{"id":2485,"date":"2023-02-25T04:12:37","date_gmt":"2023-02-25T04:12:37","guid":{"rendered":"https:\/\/pexcellmanagement.com\/?page_id=2485"},"modified":"2023-03-28T11:22:56","modified_gmt":"2023-03-28T03:22:56","slug":"borang-pemohonan","status":"publish","type":"page","link":"https:\/\/pexcellmanagement.com\/ms\/borang-pemohonan\/","title":{"rendered":"Borang Pemohonan"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"2485\" class=\"elementor elementor-2485\" data-elementor-settings=\"{&quot;premium_particles_zindex&quot;:0,&quot;premium_particles_responsive&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e3c1f02 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"e3c1f02\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;premium_particles_zindex&quot;:0,&quot;premium_particles_responsive&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b76158e\" data-id=\"b76158e\" data-element_type=\"column\" data-settings=\"{&quot;premium_particles_zindex&quot;:0,&quot;premium_particles_responsive&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9c12fd4 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"9c12fd4\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.19.0 - 26-02-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Borang.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2043ac1 elementor-widget elementor-widget-houzez-property-breadcrumb\" data-id=\"2043ac1\" data-element_type=\"widget\" data-widget_type=\"houzez-property-breadcrumb.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"breadcrumb-wrap\"><ol class=\"breadcrumb\"><li class=\"breadcrumb-item\"><a href=\"https:\/\/pexcellmanagement.com\/ms\/\"><span>Home<\/span><\/a><\/li><li class=\"breadcrumb-item active\">Halaman<\/li><\/ol><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-814d267\" data-id=\"814d267\" data-element_type=\"column\" data-settings=\"{&quot;premium_particles_zindex&quot;:0,&quot;premium_particles_responsive&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-87a17a7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"87a17a7\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;premium_particles_zindex&quot;:0,&quot;premium_particles_responsive&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a53e75f\" data-id=\"a53e75f\" data-element_type=\"column\" data-settings=\"{&quot;premium_particles_zindex&quot;:0,&quot;premium_particles_responsive&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1d4099c elementor-widget elementor-widget-image\" data-id=\"1d4099c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.19.0 - 26-02-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"512\" height=\"211\" src=\"https:\/\/pexcellmanagement.com\/wp-content\/uploads\/2023\/02\/Logo-P-excell.png\" class=\"attachment-full size-full wp-image-2044\" alt=\"\" srcset=\"https:\/\/pexcellmanagement.com\/wp-content\/uploads\/2023\/02\/Logo-P-excell.png 512w, https:\/\/pexcellmanagement.com\/wp-content\/uploads\/2023\/02\/Logo-P-excell-300x124.png 300w, https:\/\/pexcellmanagement.com\/wp-content\/uploads\/2023\/02\/Logo-P-excell-496x204.png 496w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9b6db3 elementor-widget elementor-widget-heading\" data-id=\"b9b6db3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Borang Permohonan Pembelian Rumah Dibawah <br>P-Excell Management Sdn. Bhd.