com/200307032715340"/><link rel="alternate" type="application/json+oembed" href="https://www.jotform.com/oembed/?format=json&url=http://www.jotform.com/form/200307032715340" title="oEmbed Form"/><link rel="alternate" type="text/xml+oembed" href="https://www.jotform.com/oembed/?format=xml&url=http://www.jotform.com/form/'200307032715340" title="oEmbed Form"/><meta property="og:title" content="Oratorio Member Birthday Card"/><meta property="og:url" content="http://www.www.jotform.com/form/200307032715340"/><meta property="og:description" content=""/><meta name="slack-app-id" content="AHNMASS8M"/><link id="default-css" type="text/css" rel="stylesheet" href="https://cdn.jotfor.ms/stylebuilder/default.css?c19e17c9"/><link id="form-css" type="text/css" rel="stylesheet" href="https://cdn.jotfor.ms/stylebuilder/200307032715340.css?themeID=59663090cf3bfe325f640051"/><style> body { overflow: hidden; } body ul, body ol { list-style: none; } body { opacity: 0; } </style><link rel="shortcut icon" href="https://cdn.jotfor.ms/favicon.ico"/><meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0"/><meta http-equiv="Content-Type" content="text/html; charset=utf-8"/><script src="https://cdn.ravenjs.com/3.22.3/raven.min.js" crossOrigin="anonymous"></script><script>window.FORM_MODE = "cardform";</script></head><body class="jfCardForm notLoaded cf-minimal"><div class="js-pressEnterHint isHidden" style="color:white;position:absolute;z-index:1;bottom:29.5%;left:37.2%;display:none">You can always press Enter⏎ to continue</div><div id="jfQuestion-proxy" class="forFullScreen"></div><div> <script src="https://cdnjs.cloudflare.com/ajax/libs/punycode/1.4.1/punycode.min.js"></script> | |
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| <script type="text/javascript"> JotForm.init(function(){ JotForm.calendarMonths = ["January","February","March","April","May","June","July","August","September","October","November","December"]; JotForm.calendarDays = ["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday","Sunday"]; JotForm.calendarOther = {"today":"Today"}; JotForm.setCalendar("65", undefined, false, "calendar-container-65"); }); JotForm.prepareCalculationsOnTheFly([null,null,null,{"name":"address3","qid":"3","text":"Address","type":"control_address"},null,{"description":"Tell me your name","name":"whatsName","qid":"5","text":"What's Name","type":"control_fullname"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"description":"Enter your contribution to move oratorio forward","name":"whatDo","qid":"22","text":"What do you like to contribute to Oratorio Group","type":"control_textarea"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"name":"clickTo40","qid":"40","text":"Confirmation\nBY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.\n","type":"control_text"},null,null,null,null,null,null,null,null,null,null,null,null,{"name":"clickTo53","qid":"53","text":"Member Information","type":"control_text"},null,null,null,null,null,null,null,null,null,null,null,{"description":"Birthday wishes await your day.","name":"birthDate65","qid":"65","text":"Birth Date","type":"control_birthdate"},{"name":"gender66","qid":"66","text":"Gender","type":"control_radio"},{"description":"What's the course you study?","name":"department","qid":"67","text":"Department","type":"control_number"},{"name":"oratorioMusical","qid":"68","text":"Oratorio Musical Group","type":"control_head"},{"description":"Enter you active email","name":"email","qid":"69","subLabel":"example@example.com","text":"Email","type":"control_email"},{"description":"Your active Whatsapp number","name":"phoneNumber","qid":"70","text":"Phone Number","type":"control_phone"},{"description":"Best pictures for your birthday celebration","name":"uploadYour","qid":"71","text":"Upload your birthday pictures","type":"control_imagechoice"}]); setTimeout(function() { | |
