{"id":5710,"date":"2023-03-17T11:11:30","date_gmt":"2023-03-17T11:11:30","guid":{"rendered":"https:\/\/britishschoolofmarketing.com\/?page_id=5710"},"modified":"2023-03-29T10:43:50","modified_gmt":"2023-03-29T10:43:50","slug":"language-enrollment-form","status":"publish","type":"page","link":"https:\/\/britishschoolofmarketing.com\/zh\/language-enrollment-form\/","title":{"rendered":"Language Enrollment Form"},"content":{"rendered":"<div class=\"container-wrap\" style=\"max-width: 100% !important;\">\n    <div class=\"main-content enrollment-form-wrap\">\n        <div class=\"col-12 p-0 mt-3 mb-2\">\n            <div class=\"card px-0 pt-4 pb-0 mt-3 mb-3\">\n            \n                <h2 id=\"heading\" style=\"margin-top:30px;\">Language Enrollment Form<\/h2>\n                                    <p>Please complete ALL sections of this form clearly and accurately. If information is missing we will not be able to process your application.<\/p>\n                    <form id=\"msform\" action=\"\">\n                        <input type=\"hidden\" value=\"https:\/\/britishschoolofmarketing.com\/zh\/language-enrollment-form\/\" class=\"page_url\">\n                        <input type=\"hidden\" name=\"secure_nonce_name\" value=\"2c80183f3f\" class=\"ajax_nonce\">\n                        <!-- progressbar -->\n                        <ul id=\"progressbar\">\n                            <li class=\"active\" id=\"account\">\n                                <strong>Personal Information<\/strong>\n                            <\/li>\n                            <li id=\"personal\">\n                                <strong>Courses \/ Education<\/strong>\n                            <\/li>\n                            <li id=\"payment\">\n                                <strong>Visa \/ Emergency contacts<\/strong>\n                            <\/li>\n                            <li id=\"confirm\">\n                                <strong>Accomodation \/ Additional info<\/strong>\n                            <\/li>\n                        <\/ul>\n                        <div class=\"progress\">\n                            <div class=\"progress-bar progress-bar-striped progress-bar-animated\" role=\"progressbar\" aria-valuemin=\"0\" aria-valuemax=\"100\"><\/div>\n                        <\/div>\n                        <br>\n                        <!-- fieldsets -->\n                        <fieldset id=\"fieldset1\">\n    <div class=\"form-card\">\n        <div class=\"row\">\n            <div class=\"col-lg-7\">\n                <!--h2 class=\"fs-title\">Personal Information:<\/h2-->\n            <\/div>\n            <div class=\"col-lg-5\">\n                <h2 class=\"steps\">Step 1 - 4<\/h2>\n            <\/div>\n        <\/div>\n        <div class=\"tab\" style=\"display: block;\">\n                        <input value=\"general\" type=\"hidden\" name=\"form_type\" class=\"form_type\">\n            <input type=\"hidden\" name=\"id\" class=\"form-control\" value=\"\">\n            <input type=\"hidden\" name=\"unique_key\" class=\"unique_key\" value=\"\">\n            \n            <div class=\"\">\n                <div class=\"banner-form\" style=\"left: 0px; opacity: 1;\">\n                    <!--p class=\"text-center\">Please complete ALL sections of this form clearly and accurately. If information is missing we will not be able to process your application.<\/p-->\n                    <br>\n                    <div class=\"divider\" style=\"height: 2rem\"><\/div>\n                    <div class=\"form-row\">\n                        <div class=\"col-md-12\">\n                            <h3>Representation<\/h3>\n                            <div class=\"form-group\">\n                                <span style=\"margin-right: 2rem\">\n                                    <label>Are you an agent?<\/label>\n                                <\/span>\n                                <span>\n                                    <input id=\"are_you_agent_yes\" type=\"radio\" name=\"are_you_agent\" value=\"1\"  > \u662f\u7684 <\/span>&nbsp;\n                                <span>\n                                    <input id=\"are_you_agent_no\" type=\"radio\" name=\"are_you_agent\" value=\"0\"  > \u4e0d <\/span>\n                            <\/div>\n                            <div style=\"height: 1rem\"><\/div>\n                            <div class=\"onradioshow\">\n                                <div class=\"form-group are_you_agent_yes col-md-12\" style=\"display: none;\">\n                                    <span style=\"margin-right: 2rem\">\n                                        <label>Are you already registered with us?<\/label>\n                                    <\/span>\n                                    <span>\n                                        <input id=\"are_you_registered_existing\" type=\"radio\" name=\"are_you_registered\" value=\"existing\"  > Existing <\/span>&nbsp;\n                                    <span>\n                                        <input id=\"are_you_registered_new\" type=\"radio\" name=\"are_you_registered\" value=\"new\" > New <\/span>\n                                <\/div>\n                                <div style=\"height: 1rem\"><\/div>\n                                <div class=\"form-group are_you_registered_existing col-md-12\" style=\"display: none;\">\n                                    <label>Email Verify<\/label>\n                                    <input type=\"text\" name=\"email_verify\" id='email_verify' value=\"\"  class=\"form-control rounded-0 typeahead\" aria-required=\"true\">\n                                    <input type=\"hidden\" class=\"agent_id\" name=\"agent_id\">\n                                    <div class=\"input-group-append\">\n                                        <button class=\"btn btn-outline-secondary verify_email_button\" type=\"button\">Click to Verify<\/button>\n                                    <\/div>\n                                <\/div>\n                                <div class=\"are_you_registered_new\" style=\"display: none;\">\n                                    <div class=\"form-group col-md-12\">\n                                        <label>Name <\/label>\n                                        <input type=\"text\" name=\"agent_name\" value=\"\"  class=\"form-control rounded-0\" aria-required=\"true\">\n                                    <\/div>\n                                    <div class=\"form-group col-md-12\">\n                                        <label>\u7535\u5b50\u90ae\u4ef6 <\/label>\n                                        <input type=\"text\" name=\"agent_email\" value=\"\"  class=\"form-control rounded-0\" aria-required=\"true\">\n                                    <\/div>\n                                <\/div>\n                                <div class=\"are_you_agent_no\" style=\"display: none;\">\n                                    <div class=\"form-group col-md-12\">\n                                        <span style=\"margin-right: 2rem\">\n                                            <label>Are you applying through a registered agent or educational representative?<\/label>\n                                        <\/span>\n                                        <span>\n                                            <input id=\"applying_through_agent_yes\" type=\"radio\" name=\"applying_through_agent\" value=\"1\"  > \u662f\u7684 <\/span>&nbsp;\n                                        <span>\n                                            <input id=\"applying_through_agent_no\" type=\"radio\" name=\"applying_through_agent\" value=\"0\" > \u4e0d <\/span>\n                                    <\/div>\n                                <\/div>\n                                <div class=\"applying_through_agent_yes\" style=\"display: none;\">\n                                    <div class=\"form-group col-md-12\">\n                                        <label>Name <\/label>\n                                        <input type=\"text\" name=\"agent_name\" value=\"\" id=\"select_agent\"  class=\"form-control rounded-0\" aria-required=\"true\">\n                                    <\/div>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    <div class=\"divider\" style=\"height: 2rem\"><\/div>\n                    <div class=\"form-row\">\n                        <div class=\"col-md-12\">\n                            <h3>Personal Information<\/h3>\n                            <div class=\"form-group col-md-12\">\n                                <label>Title<\/label>\n                                <div>\n                                    <span>\n                                        <input name=\"title\" type=\"radio\" value=\"Mr\" > Mr <\/span>&nbsp;\n                                    <span>\n                                        <input name=\"title\" type=\"radio\" value=\"Mrs\" > Mrs <\/span>&nbsp;\n                                    <span>\n                                        <input name=\"title\" type=\"radio\" value=\"Miss\" > Miss <\/span>&nbsp;\n                                    <span>\n                                        <input name=\"title\" type=\"radio\" value=\"Ms\" > Ms <\/span>&nbsp;\n                                    <span>\n                                        <input name=\"title\" type=\"radio\" value=\"Dr\" > Dr <\/span>&nbsp;\n                                    <span>\n                                        <input name=\"title\" type=\"radio\" value=\"Professor\" > Professor <\/span>&nbsp;\n                                    <span>\n                                        <input name=\"title\" type=\"radio\" value=\"other\" > Other: <input class=\"form-control\" style=\"width: 5rem;display: inline\" type=\"text\" name=\"title_other\" value=\"\">&nbsp;\n                                    <\/span>\n                                <\/div>\n                            <\/div>\n                            <div class=\"form-row\">\n                                <div class=\"form-group col-md-6\">\n                                    <label for=\"firstname\">\u540d<\/label>\n                                    <input required minlength=\"2\" maxlength=\"127\" id=\"firstname\" name=\"firstname\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"\" aria-required=\"true\">\n                                <\/div>\n                                <div class=\"form-group col-md-6\">\n                                    <label for=\"lastname\">\u59d3<\/label>\n                                    <input required minlength=\"2\" maxlength=\"127\" id=\"lastname\" name=\"lastname\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"\" aria-required=\"true\">\n                                <\/div>\n                            <\/div>\n                            <div class=\"form-row\">\n                                <div class=\"form-group col-md-6\">\n                                    <label for=\"gender\">\u6027\u522b<\/label>\n                                    <select id=\"gender\" name=\"gender\" class=\"form-control\" required=\"\" aria-required=\"true\">\n                                        <option value=\"Male\" > \u7537\u6027 <\/option>\n                                        <option value=\"Female\" > \u5973\u6027 <\/option>\n                                    <\/select>\n                                <\/div>\n                                <div class=\"form-group col-md-6\">\n                                    <label for=\"birthdate\">\u51fa\u751f\u65e5\u671f<\/label>\n                                    <input id=\"birthdate\" name=\"dob\" value=\"\" type=\"date\" placeholder=\"dd\/mm\/yyyy\" required class=\"form-control\" title=\"\" aria-required=\"true\">\n                                <\/div>\n                            <\/div>\n                            <div class=\"form-row\">\n                                <div class=\"form-group col-md-6\">\n                                    <label for=\"nationality\">\u56fd\u7c4d<\/label>\n                                    <select name=\"nationality\" required class=\"form-control\" aria-required=\"true\">\n                                        <option value=\"\" selected=\"\" disabled=\"\">Select from the list<\/option>\n                                                                                    <option value=\"1\" >\u963f\u5bcc\u6c57<\/option>\n                                                                                    <option value=\"2\" >\u963f\u5c14\u5df4\u5c3c\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"3\" >\u963f\u5c14\u53ca\u5229\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"4\" >\u7f8e\u56fd\u4eba<\/option>\n                                                                                    <option value=\"5\" >\u5b89\u9053\u5c14<\/option>\n                                                                                    <option value=\"6\" >\u5b89\u54e5\u62c9<\/option>\n                                                                                    <option value=\"7\" >\u5b89\u63d0\u74dc\u5c9b<\/option>\n                                                                                    <option value=\"8\" >\u963f\u6839\u5ef7\u4eba<\/option>\n                                                                                    <option value=\"9\" >\u4e9a\u7f8e\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"10\" >\u6fb3\u5927\u5229\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"11\" >\u5965\u5730\u5229<\/option>\n                                                                                    <option value=\"12\" >\u963f\u585e\u62dc\u7586\u8bed<\/option>\n                                                                                    <option value=\"13\" >\u5df4\u54c8\u9a6c<\/option>\n                                                                                    <option value=\"14\" >\u5df4\u6797\u8bed<\/option>\n                                                                                    <option value=\"15\" >\u5b5f\u52a0\u62c9\u8bed<\/option>\n                                                                                    <option value=\"16\" >\u5df4\u5df4\u591a\u65af<\/option>\n                                                                                    <option value=\"17\" >\u5df4\u5e03\u8fbe<\/option>\n                                                                                    <option value=\"18\" >\u535a\u8328\u74e6\u7eb3\u8bed<\/option>\n                                                                                    <option value=\"19\" >\u767d\u4fc4\u7f57\u65af\u8bed<\/option>\n                                                                                    <option value=\"20\" >\u6bd4\u5229\u65f6\u4eba<\/option>\n                                                                                    <option value=\"21\" >\u4f2f\u5229\u5179\u8bed<\/option>\n                                                                                    <option value=\"22\" >\u8d1d\u5b81\u4eba<\/option>\n                                                                                    <option value=\"23\" >\u4e0d\u4e39\u8bed<\/option>\n                                                                                    <option value=\"24\" >\u73bb\u5229\u7ef4\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"25\" >\u6ce2\u65af\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"26\" >\u5df4\u897f\u4eba<\/option>\n                                                                                    <option value=\"27\" >\u82f1\u56fd\u4eba<\/option>\n                                                                                    <option value=\"28\" >\u6587\u83b1\u8bed<\/option>\n                                                                                    <option value=\"29\" >\u4fdd\u52a0\u5229\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"30\" >\u5e03\u57fa\u7eb3\u6cd5\u7d22<\/option>\n                                                                                    <option value=\"31\" >\u7f05\u7538\u8bed<\/option>\n                                                                                    <option value=\"32\" >\u5e03\u9686\u8fea\u8bed<\/option>\n                                                                                    <option value=\"33\" >\u67ec\u57d4\u5be8\u8bed<\/option>\n                                                                                    <option value=\"34\" >\u5580\u9ea6\u9686\u8bed<\/option>\n                                                                                    <option value=\"35\" >\u52a0\u62ff\u5927\u4eba<\/option>\n                                                                                    <option value=\"36\" >\u4f5b\u5f97\u89d2<\/option>\n                                                                                    <option value=\"37\" >\u4e2d\u975e\u4eba<\/option>\n                                                                                    <option value=\"38\" >\u8336\u5e97<\/option>\n                                                                                    <option value=\"39\" >\u667a\u5229\u4eba<\/option>\n                                                                                    <option value=\"40\" >\u4e2d\u56fd\u4eba<\/option>\n                                                                                    <option value=\"41\" >\u54e5\u4f26\u6bd4\u4e9a<\/option>\n                                                                                    <option value=\"42\" >\u79d1\u6469\u7f57<\/option>\n                                                                                    <option value=\"43\" >\u521a\u679c<\/option>\n                                                                                    <option value=\"44\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option>\n                                                                                    <option value=\"45\" >\u514b\u7f57\u5730\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"46\" >\u53e4\u5df4\u4eba<\/option>\n                                                                                    <option value=\"47\" >\u585e\u6d66\u8def\u65af<\/option>\n                                                                                    <option value=\"48\" >\u6377\u514b\u8bed<\/option>\n                                                                                    <option value=\"49\" >\u4e39\u9ea6\u8bed<\/option>\n                                                                                    <option value=\"50\" >\u5409\u5e03\u63d0\u8bed<\/option>\n                                                                                    <option value=\"51\" >\u591a\u7c73\u5c3c\u52a0<\/option>\n                                                                                    <option value=\"52\" >\u8377\u5170\u8bed<\/option>\n                                                                                    <option value=\"53\" >\u4e1c\u5e1d\u6c76\u4eba<\/option>\n                                                                                    <option value=\"54\" >\u5384\u74dc\u591a\u5c14\u4eba<\/option>\n                                                                                    <option value=\"55\" >\u57c3\u53ca\u4eba<\/option>\n                                                                                    <option value=\"56\" >\u963f\u8054\u914b<\/option>\n                                                                                    <option value=\"57\" >\u8d64\u9053\u51e0\u5185\u4e9a<\/option>\n                                                                                    <option value=\"58\" >\u5384\u7acb\u7279\u91cc\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"59\" >\u7231\u6c99\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"60\" >\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option>\n                                                                                    <option value=\"61\" >\u6590\u6d4e\u8bed<\/option>\n                                                                                    <option value=\"62\" >\u83f2\u5f8b\u5bbe\u4eba<\/option>\n                                                                                    <option value=\"63\" >\u82ac\u5170<\/option>\n                                                                                    <option value=\"64\" >\u6cd5\u8bed<\/option>\n                                                                                    <option value=\"65\" >\u52a0\u84ec<\/option>\n                                                                                    <option value=\"66\" >\u5188\u6bd4\u4e9a<\/option>\n                                                                                    <option value=\"67\" >\u683c\u9c81\u5409\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"68\" >\u5fb7\u8bed<\/option>\n                                                                                    <option value=\"69\" >\u52a0\u7eb3\u4eba<\/option>\n                                                                                    <option value=\"70\" >\u5e0c\u814a\u8bed<\/option>\n                                                                                    <option value=\"71\" >\u683c\u6797\u7eb3\u8fbe\u4eba<\/option>\n                                                                                    <option value=\"72\" >\u5371\u5730\u9a6c\u62c9\u8bed<\/option>\n                                                                                    <option value=\"73\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd <\/option>\n                                                                                    <option value=\"74\" >\u51e0\u5185\u4e9a<\/option>\n                                                                                    <option value=\"75\" >\u572d\u4e9a\u90a3\u4eba<\/option>\n                                                                                    <option value=\"76\" >\u6d77\u5730<\/option>\n                                                                                    <option value=\"77\" >\u9ed1\u585e\u54e5\u7ef4\u90a3\u8bed<\/option>\n                                                                                    <option value=\"78\" >\u6d2a\u90fd\u62c9\u65af<\/option>\n                                                                                    <option value=\"79\" >\u5308\u7259\u5229<\/option>\n                                                                                    <option value=\"80\" >I-\u57fa\u91cc\u5df4\u65af<\/option>\n                                                                                    <option value=\"81\" >\u51b0\u5c9b\u7684<\/option>\n                                                                                    <option value=\"82\" >\u5370\u5ea6\u4eba<\/option>\n                                                                                    <option value=\"83\" >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option>\n                                                                                    <option value=\"84\" >\u4f0a\u6717\u4eba<\/option>\n                                                                                    <option value=\"85\" >\u4f0a\u62c9\u514b\u4eba<\/option>\n                                                                                    <option value=\"86\" >\u7231\u5c14\u5170\u4eba<\/option>\n                                                                                    <option value=\"87\" >\u4ee5\u8272\u5217<\/option>\n                                                                                    <option value=\"88\" >\u610f\u5927\u5229\u8bed<\/option>\n                                                                                    <option value=\"89\" >\u79d1\u7279\u8fea\u74e6\u8bed<\/option>\n                                                                                    <option value=\"90\" >\u7259\u4e70\u52a0\u4eba<\/option>\n                                                                                    <option value=\"91\" >\u65e5\u672c\u4eba<\/option>\n                                                                                    <option value=\"92\" >\u7ea6\u65e6\u8bed<\/option>\n                                                                                    <option value=\"93\" >\u54c8\u8428\u514b\u65af\u5766\u8bed<\/option>\n                                                                                    <option value=\"94\" >\u80af\u5c3c\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"95\" >\u57fa\u8482\u5b89\u6216\u5c3c\u7ef4\u65af<\/option>\n                                                                                    <option value=\"96\" >\u79d1\u5a01\u7279\u8bed<\/option>\n                                                                                    <option value=\"97\" >\u5409\u5c14\u5409\u65af\u8bed<\/option>\n                                                                                    <option value=\"98\" >\u8001\u631d\u4eba<\/option>\n                                                                                    <option value=\"99\" >\u62c9\u8131\u7ef4\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"100\" >\u9ece\u5df4\u5ae9\u4eba<\/option>\n                                                                                    <option value=\"101\" >\u5229\u6bd4\u91cc\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"102\" >\u5229\u6bd4\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"103\" >\u5217\u652f\u6566\u58eb\u767b<\/option>\n                                                                                    <option value=\"104\" >\u7acb\u9676\u5b9b\u8bed<\/option>\n                                                                                    <option value=\"105\" >\u5362\u68ee\u5821\u4eba<\/option>\n                                                                                    <option value=\"106\" >\u9a6c\u5176\u987f\u8bed<\/option>\n                                                                                    <option value=\"107\" >\u9a6c\u5c14\u52a0\u4ec0<\/option>\n                                                                                    <option value=\"108\" >\u9a6c\u62c9\u7ef4\u8bed<\/option>\n                                                                                    <option value=\"109\" >\u9a6c\u6765\u897f\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"110\" >\u6469\u5c14\u591a\u74e6<\/option>\n                                                                                    <option value=\"111\" >\u9a6c\u8fde<\/option>\n                                                                                    <option value=\"112\" >\u9a6c\u8033\u4ed6\u8bed<\/option>\n                                                                                    <option value=\"113\" >\u9a6c\u7ecd\u5c14\u4eba<\/option>\n                                                                                    <option value=\"114\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"115\" >\u6bdb\u91cc\u6c42\u65af<\/option>\n                                                                                    <option value=\"116\" >\u58a8\u897f\u54e5\u4eba<\/option>\n                                                                                    <option value=\"117\" >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a<\/option>\n                                                                                    <option value=\"118\" >\u6469\u5c14\u591a\u74e6<\/option>\n                                                                                    <option value=\"119\" >\u6469\u7eb3\u54e5<\/option>\n                                                                                    <option value=\"120\" >\u8499<\/option>\n                                                                                    <option value=\"121\" >\u6469\u6d1b\u54e5\u4eba<\/option>\n                                                                                    <option value=\"122\" >\u83ab\u7d22\u6258\u8bed<\/option>\n                                                                                    <option value=\"123\" >\u83ab\u8328\u74e6\u7eb3\u8bed<\/option>\n                                                                                    <option value=\"124\" >\u83ab\u6851\u6bd4\u514b\u8bed<\/option>\n                                                                                    <option value=\"125\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option>\n                                                                                    <option value=\"126\" >\u7459\u9c81<\/option>\n                                                                                    <option value=\"127\" >\u5c3c\u6cca\u5c14\u8bed<\/option>\n                                                                                    <option value=\"128\" >\u65b0\u897f\u5170\u4eba<\/option>\n                                                                                    <option value=\"129\" >\u5c3c\u52a0\u62c9\u74dc<\/option>\n                                                                                    <option value=\"130\" >\u5c3c\u65e5\u5229\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"131\" >\u5c3c\u65e5\u5229\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"132\" >\u671d\u9c9c\u4eba<\/option>\n                                                                                    <option value=\"133\" >\u5317\u7231\u5c14\u5170<\/option>\n                                                                                    <option value=\"134\" >\u632a\u5a01<\/option>\n                                                                                    <option value=\"135\" >\u963f\u66fc\u8bed<\/option>\n                                                                                    <option value=\"136\" >\u5df4\u57fa\u65af\u5766<\/option>\n                                                                                    <option value=\"137\" >\u5e15\u52b3\u7fa4\u5c9b<\/option>\n                                                                                    <option value=\"138\" >\u5df4\u62ff\u9a6c\u4eba<\/option>\n                                                                                    <option value=\"139\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option>\n                                                                                    <option value=\"140\" >\u5df4\u62c9\u572d\u4eba<\/option>\n                                                                                    <option value=\"141\" >\u79d8\u9c81<\/option>\n                                                                                    <option value=\"142\" >\u629b\u5149<\/option>\n                                                                                    <option value=\"143\" >\u8461\u8404\u7259\u8bed<\/option>\n                                                                                    <option value=\"144\" >\u5361\u5854\u5c14\u4eba<\/option>\n                                                                                    <option value=\"145\" >\u7f57\u9a6c\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"146\" >\u4fc4\u8bed<\/option>\n                                                                                    <option value=\"147\" >\u5362\u65fa\u8fbe\u8bed<\/option>\n                                                                                    <option value=\"148\" >\u5723\u5362\u897f\u4e9a<\/option>\n                                                                                    <option value=\"149\" >\u8428\u5c14\u74e6\u591a\u8bed<\/option>\n                                                                                    <option value=\"150\" >\u8428\u6469\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"151\" >\u5723\u9a6c\u6797\u65af<\/option>\n                                                                                    <option value=\"152\" >\u5723\u591a\u7f8e<\/option>\n                                                                                    <option value=\"153\" >\u6c99\u7279\u963f\u62c9\u4f2f<\/option>\n                                                                                    <option value=\"154\" >\u82cf\u683c\u5170\u4eba<\/option>\n                                                                                    <option value=\"155\" >\u585e\u5185\u52a0\u5c14\u4eba<\/option>\n                                                                                    <option value=\"156\" >\u585e\u5c14\u7ef4\u4e9a<\/option>\n                                                                                    <option value=\"157\" >\u585e\u820c\u5c14<\/option>\n                                                                                    <option value=\"158\" >\u585e\u62c9\u5229\u6602\u4eba<\/option>\n                                                                                    <option value=\"159\" >\u65b0\u52a0\u5761\u4eba<\/option>\n                                                                                    <option value=\"160\" >\u65af\u6d1b\u4f10\u514b\u8bed<\/option>\n                                                                                    <option value=\"161\" >\u65af\u6d1b\u6587\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"162\" >\u6240\u7f57\u95e8\u7fa4\u5c9b\u4eba<\/option>\n                                                                                    <option value=\"163\" >\u7d22\u9a6c\u91cc<\/option>\n                                                                                    <option value=\"164\" >\u5357\u975e\u7684<\/option>\n                                                                                    <option value=\"165\" >\u97e9\u56fd\u4eba<\/option>\n                                                                                    <option value=\"166\" >\u897f\u73ed\u7259\u8bed<\/option>\n                                                                                    <option value=\"167\" >\u65af\u91cc\u5170\u5361<\/option>\n                                                                                    <option value=\"168\" >\u82cf\u4e39\u4eba<\/option>\n                                                                                    <option value=\"169\" >\u82cf\u91cc\u5357<\/option>\n                                                                                    <option value=\"170\" >\u65af\u5a01\u58eb\u8bed<\/option>\n                                                                                    <option value=\"171\" >\u745e\u5178<\/option>\n                                                                                    <option value=\"172\" >\u745e\u58eb\u4eba<\/option>\n                                                                                    <option value=\"173\" >\u53d9\u5229\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"174\" >\u53f0\u6e7e<\/option>\n                                                                                    <option value=\"175\" >\u5854\u5409\u514b<\/option>\n                                                                                    <option value=\"176\" >\u5766\u6851\u5c3c\u4e9a<\/option>\n                                                                                    <option value=\"177\" >\u6cf0\u56fd<\/option>\n                                                                                    <option value=\"178\" >\u591a\u54e5\u8bed<\/option>\n                                                                                    <option value=\"179\" >\u6c64\u52a0<\/option>\n                                                                                    <option value=\"180\" >\u7279\u7acb\u5c3c\u8fbe\/\u591a\u5df4\u54e5\u5c3c\u4e9a<\/option>\n                                                                                    <option value=\"181\" >\u7a81\u5c3c\u65af\u8bed<\/option>\n                                                                                    <option value=\"182\" >\u571f\u8033\u5176<\/option>\n                                                                                    <option value=\"183\" >\u56fe\u74e6\u5362<\/option>\n                                                                                    <option value=\"184\" >\u4e4c\u5e72\u8fbe<\/option>\n                                                                                    <option value=\"185\" >\u4e4c\u514b\u5170<\/option>\n                                                                                    <option value=\"186\" >\u4e4c\u62c9\u572d\u4eba<\/option>\n                                                                                    <option value=\"187\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option>\n                                                                                    <option value=\"188\" >\u59d4\u5185\u745e\u62c9<\/option>\n                                                                                    <option value=\"189\" >\u8d8a\u5357\u8bed<\/option>\n                                                                                    <option value=\"190\" >\u5a01\u5c14\u58eb\u8bed<\/option>\n                                                                                    <option value=\"191\" >\u4e5f\u95e8\u8bed<\/option>\n                                                                                    <option value=\"192\" >\u8d5e\u6bd4\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"193\" >\u6d25\u5df4\u5e03\u97e6\u8bed<\/option>\n                                                                                    <option value=\"194\" >\u5df4\u52d2\u65af\u5766\u4eba<\/option>\n                                                                            <\/select>\n                                    <span class=\"invalid-feedback\" role=\"alert\">\n                                        <strong><\/strong>\n                                    <\/span>\n                                <\/div>\n                                <div class=\"form-group col-md-6\">\n                                    <label for=\"first_language\">\u7b2c\u4e00\u8bed\u8a00<\/label>\n                                    <select name=\"first_language\" required class=\"form-control\" aria-required=\"true\">\n                                        <option value=\"\" selected=\"\" disabled=\"\">Select from the list<\/option>\n                                                                                    <option value=\"1\" >\u5357\u975e\u8bed<\/option>\n                                                                                    <option value=\"2\" >\u963f\u5c14\u5df4\u5c3c\u4e9a\u4eba<\/option>\n                                                                                    <option value=\"3\" >\u963f\u62c9\u4f2f<\/option>\n                                                                                    <option value=\"4\" >\u4e9a\u7f8e\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"5\" >\u5df4\u65af\u514b<\/option>\n                                                                                    <option value=\"6\" >\u5b5f\u52a0\u62c9<\/option>\n                                                                                    <option value=\"7\" >\u4fdd\u52a0\u5229\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"8\" >\u52a0\u6cf0\u7f57\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"9\" >\u67ec\u57d4\u5be8\u8bed<\/option>\n                                                                                    <option value=\"10\" >\u4e2d\u6587\uff08\u666e\u901a\u8bdd\uff09<\/option>\n                                                                                    <option value=\"11\" >\u514b\u7f57\u5730\u4e9a<\/option>\n                                                                                    <option value=\"12\" >\u6377\u514b\u8bed<\/option>\n                                                                                    <option value=\"13\" >\u4e39\u9ea6\u8bed<\/option>\n                                                                                    <option value=\"14\" >\u8377\u5170\u8bed<\/option>\n                                                                                    <option value=\"15\" >\u82f1\u8bed<\/option>\n                                                                                    <option value=\"16\" >\u7231\u6c99\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"17\" >\u6590\u6d4e<\/option>\n                                                                                    <option value=\"18\" >\u82ac\u5170<\/option>\n                                                                                    <option value=\"19\" >\u6cd5\u8bed<\/option>\n                                                                                    <option value=\"20\" >\u683c\u9c81\u5409\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"21\" >\u5fb7\u8bed<\/option>\n                                                                                    <option value=\"22\" >\u5e0c\u814a\u8bed<\/option>\n                                                                                    <option value=\"23\" >\u53e4\u5409\u62c9\u7279\u8bed<\/option>\n                                                                                    <option value=\"24\" >\u5e0c\u4f2f\u6765\u8bed<\/option>\n                                                                                    <option