{"id":4002,"date":"2020-12-12T23:45:07","date_gmt":"2020-12-12T15:45:07","guid":{"rendered":"http:\/\/mysenses.winners1313.com\/?page_id=4002"},"modified":"2020-12-12T23:45:48","modified_gmt":"2020-12-12T15:45:48","slug":"mobile-login-form","status":"publish","type":"page","link":"https:\/\/mysensesworld.com\/cn\/mobile-login-form\/","title":{"rendered":"Mobile Login Form"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"4002\" class=\"elementor elementor-4002\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-36a4e26 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"36a4e26\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8034d1b\" data-id=\"8034d1b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5a3b25d eael-gravity-form-button-custom elementor-widget elementor-widget-eael-gravity-form\" data-id=\"5a3b25d\" data-element_type=\"widget\" data-widget_type=\"eael-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t            <div class=\"eael-contact-form eael-gravity-form eael-contact-form-align-default\">\n                                \n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_8' ><form method='post' enctype='multipart\/form-data'  id='gform_8'  action='\/cn\/wp-json\/wp\/v2\/pages\/4002' data-trp-original-action=\"\/cn\/wp-json\/wp\/v2\/pages\/4002\">\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>MY SENSES Agent Application Form (Login Form)<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_8' class='gform_fields top_label form_sublabel_below description_below'><li id='field_8_34'  class='gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible' ><input name='input_34' id='input_8_34' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/li><li id='field_8_2'  class='gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Applicant\u2019s full name as per IC:<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name' id='input_8_2'>\n                            \n                            <span id='input_8_2_3_container' class='name_first' >\n                                                    <input type='text' name='input_2.3' id='input_8_2_3' value='' aria-label='\u540d\u5b57'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_8_2_3' class='hidden_sub_label screen-reader-text'>\u7b2c\u4e00\u9875<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/li><li id='field_8_11'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_11' >New I\/C No (eg.901103109313):<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_8_11' type='text' value='' class='medium' maxlength='12'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_8_9'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_9' >Upload IC<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input name='input_9' id='input_8_9' type='file' class='medium' aria-describedby='validation_message_8_9 live_validation_message_8_9 extensions_message_8_9' onchange='javascript:gformValidateFileSize( this, 2147483648 );'  \/><span id='extensions_message_8_9' class='screen-reader-text'>\u5141\u8bb8\u6587\u4ef6\u7c7b\u578b\uff1apng, jpg, jpeg, pdf\u3002<\/span><div class='validation_message' id='live_validation_message_8_9'><\/div><\/div><\/li><li id='field_8_27'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_27' >Upload Selfie Photo<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input name='input_27' id='input_8_27' type='file' class='medium' aria-describedby='validation_message_8_27 live_validation_message_8_27 extensions_message_8_27' onchange='javascript:gformValidateFileSize( this, 2147483648 );'  \/><span id='extensions_message_8_27' class='screen-reader-text'>\u5141\u8bb8\u6587\u4ef6\u7c7b\u578b\uff1apng, jpg, jpeg, pdf\u3002<\/span><div class='validation_message' id='live_validation_message_8_27'><\/div><\/div><div class='gfield_description' id='gfield_description_8_27'>Vertical Photo \u6253\u76f4\u7684\u7167\u7247<\/div><\/li><li id='field_8_10'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_10' >Date of Birth<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_10' id='input_8_10' type='text' value='' class='datepicker medium dmy datepicker_no_icon'    aria-describedby='input_8_10_date_format' \/>\n                            <span id='input_8_10_date_format' class='screen-reader-text'>Date Format: DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_8_10' class='gform_hidden' value='https:\/\/mysensesworld.