| JotForm.paymentExtrasOnTheFly([null,null,null,{"name":"address3","qid":"3","text":"Address","type":"control_address"},null,{"description":"Tell me your name","name":"whatsName","qid":"5","text":"What's Name","type":"control_fullname"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"description":"Enter your contribution to move oratorio forward","name":"whatDo","qid":"22","text":"What do you like to contribute to Oratorio Group","type":"control_textarea"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"name":"clickTo40","qid":"40","text":"Confirmation\nBY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.\n","type":"control_text"},null,null,null,null,null,null,null,null,null,null,null,null,{"name":"clickTo53","qid":"53","text":"Member Information","type":"control_text"},null,null,null,null,null,null,null,null,null,null,null,{"description":"Birthday wishes await your day.","name":"birthDate65","qid":"65","text":"Birth Date","type":"control_birthdate"},{"name":"gender66","qid":"66","text":"Gender","type":"control_radio"},{"description":"What's the course you study?","name":"department","qid":"67","text":"Department","type":"control_number"},{"name":"oratorioMusical","qid":"68","text":"Oratorio Musical Group","type":"control_head"},{"description":"Enter you active email","name":"email","qid":"69","subLabel":"example@example.com","text":"Email","type":"control_email"},{"description":"Your active Whatsapp number","name":"phoneNumber","qid":"70","text":"Phone Number","type":"control_phone"},{"description":"Best pictures for your birthday celebration","name":"uploadYour","qid":"71","text":"Upload your birthday pictures","type":"control_imagechoice"}]);}, 20); </script> </div> | |
| <div class="jfProgress progress-animate" id="cardProgress" aria-hidden="true" role="navigation" aria-label="Progress Bar"><span class="jfProgressLine"><span class="jfProgressLine-inner jsFeedbackProgressLine" style="width:100%"></span></span><span class="jfProgress-itemWrapperLine "></span><span id="jsSubmitError" class="jfProgress-formError"></span><div class="jfProgress-itemWrapper " role="list"><div class="jfProgress-itemCell" role="listitem"><div class="jfProgress-item" data-index="0" role="link" tabindex="0"><div class="jfProgress-itemCircle"><span class="jfProgress-itemPulse"></span></div><span class="jfProgress-itemLabel">Question Label</span><span class="jfProgress-statusIcon"><span class="iconSvg icon_check "><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 326 326" class="check-outer"><g data-name="Layer 2"><g data-name="Layer 1"><path d="M163,0C73.12,0,0,73.12,0,163S73.12,326,163,326s163-73.12,163-163S252.88,0,163,0Z"></path> | |
| <path d="M237.88,108.5a13.49,13.49,0,0,0-19.08,0l-80.38,80.38-31.23-31.22a13.49,13.49,0,0,0-19.08,19.09l40.77,40.76a13.5,13.5,0,0,0,19.08,0l.34-.34h0l89.56-89.56a13.49,13.49,0,0,0,0-19.08Z" class="check-inner" style="fill:#fff"></path></g></g></svg></span></span></div></div></div><div class="jfProgress-info"><span class="jfProgress-infoContent" id="cardProgressToggle" role="button" aria-label="See all"><span class="jfProgress-infoContentText"><span class="cardProgress-currentIndex" id="cardProgress-currentIndex">1 </span><span class="cardProgress-questionCount cardProgress-middleText">of</span><span class="cardProgress-questionCount" id="cardProgress-questionCount"> 11</span><span class="cardProgress-seeAll">See All</span><span class="cardProgress-goBack">Go Back</span></span></span></div><div class="jfProgress-mobileNavigation jsMobileNavigation" style="display:none"><button type="button" class="jfInput-button forPrev forMobileNav u-left jsMobilePrev noTranslate" 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d="M23.7,51.7c1.5,1.4,3.8,1.3,5.2-0.2c1.3-1.4,1.3-3.6,0-5l-20-20l20-20 c1.5-1.4,1.7-3.7,0.3-5.2c-1.4-1.5-3.7-1.7-5.2-0.3c-0.1,0.1-0.2,0.2-0.3,0.3L1.1,23.8c-1.4,1.4-1.4,3.8,0,5.2c0,0,0,0,0,0 L23.7,51.7z"></path></g></g></svg></span></button><button style="display:none" type="button" class="jfInput-button forSubmit forMobileNav form-submit-button u-center jsMobileSubmit" data-component="button" aria-label="Submit">Submit</button><button class="jfInput-button u-left forBackToForm" style="display:none" aria-label="Back To Form"></button></div></div><div class="jfForm-wrapper"><div class="jfForm-backgroundContainer"></div><div class="jfForm-backgroundUnderlay"></div><div class="jfForm-backgroundOverlay"></div><div class="jfForm-background"><div class="jfForm-background-mask"></div></div><div class="jfWelcome-wrapper" role="banner"><div class="jfWelcome"><div class="jfWelcome-imageWrapper"><img src="https://www.jotform.com/uploads/Biormarcus/form_files/oratorio_logo.5e34a86c18a4f6.09395427.png" alt="Oratorio Member Birthday Card Profile" class="jfWelcome-image"/></div><div id="header_welcomePage" class="jfWelcome-header form-header" data-component="header" style="opacity:1">Oratorio Member Birthday Card Profile</div><div id="subHeader_welcomePage" class="jfWelcome-description form-subHeader">We