<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9508de elementor-widget elementor-widget-houzez-property-title elementor-page-title elementor-widget-heading\" data-id=\"e9508de\" data-element_type=\"widget\" data-widget_type=\"houzez-property-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"page-title\"><h1 class=\"property_title elementor-heading-title elementor-size-default\">Borang Pemohonan<\/h1><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c4b6ca5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c4b6ca5\" data-element_type=\"section\" data-settings=\"{&quot;premium_particles_zindex&quot;:0,&quot;premium_particles_responsive&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0f12aa0\" data-id=\"0f12aa0\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;premium_particles_zindex&quot;:0,&quot;premium_particles_responsive&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8d62937 elementor-widget elementor-widget-heading\" data-id=\"8d62937\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Sila lengkapkan borang dibawah :-<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1757a5a elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"1757a5a\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.19.0 - 26-02-2024 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#0c0d0e;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);flex-shrink:0}.elementor-widget-divider .elementor-icon{font-size:var(--divider-icon-size)}.elementor-widget-divider .elementor-divider-separator{display:flex;margin:0;direction:ltr}.elementor-widget-divider--view-line_icon .elementor-divider-separator,.elementor-widget-divider--view-line_text .elementor-divider-separator{align-items:center}.elementor-widget-divider--view-line_icon .elementor-divider-separator:after,.elementor-widget-divider--view-line_icon .elementor-divider-separator:before,.elementor-widget-divider--view-line_text .elementor-divider-separator:after,.elementor-widget-divider--view-line_text .elementor-divider-separator:before{display:block;content:\"\";border-block-end:0;flex-grow:1;border-block-start:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--element-align-left .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-left 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.elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-804f3ce elementor-widget elementor-widget-everest-forms\" data-id=\"804f3ce\" data-element_type=\"widget\" data-widget_type=\"everest-forms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"everest-forms\"><script type='text\/javascript'>\n\/* <![CDATA[ *\/\nvar evf_settings = {\"currency_code\":\"MYR\",\"currency_thousands\":\",\",\"currency_decimal\":\".\",\"currency_symbol\":\"RM\",\"currency_symbol_pos\":\"left\"}\n\/* ]]> *\/\n<\/script>\n<div class=\"evf-container default\" id=\"evf-4849\"><form id=\"evf-form-4849\" class=\"everest-form everest-form-sc-offline-form\" data-formid=\"4849\" data-ajax_submission=\"1\" data-keyboard_friendly_form=\"1\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/ms\/wp-json\/wp\/v2\/pages\/2485\" data-trp-original-action=\"\/ms\/wp-json\/wp\/v2\/pages\/2485\"><div class=\"evf-field-container\"><input type=\"hidden\" id=\"_wpnonce4849\" name=\"_wpnonce4849\" value=\"2ea5a0953a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ms\/wp-json\/wp\/v2\/pages\/2485\" \/><div class=\"evf-frontend-row\" data-row=\"row_4\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_es8WmpZYiJ-9-container\" class=\"evf-field evf-field-title form-row\" data-field-id=\"es8WmpZYiJ-9\"><h3 id=\"evf-4849-field_es8WmpZYiJ-9\" class=\"input-text\" name=\"everest_forms[form_fields][es8WmpZYiJ-9]\" conditional_id=\"es8WmpZYiJ-9\">MAKLUMAT PROJEK<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_1\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_Yz0oKVMQOO-1-container\" class=\"evf-field evf-field-select form-row validate-required everest-forms-trigger-conditional\" data-required-field-message=\"This field is required.