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_8_7'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container ginput_container_email' id='input_8_7_container'>\n                                <span id='input_8_7_1_container' class='ginput_left'>\n                                    <input class='' type='text' name='input_7' id='input_8_7' value=''    aria-required=\"true\" aria-invalid=\"false\"\/>\n                                    <label for='input_8_7' >\u8f93\u5165\u90ae\u4ef6\u5730\u5740<\/label>\n                                <\/span>\n                                <span id='input_8_7_2_container' class='ginput_right'>\n                                    <input class='' type='text' name='input_7_2' id='input_8_7_2' value=''    aria-required=\"true\" aria-invalid=\"false\"\/>\n                                    <label for='input_8_7_2' >\u786e\u8ba4\u90ae\u4ef6\u5730\u5740<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id='field_8_12'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_12' >Mobile Phone No:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_8_12' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_8_13'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_13' >House Phone No:<\/label><div class='ginput_container ginput_container_phone'><input name='input_13' id='input_8_13' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_8_14'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Gender:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_8_14'><li class='gchoice_8_14_0'><input name='input_14' type='radio' value='Male'  id='choice_8_14_0'    \/><label for='choice_8_14_0' id='label_8_14_0'>Male<\/label><\/li><li class='gchoice_8_14_1'><input name='input_14' type='radio' value='Female'  id='choice_8_14_1'    \/><label for='choice_8_14_1' id='label_8_14_1'>Female<\/label><\/li><\/ul><\/div><\/li><li id='field_8_30'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Marital Status:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_8_30'><li class='gchoice_8_30_0'><input name='input_30' type='radio' value='Single'  id='choice_8_30_0'    \/><label for='choice_8_30_0' id='label_8_30_0'>Single<\/label><\/li><li class='gchoice_8_30_1'><input name='input_30' type='radio' value='Married'  id='choice_8_30_1'    \/><label for='choice_8_30_1' id='label_8_30_1'>Married<\/label><\/li><li class='gchoice_8_30_2'><input name='input_30' type='radio' value='Divorced'  id='choice_8_30_2'    \/><label for='choice_8_30_2' id='label_8_30_2'>Divorced<\/label><\/li><\/ul><\/div><\/li><li id='field_8_16'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_16' >Race:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_8_16' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_8_4'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Mailing address\uff1a<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_8_4' >\n                         <span class='ginput_full address_line_1' id='input_8_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_8_4_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_8_4_1' id='input_8_4_1_label' >\u8857\u9053\u5730\u5740<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_8_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_8_4_2' value=''   \/>\n                                        <label for='input_8_4_2' id='input_8_4_2_label' >\u5730\u57402 (\u8857\u9053)<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_8_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_8_4_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_8_4_3' id='input_8_4_3_label' >\u5e02<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_8_4_4_container' >\n                                        <input type='text' name='input_4.4' id='input_8_4_4' value=''      aria-required=\"true\"\/>\n                                        <label for='input_8_4_4' id='input_8_4_4_label' >\u5dde\/\u7701\/\u5730\u533a<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_8_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_8_4_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_8_4_5' id='input_8_4_5_label' >\u90ae\u7f16\/\u90ae\u653f\u7f16\u7801<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_8_4_6_container' >\n                                        <select name='input_4.6' id='input_8_4_6'   aria-required=\"true\"><option value='' ><\/option><option value='Anguilla' >Anguilla<\/option><option value='Aruba' >Aruba<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Deutschland (\u5fb7\u56fd)' >Deutschland (\u5fb7\u56fd)<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guernsey' >Guernsey<\/option><option