are glad to have you as a member of the Life Changing Musical Group</div><div class="jfWelcome-sectionInfo"><span class="jfWelcome-sectionInfo-questionCount"></span><span class="jfWelcome-sectionInfo-text"></span></div><div class="jfWelcome-buttonWrapper"><button class="jfWelcome-button" id="jfCard-welcome-previous" style="display:none"></button></div><div class="jfWelcome-buttonWrapper"><button class="jfWelcome-button" id="jfCard-welcome-start" style="display:inline">START</button></div></div></div><div class="jfForm-logo" role="img" aria-hidden="true"><img src="https://www.jotform.com/uploads/Biormarcus/form_files/oratorio_logo.5e34a86c18a4f6.09395427.png" alt="Oratorio Member Birthday Card"/></div><form role="main" class="jotform-form" id="200307032715340" name="form_200307032715340" action="https://submit.jotform.com/submit/200307032715340/" method="post"><input type="hidden" name="formID" value="200307032715340"/><ul class="jfForm-all form-section page-section form-all" id="cardAnimationWrapper"><li class="form-line" data-type="control_text" id="id_53"><div id="cid_53" class="jfCard-wrapper"><div class="jfCard" data-type="control_text"><div class="jfCard-index"><div>1</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><div class="jfCard-mobileError jsMobileErrorWrapper"></div><div class="jfQuestion-fields"><div class="jfField"><div id="text_53" class="form-html" data-component="text"><p><span style="text-decoration: underline; font-size: large;"><strong>Member Information</strong></span></p></div></div></div></div><div class="jfCard-actions"><button style="display:none" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li class="form-line" data-type="control_fullname" id="id_5" data-compound-hint=""><div id="cid_5" class="jfCard-wrapper"><div class="jfCard" data-type="control_fullname"><div class="jfCard-index"><div>2</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="first_5" class="jfQuestion-label isLeftAlign" id="label_5"><span class="jsQuestionLabelContainer jfQuestionLabelContainer">What's Name</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description" id="input_5_description"><span>Tell me your name</span></span><div class="jfCard-mobileError jsMobileErrorWrapper"></div><div class="jfQuestion-fields" data-wrapper-react="true"><div class="jfField" data-type="first"><input type="text" id="first_5" name="q5_whatsName[first]" class="form-textbox validate[required] forFullname jfInput-input hasSublabel" autoComplete="given-name" size="10" value="" data-component="first" required="" aria-required="true" aria-describedby="first_5_description" aria-labelledby="label_5 sublabel_5_first"/><label class="jfField-sublabel " for="first_5" id="sublabel_5_first">First Name</label></div><div class="jfField" data-type="last"><input type="text" id="last_5" name="q5_whatsName[last]" class="form-textbox validate[required] forFullname jfInput-input hasSublabel" autoComplete="family-name" size="15" value="" data-component="last" required="" aria-required="true" aria-describedby="last_5_description" aria-labelledby="label_5 sublabel_5_last"/><label class="jfField-sublabel " for="last_5" id="sublabel_5_last">Last Name</label></div></div></div><div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li class="form-line" data-type="control_email" id="id_69"><div id="cid_69" class="jfCard-wrapper"><div class="jfCard" data-type="control_email"><div class="jfCard-index"><div>3</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_69" class="jfQuestion-label isLeftAlign" id="label_69"><span class="jsQuestionLabelContainer jfQuestionLabelContainer">Email</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description" id="input_69_description"><span>Enter you active email</span></span><div class="jfCard-mobileError jsMobileErrorWrapper"></div><div class="jfQuestion-fields questionMode"><div class="jfField" data-type="email"><input type="email" id="input_69" name="q69_email" class="form-textbox validate[required, Email] forEmail jfInput-input hasSublabel" autoComplete="email" size="30" value="" data-component="email" required="" aria-required="true" aria-describedby="input_69_description"/><label class="jfField-sublabel " for="input_69" id="sublabel_input_69">example@example.com</label><div class="jfCardTooltip js-tooltipContainer"><div class="js-tooltipMessageContainer-info"></div><div class="js-tooltipMessageContainer-error"></div><div class="jfCardTooltip-close