value=\"25\" >\u5370\u5730\u8bed<\/option>\n                                                                                    <option value=\"26\" >\u5308\u7259\u5229<\/option>\n                                                                                    <option value=\"27\" >\u51b0\u5c9b\u7684<\/option>\n                                                                                    <option value=\"28\" >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option>\n                                                                                    <option value=\"29\" >\u7231\u5c14\u5170\u4eba<\/option>\n                                                                                    <option value=\"30\" >\u610f\u5927\u5229\u8bed<\/option>\n                                                                                    <option value=\"31\" >\u65e5\u672c\u4eba<\/option>\n                                                                                    <option value=\"32\" >\u722a\u54c7\u8bed<\/option>\n                                                                                    <option value=\"33\" >\u97e9\u56fd\u4eba<\/option>\n                                                                                    <option value=\"34\" >\u62c9\u4e01<\/option>\n                                                                                    <option value=\"35\" >\u62c9\u8131\u7ef4\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"36\" >\u7acb\u9676\u5b9b\u8bed<\/option>\n                                                                                    <option value=\"37\" >\u9a6c\u5176\u987f\u8bed<\/option>\n                                                                                    <option value=\"38\" >\u9a6c\u6765\u8bed<\/option>\n                                                                                    <option value=\"39\" >\u9a6c\u62c9\u96c5\u62c9\u59c6\u8bed<\/option>\n                                                                                    <option value=\"40\" >\u9a6c\u8033\u4ed6\u8bed<\/option>\n                                                                                    <option value=\"41\" >\u6bdb\u5229\u4eba<\/option>\n                                                                                    <option value=\"42\" >\u9a6c\u62c9\u5730\u8bed<\/option>\n                                                                                    <option value=\"43\" >\u8499<\/option>\n                                                                                    <option value=\"44\" >\u5c3c\u6cca\u5c14\u8bed<\/option>\n                                                                                    <option value=\"45\" >\u632a\u5a01<\/option>\n                                                                                    <option value=\"46\" >\u6ce2\u65af\u8bed<\/option>\n                                                                                    <option value=\"47\" >\u629b\u5149<\/option>\n                                                                                    <option value=\"48\" >\u8461\u8404\u7259\u8bed<\/option>\n                                                                                    <option value=\"49\" >\u65c1\u906e\u666e\u8bed<\/option>\n                                                                                    <option value=\"50\" >\u76d6\u4e18\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"51\" >\u7f57\u9a6c\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"52\" >\u4fc4\u8bed<\/option>\n                                                                                    <option value=\"53\" >\u8428\u6469\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"54\" >\u585e\u5c14\u7ef4\u4e9a<\/option>\n                                                                                    <option value=\"55\" >\u65af\u6d1b\u4f10\u514b\u8bed<\/option>\n                                                                                    <option value=\"56\" >\u65af\u6d1b\u6587\u5c3c\u4e9a\u8bed<\/option>\n                                                                                    <option value=\"57\" >\u897f\u73ed\u7259\u8bed<\/option>\n                                                                                    <option value=\"58\" >\u65af\u74e6\u5e0c\u91cc\u8bed<\/option>\n                                                                                    <option value=\"59\" >\u745e\u5178<\/option>\n                                                                                    <option value=\"60\" >\u6cf0\u7c73\u5c14\u8bed<\/option>\n                                                                                    <option value=\"61\" >\u9791\u977c\u8bed<\/option>\n                                                                                    <option value=\"62\" >\u6cf0\u5362\u56fa\u8bed<\/option>\n                                                                                    <option value=\"63\" >\u6cf0\u56fd<\/option>\n                                                                                    <option value=\"64\" >\u85cf<\/option>\n                                                                                    <option value=\"65\" >\u6c64\u52a0<\/option>\n                                                                                    <option value=\"66\" >\u571f\u8033\u5176<\/option>\n                                                                                    <option value=\"67\" >\u4e4c\u514b\u5170\u8bed<\/option>\n                                                                                    <option value=\"68\" >\u4e4c\u5c14\u90fd\u8bed<\/option>\n                                                                                    <option value=\"69\" >\u4e4c\u5179\u522b\u514b\u8bed<\/option>\n                                                                                    <option value=\"70\" >\u8d8a\u5357\u8bed<\/option>\n                                                                                    <option value=\"71\" >\u5a01\u5c14\u58eb\u8bed<\/option>\n                                                                                    <option value=\"72\" >\u79d1\u8428\u8bed<\/option>\n                                                                            <\/select>\n                                    <span class=\"invalid-feedback\" role=\"alert\">\n                                        <strong><\/strong>\n                                    <\/span>\n                                <\/div>\n                            <\/div>\n                            <div class=\"form-row\">\n                                <div class=\"form-group col-md-6\">\n                                    <label for=\"mobile\">Personal mobile number <\/label>\n                                    <input required maxlength=\"18\" id=\"phone\" name=\"phone\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"\" aria-required=\"true\">\n                                <\/div>\n                                <div class=\"form-group col-md-6\">\n                                    <label for=\"student_email\">Personal email address<\/label>\n                                    <input required maxlength=\"127\" id=\"student_email\" name=\"student_email\" value=\"\"  type=\"email\" class=\"form-control\" placeholder=\"\" aria-required=\"true\">\n                                <\/div>\n                            <\/div>\n                            <div class=\"form-row\">\n                                <div class=\"form-group col-md-4\">\n                                    <label for=\"passport_number\"> Passport\/ID number <\/label>\n                                    <input required maxlength=\"16\" id=\"passport_number\" name=\"passport_number\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"\" aria-required=\"true\">\n                                <\/div>\n                                <div class=\"form-group col-md-4\">\n                                    <label for=\"passport_expiry\">Expiry Date<\/label>\n                                    <input id=\"passport_expiry\" name=\"expiry_date\" value=\"\" type=\"date\" placeholder=\"dd\/mm\/yyyy\" required max=\"2072-12-05\" min=\"2022-12-05\" class=\"form-control\" title=\"\" aria-required=\"true\">\n                                <\/div>\n                            \n                                <div class=\"form-group col-md-4\">\n                                    <label for=\"occupation\">Occupation<\/label>\n                                    <input maxlength=\"45\" id=\"occupation\" name=\"occupation\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"\">\n                                <\/div>\n                            <\/div>\n                            <div class=\"form-row\">\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t\t<div style=\"height: 1rem\"><\/div>\n\t\t\t\t\t\t\t\t\t<hr>\n\t\t\t\t\t\t\t\t\t<b>Permanent Postal Address<\/b>\n\t\t\t\t\t\t\t\t<\/div>\n                                <div class=\"form-group  col-md-6\">\n                                    <label for=\"address1\">Home Address<\/label>\n                                    <input required maxlength=\"127\" id=\"address1\" name=\"address\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Home Address\" aria-required=\"true\">\n                                <\/div>\n                                <div class=\"form-group col-md-3\">\n                                    <label for=\"town\">Town<\/label>\n                                    <input required maxlength=\"45\" id=\"town\" name=\"city\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Town\/City\" aria-required=\"true\">\n                                <\/div>\n                                <div class=\"form-group col-md-3\">\n                                    <label for=\"county\">County<\/label>\n                                    <input maxlength=\"45\" id=\"county\" name=\"state\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"County\/State\">\n                                <\/div>\n                            <\/div>\n                            <div class=\"form-row\">\n                                <div class=\"form-group col-md-6\">\n                                    <label for=\"postcode\">Postcode\/Zipcode<\/label>\n                                    <input maxlength=\"12\" id=\"postcode\" name=\"post_code\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Postcode\/Zipcode\">\n                                <\/div>\n                                <div class=\"form-group col-md-6\">\n                                    <label for=\"country_id\">\u56fd\u5bb6<\/label>\n                                    <select name=\"country_id\" class=\"form-control\" required aria-required=\"true\">\n                                        <option value=\"\" selected=\"\" disabled=\"\">Select from the list<\/option>\n                                                                                    <option value=\"1\" >\u7f8e\u56fd<\/option>\n                                                                                    <option value=\"2\" >\u52a0\u62ff\u5927<\/option>\n                                                                                    <option value=\"3\" >\u963f\u5bcc\u6c57<\/option>\n                                                                                    <option value=\"4\" >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option>\n                                                                                    <option value=\"5\" >\u963f\u5c14\u53ca\u5229\u4e9a<\/option>\n                                                                                    <option value=\"6\" >American Samoa<\/option>\n                                                                                    <option value=\"7\" >\u5b89\u9053\u5c14<\/option>\n                                                                                    <option value=\"8\" >\u5b89\u54e5\u62c9<\/option>\n                                                                                    <option value=\"9\" >Anguilla<\/option>\n                                                                                    <option value=\"10\" >Antarctica<\/option>\n                                                                                    <option value=\"11\" >Antigua and\/or Barbuda<\/option>\n                                                                                    <option value=\"12\" >\u963f\u6839\u5ef7<\/option>\n                                                                                    <option value=\"13\" >\u4e9a\u7f8e\u5c3c\u4e9a<\/option>\n                                                                                    <option value=\"14\" >Aruba<\/option>\n                                                                                    <option value=\"15\" >\u6fb3\u5927\u5229\u4e9a<\/option>\n                                                                                    <option value=\"16\" >\u5965\u5730\u5229<\/option>\n                                                                                    <option value=\"17\" >\u963f\u585e\u62dc\u7586<\/option>\n                                                                                    <option value=\"18\" >Bahamas<\/option>\n                                                                                    <option value=\"19\" >\u5df4\u6797<\/option>\n                                                                                    <option value=\"20\" >\u5b5f\u52a0\u62c9\u56fd<\/option>\n                                                                                    <option value=\"21\" >\u5df4\u5df4\u591a\u65af<\/option>\n                                                                                    <option value=\"22\" >\u767d\u4fc4\u7f57\u65af<\/option>\n                                                                                    <option value=\"23\" >\u6bd4\u5229\u65f6<\/option>\n                                                                                    <option value=\"24\" >\u4f2f\u5229\u5179<\/option>\n                                                                                    <option value=\"25\" >\u8d1d\u5b81<\/option>\n                                                                                    <option value=\"26\" >Bermuda<\/option>\n                                                                                    <option value=\"27\" >\u4e0d\u4e39<\/option>\n                                                                                    <option value=\"28\" >\u73bb\u5229\u7ef4\u4e9a<\/option>\n                                                                                    <option value=\"29\" >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option>\n                                                                                    <option value=\"30\" >\u535a\u8328\u74e6\u7eb3<\/option>\n                                                                                    <option value=\"31\" >Bouvet Island<\/option>\n                                                                                    <option value=\"32\" >\u5df4\u897f<\/option>\n                                                                                    <option value=\"33\" >British lndian Ocean Territory<\/option>\n                                                                                    <option value=\"34\" >Brunei Darussalam<\/option>\n                                                                                    <option value=\"35\" >\u4fdd\u52a0\u5229\u4e9a<\/option>\n                                                                                    <option value=\"36\" >\u5e03\u57fa\u7eb3\u6cd5\u7d22<\/option>\n                                                                                    <option value=\"37\" >\u5e03\u9686\u8fea<\/option>\n                                                                                    <option value=\"38\" >\u67ec\u57d4\u5be8<\/option>\n                                                                                    <option value=\"39\" >\u5580\u9ea6\u9686<\/option>\n                                                                                    <option value=\"40\" >\u4f5b\u5f97\u89d2<\/option>\n                                                                                    <option value=\"41\" >Cayman Islands<\/option>\n                                                                                    <option value=\"42\" >\u4e2d\u975e\u5171\u548c\u56fd<\/option>\n                                                                                    <option value=\"43\" >\u4e4d\u5f97<\/option>\n                                                                                    <option value=\"44\" >\u667a\u5229<\/option>\n                                                                                    <option value=\"45\" >\u4e2d\u56fd<\/option>\n                                                                                    <option value=\"46\" >Christmas Island<\/option>\n                                                                                    <option value=\"47\" >Cocos (Keeling) Islands<\/option>\n                                                                                    <option value=\"48\" >\u54e5\u4f26\u6bd4\u4e9a<\/option>\n                                                                                    <option value=\"49\" >\u79d1\u6469\u7f57<\/option>\n                                                                                    <option value=\"50\" >Congo<\/option>\n                                                                                    <option value=\"51\" >Cook Islands<\/option>\n                                                                                    <option value=\"52\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option>\n                                                                                    <option value=\"53\" >Croatia (Hrvatska)<\/option>\n                                                                                    <option value=\"54\" >\u53e4\u5df4<\/option>\n                                                                                    <option value=\"55\" >\u585e\u6d66\u8def\u65af<\/option>\n                                                                                    <option value=\"56\" >\u6377\u514b\u5171\u548c\u56fd<\/option>\n                                                                                    <option value=\"57\" >Democratic Republic of Congo<\/option>\n                                                                                    <option value=\"58\" >\u4e39\u9ea6<\/option>\n                                                                                    <option value=\"59\" >\u5409\u5e03\u63d0<\/option>\n                                                                                    <option value=\"60\" >\u591a\u7c73\u5c3c\u514b<\/option>\n                                                                                    <option value=\"61\" >\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option>\n                                                                                    <option value=\"62\" >East Timor<\/option>\n                                                                                    <option value=\"63\" >Ecudaor<\/option>\n                                                                                    <option value=\"64\" >\u57c3\u53ca<\/option>\n                                                                                    <option value=\"65\" >\u8428\u5c14\u74e6\u591a<\/option>\n                                                                                    <option value=\"66\" >\u8d64\u9053\u51e0\u5185\u4e9a<\/option>\n                                                                                    <option value=\"67\" >\u5384\u7acb\u7279\u91cc\u4e9a<\/option>\n                                                                                    <option value=\"68\" >\u7231\u6c99\u5c3c\u4e9a<\/option>\n                                                                                    <option value=\"69\" >\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option>\n                                                                                    <option value=\"70\" >Falkland Islands (Malvinas)<\/option>\n                                                                                    <option value=\"71\" >Faroe Islands<\/option>\n                                                                                    <option value=\"72\" >\u6590\u6d4e<\/option>\n                                                                                    <option value=\"73\" >\u82ac\u5170<\/option>\n                                                                                    <option value=\"74\" >\u6cd5\u56fd<\/option>\n                                                                                    <option value=\"75\" >France, Metropolitan<\/option>\n                                                                                    <option value=\"76\" >French Guiana<\/option>\n                                                                                    <option value=\"77\" >French Polynesia<\/option>\n                                                                                    <option value=\"78\" >French Southern Territories<\/option>\n                                                                                    <option value=\"79\" >\u52a0\u84ec<\/option>\n                                                                                    <option value=\"80\" >Gambia<\/option>\n                                                                                    <option value=\"81\" >\u4e54\u6cbb\u4e9a\u5dde<\/option>\n                                                                                    <option value=\"82\" >\u5fb7\u56fd<\/option>\n                                                                                    <option value=\"83\" >\u52a0\u7eb3<\/option>\n                                                                                    <option value=\"84\" >Gibraltar<\/option>\n                                                                                    <option value=\"85\" >\u5e0c\u814a<\/option>\n                                                                                    <option value=\"86\" >Greenland<\/option>\n                                                                                    <option value=\"87\" >\u683c\u6797\u7eb3\u8fbe<\/option>\n                                                                                    <option value=\"88\" >Guadeloupe<\/option>\n                                                                                    <option value=\"89\" >Guam<\/option>\n                                                                                    <option value=\"90\" >\u5371\u5730\u9a6c\u62c9<\/option>\n                                                                                    <option value=\"91\" >\u51e0\u5185\u4e9a<\/option>\n                                                                                    <option value=\"92\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option>\n                                                                                    <option value=\"93\" >\u572d\u4e9a\u90a3<\/option>\n                                                                                    <option value=\"94\" >\u6d77\u5730<\/option>\n                                                                                    <option value=\"95\" >Heard and Mc Donald Islands<\/option>\n                                                                                    <option value=\"96\" >\u6d2a\u90fd\u62c9\u65af<\/option>\n                                                                                    <option value=\"97\" >\u9999\u6e2f<\/option>\n                                                                                    <option value=\"98\" >\u5308\u7259\u5229<\/option>\n                                                                                    <option value=\"99\" >\u51b0\u5c9b<\/option>\n                                                                                    <option value=\"100\" >\u5370\u5ea6<\/option>\n                                                                                    <option value=\"101\" >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option>\n                                                                                    <option value=\"102\" >Iran (Islamic Republic of)<\/option>\n                                                                                    <option value=\"103\" >\u4f0a\u62c9\u514b<\/option>\n                                                                                    <option value=\"104\" >\u7231\u5c14\u5170<\/option>\n                                                                                    <option value=\"105\" >\u4ee5\u8272\u5217<\/option>\n                                                                                    <option value=\"106\" >\u610f\u5927\u5229<\/option>\n                                                                                    <option value=\"107\" >Ivory Coast<\/option>\n                                                                                    <option value=\"108\" >\u7259\u4e70\u52a0<\/option>\n                                                                                    <option value=\"109\" >\u65e5\u672c<\/option>\n                                                                                    <option value=\"110\" >\u7ea6\u65e6<\/option>\n                                                                                    <option value=\"111\" >\u54c8\u8428\u514b\u65af\u5766<\/option>\n                                                                                    <option value=\"112\" >\u80af\u5c3c\u4e9a<\/option>\n                                                                                    <option value=\"113\" >\u57fa\u91cc\u5df4\u65af<\/option>\n                                                                                    <option value=\"114\" >Korea, Democratic People's Republic of<\/option>\n                                                                                    <option value=\"115\" >Korea, Republic of<\/option>\n                                                                                    <option value=\"116\" >\u79d1\u5a01\u7279<\/option>\n                                                                                    <option value=\"117\" >\u5409\u5c14\u5409\u65af\u65af\u5766<\/option>\n                                                                                    <option value=\"118\" >Lao People's Democratic Republic<\/option>\n                                                                                    <option value=\"119\" >\u62c9\u8131\u7ef4\u4e9a<\/option>\n                                                                                    <option value=\"120\" >\u9ece\u5df4\u5ae9<\/option>\n                                                                                    <option value=\"121\" >\u83b1\u7d22\u6258<\/option>\n                                                                                    <option value=\"122\" >\u5229\u6bd4\u91cc\u4e9a<\/option>\n                                                                                    <option value=\"123\" >Libyan Arab Jamahiriya<\/option>\n                                                                                    <option value=\"124\" >\u5217\u652f\u6566\u58eb\u767b<\/option>\n                                                                                    <option value=\"125\" >\u7acb\u9676\u5b9b<\/option>\n                                                                                    <option value=\"126\" >\u5362\u68ee\u5821<\/option>\n                                                                                    <option value=\"127\" >\u6fb3\u95e8<\/option>\n                                                                                    <option value=\"128\" >\u9a6c\u5176\u987f<\/option>\n                                                                                    <option value=\"129\" >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option>\n                                                                                    <option value=\"130\" >\u9a6c\u62c9\u7ef4<\/option>\n                                                                                    <option value=\"131\" >\u9a6c\u6765\u897f\u4e9a<\/option>\n                                                                                    <option value=\"132\" >\u9a6c\u5c14\u4ee3\u592b<\/option>\n                                                                                    <option value=\"133\" >\u9a6c\u91cc<\/option>\n                                                                                    <option value=\"134\" >\u9a6c\u8033\u4ed6<\/option>\n                                                                                    <option value=\"135\" >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option>\n                                                                                    <option value=\"136\" >Martinique<\/option>\n                                                                                    <option value=\"137\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option>\n                                                                                    <option value=\"138\" >\u6bdb\u91cc\u6c42\u65af<\/option>\n                                                                                    <option value=\"139\" >Mayotte<\/option>\n                                                                                    <option value=\"140\" >\u58a8\u897f\u54e5<\/option>\n                                                                                    <option value=\"141\" >Micronesia, Federated States of<\/option>\n                                                                                    <option value=\"142\" >Moldova, Republic of<\/option>\n                                                                                    <option value=\"143\" >\u6469\u7eb3\u54e5<\/option>\n                                                                                    <option value=\"144\" >\u8499\u53e4<\/option>\n                                                                                    <option value=\"145\" >Montserrat<\/option>\n                                                                                    <option value=\"146\" >\u6469\u6d1b\u54e5<\/option>\n                                                                                    <option value=\"147\" >\u83ab\u6851\u6bd4\u514b<\/option>\n                                                                                    <option value=\"148\" >Myanmar<\/option>\n                                                                                    <option value=\"149\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option>\n                                                                                    <option value=\"150\" >\u7459\u9c81<\/option>\n                                                                                    <option value=\"151\" >\u5c3c\u6cca\u5c14<\/option>\n                                                                                    <option value=\"152\" >\u8377\u5170<\/option>\n                                                                                    <option value=\"153\" >\u8377\u5c5e\u5b89\u7684\u5217\u65af<\/option>\n                                                                                    <option value=\"154\" >New Caledonia<\/option>\n                                                                                    <option value=\"155\" >\u65b0\u897f\u5170<\/option>\n                                                                                    <option value=\"156\" >\u5c3c\u52a0\u62c9\u74dc<\/option>\n                                                                                    <option value=\"157\" >\u5c3c\u65e5\u5c14<\/option>\n                                                                                    <option value=\"158\" >\u5c3c\u65e5\u5229\u4e9a<\/option>\n                                                                                    <option value=\"159\" >Niue<\/option>\n                                                                                    <option value=\"160\" >Norfork Island<\/option>\n                                                                                    <option value=\"161\" >Northern Mariana Islands<\/option>\n                                                                                    <option value=\"162\" >\u632a\u5a01<\/option>\n                                                                                    <option value=\"163\" >\u963f\u66fc<\/option>\n                                                                                    <option value=\"164\" >\u5df4\u57fa\u65af\u5766<\/option>\n                                                                                    <option value=\"165\" >\u5e15\u52b3<\/option>\n                                                                                    <option value=\"166\" >\u5df4\u62ff\u9a6c<\/option>\n                                                                                    <option value=\"167\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option>\n                                                                                    <option value=\"168\" >\u5df4\u62c9\u572d<\/option>\n                                                                                    <option value=\"169\" >\u79d8\u9c81<\/option>\n                                                                                    <option value=\"170\" >\u83f2\u5f8b\u5bbe<\/option>\n                                                                                    <option value=\"171\" >Pitcairn<\/option>\n                                                                                    <option value=\"172\" >\u6ce2\u5170<\/option>\n                                                                                    <option value=\"173\" >\u8461\u8404\u7259<\/option>\n                                                                                    <option value=\"174\" >Puerto Rico<\/option>\n                                                                                    <option value=\"175\" >\u5361\u5854\u5c14<\/option>\n                                                                                    <option value=\"176\" >Republic of South Sudan<\/option>\n                                                                                    <option value=\"177\" >Reunion<\/option>\n                                                                                    <option value=\"178\" >\u7f57\u9a6c\u5c3c\u4e9a<\/option>\n                                                                                    <option value=\"179\" >Russian Federation<\/option>\n                                                                                    <option value=\"180\" >\u5362\u65fa\u8fbe<\/option>\n                                                                                    <option value=\"181\" >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option>\n                                                                                    <option value=\"182\" >\u5723\u5362\u897f\u4e9a<\/option>\n                                                                                    <option value=\"183\" >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option>\n                                                                                    <option value=\"184\" >\u8428\u6469\u4e9a<\/option>\n                                                                                    <option value=\"185\" >\u5723\u9a6c\u529b\u8bfa<\/option>\n                                                                                    <option value=\"186\" >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option>\n                                                                                    <option value=\"187\" >\u6c99\u7279\u963f\u62c9\u4f2f<\/option>\n                                                                                    <option value=\"188\" >\u585e\u5185\u52a0\u5c14<\/option>\n                                                                                    <option value=\"189\" >\u585e\u5c14\u7ef4\u4e9a<\/option>\n                                                                                    <option value=\"190\" >\u585e\u820c\u5c14<\/option>\n                                                                                    <option value=\"191\" >\u585e\u62c9\u5229\u6602<\/option>\n                                                                                    <option value=\"192\" >\u65b0\u52a0\u5761<\/option>\n                                                                                    <option value=\"193\" >\u65af\u6d1b\u4f10\u514b<\/option>\n                                                                                    <option value=\"194\" >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option>\n                                                                                    <option value=\"195\" >\u6240\u7f57\u95e8\u7fa4\u5c9b<\/option>\n                                                                                    <option value=\"196\" >\u7d22\u9a6c\u91cc<\/option>\n                                                                                    <option value=\"197\" >\u5357\u975e<\/option>\n                                                                                    <option value=\"198\" >South Georgia South Sandwich Islands<\/option>\n                                                                                    <option value=\"199\" >\u897f\u73ed\u7259<\/option>\n                                                                                    <option value=\"200\" >\u65af\u91cc\u5170\u5361<\/option>\n                                                                                    <option value=\"201\" >St. Helena<\/option>\n                                                                                    <option value=\"202\" >St. Pierre and Miquelon<\/option>\n                                                                                    <option value=\"203\" >\u82cf\u4e39<\/option>\n                                                                                    <option value=\"204\" >\u82cf\u91cc\u5357<\/option>\n                                                                                    <option value=\"205\" >Svalbarn and Jan Mayen Islands<\/option>\n                                                                                    <option value=\"206\" >\u65af\u5a01\u58eb\u5170<\/option>\n                                                                                    <option value=\"207\" >\u745e\u5178<\/option>\n                                                                                    <option value=\"208\" >\u745e\u58eb<\/option>\n                                                                                    <option value=\"209\" >Syrian Arab Republic<\/option>\n                                                                                    <option value=\"210\" >\u53f0\u6e7e<\/option>\n                                                                                    <option value=\"211\" >\u5854\u5409\u514b\u65af\u5766<\/option>\n                                                                                    <option value=\"212\" >Tanzania, United Republic of<\/option>\n                                                                                    <option value=\"213\" >\u6cf0\u56fd<\/option>\n                                                                                    <option value=\"214\" >\u591a\u54e5<\/option>\n                                                                                    <option value=\"215\" >Tokelau<\/option>\n                                                                                    <option value=\"216\" >\u6c64\u52a0<\/option>\n                                                                                    <option value=\"217\" >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option>\n                                                                                    <option value=\"218\" >\u7a81\u5c3c\u65af<\/option>\n                                                                                    <option value=\"219\" >\u706b\u9e21<\/option>\n                                                                                    <option value=\"220\" >\u571f\u5e93\u66fc\u65af\u5766<\/option>\n                                                                                    <option value=\"221\" >Turks and Caicos Islands<\/option>\n                                                                                    <option value=\"222\" >\u56fe\u74e6\u5362<\/option>\n                                                                                    <option value=\"223\" >\u4e4c\u5e72\u8fbe<\/option>\n                                                                                    <option value=\"224\" >\u4e4c\u514b\u5170<\/option>\n                                                                                    <option value=\"225\" >\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option>\n                                                                                    <option value=\"226\" >\u82f1\u56fd<\/option>\n                                                                                    <option value=\"227\" >United States minor outlying islands<\/option>\n                                                                                    <option value=\"228\" >\u4e4c\u62c9\u572d<\/option>\n                                                                                    <option value=\"229\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option>\n                                                                                    <option value=\"230\" >\u74e6\u52aa\u963f\u56fe<\/option>\n                                                                                    <option value=\"231\" >Vatican City State<\/option>\n                                                                                    <option value=\"232\" >\u59d4\u5185\u745e\u62c9<\/option>\n                                                                                    <option value=\"233\" >\u8d8a\u5357<\/option>\n                                                                                    <option value=\"234\" >Virgin Islands (British)<\/option>\n                                                                                    <option value=\"235\" >Virgin Islands (U.S.)