\" data-field-id=\"Yz0oKVMQOO-1\"><label class=\"evf-field-label\" for=\"evf-4849-field_Yz0oKVMQOO-1\"><span class=\"evf-label\">Nama Projek<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><select id=\"evf-4849-field_Yz0oKVMQOO-1\" class=\"input-text evf-field-required\" name=\"everest_forms[form_fields][Yz0oKVMQOO-1]\" required=\"required\" conditional_id=\"Yz0oKVMQOO-1\" ><option value=\"-- Sila Pilih Projek --\" >-- Sila Pilih Projek --<\/option><option value=\"Projek Perumahan Batu Hampar (Hamparan)\" >Projek Perumahan Batu Hampar (Hamparan)<\/option><option value=\"Projek Perumahan KP Perdana Fasa 5D\" >Projek Perumahan KP Perdana Fasa 5D<\/option><option value=\"Projek Perumahan Taman Desa Tok Jamal\" >Projek Perumahan Taman Desa Tok Jamal<\/option><\/select><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_29peUk89W2-20-container\" class=\"evf-field evf-field-select form-row validate-required everest-forms-conditional-field\" data-required-field-message=\"This field is required.\" data-field-id=\"29peUk89W2-20\"><label class=\"evf-field-label\" for=\"evf-4849-field_29peUk89W2-20\"><span class=\"evf-label\">Jenis Rumah<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><select id=\"evf-4849-field_29peUk89W2-20\" class=\"input-text evf-field-required\" name=\"everest_forms[form_fields][29peUk89W2-20]\" required=\"required\" conditional_id=\"29peUk89W2-20\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;Yz0oKVMQOO-1&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;-- Sila Pilih Projek --&quot;}}},&quot;required&quot;:&quot;1&quot;}\" ><option value=\"-- Sila Pilih Jenis Rumah --\" >-- Sila Pilih Jenis Rumah --<\/option><\/select><\/div><div id=\"evf-4849-field_HIsBrCGZPq-2-container\" class=\"evf-field evf-field-select form-row validate-required everest-forms-conditional-field\" data-required-field-message=\"This field is required.\" data-field-id=\"HIsBrCGZPq-2\"><label class=\"evf-field-label\" for=\"evf-4849-field_HIsBrCGZPq-2\"><span class=\"evf-label\">Jenis Rumah<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><select id=\"evf-4849-field_HIsBrCGZPq-2\" class=\"input-text evf-field-required\" name=\"everest_forms[form_fields][HIsBrCGZPq-2]\" required=\"required\" conditional_id=\"HIsBrCGZPq-2\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;Yz0oKVMQOO-1&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Projek Perumahan Batu Hampar (Hamparan)&quot;}}},&quot;required&quot;:&quot;1&quot;}\" ><option value=\"\" class=\"placeholder\" disabled selected='selected'>-- Sila Pilih Jenis Rumah --<\/option><option value=\"Rumah Teres 1 Tingkat\" >Rumah Teres 1 Tingkat<\/option><\/select><\/div><div id=\"evf-4849-field_CCfhSU6iUy-17-container\" class=\"evf-field evf-field-select form-row validate-required everest-forms-conditional-field\" data-required-field-message=\"This field is required.\" data-field-id=\"CCfhSU6iUy-17\"><label class=\"evf-field-label\" for=\"evf-4849-field_CCfhSU6iUy-17\"><span class=\"evf-label\">Jenis Rumah<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><select id=\"evf-4849-field_CCfhSU6iUy-17\" class=\"input-text evf-field-required\" name=\"everest_forms[form_fields][CCfhSU6iUy-17]\" required=\"required\" conditional_id=\"CCfhSU6iUy-17\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;Yz0oKVMQOO-1&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Projek Perumahan KP Perdana Fasa 5D&quot;}}},&quot;required&quot;:&quot;1&quot;}\" ><option value=\"\" class=\"placeholder\" disabled selected='selected'>-- Sila Pilih Jenis Rumah --<\/option><option value=\"Rumah Berkembar 2 Tingkat (Daisy)\" >Rumah Berkembar 2 Tingkat (Daisy)<\/option><option value=\"Rumah Berkembar 2 Tingkat (Namesia)\" >Rumah Berkembar 2 Tingkat (Namesia)<\/option><option value=\"Rumah Berkembar 2 Tingkat (Camelia)\" >Rumah Berkembar 2 Tingkat (Camelia)<\/option><option value=\"Rumah Berkembar 2 Tingkat (Akasia)\" >Rumah Berkembar 2 Tingkat (Akasia)<\/option><\/select><\/div><div id=\"evf-4849-field_4MZCbqLQ9d-18-container\" class=\"evf-field evf-field-select form-row validate-required everest-forms-conditional-field\" data-required-field-message=\"This field is required.