value='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Jersey' >Jersey<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Macau' >Macau<\/option><option value='Martinique' >Martinique<\/option><option value='Mayotte' >Mayotte<\/option><option value='Montserrat' >Montserrat<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena' >Saint Helena<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Sudan' >South Sudan<\/option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Tokelau' >Tokelau<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><option value='\u041c\u043e\u043d\u0433\u043e\u043b \u0443\u043b\u0441 (\u8499\u53e4)' >\u041c\u043e\u043d\u0433\u043e\u043b \u0443\u043b\u0441 (\u8499\u53e4)<\/option><option value='\u1019\u103c\u1014\u103a\u1019\u102c (\u7f05\u7538)' >\u1019\u103c\u1014\u103a\u1019\u102c (\u7f05\u7538)<\/option><option value='\u4e0d\u4e39' >\u4e0d\u4e39<\/option><option value='\u4e2d\u56fd' >\u4e2d\u56fd<\/option><option value='\u4e2d\u975e\u5171\u548c\u56fd' >\u4e2d\u975e\u5171\u548c\u56fd<\/option><option value='\u4e39\u9ea6' >\u4e39\u9ea6<\/option><option value='\u4e4c\u514b\u5170' >\u4e4c\u514b\u5170<\/option><option value='\u4e4c\u5179\u522b\u514b\u65af\u5766' >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option><option value='\u4e4c\u5e72\u8fbe' >\u4e4c\u5e72\u8fbe<\/option><option value='\u4e4c\u62c9\u572d' >\u4e4c\u62c9\u572d<\/option><option value='\u4e4d\u5f97' >\u4e4d\u5f97<\/option><option value='\u4e54\u6cbb\u4e9a\u5dde' >\u4e54\u6cbb\u4e9a\u5dde<\/option><option value='\u4e5f\u95e8' >\u4e5f\u95e8<\/option><option value='\u4e9a\u7f8e\u5c3c\u4e9a' >\u4e9a\u7f8e\u5c3c\u4e9a<\/option><option value='\u4ee5\u8272\u5217' >\u4ee5\u8272\u5217<\/option><option value='\u4f0a\u62c9\u514b' >\u4f0a\u62c9\u514b<\/option><option value='\u4f0a\u6717' >\u4f0a\u6717<\/option><option value='\u4f2f\u5229\u5179' >\u4f2f\u5229\u5179<\/option><option value='\u4f5b\u5f97\u89d2' >\u4f5b\u5f97\u89d2<\/option><option value='\u4fc4\u7f57\u65af' >\u4fc4\u7f57\u65af<\/option><option value='\u4fdd\u52a0\u5229\u4e9a' >\u4fdd\u52a0\u5229\u4e9a<\/option><option value='\u514b\u7f57\u5730\u4e9a' >\u514b\u7f57\u5730\u4e9a<\/option><option value='\u5173\u5c9b' >\u5173\u5c9b<\/option><option value='\u5188\u6bd4\u4e9a (\u897f\u975e\u7684\u72ec\u7acb\u56fd)' >\u5188\u6bd4\u4e9a (\u897f\u975e\u7684\u72ec\u7acb\u56fd)<\/option><option value='\u51b0\u5c9b' >\u51b0\u5c9b<\/option><option value='\u51e0\u5185\u4e9a' >\u51e0\u5185\u4e9a<\/option><option value='\u51e0\u5185\u4e9a\u6bd4\u7ecd' >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option><option value='\u5217\u652f\u6566\u58eb\u767b' >\u5217\u652f\u6566\u58eb\u767b<\/option><option value='\u521a\u679c\u5171\u548c\u56fd' >\u521a\u679c\u5171\u548c\u56fd<\/option><option value='\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd\u7684' >\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd\u7684<\/option><option value='\u5229\u6bd4\u4e9a' >\u5229\u6bd4\u4e9a<\/option><option value='\u5229\u6bd4\u91cc\u4e9a' >\u5229\u6bd4\u91cc\u4e9a<\/option><option value='\u52a0\u62ff\u5927' >\u52a0\u62ff\u5927<\/option><option value='\u52a0\u7eb3' >\u52a0\u7eb3<\/option><option value='\u52a0\u84ec' >\u52a0\u84ec<\/option><option value='\u5308\u7259\u5229' >\u5308\u7259\u5229<\/option><option value='\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b' >\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option><option value='\u5357\u6781\u6d32' >\u5357\u6781\u6d32<\/option><option value='\u5357\u975e' >\u5357\u975e<\/option><option value='\u535a\u8328\u74e6\u7eb3' >\u535a\u8328\u74e6\u7eb3<\/option><option value='\u5361\u5854\u5c14' >\u5361\u5854\u5c14<\/option><option value='\u5362\u65fa\u8fbe' >\u5362\u65fa\u8fbe<\/option><option value='\u5362\u68ee\u5821' >\u5362\u68ee\u5821<\/option><option value='\u5370\u5ea6' >\u5370\u5ea6<\/option><option value='\u5370\u5ea6\u5c3c\u897f\u4e9a' >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option><option value='\u5371\u5730\u9a6c\u62c9' >\u5371\u5730\u9a6c\u62c9<\/option><option value='\u5384\u74dc\u591a\u5c14' >\u5384\u74dc\u591a\u5c14<\/option><option value='\u5384\u7acb\u7279\u91cc\u4e9a' >\u5384\u7acb\u7279\u91cc\u4e9a<\/option><option value='\u53d9\u5229\u4e9a' >\u53d9\u5229\u4e9a<\/option><option value='\u53e4\u5df4' >\u53e4\u5df4<\/option><option value='\u53f0\u6e7e(\u4e2d\u56fd)' >\u53f0\u6e7e(\u4e2d\u56fd)<\/option><option value='\u5409\u5c14\u5409\u65af\u65af\u5766' >\u5409\u5c14\u5409\u65af\u65af\u5766<\/option><option