js-tooltipCloseButton"><span class="iconSvg icon_error "><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 326 326"><g data-name="Layer 2"><g data-name="Layer 1"><path class="fail-outer" d="M163,0C73.12,0,0,73.12,0,163S73.12,326,163,326s163-73.12,163-163S252.88,0,163,0Z"></path><path class="fail-inner" d="M227.6,98.4a14.75,14.75,0,0,0-20.86,0L163,142.14,119.26,98.4A14.75,14.75,0,1,0,98.4,119.26L142.14,163,98.4,206.74a14.75,14.75,0,1,0,20.86,20.86L163,183.86l43.74,43.74a14.75,14.75,0,1,0,20.86-20.86L183.86,163l43.74-43.74A14.75,14.75,0,0,0,227.6,98.4Z"></path></g></g></svg></span></div></div></div><div class="jfEmailVerify-loading"><span class="loadingDot"></span><span class="loadingDot isD2"></span><span class="loadingDot isD3"></span></div></div></div><div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li class="form-line" data-type="control_birthdate" id="id_65"><div id="cid_65" class="jfCard-wrapper"><div class="jfCard" data-type="control_birthdate"><div class="jfCard-index"><div>4</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_65" class="jfQuestion-label isLeftAlign" id="label_65"><span class="jsQuestionLabelContainer jfQuestionLabelContainer">Birth Date</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description" id="input_65_description"><span>Birthday wishes await your day.</span></span><div class="jfCard-mobileError 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d="M53.26,37.34h4.2v4.34h-4.2V37.34Z"></path><path d="M44.24,37.34h4.2v4.34h-4.2V37.34Z"></path><path d="M39.5,41.69H35.13c0-1.33,0-2.64,0-3.95a0.61,0.61,0,0,1,.43-0.42c1.14,0,2.29,0,3.43,0a0.75,0.75,0,0,1,.47.56C39.52,39.12,39.5,40.35,39.5,41.69Z"></path><path d="M30.39,41.68H26.18V37.36h4.21v4.32Z"></path></svg></span><label class="jfField-sublabel " for="input_65" id="sublabel_input_65"></label></div><div style="display:none"><div class="jfField isHidden cf-valid-hidden" data-type="month"><input type="tel" id="month_65" name="q65_birthDate65[month]" class="form-textbox validate[required] jfInput-input hasSublabel" size="2" value="" maxLength="2" data-maxlength="2" tabindex="-1" data-component="month" required="" aria-required="true" aria-describedby="month_65_description"/><label class="jfField-sublabel " for="month_65" id="sublabel_65_month">Month</label></div><div class="jfField isHidden cf-valid-hidden" data-type="day"><input type="tel" id="day_65" name="q65_birthDate65[day]" class="form-textbox validate[required] jfInput-input hasSublabel" size="2" value="" maxLength="2" data-maxlength="2" tabindex="-1" data-component="day" required="" aria-required="true" aria-describedby="day_65_description"/><label class="jfField-sublabel " for="day_65" id="sublabel_65_day">Day</label></div><div class="jfField isHidden cf-valid-hidden" data-type="year"><input type="tel" id="year_65" name="q65_birthDate65[year]" class="form-textbox validate[required] jfInput-input hasSublabel" size="4" value="" maxLength="4" data-maxlength="4" tabindex="-1" data-component="year" required="" aria-required="true" aria-describedby="year_65_description"/><label class="jfField-sublabel " for="year_65" id="sublabel_65_year">Year</label></div></div><div class="jfField isHidden cf-valid-hidden"><input type="text" id="lite_mode_65" class="form-textbox validate[required, validateLiteDate] jfInput-input hasSublabel" size="12" value="" maxLength="12" data-maxlength="12" tabindex="-1" placeholder="mm-dd-yyyy" data-format="mmddyyyy" data-seperator="-" data-age="" required="" aria-required="true" aria-describedby="lite_mode_65_description"/><label class="jfField-sublabel " for="lite_mode_65"></label></div><img alt="Pick a Date" id="input_65_pick" style="display:none;vertical-align:middle" data-component="datetime"/><div class="jfCalendar-wrapper"><div id="calendar-container-65" class="jfCalendar-container"></div></div></div></div><div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li class="form-line" data-type="control_phone" id="id_70" data-compound-hint=""><div id="cid_70" class="jfCard-wrapper"><div class="jfCard" data-type="control_phone"><div class="jfCard-index"><div>5</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_70_area" class="jfQuestion-label isLeftAlign" id="label_70"><span class="jsQuestionLabelContainer jfQuestionLabelContainer">Phone Number</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description" id="input_70_description"><span>Your active Whatsapp