\" data-field-id=\"4MZCbqLQ9d-18\"><label class=\"evf-field-label\" for=\"evf-4849-field_4MZCbqLQ9d-18\"><span class=\"evf-label\">Jenis Rumah<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><select id=\"evf-4849-field_4MZCbqLQ9d-18\" class=\"input-text evf-field-required\" name=\"everest_forms[form_fields][4MZCbqLQ9d-18]\" required=\"required\" conditional_id=\"4MZCbqLQ9d-18\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;Yz0oKVMQOO-1&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Projek Perumahan Taman Desa Tok Jamal&quot;}}},&quot;required&quot;:&quot;1&quot;}\" ><option value=\"\" class=\"placeholder\" disabled selected='selected'>-- Sila Pilih Jenis Rumah --<\/option><option value=\"Rumah Teres 2 Tingkat\" >Rumah Teres 2 Tingkat<\/option><option value=\"Rumah Berkembar 2 Tingkat\" >Rumah Berkembar 2 Tingkat<\/option><\/select><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_5\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_3uXh68iHbA-14-container\" class=\"evf-field evf-field-title form-row\" data-field-id=\"3uXh68iHbA-14\"><h3 id=\"evf-4849-field_3uXh68iHbA-14\" class=\"input-text\" name=\"everest_forms[form_fields][3uXh68iHbA-14]\" conditional_id=\"3uXh68iHbA-14\">MAKLUMAT PERIBADI<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_2\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_lzoew4Jnu9-3-container\" class=\"evf-field evf-field-first-name form-row validate-required\" data-required-field-message=\"This field is required.\" data-field-id=\"lzoew4Jnu9-3\"><label class=\"evf-field-label\" for=\"evf-4849-field_lzoew4Jnu9-3\"><span class=\"evf-label\">Nama Penuh<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"text\" id=\"evf-4849-field_lzoew4Jnu9-3\" class=\"input-text\" name=\"everest_forms[form_fields][lzoew4Jnu9-3]\" placeholder=\"Sila Masukkan Nama Penuh Pemohon\" conditional_id=\"lzoew4Jnu9-3\" required><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_R7IHHIIrDt-111-container\" class=\"evf-field evf-field-text form-row validate-required\" data-required-field-message=\"This field is required.\" data-field-id=\"R7IHHIIrDt-111\"><label class=\"evf-field-label\" for=\"evf-4849-field_R7IHHIIrDt-111\"><span class=\"evf-label\">No. K\/P (Baru)<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"text\" id=\"evf-4849-field_R7IHHIIrDt-111\" class=\"input-text\" name=\"everest_forms[form_fields][R7IHHIIrDt-111]\" placeholder=\"Sila Masukkan No. K\/P (Baru), Cth : 010101115111\" conditional_id=\"R7IHHIIrDt-111\" required><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_6\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_04Dh8eSc3Z-6-container\" class=\"evf-field evf-field-address form-row validate-required\" data-required-field-message-address1=\"This field is required.\" data-required-field-message-city=\"This field is required.\" data-required-field-message-state=\"This field is required.\" data-required-field-message-postal=\"This field is required.\" data-required-field-message-country=\"This field is required.