value='\u5409\u5e03\u63d0' >\u5409\u5e03\u63d0<\/option><option value='\u54c8\u8428\u514b\u65af\u5766' >\u54c8\u8428\u514b\u65af\u5766<\/option><option value='\u54e5\u4f26\u6bd4\u4e9a' >\u54e5\u4f26\u6bd4\u4e9a<\/option><option value='\u54e5\u65af\u8fbe\u9ece\u52a0' >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option><option value='\u5580\u9ea6\u9686' >\u5580\u9ea6\u9686<\/option><option value='\u56fe\u74e6\u5362' >\u56fe\u74e6\u5362<\/option><option value='\u571f\u5e93\u66fc\u65af\u5766' >\u571f\u5e93\u66fc\u65af\u5766<\/option><option value='\u571f\u8033\u5176' >\u571f\u8033\u5176<\/option><option value='\u5723\u5362\u897f\u4e9a\u5c9b' >\u5723\u5362\u897f\u4e9a\u5c9b<\/option><option value='\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af' >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option><option value='\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4' >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option><option value='\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af' >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option><option value='\u5723\u9a6c\u4e01\u5c9b' >\u5723\u9a6c\u4e01\u5c9b<\/option><option value='\u5723\u9a6c\u529b\u8bfa' >\u5723\u9a6c\u529b\u8bfa<\/option><option value='\u572d\u4e9a\u90a3' >\u572d\u4e9a\u90a3<\/option><option value='\u5766\u6851\u5c3c\u4e9a' >\u5766\u6851\u5c3c\u4e9a<\/option><option value='\u57c3\u53ca' >\u57c3\u53ca<\/option><option value='\u57c3\u585e\u4fc4\u6bd4\u4e9a' >\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option><option value='\u57fa\u91cc\u5df4\u65af' >\u57fa\u91cc\u5df4\u65af<\/option><option value='\u5854\u5409\u514b\u65af\u5766' >\u5854\u5409\u514b\u65af\u5766<\/option><option value='\u585e\u5185\u52a0\u5c14' >\u585e\u5185\u52a0\u5c14<\/option><option value='\u585e\u5c14\u7ef4\u4e9a' >\u585e\u5c14\u7ef4\u4e9a<\/option><option value='\u585e\u62c9\u5229\u6602' >\u585e\u62c9\u5229\u6602<\/option><option value='\u585e\u6d66\u8def\u65af' >\u585e\u6d66\u8def\u65af<\/option><option value='\u585e\u820c\u5c14\u7fa4\u5c9b' >\u585e\u820c\u5c14\u7fa4\u5c9b<\/option><option value='\u58a8\u897f\u54e5' >\u58a8\u897f\u54e5<\/option><option value='\u591a\u54e5' >\u591a\u54e5<\/option><option value='\u591a\u7c73\u5c3c\u514b' >\u591a\u7c73\u5c3c\u514b<\/option><option value='\u591a\u7c73\u5c3c\u52a0\u5171\u548c\u56fd' >\u591a\u7c73\u5c3c\u52a0\u5171\u548c\u56fd<\/option><option value='\u5965\u5730\u5229' >\u5965\u5730\u5229<\/option><option value='\u59d4\u5185\u745e\u62c9' >\u59d4\u5185\u745e\u62c9<\/option><option value='\u5b5f\u52a0\u62c9\u56fd' >\u5b5f\u52a0\u62c9\u56fd<\/option><option value='\u5b89\u54e5\u62c9' >\u5b89\u54e5\u62c9<\/option><option value='\u5b89\u63d0\u74dc\u5c9b\u548c\u5df4\u5e03\u8fbe' >\u5b89\u63d0\u74dc\u5c9b\u548c\u5df4\u5e03\u8fbe<\/option><option value='\u5b89\u9053\u5c14' >\u5b89\u9053\u5c14<\/option><option value='\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a' >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a<\/option><option value='\u5c3c\u52a0\u62c9\u74dc' >\u5c3c\u52a0\u62c9\u74dc<\/option><option value='\u5c3c\u65e5\u5229\u4e9a' >\u5c3c\u65e5\u5229\u4e9a<\/option><option value='\u5c3c\u65e5\u5c14' >\u5c3c\u65e5\u5c14<\/option><option value='\u5c3c\u6cca\u5c14' >\u5c3c\u6cca\u5c14<\/option><option value='\u5df4\u52d2\u65af\u5766\u56fd' >\u5df4\u52d2\u65af\u5766\u56fd<\/option><option value='\u5df4\u54c8\u9a6c' >\u5df4\u54c8\u9a6c<\/option><option value='\u5df4\u57fa\u65af\u5766' >\u5df4\u57fa\u65af\u5766<\/option><option value='\u5df4\u5df4\u591a\u65af' >\u5df4\u5df4\u591a\u65af<\/option><option value='\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a' >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option><option value='\u5df4\u62c9\u572d' >\u5df4\u62c9\u572d<\/option><option value='\u5df4\u62ff\u9a6c' >\u5df4\u62ff\u9a6c<\/option><option value='\u5df4\u6797' >\u5df4\u6797<\/option><option value='\u5df4\u897f' >\u5df4\u897f<\/option><option value='\u5e03\u5409\u7eb3\u6cd5\u7d22' >\u5e03\u5409\u7eb3\u6cd5\u7d22<\/option><option value='\u5e03\u9686\u8fea' >\u5e03\u9686\u8fea<\/option><option value='\u5e0c\u814a' >\u5e0c\u814a<\/option><option value='\u5e15\u52b3\u7fa4\u5c9b' >\u5e15\u52b3\u7fa4\u5c9b<\/option><option value='\u5e93\u62c9\u7d22' >\u5e93\u62c9\u7d22<\/option><option value='\u5f00\u66fc\u7fa4\u5c9b' >\u5f00\u66fc\u7fa4\u5c9b<\/option><option value='\u610f\u5927\u5229' >\u610f\u5927\u5229<\/option><option value='\u6240\u7f57\u95e8\u7fa4\u5c9b' >\u6240\u7f57\u95e8\u7fa4\u5c9b<\/option><option