number</span></span><div class="jfCard-mobileError jsMobileErrorWrapper"></div><div class="jfQuestion-fields" data-wrapper-react="true"><div class="jfField" data-type="areaCode"><input type="tel" id="input_70_area" name="q70_phoneNumber[area]" class="form-textbox validate[required] forPhone jfInput-input hasSublabel" autoComplete="tel-area-code" size="6" value="" data-component="areaCode" required="" aria-required="true" aria-describedby="input_70_area_description" aria-labelledby="label_70 sublabel_70_area"/><label class="jfField-sublabel " for="input_70_area" id="sublabel_70_area">Area Code</label></div><div class="jfField" data-type="phone"><input type="tel" id="input_70_phone" name="q70_phoneNumber[phone]" class="form-textbox validate[required] forPhone jfInput-input hasSublabel" autoComplete="tel-local" size="12" value="" data-component="phone" required="" aria-required="true" aria-describedby="input_70_phone_description" aria-labelledby="label_70 sublabel_70_phone"/><label class="jfField-sublabel " for="input_70_phone" id="sublabel_70_phone">Phone Number</label></div></div></div><div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li class="form-line" data-type="control_number" id="id_67"><div id="cid_67" class="jfCard-wrapper"><div class="jfCard" data-type="control_number"><div class="jfCard-index"><div>6</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_67" class="jfQuestion-label isLeftAlign" id="label_67"><span class="jsQuestionLabelContainer jfQuestionLabelContainer">Department</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description" id="input_67_description"><span>What's the course you study?</span></span><div class="jfCard-mobileError jsMobileErrorWrapper"></div><div class="jfQuestion-fields"><div class="jfField" data-type="number"><input type="number" id="input_67" name="q67_department" data-type="input-number" class=" form-number-input form-textbox validate[required, Numeric] forNumber jfInput-input" size="5" value="" placeholder="Your faculty and department" data-component="number" required="" aria-required="true" aria-describedby="input_67_description"/><label class="jfField-sublabel " for="input_67"></label></div></div></div><div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li class="form-line" data-type="control_radio" id="id_66"><div id="cid_66" class="jfCard-wrapper"><div class="jfCard" data-type="control_radio"><div class="jfCard-index"><div>7</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_66" class="jfQuestion-label isLeftAlign" id="label_66"><span class="jsQuestionLabelContainer jfQuestionLabelContainer">Gender</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description" id="input_66_description"><span></span></span><div class="jfCard-mobileError jsMobileErrorWrapper"></div><div class="jfQuestion-fields form-single-column" data-component="radio"><div class="jfField form-radio-item"><label data-id="label_input_66_0" class="jfRadio withoutImage" tabindex="0" role="radio" aria-checked="false"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q66_gender66" value="Male" id="input_66_0" required=""/><div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio"/><span class="jfRadio-labelText">Male</span></div></label></div><div class="jfField form-radio-item"><label data-id="label_input_66_1" class="jfRadio withoutImage" tabindex="0" role="radio" aria-checked="false"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q66_gender66" value="Female" id="input_66_1" required=""/><div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio"/><span class="jfRadio-labelText">Female</span></div></label></div></div></div><div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li class="form-line" data-type="control_address" id="id_3" data-compound-hint=""><div id="cid_3" class="jfCard-wrapper"><div class="jfCard" data-type="control_address"><div class="jfCard-index"><div>8</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_3_addr_line1" class="jfQuestion-label isLeftAlign" id="label_3"><span class="jsQuestionLabelContainer jfQuestionLabelContainer">Address</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description" id="input_3_description"><span></span></span><div class="jfCard-mobileError jsMobileErrorWrapper"></div><div class=" jfQuestion-fields isCompoundField form-address-table " data-wrapper-react="true"><div class="jfField isSecondLineHidden" data-type="address_line_1"><input