\" data-field-id=\"04Dh8eSc3Z-6\"><label class=\"evf-field-label\" for=\"evf-4849-field_04Dh8eSc3Z-6\"><span class=\"evf-label\">Alamat Tempat Tinggal<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input id=\"04Dh8eSc3Z-6\" type=\"hidden\" class=\"input-text evf-conditional-logic-holder\" conditional_rules=\"\" conditional_id=\"04Dh8eSc3Z-6\" \/><div class=\"everest-forms-field-row\" ><div ><input type=\"text\" id=\"evf-4849-field_04Dh8eSc3Z-6\" class=\"evf-field-address-address1 validate-required\" name=\"everest_forms[form_fields][04Dh8eSc3Z-6][address1]\" placeholder=\"Sila Masukkan Alamat\" required><label for=\"evf-4849-field_04Dh8eSc3Z-6\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Alamat<\/label><\/div><\/div><div class=\"everest-forms-field-row\"><div class=\"evf-field-row-block everest-forms-one-half everest-forms-first\"><input type=\"text\" id=\"evf-4849-field_04Dh8eSc3Z-6-city\" class=\"evf-field-address-city validate-required\" name=\"everest_forms[form_fields][04Dh8eSc3Z-6][city]\" placeholder=\"Sila Masukkan Daerah\" required><label for=\"evf-4849-field_04Dh8eSc3Z-6-city\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Bandar<\/label><\/div><div class=\"evf-field-row-block everest-forms-one-half\"><span class=\"evf-4849-field_04Dh8eSc3Z-6-state\"><select id=\"evf-4849-field_04Dh8eSc3Z-6-state\" class=\"evf-field-address-state validate-required\" name=\"everest_forms[form_fields][04Dh8eSc3Z-6][state]\" placeholder=\"-- Sila Pilih Negeri --\" required><option class=\"placeholder\" value=\"\" selected disabled>-- Sila Pilih Negeri --<\/option><option value=\"JHR\" >Johor<\/option><option value=\"KDH\" >Kedah<\/option><option value=\"KTN\" >Kelantan<\/option><option value=\"LBN\" >Labuan<\/option><option value=\"MLK\" >Malacca (Melaka)<\/option><option value=\"NSN\" >Negeri Sembilan<\/option><option value=\"PHG\" >Pahang<\/option><option value=\"PNG\" >Penang (Pulau Pinang)<\/option><option value=\"PRK\" >Perak<\/option><option value=\"PLS\" >Perlis<\/option><option value=\"SBH\" >Sabah<\/option><option value=\"SWK\" >Sarawak<\/option><option value=\"SGR\" >Selangor<\/option><option value=\"TRG\" >Terengganu<\/option><option value=\"PJY\" >Putrajaya<\/option><option value=\"KUL\" >Kuala Lumpur<\/option><\/select><\/span><label for=\"evf-4849-field_04Dh8eSc3Z-6-state\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Negeri<\/label><\/div><\/div><div class=\"everest-forms-field-row\"><div class=\"evf-field-row-block everest-forms-one-half everest-forms-first\"><input type=\"text\" id=\"evf-4849-field_04Dh8eSc3Z-6-postal\" class=\"evf-field-address-postal validate-required\" name=\"everest_forms[form_fields][04Dh8eSc3Z-6][postal]\" placeholder=\"Sila Masukkan Poskod\" required><label for=\"evf-4849-field_04Dh8eSc3Z-6-postal\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Poskod<\/label><\/div><\/div><\/div><div id=\"evf-4849-field_FXrNbPkmXQ-107-container\" class=\"evf-field evf-field-checkbox form-row everest-forms-trigger-conditional\" data-field-id=\"FXrNbPkmXQ-107\"><label class=\"evf-field-label\" for=\"evf-4849-field_FXrNbPkmXQ-107\"><span class=\"evf-label\">Berlainan Alamat Surat-Menyurat?<\/span> <\/label><ul id=\"evf-4849-field_FXrNbPkmXQ-107\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"evf-4849-field_FXrNbPkmXQ-107_1\" class=\"input-text\" name=\"everest_forms[form_fields][FXrNbPkmXQ-107][]\" value=\"Ya\" conditional_id=\"FXrNbPkmXQ-107\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_FXrNbPkmXQ-107_1\">Ya<\/label><\/li><\/ul><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_n82Daluf5Z-22-container\" class=\"evf-field evf-field-address form-row everest-forms-conditional-field\" data-field-id=\"n82Daluf5Z-22\"><label class=\"evf-field-label\" for=\"evf-4849-field_n82Daluf5Z-22\"><span class=\"evf-label\">Alamat Surat Menyurat<\/span> <\/label><input id=\"n82Daluf5Z-22\" type=\"hidden\" class=\"input-text evf-conditional-logic-holder\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;FXrNbPkmXQ-107&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Ya&quot;}}},&quot;required&quot;:0}\" conditional_id=\"n82Daluf5Z-22\" \/><div