value='\u62c9\u8131\u7ef4\u4e9a' >\u62c9\u8131\u7ef4\u4e9a<\/option><option value='\u632a\u5a01' >\u632a\u5a01<\/option><option value='\u6377\u514b\u5171\u548c\u56fd' >\u6377\u514b\u5171\u548c\u56fd<\/option><option value='\u6469\u5c14\u591a\u74e6' >\u6469\u5c14\u591a\u74e6<\/option><option value='\u6469\u6d1b\u54e5' >\u6469\u6d1b\u54e5<\/option><option value='\u6469\u7eb3\u54e5' >\u6469\u7eb3\u54e5<\/option><option value='\u6590\u6d4e' >\u6590\u6d4e<\/option><option value='\u65af\u6d1b\u4f10\u514b' >\u65af\u6d1b\u4f10\u514b<\/option><option value='\u65af\u6d1b\u6587\u5c3c\u4e9a' >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option><option value='\u65af\u91cc\u5170\u5361' >\u65af\u91cc\u5170\u5361<\/option><option value='\u65b0\u52a0\u5761' >\u65b0\u52a0\u5761<\/option><option value='\u65b0\u897f\u5170' >\u65b0\u897f\u5170<\/option><option value='\u65e5\u672c' >\u65e5\u672c<\/option><option value='\u667a\u5229' >\u667a\u5229<\/option><option value='\u671d\u9c9c' >\u671d\u9c9c<\/option><option value='\u67ec\u57d4\u5be8' >\u67ec\u57d4\u5be8<\/option><option value='\u683c\u6797\u7eb3\u8fbe' >\u683c\u6797\u7eb3\u8fbe<\/option><option value='\u683c\u9675\u5170' >\u683c\u9675\u5170<\/option><option value='\u6bd4\u5229\u65f6' >\u6bd4\u5229\u65f6<\/option><option value='\u6bdb\u91cc\u5854\u5c3c\u4e9a' >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option><option value='\u6bdb\u91cc\u6c42\u65af' >\u6bdb\u91cc\u6c42\u65af<\/option><option value='\u6c64\u52a0' >\u6c64\u52a0<\/option><option value='\u6c99\u7279\u963f\u62c9\u4f2f' >\u6c99\u7279\u963f\u62c9\u4f2f<\/option><option value='\u6cd5\u56fd' >\u6cd5\u56fd<\/option><option value='\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a' >\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option><option value='\u6cd5\u7f57\u7fa4\u5c9b' >\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value='\u6ce2\u5170' >\u6ce2\u5170<\/option><option value='\u6ce2\u591a\u9ece\u5404' >\u6ce2\u591a\u9ece\u5404<\/option><option value='\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3' >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value='\u6cf0\u56fd' >\u6cf0\u56fd<\/option><option value='\u6d25\u5df4\u5e03\u97e6' >\u6d25\u5df4\u5e03\u97e6<\/option><option value='\u6d2a\u90fd\u62c9\u65af' >\u6d2a\u90fd\u62c9\u65af<\/option><option value='\u6d77\u5730' >\u6d77\u5730<\/option><option value='\u6fb3\u6d32' >\u6fb3\u6d32<\/option><option value='\u7231\u5c14\u5170' >\u7231\u5c14\u5170<\/option><option value='\u7231\u6c99\u5c3c\u4e9a' >\u7231\u6c99\u5c3c\u4e9a<\/option><option value='\u7259\u4e70\u52a0' >\u7259\u4e70\u52a0<\/option><option value='\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5' >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value='\u73bb\u5229\u7ef4\u4e9a' >\u73bb\u5229\u7ef4\u4e9a<\/option><option value='\u7459\u9c81' >\u7459\u9c81<\/option><option value='\u745e\u5178' >\u745e\u5178<\/option><option value='\u745e\u58eb' >\u745e\u58eb<\/option><option value='\u74e6\u52aa\u963f\u56fe' >\u74e6\u52aa\u963f\u56fe<\/option><option value='\u767d\u4fc4\u7f57\u65af' >\u767d\u4fc4\u7f57\u65af<\/option><option value='\u767e\u6155\u5927' >\u767e\u6155\u5927<\/option><option value='\u79d1\u5a01\u7279' >\u79d1\u5a01\u7279<\/option><option value='\u79d1\u6469\u7f57' >\u79d1\u6469\u7f57<\/option><option value='\u79d1\u7279\u8fea\u74e6' >\u79d1\u7279\u8fea\u74e6<\/option><option value='\u79d8\u9c81' >\u79d8\u9c81<\/option><option value='\u7a81\u5c3c\u65af' 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value='\u82f1\u56fd' >\u82f1\u56fd<\/option><option value='\u8377\u5170' >\u8377\u5170<\/option><option value='\u83ab\u6851\u6bd4\u514b' >\u83ab\u6851\u6bd4\u514b<\/option><option value='\u83b1\u7d22\u6258' >\u83b1\u7d22\u6258<\/option><option value='\u83f2\u5f8b\u5bbe' >\u83f2\u5f8b\u5bbe<\/option><option value='\u8428\u5c14\u74e6\u591a' >\u8428\u5c14\u74e6\u591a<\/option><option value='\u8428\u6469\u4e9a\u7fa4\u5c9b' >\u8428\u6469\u4e9a\u7fa4\u5c9b<\/option><option value='\u8461\u8404\u7259' >\u8461\u8404\u7259<\/option><option value='\u897f\u73ed\u7259' >\u897f\u73ed\u7259<\/option><option value='\u8d1d\u5b81' >\u8d1d\u5b81<\/option><option value='\u8d5e\u6bd4\u4e9a' >\u8d5e\u6bd4\u4e9a<\/option><option value='\u8d64\u9053\u51e0\u5185\u4e9a' >\u8d64\u9053\u51e0\u5185\u4e9a<\/option><option value='\u8d8a\u5357' >\u8d8a\u5357<\/option><option value='\u963f\u585e\u62dc\u7586' >\u963f\u585e\u62dc\u7586<\/option><option value='\u963f\u5bcc\u6c57' >\u963f\u5bcc\u6c57<\/option><option