<\/option>\n                                                                                    <option value=\"236\" >Wallis and Futuna Islands<\/option>\n                                                                                    <option value=\"237\" >Western Sahara<\/option>\n                                                                                    <option value=\"238\" >\u4e5f\u95e8<\/option>\n                                                                                    <option value=\"239\" >Yugoslavia<\/option>\n                                                                                    <option value=\"240\" >Zaire<\/option>\n                                                                                    <option value=\"241\" >\u8d5e\u6bd4\u4e9a<\/option>\n                                                                                    <option value=\"242\" >\u6d25\u5df4\u5e03\u97e6<\/option>\n                                                                                    <option value=\"243\" >Palestine<\/option>\n                                                                            <\/select>\n                                    <span class=\"invalid-feedback\" role=\"alert\">\n                                        <strong><\/strong>\n                                    <\/span>\n                                <\/div>\n                            <\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"col-md-12\">\n\t\t\t\t\t\t\t\t\t<div class=\"divider\" style=\"height: 1rem\"><\/div>\n\t\t\t\t\t\t\t\t\t<input type=\"button\" step=\"1\"  name=\"next\" id=\"firstNext\" class=\"next action-button next-clicks\" value=\"Next\" \/>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<input type=\"button\" id=\"firstSave\" step=\"1\" class=\"btn btn-light btns-action saveforlater\" value=\"Save application for later\" \/>\n\t\t\t\t\t\t\t\t\t<span class=\"message-print\"><\/span>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n                        <\/div>\n                    <\/div>\n                    \n                <\/div>\n            <\/div>\n        <\/div>\n        \n    <\/div>\n    \n<\/fieldset>                        <fieldset id=\"fieldset2\">\n    <div class=\"form-card\">\n        <div class=\"row\">\n            <div class=\"col-lg-7\">\n                <!--h2 class=\"fs-title\">Personal Information:<\/h2-->\n            <\/div>\n            <div class=\"col-lg-5\">\n                <h2 class=\"steps\">Step 2 - 4<\/h2>\n            <\/div>\n        <\/div>\n        <div class=\"tab\" style=\"display: block;\">\n            <div class=\"banner form enrolment\">\n                <div class=\"banner-form\" style=\"left: 0px; opacity: 1;\">\n                    \n                    <div class=\"form-row\">\n                        <div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t<div class=\"divider\" style=\"height: 2rem\"><\/div>\n                            <h4>Type of Enrolment<\/h4>\n\t\t\t\t\t\t<\/div>\n                            <div class=\"form-group col-md-12\">\n                                <label for=\"send_group_enrolment_course_online\" id=\"send_group_enrolment_course_online_label\">\n                                Are you applying for Online course\/s ?<\/label>\n                                <span>\n                                <input id=\"send_adult_enrolment_online_yes\" type=\"radio\" name=\"online\" value=\"1\" > \n                                \u662f\u7684\n                                <\/span>&nbsp;\n                                <span>\n                                <input id=\"send_adult_enrolment_online_no\"  type=\"radio\" name=\"online\" value=\"0\"> \n                                \u4e0d\n                                <\/span>\n                            <\/div>\n                            <div class=\"form-group col-md-12 d-none\" style=\"display:none;\">\n                                <label for=\"send_group_enrolment_course_onetoone\" id=\"send_group_enrolment_course_onetoone_label\">\n                                Are you applying for One-To-One course\/s ?<\/label>\n                                <span>\n                                <input id=\"send_adult_enrolment_onetoone_yes\" type=\"radio\" name=\"onetoone\" value=\"1\" >\n                                \u662f\u7684\n                                <\/span>\n                                <span>\n                                <input id=\"send_adult_enrolment_onetoone_no\"  type=\"radio\" name=\"onetoone\" value=\"0\">\n                                \u4e0d\n                                <\/span>\n                            <\/div>\n                        \n                    <\/div>\n                    \n                    \n\n                    \n                    <div class=\"form-row\">\n                        <div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t<h4>Course Details<\/h4>\n\t\t\t\t\t\t<\/div>\n                        <div class=\"form-group col-md-6\">\n                            <label for=\"enrolment_course_start_date\">Course Start Date<\/label>\n                            <input id=\"enrolment_course_start_date\" name=\"course_start_date\" type=\"date\" value=\"\" placeholder=\"dd\/mm\/yyyy\" required=\"\" max=\"2025-12-07\" 10:39:30=\"\" min=\"2022-12-07\" class=\"form-control\" title=\"\" aria-required=\"true\">\n                        <\/div>\n                        <div class=\"form-group col-md-6\">\n                            <label for=\"enrolment_course_end_date\">Course End Date<\/label>\n                            <input id=\"enrolment_course_end_date\" name=\"course_end_date\" value=\"\" type=\"date\" placeholder=\"dd\/mm\/yyyy\" required=\"\" max=\"2025-12-07\" 10:39:30=\"\" min=\"2022-12-18\" class=\"form-control\" title=\"\" aria-required=\"true\">\n                        <\/div>\n                        \n                    <\/div>\n                    \n                    \n                    <div class=\"form-row\">\n                        <div class=\"form-group col-md-6\">\n                            <label for=\"course_category\">Course Category<\/label>\n                            <input id=\"selected_course_id\" type=\"hidden\" value=\"\">\n                            <select class=\"form-control\"  name=\"course_category\" id=\"course_category\">\n                                <option value=\"\">--Select Category--<\/option>\n                                <option value=\"5\" >\u8bed\u8a00\u8bfe\u7a0b<\/option>\n                                <option value=\"4\" >\u4e13\u4e1a\u8bfe\u7a0b<\/option>\n                                <!-- <option value=\"6\" >Mini Stays\/ Summer Camps<\/option> -->\n                                \n                            <\/select>\n                        <\/div>\n                    \n                        <div class=\"form-group col-md-6 show_courses\">\n                            <input type=\"hidden\" value=\"\" class=\"course_id_input\">\n                            <label for=\"course_category\">Select Course<\/label>\n                            <select class=\"form-control\"  name=\"course_id\" id=\"course_id\">\n                                <option value=\"\">--Select Course--<\/option>\n                            <\/select>\n                        <\/div>\n                    <\/div>\n                    \n                        \n                    <div class=\"form-row\">\n                        <div class=\"form-group col-md-6\">\n                            <label for=\"lessonWeekSelect\">Select Lession per week<\/label>\n                            <select class=\"form-control\" name=\"lessons_per_week\"   id=\"lessons_per_week\">\n                                <option value=\"\">--Select Lession--<\/option>\n                                <option value=\"20\" >20 lessons per week<\/option>\n                                <option value=\"25\" >25 lessons per week<\/option>\n                                <option value=\"30\" >30 lessons per week<\/option>\n                            <\/select>\n                        <\/div>\n                        \n                    <\/div>\n                    <div style=\"height: 1rem\"><\/div>\n                    <div class=\"ab-block-reload\"><\/div>\n                        \n                    <div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n\t\t\t\t\t\t<div class=\"divider\" style=\"height: 1rem\"><\/div>\n                        <h4>Qualifications<\/h4>\n                        <h5>English Language Qualification<\/h5>\n\t\t\t\t\t\t\n                        <p style=\"font-size: small\">Please state the highest English Language Qualification that you have currently.\n                            Valid\n                            qualifications include GCSE English (grades A - C), IELTS or equivalent\n                        <\/p>\n\t\t\t\t\t\t<\/div>\n                        \n\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t<label>Qualification\/Name of test<\/label>\n\t\t\t\t\t\t\t<input name=\"qualification_name\" value=\"\" type=\"text\" class=\"form-control\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t<label>Overall result:<\/label>\n\t\t\t\t\t\t\t<input name=\"qualification_result\" value=\"\" type=\"text\" class=\"form-control\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t<label for=\"enrolment_level\">Current Level of English<\/label>\n\t\t\t\t\t\t\t<select id=\"enrolment_level\" name=\"english_level\" class=\"form-control\" required=\"\" aria-required=\"true\" aria-invalid=\"false\">\n\t\t\t\t\t\t\t\t<option value=\"Advanced\" >Advanced<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Upper-Intermediate\" >Upper-Intermediate<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Intermediate\" >Intermediate<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Pre-Intermediate\" >Pre-Intermediate<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Elementary\" >Elementary<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Beginner\" >Beginner<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<\/div>\n                        \n                    <\/div>\n\t\t\t\t\t\n                    <div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t<div style=\"height: 1rem\"><\/div>\n\t\t\t\t\t\t\t<h4>Academic History<\/h4>\n\t\t\t\t\t\t\t<p>Please note, if you are applying for a professional qualification, you must complete this section. As part of our enrolment process, BSMI will review your qualification to see if you are eligible for the course.<\/p>\n\t\t\t\t\t\t\t<div style=\"height: 1rem\"><\/div>\n\t\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t\tState your highest education (e.g. high school, Batchelor degree in..., Master degree in...).\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<div style=\"height: 1rem\"><\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n                    <\/div>\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-row\">\n                        <div class=\"form-group col-md-4\">\n                            <label style=\"font-size: small\">School attended<\/label>\n                            <input name=\"school_attended\" value=\"\" class=\"form-control\" type=\"text\">\n                        <\/div>\n                        <div class=\"form-group col-md-2\">\n                            <label style=\"font-size: small\">Started MM\/YY<\/label>\n                            <input name=\"school_smonth\" value=\"\" class=\"form-control\" type=\"month\">\n                        <\/div>\n                        <div class=\"form-group col-md-2\">\n                            <label style=\"font-size: small\">Finished MM\/YY<\/label>\n                            <input name=\"school_fmonth\" value=\"\" class=\"form-control\" type=\"month\">\n                        <\/div>\n                        <div class=\"form-group col-md-3\">\n                            <label style=\"font-size: small\">Qualifications<\/label>\n                            <input name=\"school_qual\" value=\"\" class=\"form-control\" type=\"text\">\n                        <\/div>\n                        <div class=\"form-group col-md-1\">\n                            <label style=\"font-size: small\">Grade<\/label>\n                            <input name=\"school_grade\" value=\"\" class=\"form-control\" type=\"text\">\n                        <\/div>\n                    <\/div>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t<div class=\"col-md-12\">\n\t\t\t\t\t\t\t<div class=\"divider\" style=\"height: 1rem\"><\/div>\n\t\t\t\t\t\t\t<input type=\"button\" step=\"2\" id=\"secondNext\" name=\"next\" class=\"next action-button next-clicks\" value=\"Next\" \/>\n\t\t\t\t\t\t\t<input type=\"button\" name=\"previous\" class=\"previous action-button-previous\" value=\"Previous\" \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<input type=\"button\"  step=\"2\"  id=\"secondSave\"  class=\"btn btn-light btns-action saveforlater\" value=\"Save application for later\" \/>\n\t\t\t\t\t\t\t<span class=\"message-print\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/fieldset>                        <fieldset id=\"fieldset3\">\n        <div class=\"form-card\">\n            <div class=\"row\">\n                <div class=\"col-md-7\">\n                    <!--h2 class=\"fs-title\">Visa \/ Emergency contacts<\/h2-->\n                <\/div>\n                <div class=\"col-md-5\">\n                    <h2 class=\"steps\">Step 3 - 4<\/h2>\n                <\/div>\n            <\/div>\n            <div class=\"tab\" style=\"display: block;\">\n                <div class=\"banner form enrolment\">\n                    <div class=\"banner-form\" style=\"left: 0px; opacity: 1;\">\n                        <!--h4 class=\"acc-section-no\">NO NEED FOR VISA DETAILS, SKIP TO THE NEXT STEP.<\/h4-->\n                        <div class=\"acc-section\">\n                            <div class=\"form-row\">\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t\t<h3>Visa Details<\/h3>\n\t\t\t\t\t\t\t\t\t<p>Will you require a visa (Tier 4 or student visitor) to study in UK?<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n                                \n                                <div class=\"form-group col-md-12\">\n                                    <label class=\"form-check-label\" id=\"send_adult_enrolment_visa_no_label\">\n                                        <input id=\"send_adult_enrolment_visa_no\"  type=\"radio\" name=\"visa\" value=\"no\" aria-required=\"true\"> <b>\n                                            No Visa required<\/b>\n                                        \n                                    <\/label>\n                                <\/div>\n                                <div class=\"form-group col-md-12\">\n                                    <label class=\"form-check-label\" id=\"send_adult_enrolment_visa_STSV_label\">\n                                        <input id=\"send_adult_enrolment_visa_STSV\" type=\"radio\" name=\"visa\" value=\"STSV\" > <b>\n                                            STSV \u2013 Short-term study visa <\/b>\u2013 valid for up to 6 months, cannot be extended and you cannot work while in the UK.\n                                    <\/label>\n                                <\/div>\n                                <div class=\"form-group col-md-12\">\n                                    <label class=\"form-check-label\" id=\"send_adult_enrolment_visa_GSV_label\">\n                                        <input id=\"send_adult_enrolment_visa_GSV\" type=\"radio\" name=\"visa\" value=\"GSV\" ><b>\n                                            GSV \u2013 General Student Visa <\/b> \u2013 valid for more than 6 months, can be extended but you\n                                            cannot work while in the UK.\n                                    <\/label>\n                                <\/div>\n                                <div class=\"form-group col-md-12\">\n                                    <label class=\"form-check-label\" id=\"send_adult_enrolment_visa_STSV2_label\">\n                                        <input id=\"send_adult_enrolment_visa_STSV2\" type=\"radio\" name=\"visa\" value=\"STSV2\" > <b>\n                                            STSV \u2013 Short-term study visa <\/b>\u2013 for English language courses for students aged 18 plus.\n                                            Visa is only valid for between 6 and 11 months and cannot be extended and you cannot work while\n                                            in the UK.\n                                    <\/label>\n                                <\/div>\n                                <div class=\"form-group col-md-12\">\n                                    <label for=\"tier4_general\">\n                                    <input id=\"tier4_general\" type=\"radio\" name=\"visa\" value=\"tier4_general\" > <b> Tier\n                                    4 <\/b> (General)\n                                    <\/label>\n                                <\/div>\n                                    \n                                <div class=\"form-group col-md-12\">\n                                    <label class=\"form-check-label\">Which country are you currently living in? <\/label>\n                                    <select name=\"living_country_id\" required=\"\" aria-required=\"true\">\n                                        <option disabled=\"\" selected=\"\">Select one country from the list, please.