class=\"everest-forms-field-row\" ><div ><input type=\"text\" id=\"evf-4849-field_n82Daluf5Z-22\" class=\"evf-field-address-address1\" name=\"everest_forms[form_fields][n82Daluf5Z-22][address1]\" placeholder=\"Sila Masukkan Alamat Surat Menyurat\"   ><label for=\"evf-4849-field_n82Daluf5Z-22\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Alamat<\/label><\/div><\/div><div class=\"everest-forms-field-row\"><div class=\"evf-field-row-block everest-forms-one-half everest-forms-first\"><input type=\"text\" id=\"evf-4849-field_n82Daluf5Z-22-city\" class=\"evf-field-address-city\" name=\"everest_forms[form_fields][n82Daluf5Z-22][city]\" placeholder=\"Sila Masukkan Daerah Surat Menyurat\"  ><label for=\"evf-4849-field_n82Daluf5Z-22-city\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Bandar<\/label><\/div><div class=\"evf-field-row-block everest-forms-one-half\"><span class=\"evf-4849-field_n82Daluf5Z-22-state\"><select id=\"evf-4849-field_n82Daluf5Z-22-state\" class=\"evf-field-address-state\" name=\"everest_forms[form_fields][n82Daluf5Z-22][state]\" placeholder=\"-- Sila Pilih Negeri --\"  ><option class=\"placeholder\" value=\"\" selected disabled>-- Sila Pilih Negeri --<\/option><option value=\"JHR\" >Johor<\/option><option value=\"KDH\" >Kedah<\/option><option value=\"KTN\" >Kelantan<\/option><option value=\"LBN\" >Labuan<\/option><option value=\"MLK\" >Malacca (Melaka)<\/option><option value=\"NSN\" >Negeri Sembilan<\/option><option value=\"PHG\" >Pahang<\/option><option value=\"PNG\" >Penang (Pulau Pinang)<\/option><option value=\"PRK\" >Perak<\/option><option value=\"PLS\" >Perlis<\/option><option value=\"SBH\" >Sabah<\/option><option value=\"SWK\" >Sarawak<\/option><option value=\"SGR\" >Selangor<\/option><option value=\"TRG\" >Terengganu<\/option><option value=\"PJY\" >Putrajaya<\/option><option value=\"KUL\" >Kuala Lumpur<\/option><\/select><\/span><label for=\"evf-4849-field_n82Daluf5Z-22-state\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Negeri<\/label><\/div><\/div><div class=\"everest-forms-field-row\"><div class=\"evf-field-row-block everest-forms-one-half everest-forms-first\"><input type=\"text\" id=\"evf-4849-field_n82Daluf5Z-22-postal\" class=\"evf-field-address-postal\" name=\"everest_forms[form_fields][n82Daluf5Z-22][postal]\" placeholder=\"Sila Masukkan Poskod\"  ><label for=\"evf-4849-field_n82Daluf5Z-22-postal\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Poskod<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_7\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_ieLng1Dp65-33-container\" class=\"evf-field evf-field-phone form-row validate-required validate-phone everest-forms-trigger-conditional\" data-required-field-message=\"Please enter a valid phone number.\" data-field-id=\"ieLng1Dp65-33\"><label class=\"evf-field-label\" for=\"evf-4849-field_ieLng1Dp65-33\"><span class=\"evf-label\">No. Tel Bimbit<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"tel\" id=\"evf-4849-field_ieLng1Dp65-33\" class=\"input-text evf-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"everest_forms[form_fields][ieLng1Dp65-33]\" placeholder=\"Sila Masukkan No. Telefon Bimbit\" conditional_id=\"ieLng1Dp65-33\" required><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_Ku4dwiPw2Q-112-container\" class=\"evf-field evf-field-email form-row validate-required validate-email\" data-required-field-message=\"Please enter a valid email address.