value='\u963f\u5c14\u53ca\u5229\u4e9a' >\u963f\u5c14\u53ca\u5229\u4e9a<\/option><option value='\u963f\u5c14\u5df4\u5c3c\u4e9a' >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option><option value='\u963f\u66fc' >\u963f\u66fc<\/option><option value='\u963f\u6839\u5ef7' >\u963f\u6839\u5ef7<\/option><option value='\u963f\u8054\u914b' >\u963f\u8054\u914b<\/option><option value='\u97e9\u56fd' >\u97e9\u56fd<\/option><option value='\u9999\u6e2f\u8bc1\u5238\u4ea4\u6613\u6240' >\u9999\u6e2f\u8bc1\u5238\u4ea4\u6613\u6240<\/option><option value='\u9a6c\u5176\u987f' >\u9a6c\u5176\u987f<\/option><option value='\u9a6c\u5c14\u4ee3\u592b' >\u9a6c\u5c14\u4ee3\u592b<\/option><option value='\u9a6c\u62c9\u7ef4' >\u9a6c\u62c9\u7ef4<\/option><option value='\u9a6c\u6765\u897f\u4e9a' >\u9a6c\u6765\u897f\u4e9a<\/option><option value='\u9a6c\u7ecd\u5c14\u7fa4\u5c9b' >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option><option value='\u9a6c\u8033\u4ed6' >\u9a6c\u8033\u4ed6<\/option><option value='\u9a6c\u8fbe\u52a0\u65af\u52a0' >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option><option value='\u9a6c\u91cc' >\u9a6c\u91cc<\/option><option value='\u9ece\u5df4\u5ae9' >\u9ece\u5df4\u5ae9<\/option><option value='\u9ed1\u5c71\u5171\u548c\u56fd' >\u9ed1\u5c71\u5171\u548c\u56fd<\/option><\/select>\n                                        <label for='input_8_4_6' id='input_8_4_6_label' >\u56fd\u5bb6<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_8_17'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_17' >Bank Name (must be own a\/c):<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_8_17' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Affin Bank Berhad' >Affin Bank Berhad<\/option><option value='Alliance Bank Malaysia Berhad' >Alliance Bank Malaysia Berhad<\/option><option value='AmBank (M) Berhad' >AmBank (M) Berhad<\/option><option value='CIMB Bank Berhad' >CIMB Bank Berhad<\/option><option value='Hong Leong Bank Berhad' >Hong Leong Bank Berhad<\/option><option value='Malayan Banking Berhad (Maybank)' >Malayan Banking Berhad (Maybank)<\/option><option value='Public Bank Berhad' >Public Bank Berhad<\/option><option value='RHB Bank Berhad' >RHB Bank Berhad<\/option><option value='Bangkok Bank Berhad' >Bangkok Bank Berhad<\/option><option value='Citibank Berhad' >Citibank Berhad<\/option><option value='HSBC Bank Malaysia Berhad' >HSBC Bank Malaysia Berhad<\/option><option value='OCBC Bank (Malaysia) Berhad' >OCBC Bank (Malaysia) Berhad<\/option><option value='Standard Chartered Bank Malaysia Berhad' >Standard Chartered Bank Malaysia Berhad<\/option><option value='United Overseas Bank (Malaysia) Berhad (UOB)' >United Overseas Bank (Malaysia) Berhad (UOB)<\/option><option value='Bank Islam Malaysia Berhad' >Bank Islam Malaysia Berhad<\/option><option value='Bank Simpanan Nasional' >Bank Simpanan Nasional<\/option><option value='Bank Rakyat' >Bank Rakyat<\/option><option value='Agrobank' >Agrobank<\/option><\/select><\/div><\/li><li id='field_8_18'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_18' >Bank Account No:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_8_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_8_19'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_19' >Confirm Bank Account No:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_8_19' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_8_21'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Have you ever been a My Senses Agent before?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_8_21'><li class='gchoice_8_21_0'><input name='input_21' type='radio' value='Yes'  id='choice_8_21_0'    \/><label for='choice_8_21_0' id='label_8_21_0'>Yes<\/label><\/li><li class='gchoice_8_21_1'><input name='input_21' type='radio' value='No'  id='choice_8_21_1'    \/><label for='choice_8_21_1' id='label_8_21_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_8_23'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Your Referral Agent Details:<\/h2><\/li><li id='field_8_24'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_24' >Referral Agent Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_8_24' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_8_36'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_36' >Referral Agent ID:<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_8_36' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_8_26'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >I do not have a referral agent, please assign one for me:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_8_26'><li class='gchoice_8_26_0'><input name='input_26' type='radio' value='Yes'  id='choice_8_26_0'    \/><label for='choice_8_26_0' id='label_8_26_0'>Yes<\/label><\/li><li class='gchoice_8_26_1'><input name='input_26' type='radio' value='No'  id='choice_8_26_1'    \/><label for='choice_8_26_1' id='label_8_26_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_8_8'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Consent<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_8.1' id='input_8_8_1' type='checkbox' value='1'  aria-describedby='gfield_consent_description_8_8' aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gfield_consent_label\" for='input_8_8_1' >IF MY APPLICATION TO BECOME A MY SENSES AGENT IS ACCEPTED, I UNDERSTAND, REPRESENT AND AGREE THAT:<\/label><input type='hidden' name='input_8.2' value='IF MY APPLICATION TO BECOME A MY SENSES AGENT IS ACCEPTED, I UNDERSTAND, REPRESENT AND AGREE THAT:' class='gform_hidden' \/><input type='hidden' name='input_8.3' value='10' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_8_8'>1. I am acting in my own behalf as an individual and I am 18 years of age or older.<br \/>\n2. This application shall constitute a binding agreement between Senses World Sdn. Bhd. (hereafter referred to as My Senses) and myself at such time as this application is received and approved by My Senses in Malaysia. <br \/>\n3. I acknowledge that I have selected a Referrer or have had one assigned to me, which I accept.<br \/>\n4. I am an independent agent in the business of selling consumer products. I am not an employee of legal representative of My Senses for any purpose. I will be responsible for compliance with federal, state and local statutes, including, but not limited to, those relating to licensing and taxation.<br \/>\n5. I recognize that my remuneration is based on my performance in the sale or delivery of products and not on the number of hours worked or an element of chance. <br \/>\n6. My Senses shall not be responsible for withholding or collection and remitting of any taxes unless required by statutes and regulations or by express collection agreement with the relevant authority.   <br \/>\n7. I have read My Senses\u2019 \u201cCompany Policies\u201d. I agree to operate my business in accordance with these Company Policies, procedures and marketing plan. I understand that my acts, or lack of action, which may result in a misuse, misrepresentation or violation of such policies and procedures can cause the termination of my Agentship by the company, including but not limited to, use of unauthorized promotional material. Further, I agree and accept the terms of the privacy as set forth in My Senses\u2019 Privacy Policy Statement. <br \/>\n<br \/>\n8. My Senses may, after reasonable notice, change, amend or modify this agreement and its policies, procedures and marketing plan to maintain a viable marketing system, comply with legal requirements or changes in economic conditions, and I shall operate my business in accordance with any such changes, amendments or modifications.<br \/>\n<br \/>\n9. To properly represent My Senses\u2019 products and its marketing plan, all forms of advertising, including, but not limited to, audio and video, images and printed material, must be submitted and approved in writing by an authorized My Senses\u2019 representative prior to use. <br \/>\n<br \/>\n10. I MAY CANCEL THIS AGREEMENT AT ANY TIME EFFECTIVE UPON MAILING WRITTEN NOTICE TO MY SENSES. <br \/>\n<br \/>\n11. This agreement is personal in nature and cannot be assigned or transferred, except in the event of my death, wherein an individual who can qualify as a My Senses Agent may inherit the same. <br \/>\n<br \/>\n12. My Senses expects its Agents to conduct themselves with highest ethics and integrity. I agree to do so and represent that I have never been convicted of a felony or charged with a crime involving moral turpitude or dishonesty.<br \/>\n13. I understand that this application is subject to a COOLING-OFF PERIOD OF 10 WORKING DAYS. Anytime during this period, I may cancel and withdraw my application.