type="text" id="input_3_addr_line1" name="q3_address3[addr_line1]" class="form-textbox validate[required] form-address-line form-address-addr1 forAddress jfInput-input hasSublabel" autoComplete="address-line1" value="" data-component="address_line_1" required="" aria-required="true" aria-describedby="input_3_addr_line1_description" aria-labelledby="label_3 sublabel_3_addr_line1"/><label class="jfField-sublabel " for="input_3_addr_line1" id="sublabel_3_addr_line1">Street Address</label></div><div class="jfField isHidden " data-type="address_line_2" style="display:none"><input type="text" id="input_3_addr_line2" name="q3_address3[addr_line2]" class="form-textbox form-address-line form-address-addr2 forAddress jfInput-input hasSublabel" autoComplete="new-password" size="46" value="" data-component="address_line_2" required="" aria-required="true" aria-describedby="input_3_addr_line2_description" aria-labelledby="label_3 sublabel_3_addr_line2"/><label class="jfField-sublabel " for="input_3_addr_line2" id="sublabel_3_addr_line2">Street Address Line 2</label></div><div class="jfField" data-type="city"><input type="text" id="input_3_city" name="q3_address3[city]" class="form-textbox validate[required] form-address-city forAddress jfInput-input hasSublabel" autoComplete="address-level2" size="21" value="" data-component="city" required="" aria-required="true" aria-describedby="input_3_city_description" aria-labelledby="label_3 sublabel_3_city"/><label class="jfField-sublabel " for="input_3_city" id="sublabel_3_city">City</label></div><div class="jfField" data-type="state"><input type="text" id="input_3_state" name="q3_address3[state]" class="form-textbox validate[required] form-address-state forAddress jfInput-input hasSublabel" autoComplete="address-level1" size="22" value="" data-component="state" required="" aria-required="true" aria-describedby="input_3_state_description" aria-labelledby="label_3 sublabel_3_state"/><label class="jfField-sublabel " for="input_3_state" id="sublabel_3_state">State / Province</label></div><div class="jfField isHidden" data-type="zip" style="display:none"><input type="text" id="input_3_postal" name="q3_address3[postal]" class="form-textbox form-address-postal forAddress jfInput-input hasSublabel" autoComplete="new-password" size="10" value="" data-component="zip" required="" aria-required="true" aria-describedby="input_3_postal_description" aria-labelledby="label_3 sublabel_3_postal"/><label class="jfField-sublabel " for="input_3_postal" id="sublabel_3_postal">Postal / Zip Code</label></div><div class="jfField isFilled isHidden" data-type="country" style="display:none" aria-hidden="true"><select data-component="country" tabindex="-1" required="" id="input_3_country" aria-hidden="true" name="q3_address3[country]" class="form-dropdown form-address-country noTranslate" autoComplete="new-password" aria-labelledby="label_3 sublabel_3_country"><option value="">Please Select</option><option value="United States">United States</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="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="The Bahamas">The 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="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 (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</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="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</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="The Gambia">The 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="Guadeloupe">Guadeloupe</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">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</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="North Korea">North Korea</option><option value="South Korea">South Korea</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="Martinique">Martinique</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="Nagorno-Karabakh">Nagorno-Karabakh</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="Norfolk Island">Norfolk Island</option><option value="Turkish Republic of Northern Cyprus">Turkish Republic of Northern Cyprus</option><option value="Northern Mariana">Northern Mariana</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 Islands">Pitcairn Islands</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="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="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Ossetia">South