<\/option>\n                                                                                    <option  value=\"1\">\u7f8e\u56fd<\/option>\n                                                                                    <option  value=\"2\">\u52a0\u62ff\u5927<\/option>\n                                                                                    <option  value=\"3\">\u963f\u5bcc\u6c57<\/option>\n                                                                                    <option  value=\"4\">\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option>\n                                                                                    <option  value=\"5\">\u963f\u5c14\u53ca\u5229\u4e9a<\/option>\n                                                                                    <option  value=\"6\">American Samoa<\/option>\n                                                                                    <option  value=\"7\">\u5b89\u9053\u5c14<\/option>\n                                                                                    <option  value=\"8\">\u5b89\u54e5\u62c9<\/option>\n                                                                                    <option  value=\"9\">Anguilla<\/option>\n                                                                                    <option  value=\"10\">Antarctica<\/option>\n                                                                                    <option  value=\"11\">Antigua and\/or Barbuda<\/option>\n                                                                                    <option  value=\"12\">\u963f\u6839\u5ef7<\/option>\n                                                                                    <option  value=\"13\">\u4e9a\u7f8e\u5c3c\u4e9a<\/option>\n                                                                                    <option  value=\"14\">Aruba<\/option>\n                                                                                    <option  value=\"15\">\u6fb3\u5927\u5229\u4e9a<\/option>\n                                                                                    <option  value=\"16\">\u5965\u5730\u5229<\/option>\n                                                                                    <option  value=\"17\">\u963f\u585e\u62dc\u7586<\/option>\n                                                                                    <option  value=\"18\">Bahamas<\/option>\n                                                                                    <option  value=\"19\">\u5df4\u6797<\/option>\n                                                                                    <option  value=\"20\">\u5b5f\u52a0\u62c9\u56fd<\/option>\n                                                                                    <option  value=\"21\">\u5df4\u5df4\u591a\u65af<\/option>\n                                                                                    <option  value=\"22\">\u767d\u4fc4\u7f57\u65af<\/option>\n                                                                                    <option  value=\"23\">\u6bd4\u5229\u65f6<\/option>\n                                                                                    <option  value=\"24\">\u4f2f\u5229\u5179<\/option>\n                                                                                    <option  value=\"25\">\u8d1d\u5b81<\/option>\n                                                                                    <option  value=\"26\">Bermuda<\/option>\n                                                                                    <option  value=\"27\">\u4e0d\u4e39<\/option>\n                                                                                    <option  value=\"28\">\u73bb\u5229\u7ef4\u4e9a<\/option>\n                                                                                    <option  value=\"29\">\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option>\n                                                                                    <option  value=\"30\">\u535a\u8328\u74e6\u7eb3<\/option>\n                                                                                    <option  value=\"31\">Bouvet Island<\/option>\n                                                                                    <option  value=\"32\">\u5df4\u897f<\/option>\n                                                                                    <option  value=\"33\">British lndian Ocean Territory<\/option>\n                                                                                    <option  value=\"34\">Brunei Darussalam<\/option>\n                                                                                    <option  value=\"35\">\u4fdd\u52a0\u5229\u4e9a<\/option>\n                                                                                    <option  value=\"36\">\u5e03\u57fa\u7eb3\u6cd5\u7d22<\/option>\n                                                                                    <option  value=\"37\">\u5e03\u9686\u8fea<\/option>\n                                                                                    <option  value=\"38\">\u67ec\u57d4\u5be8<\/option>\n                                                                                    <option  value=\"39\">\u5580\u9ea6\u9686<\/option>\n                                                                                    <option  value=\"40\">\u4f5b\u5f97\u89d2<\/option>\n                                                                                    <option  value=\"41\">Cayman Islands<\/option>\n                                                                                    <option  value=\"42\">\u4e2d\u975e\u5171\u548c\u56fd<\/option>\n                                                                                    <option  value=\"43\">\u4e4d\u5f97<\/option>\n                                                                                    <option  value=\"44\">\u667a\u5229<\/option>\n                                                                                    <option  value=\"45\">\u4e2d\u56fd<\/option>\n                                                                                    <option  value=\"46\">Christmas Island<\/option>\n                                                                                    <option  value=\"47\">Cocos (Keeling) Islands<\/option>\n                                                                                    <option  value=\"48\">\u54e5\u4f26\u6bd4\u4e9a<\/option>\n                                                                                    <option  value=\"49\">\u79d1\u6469\u7f57<\/option>\n                                                                                    <option  value=\"50\">Congo<\/option>\n                                                                                    <option  value=\"51\">Cook Islands<\/option>\n                                                                                    <option  value=\"52\">\u54e5\u65af\u8fbe\u9ece\u52a0<\/option>\n                                                                                    <option  value=\"53\">Croatia (Hrvatska)<\/option>\n                                                                                    <option  value=\"54\">\u53e4\u5df4<\/option>\n                                                                                    <option  value=\"55\">\u585e\u6d66\u8def\u65af<\/option>\n                                                                                    <option  value=\"56\">\u6377\u514b\u5171\u548c\u56fd<\/option>\n                                                                                    <option  value=\"57\">Democratic Republic of Congo<\/option>\n                                                                                    <option  value=\"58\">\u4e39\u9ea6<\/option>\n                                                                                    <option  value=\"59\">\u5409\u5e03\u63d0<\/option>\n                                                                                    <option  value=\"60\">\u591a\u7c73\u5c3c\u514b<\/option>\n                                                                                    <option  value=\"61\">\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option>\n                                                                                    <option  value=\"62\">East Timor<\/option>\n                                                                                    <option  value=\"63\">Ecudaor<\/option>\n                                                                                    <option  value=\"64\">\u57c3\u53ca<\/option>\n                                                                                    <option  value=\"65\">\u8428\u5c14\u74e6\u591a<\/option>\n                                                                                    <option  value=\"66\">\u8d64\u9053\u51e0\u5185\u4e9a<\/option>\n                                                                                    <option  value=\"67\">\u5384\u7acb\u7279\u91cc\u4e9a<\/option>\n                                                                                    <option  value=\"68\">\u7231\u6c99\u5c3c\u4e9a<\/option>\n                                                                                    <option  value=\"69\">\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option>\n                                                                                    <option  value=\"70\">Falkland Islands (Malvinas)<\/option>\n                                                                                    <option  value=\"71\">Faroe Islands<\/option>\n                                                                                    <option  value=\"72\">\u6590\u6d4e<\/option>\n                                                                                    <option  value=\"73\">\u82ac\u5170<\/option>\n                                                                                    <option  value=\"74\">\u6cd5\u56fd<\/option>\n                                                                                    <option  value=\"75\">France, Metropolitan<\/option>\n                                                                                    <option  value=\"76\">French Guiana<\/option>\n                                                                                    <option  value=\"77\">French Polynesia<\/option>\n                                                                                    <option  value=\"78\">French Southern Territories<\/option>\n                                                                                    <option  value=\"79\">\u52a0\u84ec<\/option>\n                                                                                    <option  value=\"80\">Gambia<\/option>\n                                                                                    <option  value=\"81\">\u4e54\u6cbb\u4e9a\u5dde<\/option>\n                                                                                    <option  value=\"82\">\u5fb7\u56fd<\/option>\n                                                                                    <option  value=\"83\">\u52a0\u7eb3<\/option>\n                                                                                    <option  value=\"84\">Gibraltar<\/option>\n                                                                                    <option  value=\"85\">\u5e0c\u814a<\/option>\n                                                                                    <option  value=\"86\">Greenland<\/option>\n                                                                                    <option  value=\"87\">\u683c\u6797\u7eb3\u8fbe<\/option>\n                                                                                    <option  value=\"88\">Guadeloupe<\/option>\n                                                                                    <option  value=\"89\">Guam<\/option>\n                                                                                    <option  value=\"90\">\u5371\u5730\u9a6c\u62c9<\/option>\n                                                                                    <option  value=\"91\">\u51e0\u5185\u4e9a<\/option>\n                                                                                    <option  value=\"92\">\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option>\n                                                                                    <option  value=\"93\">\u572d\u4e9a\u90a3<\/option>\n                                                                                    <option  value=\"94\">\u6d77\u5730<\/option>\n                                                                                    <option  value=\"95\">Heard and Mc Donald Islands<\/option>\n                                                                                    <option  value=\"96\">\u6d2a\u90fd\u62c9\u65af<\/option>\n                                                                                    <option  value=\"97\">\u9999\u6e2f<\/option>\n                                                                                    <option  value=\"98\">\u5308\u7259\u5229<\/option>\n                                                                                    <option  value=\"99\">\u51b0\u5c9b<\/option>\n                                                                                    <option  value=\"100\">\u5370\u5ea6<\/option>\n                                                                                    <option  value=\"101\">\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option>\n                                                                                    <option  value=\"102\">Iran (Islamic Republic of)<\/option>\n                                                                                    <option  value=\"103\">\u4f0a\u62c9\u514b<\/option>\n                                                                                    <option  value=\"104\">\u7231\u5c14\u5170<\/option>\n                                                                                    <option  value=\"105\">\u4ee5\u8272\u5217<\/option>\n                                                                                    <option  value=\"106\">\u610f\u5927\u5229<\/option>\n                                                                                    <option  value=\"107\">Ivory Coast<\/option>\n                                                                                    <option  value=\"108\">\u7259\u4e70\u52a0<\/option>\n                                                                                    <option  value=\"109\">\u65e5\u672c<\/option>\n                                                                                    <option  value=\"110\">\u7ea6\u65e6<\/option>\n                                                                                    <option  value=\"111\">\u54c8\u8428\u514b\u65af\u5766<\/option>\n                                                                                    <option  value=\"112\">\u80af\u5c3c\u4e9a<\/option>\n                                                                                    <option  value=\"113\">\u57fa\u91cc\u5df4\u65af<\/option>\n                                                                                    <option  value=\"114\">Korea, Democratic People's Republic of<\/option>\n                                                                                    <option  value=\"115\">Korea, Republic of<\/option>\n                                                                                    <option  value=\"116\">\u79d1\u5a01\u7279<\/option>\n                                                                                    <option  value=\"117\">\u5409\u5c14\u5409\u65af\u65af\u5766<\/option>\n                                                                                    <option  value=\"118\">Lao People's Democratic Republic<\/option>\n                                                                                    <option  value=\"119\">\u62c9\u8131\u7ef4\u4e9a<\/option>\n                                                                                    <option  value=\"120\">\u9ece\u5df4\u5ae9<\/option>\n                                                                                    <option  value=\"121\">\u83b1\u7d22\u6258<\/option>\n                                                                                    <option  value=\"122\">\u5229\u6bd4\u91cc\u4e9a<\/option>\n                                                                                    <option  value=\"123\">Libyan Arab Jamahiriya<\/option>\n                                                                                    <option  value=\"124\">\u5217\u652f\u6566\u58eb\u767b<\/option>\n                                                                                    <option  value=\"125\">\u7acb\u9676\u5b9b<\/option>\n                                                                                    <option  value=\"126\">\u5362\u68ee\u5821<\/option>\n                                                                                    <option  value=\"127\">\u6fb3\u95e8<\/option>\n                                                                                    <option  value=\"128\">\u9a6c\u5176\u987f<\/option>\n                                                                                    <option  value=\"129\">\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option>\n                                                                                    <option  value=\"130\">\u9a6c\u62c9\u7ef4<\/option>\n                                                                                    <option  value=\"131\">\u9a6c\u6765\u897f\u4e9a<\/option>\n                                                                                    <option  value=\"132\">\u9a6c\u5c14\u4ee3\u592b<\/option>\n                                                                                    <option  value=\"133\">\u9a6c\u91cc<\/option>\n                                                                                    <option  value=\"134\">\u9a6c\u8033\u4ed6<\/option>\n                                                                                    <option  value=\"135\">\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option>\n                                                                                    <option  value=\"136\">Martinique<\/option>\n                                                                                    <option  value=\"137\">\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option>\n                                                                                    <option  value=\"138\">\u6bdb\u91cc\u6c42\u65af<\/option>\n                                                                                    <option  value=\"139\">Mayotte<\/option>\n                                                                                    <option  value=\"140\">\u58a8\u897f\u54e5<\/option>\n                                                                                    <option  value=\"141\">Micronesia, Federated States of<\/option>\n                                                                                    <option  value=\"142\">Moldova, Republic of<\/option>\n                                                                                    <option  value=\"143\">\u6469\u7eb3\u54e5<\/option>\n                                                                                    <option  value=\"144\">\u8499\u53e4<\/option>\n                                                                                    <option  value=\"145\">Montserrat<\/option>\n                                                                                    <option  value=\"146\">\u6469\u6d1b\u54e5<\/option>\n                                                                                    <option  value=\"147\">\u83ab\u6851\u6bd4\u514b<\/option>\n                                                                                    <option  value=\"148\">Myanmar<\/option>\n                                                                                    <option  value=\"149\">\u7eb3\u7c73\u6bd4\u4e9a<\/option>\n                                                                                    <option  value=\"150\">\u7459\u9c81<\/option>\n                                                                                    <option  value=\"151\">\u5c3c\u6cca\u5c14<\/option>\n                                                                                    <option  value=\"152\">\u8377\u5170<\/option>\n                                                                                    <option  value=\"153\">\u8377\u5c5e\u5b89\u7684\u5217\u65af<\/option>\n                                                                                    <option  value=\"154\">New Caledonia<\/option>\n                                                                                    <option  value=\"155\">\u65b0\u897f\u5170<\/option>\n                                                                                    <option  value=\"156\">\u5c3c\u52a0\u62c9\u74dc<\/option>\n                                                                                    <option  value=\"157\">\u5c3c\u65e5\u5c14<\/option>\n                                                                                    <option  value=\"158\">\u5c3c\u65e5\u5229\u4e9a<\/option>\n                                                                                    <option  value=\"159\">Niue<\/option>\n                                                                                    <option  value=\"160\">Norfork Island<\/option>\n                                                                                    <option  value=\"161\">Northern Mariana Islands<\/option>\n                                                                                    <option  value=\"162\">\u632a\u5a01<\/option>\n                                                                                    <option  value=\"163\">\u963f\u66fc<\/option>\n                                                                                    <option  value=\"164\">\u5df4\u57fa\u65af\u5766<\/option>\n                                                                                    <option  value=\"165\">\u5e15\u52b3<\/option>\n                                                                                    <option  value=\"166\">\u5df4\u62ff\u9a6c<\/option>\n                                                                                    <option  value=\"167\">\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option>\n                                                                                    <option  value=\"168\">\u5df4\u62c9\u572d<\/option>\n                                                                                    <option  value=\"169\">\u79d8\u9c81<\/option>\n                                                                                    <option  value=\"170\">\u83f2\u5f8b\u5bbe<\/option>\n                                                                                    <option  value=\"171\">Pitcairn<\/option>\n                                                                                    <option  value=\"172\">\u6ce2\u5170<\/option>\n                                                                                    <option  value=\"173\">\u8461\u8404\u7259<\/option>\n                                                                                    <option  value=\"174\">Puerto Rico<\/option>\n                                                                                    <option  value=\"175\">\u5361\u5854\u5c14<\/option>\n                                                                                    <option  value=\"176\">Republic of South Sudan<\/option>\n                                                                                    <option  value=\"177\">Reunion<\/option>\n                                                                                    <option  value=\"178\">\u7f57\u9a6c\u5c3c\u4e9a<\/option>\n                                                                                    <option  value=\"179\">Russian Federation<\/option>\n                                                                                    <option  value=\"180\">\u5362\u65fa\u8fbe<\/option>\n                                                                                    <option  value=\"181\">\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option>\n                                                                                    <option  value=\"182\">\u5723\u5362\u897f\u4e9a<\/option>\n                                                                                    <option  value=\"183\">\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option>\n                                                                                    <option  value=\"184\">\u8428\u6469\u4e9a<\/option>\n                                                                                    <option  value=\"185\">\u5723\u9a6c\u529b\u8bfa<\/option>\n                                                                                    <option  value=\"186\">\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option>\n                                                                                    <option  value=\"187\">\u6c99\u7279\u963f\u62c9\u4f2f<\/option>\n                                                                                    <option  value=\"188\">\u585e\u5185\u52a0\u5c14<\/option>\n                                                                                    <option  value=\"189\">\u585e\u5c14\u7ef4\u4e9a<\/option>\n                                                                                    <option  value=\"190\">\u585e\u820c\u5c14<\/option>\n                                                                                    <option  value=\"191\">\u585e\u62c9\u5229\u6602<\/option>\n                                                                                    <option  value=\"192\">\u65b0\u52a0\u5761<\/option>\n                                                                                    <option  value=\"193\">\u65af\u6d1b\u4f10\u514b<\/option>\n                                                                                    <option  value=\"194\">\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option>\n                                                                                    <option  value=\"195\">\u6240\u7f57\u95e8\u7fa4\u5c9b<\/option>\n                                                                                    <option  value=\"196\">\u7d22\u9a6c\u91cc<\/option>\n                                                                                    <option  value=\"197\">\u5357\u975e<\/option>\n                                                                                    <option  value=\"198\">South Georgia South Sandwich Islands<\/option>\n                                                                                    <option  value=\"199\">\u897f\u73ed\u7259<\/option>\n                                                                                    <option  value=\"200\">\u65af\u91cc\u5170\u5361<\/option>\n                                                                                    <option  value=\"201\">St. Helena<\/option>\n                                                                                    <option  value=\"202\">St. Pierre and Miquelon<\/option>\n                                                                                    <option  value=\"203\">\u82cf\u4e39<\/option>\n                                                                                    <option  value=\"204\">\u82cf\u91cc\u5357<\/option>\n                                                                                    <option  value=\"205\">Svalbarn and Jan Mayen Islands<\/option>\n                                                                                    <option  value=\"206\">\u65af\u5a01\u58eb\u5170<\/option>\n                                                                                    <option  value=\"207\">\u745e\u5178<\/option>\n                                                                                    <option  value=\"208\">\u745e\u58eb<\/option>\n                                                                                    <option  value=\"209\">Syrian Arab Republic<\/option>\n                                                                                    <option  value=\"210\">\u53f0\u6e7e<\/option>\n                                                                                    <option  value=\"211\">\u5854\u5409\u514b\u65af\u5766<\/option>\n                                                                                    <option  value=\"212\">Tanzania, United Republic of<\/option>\n                                                                                    <option  value=\"213\">\u6cf0\u56fd<\/option>\n                                                                                    <option  value=\"214\">\u591a\u54e5<\/option>\n                                                                                    <option  value=\"215\">Tokelau<\/option>\n                                                                                    <option  value=\"216\">\u6c64\u52a0<\/option>\n                                                                                    <option  value=\"217\">\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option>\n                                                                                    <option  value=\"218\">\u7a81\u5c3c\u65af<\/option>\n                                                                                    <option  value=\"219\">\u706b\u9e21<\/option>\n                                                                                    <option  value=\"220\">\u571f\u5e93\u66fc\u65af\u5766<\/option>\n                                                                                    <option  value=\"221\">Turks and Caicos Islands<\/option>\n                                                                                    <option  value=\"222\">\u56fe\u74e6\u5362<\/option>\n                                                                                    <option  value=\"223\">\u4e4c\u5e72\u8fbe<\/option>\n                                                                                    <option  value=\"224\">\u4e4c\u514b\u5170<\/option>\n                                                                                    <option  value=\"225\">\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option>\n                                                                                    <option  value=\"226\">\u82f1\u56fd<\/option>\n                                                                                    <option  value=\"227\">United States minor outlying islands<\/option>\n                                                                                    <option  value=\"228\">\u4e4c\u62c9\u572d<\/option>\n                                                                                    <option  value=\"229\">\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option>\n                                                                                    <option  value=\"230\">\u74e6\u52aa\u963f\u56fe<\/option>\n                                                                                    <option  value=\"231\">Vatican City State<\/option>\n                                                                                    <option  value=\"232\">\u59d4\u5185\u745e\u62c9<\/option>\n                                                                                    <option  value=\"233\">\u8d8a\u5357<\/option>\n                                                                                    <option  value=\"234\">Virgin Islands (British)<\/option>\n                                                                                    <option  value=\"235\">Virgin Islands (U.S.)<\/option>\n                                                                                    <option  value=\"236\">Wallis and Futuna Islands<\/option>\n                                                                                    <option  value=\"237\">Western Sahara<\/option>\n                                                                                    <option  value=\"238\">\u4e5f\u95e8<\/option>\n                                                                                    <option  value=\"239\">Yugoslavia<\/option>\n                                                                                    <option  value=\"240\">Zaire<\/option>\n                                                                                    <option  value=\"241\">\u8d5e\u6bd4\u4e9a<\/option>\n                                                                                    <option  value=\"242\">\u6d25\u5df4\u5e03\u97e6<\/option>\n                                                                                    <option  value=\"243\">Palestine<\/option>\n                                                                            <\/select>\n                                <\/div>\n                                \n                            <\/div>\n                            <div class=\"form-row\">\n                                <div class=\"form-group  col-md-6\">\n                                    <label class=\"form-check-label\">If you were not born in the UK, when did you last enter the UK\n                                    (MM\/YYYY)? <\/label>\n                                    <input name=\"last_date_uk\" value=\"\" type=\"month\" class=\"form-control\">\n                                <\/div>\n                                \n                                <div class=\"form-group  col-md-6\">\n                                    <label class=\"form-check-label\"> Have you previously been refused a visa application to the UK? <\/label>\n                                    <div class=\"form-group\">\n                                        <span><input type=\"radio\" name=\"previously_refused\" value=\"1\" > \u662f\u7684 <\/span>&nbsp;\n                                        <span>   <input  type=\"radio\" name=\"previously_refused\" value=\"0\"> \u4e0d<\/span>\n                                    <\/div>\n                                <\/div>\n                            <\/div>\n                            \n                            \n                            <div class=\"form-row\">\n                                <div class=\"form-group  col-md-12\">\n                                    <h3>Sponsorship<\/h3>\n                                    <span>Will your study be funded in part or full by a sponsor? <\/span>\n                                    <span> <input id=\"send_adult_enrolment_sponsored_yes\" type=\"radio\" name=\"sponsored\" value=\"1\" > \u662f\u7684<\/span>&nbsp;\n                                    <span><input id=\"send_adult_enrolment_sponsored_no\"  type=\"radio\" name=\"sponsored\" value=\"0\"> \u4e0d<\/span>\n                                <\/div>\n                                <div class=\"form-group  col-md-6\">\n                                    <label>Sponsor's Name<\/label>\n                                    <input maxlength=\"127\" name=\"sponsor_name\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Sponsor Name\">\n                                <\/div>\n                                <div class=\"form-group  col-md-6\">\n                                    <label>Sponsor's Email<\/label>\n                                    <input maxlength=\"127\" name=\"sponsor_email\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Sponsor Email\">\n                                <\/div>\n                                <div class=\"form-group  col-md-12\">\n                                    <label>Sponsor's Address (Including Country &amp; Post Code)<\/label>\n                                    <textarea maxlength=\"127\" name=\"sponsor_address\" class=\"form-control\" placeholder=\"Sponsor Address\"> <\/textarea>\n                                <\/div>\n                                <div class=\"form-group  col-md-12\">\n                                    <span> Please tick the box to give your consent for BSMI to pass information about your application and to your sponsor. <\/span>\n                                    <span><input type=\"checkbox\" name=\"contact_sponsor_consent\" value=\"1\" > I agree<\/span>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                        <div class=\"form-row\">\n                            <div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t<div style=\"height: 1rem\"><\/div>\n                                <h3>Emergency Contact Details<\/h3>\n                            <\/div>\n                            <div style=\"height: 0.6rem\"><\/div>\n                            <div class=\"form-group col-md-12\">\n                                <h4>First Emergency Contact<\/h4>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_emg_name\">Name<\/label>\n\t\t\t\t\t\t\t\t<input required=\"\" id=\"send_adult_enrolment_emg_name\" name=\"emg_name\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Contact Full Name \" aria-required=\"true\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_emg_relationship\">Relationship<\/label>\n\t\t\t\t\t\t\t\t<input required=\"\" id=\"send_adult_enrolment_emg_relationship\" name=\"emg_relationship\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Relationship\" aria-required=\"true\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_emg_phone\">Telephone<\/label>\n\t\t\t\t\t\t\t\t<input required=\"\" id=\"send_adult_enrolment_emg_phone\" name=\"emg_phone\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Contact Number \" aria-required=\"true\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_emg_speaks_english\">Does this person speak English?<\/label>\n\t\t\t\t\t\t\t\t<select id=\"send_adult_enrolment_emg_speaks_english\" name=\"emg_speaks_english\" class=\"form-control\">\n\t\t\t\t\t\t\t\t\t<option  value=\"0\"> \u4e0d<\/option>\n\t\t\t\t\t\t\t\t\t<option  value=\"1\">\u662f\u7684<\/option>\n\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n                                <div style=\"height: 1rem\"><\/div>\n                                <h4>Second Emergency Contact<\/h4>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_emg_name_alt\">Name<\/label>\n\t\t\t\t\t\t\t\t<input required=\"\" id=\"send_adult_enrolment_emg_name_alt\" name=\"emg_name_alt\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Contact Full Name \" aria-required=\"true\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_emg_relationship_alt\">Relationship<\/label>\n\t\t\t\t\t\t\t\t<input required=\"\" id=\"send_adult_enrolment_emg_relationship_alt\" name=\"emg_relationship_alt\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Relationship\" aria-required=\"true\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_emg_phone_alt\">Telephone <\/label>\n\t\t\t\t\t\t\t\t<input required=\"\" id=\"send_adult_enrolment_emg_phone_alt\" name=\"emg_phone_alt\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Contact Number \" aria-required=\"true\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_emg_speaks_english_alt\">Does this person speak English?<\/label>\n\t\t\t\t\t\t\t\t<select id=\"send_adult_enrolment_emg_speaks_english_alt\" name=\"emg_speaks_english_alt\" class=\"form-control\">\n\t\t\t\t\t\t\t\t\t<option  value=\"0\">\u4e0d<\/option>\n\t\t\t\t\t\t\t\t\t<option  value=\"1\">\u662f\u7684<\/option>\n\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n                        <\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t<div class=\"col-md-12\">\n\t\t\t\t\t\t\t\t<div class=\"divider\" style=\"height: 1rem\"><\/div>\n\t\t\t\t\t\t\t\t<input type=\"button\"  step=\"3\"  id=\"thirdNext\" name=\"next\" class=\"next action-button next-clicks\" value=\"Next\" \/>\n\t\t\t\t\t\t\t\t<input type=\"button\" name=\"previous\" class=\"previous action-button-previous\" value=\"Previous\" \/>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<input type=\"button\"  step=\"3\"  id=\"thirdSave\"  class=\"btn btn-light btns-action saveforlater\" value=\"Save application for later\" \/>\n\t\t\t\t\t\t\t\t<span class=\"message-print\"><\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n                        \n                    <\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n        \n    <\/fieldset>                        <fieldset id=\"fieldset4\">\n    <div class=\"form-card\">\n        <div class=\"row\">\n            <div class=\"col-md-7\">\n                <!--h3 class=\"fs-title\">Accomodation \/ Additional info<\/h3-->\n            <\/div>\n            <div class=\"col-md-5\">\n                <h2 class=\"steps\">Step 4 - 4<\/h2>\n            <\/div>\n        <\/div>\n        <div class=\"tab\" style=\"display: block;\">\n            <div class=\"banner form enrolment\">\n                <div class=\"banner-form\" style=\"left: 0px; opacity: 1;\">\n                <div class=\"acc-section\">\n                        <div class=\"form-row\">\n                            \n                            <div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t<div class=\"form-row\">\n                                    <div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t\t\t<h3>Accommodation Requirements<\/h3>\n\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right: 2rem\"><label>Do you want BSMI to arrange accommodation for you?