<br \/>\n<br \/>\nI accept and agree with the above terms and conditions:<br \/>\nI agree with the Privacy Policy: http:\/\/mysenses.winners1313.com\/privacy-policy\/<\/div><\/li><li id='field_8_28'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  ><span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_28.1' id='input_8_28_1' type='checkbox' value='1'  aria-describedby='gfield_consent_description_8_28' aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gfield_consent_label\" for='input_8_28_1' >I AGREED PDPA<\/label><input type='hidden' name='input_28.2' value='I AGREED PDPA' class='gform_hidden' \/><input type='hidden' name='input_28.3' value='10' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_8_28'>In view of the implementation of the Personal Data Protection Act 2010 (\"Act\"), My Sense is a brand owned by Senses World Sdn Bhd. (\"My Senses\") recognize the need to process all personal data obtained in a lawful and appropriate manner. <br \/>\n<br \/>\nBy submitting this Form, you hereby agree that My Senses may collect, obtain, store and process your personal data that you provide in this form for the purpose of receiving updates, news, promotional and marketing mails or materials from My Senses.<br \/>\n<br \/>\nYou hereby give your consent to My Senses to:<br \/>\n<br \/>\n1.\tStore and process your Personal Data.<br \/>\n2.\tDisclose your Personal Data to the relevant governmental authorities or third parties where required by law or for legal purposes.<br \/>\n3.\tYour personal data may be transferred to any company within the My Senses which may involve sending your data to a location outside Malaysia. For the purpose of updating or correcting such data, you may at any time apply to the My Senses to have access to your personal data which are stored by My Senses.<br \/>\n<br \/>\nFor the avoidance of doubt, Personal Data includes all data defined within the Personal Data Protection Act 2010 including all data you had disclosed to My Senses in this Form. <br \/>\n<br \/>\nMy Senses may amend this Privacy Statement from time to time and the updated version shall apply and supercede any and all previous versions, including but not limited to, leaflets or hard copy versions. Please check our website www.mysensesworld.com for information on our most up-to-date practices.<\/div><\/li><li id='field_8_37'  class='gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_37' >Comments<\/label><div class='ginput_container'><input name='input_37' id='input_8_37' type='text' value='' \/><\/div><div class='gfield_description' id='gfield_description_8_37'>\u8fd9\u4e2a\u5b57\u6bb5\u662f\u7528\u4e8e\u9a8c\u8bc1\u76ee\u7684\uff0c\u5e94\u8be5\u4fdd\u6301\u4e0d\u53d8\u3002<\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_8' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_8\"]){return false;}  window[\"gf_submitting_8\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_8\"]){return false;} window[\"gf_submitting_8\"]=true;  jQuery(\"#gform_8\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_8' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='8' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_8' value='WyJ7XCI4LjFcIjpcIjgzYWQwMmIyNTAxNjk5NDIxNzU1MTA4ZTY4YjhlMzAyXCIsXCI4LjJcIjpcImUzOTFjZTI4MDQ2MGZjZDljYWJhMWY3NTVkOGEyZTQwXCIsXCI4LjNcIjpcImJjN2FiNGJiODk4YWMwM2FjYmFkZDY0ZGU0YWFlNGM4XCIsXCIyOC4xXCI6XCI4M2FkMDJiMjUwMTY5OTQyMTc1NTEwOGU2OGI4ZTMwMlwiLFwiMjguMlwiOlwiNmIzMTdlY2RjOTdmNzVmYzMwMTcxMjA4NDYyMDkwZDBcIixcIjI4LjNcIjpcImJjN2FiNGJiODk4YWMwM2FjYmFkZDY0ZGU0YWFlNGM4XCJ9IiwiYzdjNzY4YmYwOTcyZTc1Y2FiZjljNTEwOWE0NzlmY2IiXQ==' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_8' id='gform_target_page_number_8' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_8' id='gform_source_page_number_8' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <input type=\"hidden\" name=\"trp-form-language\" value=\"cn\"\/><\/form>\n                        <\/div><script type='text\/javascript'> jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 8) {if(!jQuery('#input_8_11+.ginput_counter').length){jQuery('#input_8_11').textareaCount(    {'maxCharacterSize': 12,    'originalStyle': 'ginput_counter',\t 'truncate': true,\t 'errorStyle' : '',    'displayFormat' : '#input \u5b57\uff0c\u6700\u591a #max \u5b57'    });jQuery('input_8_11').next('.ginput_counter').attr('aria-live','polite');}jQuery('#input_8_36').mask('99999999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} );<\/script><script type='text\/javascript'> jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [8, 1]) } ); <\/script>            <\/div>\n            \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>MY SENSES Agent Application Form (Login Form) Applicant\u2019s full name:* First New I\/C No (eg.901103109313):* Upload IC*Accepted file types: png, jpg, jpeg, pdf. 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