Ossetia</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">Svalbard</option><option value="eSwatini">eSwatini</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="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Transnistria Pridnestrovie">Transnistria Pridnestrovie</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</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="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="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="Isle of Man">Isle of Man</option><option value="US Virgin Islands">US Virgin Islands</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><option value="other">Other</option></select><div class="jfInput-dropdown hasSearch isDrawer" datatype="multiselect"><div class="jfDropdown-wrapper" tabindex="0" role="button" aria-haspopup="true" aria-labelledby="label_3 sublabel_3_country"><div class="jfDropdown-chipContainer"><span class="jfDropdown-chip isSingle" style="display:none">Please Select</span><div class="jfDropdown-searchWrapper"><input type="text" class="form-textbox jfDropdown-search" name="dropdown_search" placeholder="Please Select" aria-label="Please Select" value="Please Select"/></div></div><span class="jfDropdown-toggle"></span></div><div id="jfDropdown-optionList-3-country" class="jfDropdown-optionListWrapper forDrawer"><ul data-component="country" required="" role="listbox" class="jfDropdown-optionList form-dropdown"><li role="option" data-value="" class="jfDropdown-optionListItem">Please Select</li><li role="option" data-value="United States" class="jfDropdown-optionListItem">United States</li><li role="option" data-value="Afghanistan" class="jfDropdown-optionListItem">Nicaragua</li><li role="option" data-value="Niger" class="jfDropdown-optionListItem">Niger</li><li role="option" data-value="Nigeria" class="jfDropdown-optionListItem">Nigeria</li><li role="option" data-value="Niue" class="jfDropdown-optionListItem">Niue</li><li role="option" data-value="Norfolk Island" class="jfDropdown-optionListItem">Norfolk Island</li><li role="option" data-value="Turkish Republic of Northern Cyprus" class="jfDropdown-optionListItem">Turkish Republic of Northern Cyprus</li><li role="option" data-value="Northern Mariana" class="jfDropdown-optionListItem">Northern Mariana</li><li role="option" data-value="Norway" class="jfDropdown-optionListItem">Norway</li><li role="option" data-value="Oman" cclass="jfDropdown-optionListItem">Uganda</li><li role="option" data-value="Ukraine" class="jfDropdown-optionListItem">Ukraine</li><li role="option" data-value="United Arab Emirates" class="jfDropdown-optionListItem">United Arab Emirates</li><li role="option" data-value="United Kingdom" class="jfDropdown-optionListItem">United Kingdom</li><li role="option" data-value="Uruguay" class="jfDropdown-optionListItem">Zimbabwe</li><li role="option" data-value="other" class="jfDropdown-optionListItem">Other</li></ul></div></div><label class="jfField-sublabel " for="input_3_country" id="sublabel_3_country">Country</label></div></div></div><div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li class="form-line" data-type="control_imagechoice" id="id_71"><div id="cid_71" class="jfCard-wrapper"><div class="jfCard" data-type="control_imagechoice"><div class="jfCard-index"><div>9</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_71" class="jfQuestion-label isLeftAlign" id="label_71"><span class="jsQuestionLabelContainer jfQuestionLabelContainer">Upload your birthday pictures</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description" id="input_71_description"><span>Best pictures for your birthday celebration</span></span><div class="jfCard-mobileError jsMobileErrorWrapper"></div><div class="jfQuestion-fields form-multiple-column" data-columncount="2" data-component="radio"><div class="jfField jfField-lastRowItem form-radio-item"><label data-id="label_input_71_0" class="jfRadio withImage withoutText" tabindex="0" role="radio" aria-checked="false"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q71_uploadYour[]" value="|https://www.jotform.com/images/image_placeholder.png" id="input_71_0" required=""/><div class="jfRadio-label"><div class="jfRadio-image" style="background-image:url("https://www.jotform.com/images/image_placeholder.png");background-size:50px"><img alt="Image 1" src="https://www.jotform.com/images/image_placeholder.png" style="display:none"/></div><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" style="display:none"/><span