<\/label><\/span>\n\t\t\t\t\t\t\t\t\t\t<span>  <input id=\"send_adult_enrolment_accommodation_yes\" type=\"radio\" name=\"accommodation\"   value=\"1\"> \u662f\u7684<\/span> &nbsp;\n\t\t\t\t\t\t\t\t\t\t<span> <input id=\"send_adult_enrolment_accommodation_no\" type=\"radio\" name=\"accommodation\" value=\"0\" > \u4e0d<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n                            <\/div>\n                            \n                            <div class=\"bsmi_accommodation form-group col-md-12\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div style=\"height: 1rem\"><\/div>\n                                <div id=\"div_accommodation_1\" style=\"display: initial;\">\n                                    \n                                    <div class=\"form-row\">\n                                        <div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t\t\t\t<label> What kind of accommodation are you looking for? <\/label>\n\t\t\t\t\t\t\t\t\t\t\t<select name=\"accommodation_pricing_id\" id=\"accomPricing\" class=\"form-control rounded-0\">\n\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"\">- Select Accommodation -<\/option>\n\t\t\t\t\t\t\t\t\t\t\t<\/select>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"form-row\">\n                                        <div class=\"form-group col-md-6\">\n                                            <label for=\"accommodation_start_date\">\n                                            Accommodation Start Date <i style=\"font-size: smaller;\">(if\n                                            known)<\/i><\/label>\n                                            <input id=\"accommodation_start_date\" name=\"host_start_date\" value=\"\" type=\"date\" placeholder=\"dd\/mm\/yyyy\" class=\"form-control\" title=\"\">\n                                        <\/div>\n                                        <div class=\"form-group col-md-6\">\n                                            <label for=\"accommodation_end_date\">\n                                            Accommodation End Date <i style=\"font-size: smaller;\">(if known)<\/i><\/label>\n                                            <input id=\"accommodation_end_date\" name=\"host_end_date\" value=\"\" type=\"date\" placeholder=\"dd\/mm\/yyyy\" class=\"form-control\" title=\"\">\n                                        <\/div>\n                                        <div class=\"form-group col-md-12\" style=\"font-size: x-small;\">\n                                            Students must notify their host families of their arrival time at least 2 days before their\n                                            arrival date.\n                                        <\/div>\n                                    <\/div>\n                                <\/div>\n                                <br>\n                            \n                                <div class=\"divider\" style=\"height: 2rem\"><\/div>\n                                <div id=\"div_accommodation_2\" style=\"display: initial;\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t\t\t\t<h3>Student accommodation information<\/h3>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12\" id=\"smoke_div\">\n\t\t\t\t\t\t\t\t\t\t\t<!--NOT UNDER 18-->\n\t\t\t\t\t\t\t\t\t\t\t<label>Do you smoke?<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<span><input type=\"radio\" name=\"smoke\" value=\"Yes\" > \u662f\u7684<\/span>&nbsp;\n\t\t\t\t\t\t\t\t\t\t\t<span><input type=\"radio\" name=\"smoke\"  value=\"No\"> \u4e0d <\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n                                    \n\t\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t\t\t\t<label>Do you want a family with children?<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<span> <input type=\"radio\" name=\"children\" value=\"Yes\" > \u662f\u7684<\/span>&nbsp;\n\t\t\t\t\t\t\t\t\t\t\t<span><input type=\"radio\" name=\"children\" value=\"No\" > \u4e0d<\/span>&nbsp;\n\t\t\t\t\t\t\t\t\t\t\t<span><input type=\"radio\" name=\"children\"  value=\"Don't mind\"> I don't mind<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n                                    \n\t\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t\t\t\t<label>Do you want a family with a dog\/cat\/other animals?<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<span><input type=\"radio\" name=\"pets\" value=\"Yes\" > \u662f\u7684<\/span>&nbsp;\n\t\t\t\t\t\t\t\t\t\t\t<span><input type=\"radio\" name=\"pets\" value=\"No\"  > \u4e0d<\/span>&nbsp;\n\t\t\t\t\t\t\t\t\t\t\t<span> <input type=\"radio\" name=\"pets\"   value=\"Don't mind\"> I don't mind<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12 div_diet\">\n\t\t\t\t\t\t\t\t\t\t\t<label>Do you have a special diet?<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<span><input type=\"radio\" name=\"diet\" id=\"diet_yes\" value=\"1\" > \u662f\u7684  <\/span>&nbsp;\n\t\t\t\t\t\t\t\t\t\t\t<span>  <input type=\"radio\" name=\"diet\"  value=\"0\"> \u4e0d<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"div_diet_details\" class=\"form-row\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t\t\t\t\t<label class=\"small\" for=\"send_adult_enrolment_diet_details\">\n\t\t\t\t\t\t\t\t\t\t\tPlease give details below<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<textarea rows=\"8\" id=\"send_adult_enrolment_diet_details\" name=\"diet_details\" class=\"form-control\" maxlength=\"255\"><\/textarea>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div style=\"font-size: x-small;\">\n\t\t\t\t\t\t\t\t\t\t\tNOTE: There is \u00a330 per week supplement payable to accommodate any special\n\t\t\t\t\t\t\t\t\t\t\tdietary requirements\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n                                <\/div>\n                            <\/div>\n                            <div id=\"uk_accommodation\" class=\"form-group col-md-12\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"divider\" style=\"height: 2rem\"><\/div>\n                                <small>If you do not want BSMI to arrange your accommodation, please give us your\n                                address in the UK.\n                                <\/small>\n                                \n                                <h4>UK Home Address Details<\/h4>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"form-row\">\n                                \n\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_uk_address1\" id=\"send_adult_enrolment_uk_address1_label\">\n\t\t\t\t\t\t\t\t\t\tAddress 1<\/label>\n\t\t\t\t\t\t\t\t\t\t<input maxlength=\"127\" id=\"send_adult_enrolment_uk_address1\" name=\"uk_address1\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Address 1\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-6\"><label for=\"send_adult_enrolment_uk_address2\" id=\"send_adult_enrolment_uk_address2_label\">\n\t\t\t\t\t\t\t\t\t\tAddress 2<\/label>\n\t\t\t\t\t\t\t\t\t\t<input maxlength=\"127\" id=\"send_adult_enrolment_uk_address2\" name=\"uk_address2\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Address 2\">\n\t\t\t\t\t\t\t\t\t<\/div>\n                                <!-- <div class=\"form-group\">\n                                    <label for=\"send_adult_enrolment_uk_address3\" id=\"send_adult_enrolment_uk_address3_label\">\n                                    Address 3<\/label>\n                                    <input maxlength=\"127\" id=\"send_adult_enrolment_uk_address3\" name=\"uk_address3\" value=\"\" type=\"text\" class=\"form-control \" placeholder=\"Address 3\">\n                                <\/div> -->\n\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_uk_town\" id=\"send_adult_enrolment_uk_town_label\">\n\t\t\t\t\t\t\t\t\t\tTown\/City<\/label>\n\t\t\t\t\t\t\t\t\t\t<input maxlength=\"45\" id=\"send_adult_enrolment_uk_town\" name=\"uk_town\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Town\/City\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_uk_county\" id=\"send_adult_enrolment_uk_county_label\">\n\t\t\t\t\t\t\t\t\t\tCounty\/State<\/label>\n\t\t\t\t\t\t\t\t\t\t<input maxlength=\"45\" id=\"send_adult_enrolment_uk_county\" name=\"uk_county\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"County\/State\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-6\">\n\t\t\t\t\t\t\t\t\t\t<label for=\"send_adult_enrolment_uk_postcode\" id=\"send_adult_enrolment_uk_postcode_label\">\n\t\t\t\t\t\t\t\t\t\tPostcode<\/label>\n\t\t\t\t\t\t\t\t\t\t<input maxlength=\"45\" id=\"send_adult_enrolment_uk_postcode\" name=\"uk_postcode\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"Postcode\/Zipcode\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n                            <\/div>\n                        <\/div>\n                \n                    \n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"col-md-12\">\n                    <div class=\"form-row\">\n                        <div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t<div class=\"divider\" style=\"height: 2rem\"><\/div>\n                            <h3>Airport Transfer<\/h3>\n\t\t\t\t\t\t<\/div>\n                        \n                            <div class=\"form-group col-md-12\">\n                                <span style=\"margin-right: 2rem\">Do you require an airport transfer?<\/span>\n                                <span><input id=\"send_adult_enrolment_airport_yes\" type=\"radio\" name=\"airport\" value=\"1\"  >\n                                \u662f\u7684<\/span>\n                                <span> <input id=\"send_adult_enrolment_airport_no\" type=\"radio\" name=\"airport\" value=\"0\"  >\n                                \u4e0d<\/span>\n                            <\/div>\n                            <div id=\"div_airport\">\n                                <div class=\"form-row\">\n                                    <div class=\"form-group col-md-6\">\n                                        <label for=\"send_adult_enrolment_airport_name\" id=\"send_adult_enrolment_airport_name_label\">\n                                        Airport\n                                        <\/label>\n                                        <input maxlength=\"45\" id=\"send_adult_enrolment_airport_name\" name=\"airport_name\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"\">\n                                    <\/div>\n                                    <div class=\"form-group  col-md-6\">\n                                        <label for=\"send_adult_enrolment_flight_number\" id=\"send_adult_enrolment_flight_number_label\">\n                                        Flight Number\n                                        <\/label>\n                                        <input maxlength=\"45\" id=\"send_adult_enrolment_flight_number\" name=\"flight_number\" value=\"\" type=\"text\" class=\"form-control\" placeholder=\"\">\n                                    <\/div>\n                                <\/div>\n                                <div class=\"form-row\">\n                                    <div class=\"form-group col-md-6\">\n                                        <label for=\"send_adult_enrolment_flight_date\" id=\"send_adult_enrolment_flight_date_label\">\n                                        Flight Date<\/label>\n                                        <input id=\"send_adult_enrolment_flight_date\" name=\"flight_date\" value=\"\" type=\"date\" placeholder=\"dd\/mm\/yyyy\" max=\"2025-12-07\" min=\"2022-12-07\" class=\"form-control\" title=\"\">\n                                    <\/div>\n                                    <div class=\"form-group col-md-6\">\n                                        <label for=\"send_adult_enrolment_flight_time\">\n                                        Arrival Time<\/label>\n                                        <input id=\"send_adult_enrolment_flight_time\" name=\"flight_time\" value=\"\" type=\"time\" class=\"form-control\" placeholder=\"hh:mm\">\n                                    <\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n                                        <label for=\"send_adult_enrolment_return_details\" id=\"send_adult_enrolment_return_details_label\">\n                                        Return details<\/label>\n                                        <textarea id=\"send_adult_enrolment_return_details\" name=\"return_details\" class=\"form-control\" maxlength=\"127\"><\/textarea>\n                                    <\/div>\n                                <\/div>\n                                \n                              <\/div>      \n                            <\/div>\n                        <\/div>\n                    <\/div>\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"col-md-12\">\n\t\t\t\t\t\t\t<div class=\"divider\" style=\"height: 4rem\"><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t\t<h4>Other Information<\/h4>\n\t\t\t\t\t\t\t\t\t<div style=\"height: 1rem\"><\/div>\n\t\t\t\t\t\t\t\t\t<h5>Medical Conditions<\/h5>\n\t\t\t\t\t\t\t\t\t<div style=\"font-size: small\" class=\"form-group col-md-12\">\n\t\t\t\t\t\t\t\t\t\tBSMI welcomes applications from disabled international students and we encourage you to declare your\n\t\t\t\t\t\t\t\t\t\tdisability and your support needs as soon as possible. Telling us about your disability will not affect your selection as a student, but will\n\t\t\t\t\t\t\t\t\t\tenable us to work with you to assess your needs, plan your stay at the BSMI and inform you\n\t\t\t\t\t\t\t\t\t\tto what extent we can meet your requirements.<br>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div style=\"height: 1rem\"><\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12\">  \n\t\t\t\t\t\t\t\t\t<label>If you have a disability or medical condition that require any additional support please give details below:<\/label>\n\t\t\t\t\t\t\t\t\t<textarea class=\"form-control\" name=\"med_conditions\"><\/textarea>\n\t\t\t\t\t\t\t\t\t<div style=\"font-size: x-small;\">\n\t\t\t\t\t\t\t\t\t\tNOTE: If any physical or psychological condition, including diabetes,\n\t\t\t\t\t\t\t\t\t\tepilepsy, asthma, allergies, anorexia or bulimia is not disclosed on this\n\t\t\t\t\t\t\t\t\t\tEnrolment Form, students will be asked to leave the College and no fees will\n\t\t\t\t\t\t\t\t\t\tbe refunded.<br>\n\t\t\t\t\t\t\t\t\t\tPlease complete the\n\t\t\t\t\t\t\t\t\t\t<a class=\"links_policies\" style=\"font-size:small\" href=\"https:\/\/britishschoolofmarketing.com\/hub\/files\/Special_needs_and_disabilities_questionnaire.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t\t\t\tDisabilities Questionnaire Form<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"divider\" style=\"height: 2rem\"><\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"form-group col-md-12\">  \n\t\t\t\t\t\t\t\t\t<h3>Convictions<\/h3>\n\t\t\t\t\t\t\t\t\t<div style=\"font-size: small\" class=\"\">\n\t\t\t\t\t\t\t\t\t\tYou must inform us about any convictions you have that are not \u2018protected\u2019 as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013).<br>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div style=\"height: 1rem\"><\/div>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<span>  <label>Do you have an unspent conviction?<\/label><\/span>\n\t\t\t\t\t\t\t\t\t<span><input  type=\"radio\" name=\"convictions\" value=\"1\" aria-required=\"true\"> \u662f\u7684<\/span>\n\t\t\t\t\t\t\t\t\t<span><input  type=\"radio\" name=\"convictions\" value=\"0\"> \u4e0d<\/span>\n\t\t\t\t\t\t\t\t\t<div class=\"divider\" style=\"height: 2rem\"><\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n                    \n                    \n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"col-md-12\">\n                    \n                    <div class=\"form-row col-md-12\">\n                        <h4>How did you hear about BSMI?<\/h4>\n                        <div class=\"form-group col-md-12\">\n                            <select id=\"send_adult_enrolment_hear\" name=\"hear\" class=\"form-control wpforms-field\" required=\"\" aria-required=\"true\">\n                                <option disabled=\"\" selected=\"\" value=\"-1\">\n                                    Please select one from the list\n                                <\/option>\n                                <option value=\"Agents\" >\n                                    \u4ee3\u7406\u5546\n                                <\/option>\n                                <option value=\"Friend\" >\n                                    Friend\n                                <\/option>\n                                <option value=\"Google\" >\n                                    Google\n                                <\/option>\n                                <option value=\"Facebook\" >\n                                    Facebook\n                                <\/option>\n                                <option value=\"Instagram\" >\n                                    Instagram\n                                <\/option>\n                                <option value=\"LinkedIn\" >\n                                    LinkedIn\n                                <\/option>\n                                <option value=\"Internet\" >\n                                    Internet\n                                <\/option>\n                                <option value=\"British Council\" >\n                                    British Council\n                                <\/option>\n                                <option value=\"Others\" >\n                                    Others\n                                <\/option>\n                            <\/select>\n                        <\/div>\n                    <\/div>\n                    <div class=\"divider\" style=\"height: 2rem\"><\/div>\n                    <div class=\"form-row col-md-12\">\n                        \n                        <h4>Parental Permission<\/h4>\n                        <div style=\"font-size: 0.9rem;\"  class=\"form-group  col-md-12\">\n                            If you are under 18 years old, your parents\/guardian must fill up and sign this\n                            <a href=\"\/zh\/parental-consent\/\" target=\"parental\" style=\"color:red;font-style: italic;\">Parental permission form<\/a>\n                            . We will not process the application until the form has been read and\n                            signed.\n                            <\/div>\n                    <\/div>\n                    <div class=\"divider\" style=\"height: 2rem\"><\/div>\n                    <div class=\"form-row col-md-12\">\n                        <h4>Declaration<\/h4>\n                        \n                        <div class=\"form-group col-md-12\">\n                            <label for=\"why_english\">Please tell us why you would like to study this course.<\/label>\n                            <textarea rows=\"5\" id=\"why_english\" name=\"why_english\" class=\"form-control\" maxlength=\"127\"><\/textarea>\n                        <\/div>\n                        <div class=\"form-group col-md-12\">\n                            <label for=\"person_pay\">Who is paying your course fees?<\/label>\n                            <input required=\"\" minlength=\"2\" maxlength=\"127\" id=\"person_pay\" type=\"text\" name=\"person_pay\" value=\"\" class=\"form-control\" placeholder=\"\" aria-required=\"true\">\n                        <\/div>\n                        \n                    <\/div>\n                    \n                    \n                    <div class=\"divider\" style=\"height: 2rem\"><\/div>\n                    <div id=\"div_recaptcha\"><\/div>\n                    <!--\n                        <script src=\"https:\/\/www.google.com\/recaptcha\/api.js?onload=onloadCallback&render=explicit\"  async defer><\/script>\n                        <noscript>\n                        <iframe src=\"https:\/\/www.google.com\/recaptcha\/api\/noscript?k=6LevenYUAAAAAISovhZirALInmdCJpdnEGj7y1Yr\"\n                                height=\"300\" width=\"500\" frameborder=\"0\"><\/iframe><br>\n                        <textarea name=\"recaptcha_challenge_field\" rows=\"3\" cols=\"40\">\n                        <\/textarea>\n                        <input type=\"hidden\" name=\"recaptcha_response_field\"\n                            value=\"manual_challenge\">\n                        <\/noscript><br\/>\n                        -->\n                    <div class=\"form-row col-md-12\">\n                        <div class=\"form-group col-md-12\">\n                            <p><input id=\"accept_conditions\" name=\"accept_conditions\" type=\"checkbox\" value=\"1\" > I have\n                                read and understood\n                                the <a href=\"https:\/\/britishschoolofmarketing.com\/zh\/bsmi\/terms-and-conditions\/\" target=\"_blank\">Terms and Conditions<\/a>\n                            <\/p>\n                        <\/div>\n                        <div style=\"height: 1rem\"><\/div>\n                        \n                            <input type=\"button\"  step=\"4\"  id=\"fourthNext\" name=\"next\" class=\"next action-button next-clicks\" value=\"\u63d0\u4ea4\" \/>\n                        <input type=\"button\" name=\"previous\" class=\"previous action-button-previous\" value=\"Previous\" \/>\n                        <!--input type=\"button\"  step=\"4\"  id=\"fourthSave\"  class=\"btn btn-light btns-action saveforlater \" value=\"Save application for later\" \/-->\n                        <span class=\"message-print\"><\/span>\n                        \n                    <\/div>\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/fieldset>                                        \n                <input type=\"hidden\" name=\"trp-form-language\" value=\"zh\"\/><\/form>\n                <div class=\"loading_gif_div\" style=\"display: none;\">\n                    <span class=\"loading_gif\">\n                        <img  width=\"30\" src=\"https:\/\/britishschoolofmarketing.com\/wp-content\/plugins\/enrollment\/loading-gif.gif\">\n                    <\/span>\n            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