class="jfRadio-labelText"></span></div></label></div><div class="jfField jfField-lastRowItem form-radio-item"><label data-id="label_input_71_1" class="jfRadio withImage withoutText" tabindex="0" role="radio" aria-checked="false"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q71_uploadYour[]" value="|https://www.jotform.com/images/image_placeholder.png" id="input_71_1" required=""/><div class="jfRadio-label"><div class="jfRadio-image" style="background-image:url("https://www.jotform.com/images/image_placeholder.png");background-size:50px"><img alt="Image 2" src="https://www.jotform.com/images/image_placeholder.png" style="display:none"/></div><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" style="display:none"/><span class="jfRadio-labelText"></span></div></label></div></div></div><div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li class="form-line" data-type="control_textarea" id="id_22"><div id="cid_22" class="jfCard-wrapper"><div class="jfCard" data-type="control_textarea"><div class="jfCard-index"><div>10</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_22" class="jfQuestion-label isLeftAlign" id="label_22"><span class="jsQuestionLabelContainer jfQuestionLabelContainer">What do you like to contribute to Oratorio Group</span></label><span class="jfQuestion-description" id="input_22_description"><span>Enter your contribution to move oratorio forward</span></span><div class="jfCard-mobileError jsMobileErrorWrapper"></div><div class="jfQuestion-fields" data-component="textarea"><div class="jfField" data-type="textarea"><textarea id="input_22" class="jfInput-textarea form-textarea" data-component="textarea" rows="4" cols="40" name="q22_whatDo"></textarea><label class="jfField-sublabel " for="input_22"></label></div></div></div><div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li class="form-line" data-type="control_text" id="id_40"><div id="cid_40" class="jfCard-wrapper"><div class="jfCard" data-type="control_text"><div class="jfCard-index"><div>11</div></div><div class="jfCard-question"><div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><div class="jfCard-mobileError jsMobileErrorWrapper"></div><div class="jfQuestion-fields"><div class="jfField"><div id="text_40" class="form-html" data-component="text"><p><span style="font-size:large;text-decoration:underline;"><strong>Confirmation</strong></span></p> | |
| <p><span style="font-size:x-small;">BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.</span></p> | |
| </div></div></div></div><div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous">Previous</button><button style="display:block" type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next">Next</button><button style="display:none" type="submit" class="jfInput-button forSubmit form-submit-button u-right" data-component="button" aria-label="Submit">Submit</button><div class="cf"><div class="jfCard-actionsNotification" aria-live="polite"><div class="jfPressEnter isHidden" aria-hidden="true">Press<br/>Enter</div></div></div><div class="jfCard-disableSubmitError"></div></div></div></div></li><li style="display:none">Should be Empty:<input type="text" name="website" value="" aria-hidden="true"/></li></ul></form></div><div class="jStaticItems"></div><input type="hidden" aria-hidden="true" id="simple_spc" name="simple_spc" value=""200307032715340-200307032715340""/><div class="js-overlayWrapper jfOverlay" aria-hidden="true"><div class="jfOverlay-modalWrapper js-overlay-modalWrapper"><span class="jfOverlay-close"><span class="iconSvg close "><svg data-name="Layer 1" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 209.37 209.37"><path d="M104.1,94.23c-5.83-6-11.26-11.65-16.79-17.2C75.06,64.72,62.72,52.5,50.5,40.17c-1.61-1.63-2.65-1.87-4.22,0a53.62,53.62,0,0,1-5.62,5.61c-1.83,1.58-1.87,2.65-.07,4.42C50.95,60.34,61.17,70.65,71.45,80.91,79,88.46,86.6,96,94.5,103.84L38.58,160l9.18,9.74,56.09-56.38,56.38,56.56,10.38-10.36-56.16-55.81c10-10,19.95-20,29.87-29.88,8-8,16-15.91,23.94-23.94,0.66-.66,1.31-2.42,1-2.78-2.8-3.08-5.82-6-9.24-9.36Z"></path></svg></span></span><img class="js-overlayImage jfOverlayImage" alt="close"/></div></div><script src="https://cdn.jotfor.ms/cardforms/layout.min.js?c19e17c9"></script><script src="https://www.jotform.com/ownerView.php?id=200307032715340"></script><script>window.CardForm 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