\" data-field-id=\"Ku4dwiPw2Q-112\"><label class=\"evf-field-label\" for=\"evf-4849-field_Ku4dwiPw2Q-112\"><span class=\"evf-label\">Email<\/span> <abbr class=\"required\" title=\"Required\">*<\/abbr><\/label><input type=\"email\" id=\"evf-4849-field_Ku4dwiPw2Q-112\" class=\"input-text\" name=\"everest_forms[form_fields][Ku4dwiPw2Q-112]\" placeholder=\"Sila Masukkan E-mail\" conditional_id=\"Ku4dwiPw2Q-112\" required><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_10\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_kAehaZmZ6I-36-container\" class=\"evf-field evf-field-date-time form-row\" data-field-id=\"kAehaZmZ6I-36\"><label class=\"evf-field-label\" for=\"evf-4849-field_kAehaZmZ6I-36\"><span class=\"evf-label\">Tarikh Lahir (d\/m\/Y)<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_kAehaZmZ6I-36\" class=\"flatpickr-field input-text\" name=\"everest_forms[form_fields][kAehaZmZ6I-36]\" placeholder=\"Sila Masukkan Tarikh Lahir\" data-time-interval=\"15\" data-date-time=\"date\" data-mode=\"single\" data-locale=\"en\" data-date-format=\"d\/m\/Y\" conditional_id=\"kAehaZmZ6I-36\"  ><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_XmA3FtslXF-35-container\" class=\"evf-field evf-field-text form-row\" data-field-id=\"XmA3FtslXF-35\"><label class=\"evf-field-label\" for=\"evf-4849-field_XmA3FtslXF-35\"><span class=\"evf-label\">Tempat Lahir<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_XmA3FtslXF-35\" class=\"input-text\" name=\"everest_forms[form_fields][XmA3FtslXF-35]\" placeholder=\"Sila Masukkan Tempat Lahir\" conditional_id=\"XmA3FtslXF-35\" ><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_8\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_gLxTkUdbfF-38-container\" class=\"evf-field evf-field-select form-row\" data-field-id=\"gLxTkUdbfF-38\"><label class=\"evf-field-label\" for=\"evf-4849-field_gLxTkUdbfF-38\"><span class=\"evf-label\">Jantina<\/span> <\/label><select id=\"evf-4849-field_gLxTkUdbfF-38\" class=\"input-text evf-enhanced-select\" data-placeholder=\"-- Sila Pilih Jantina --\" name=\"everest_forms[form_fields][gLxTkUdbfF-38]\" conditional_id=\"gLxTkUdbfF-38\" ><option value=\"\" class=\"placeholder\" disabled selected='selected'>-- Sila Pilih Jantina --<\/option><option value=\"-- Sila Pilih Jantina --\" >-- Sila Pilih Jantina --<\/option><option value=\"Lelaki\" >Lelaki<\/option><option value=\"Perempuan\" >Perempuan<\/option><option value=\"Lain-lain\" >Lain-lain<\/option><\/select><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_sjwXeKisXj-40-container\" class=\"evf-field evf-field-select form-row everest-forms-trigger-conditional\" data-field-id=\"sjwXeKisXj-40\"><label class=\"evf-field-label\" for=\"evf-4849-field_sjwXeKisXj-40\"><span class=\"evf-label\">Status Perkahwinan<\/span> <\/label><select id=\"evf-4849-field_sjwXeKisXj-40\" class=\"input-text evf-enhanced-select\" data-placeholder=\"-- Sila Pilih Status Perkahwinan --\" name=\"everest_forms[form_fields][sjwXeKisXj-40]\" conditional_id=\"sjwXeKisXj-40\" ><option value=\"\" class=\"placeholder\" disabled selected='selected'>-- Sila Pilih Status Perkahwinan --<\/option><option value=\"-- Sila Pilih Status Perkahwinan --\" >-- Sila Pilih Status Perkahwinan --<\/option><option value=\"Bujang\" >Bujang<\/option><option value=\"Berkahwin\" >Berkahwin<\/option><option value=\"Duda\" >Duda<\/option><option value=\"Janda\" >Janda<\/option><option value=\"Lain-lain\" >Lain-lain<\/option><\/select><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_9\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_uDViH3lMo5-37-container\" class=\"evf-field evf-field-select form-row everest-forms-trigger-conditional\" data-field-id=\"uDViH3lMo5-37\"><label class=\"evf-field-label\" for=\"evf-4849-field_uDViH3lMo5-37\"><span class=\"evf-label\">Bangsa<\/span> <\/label><select id=\"evf-4849-field_uDViH3lMo5-37\" class=\"input-text evf-enhanced-select\" data-placeholder=\"-- Sila Pilih Bangsa --\" name=\"everest_forms[form_fields][uDViH3lMo5-37]\" conditional_id=\"uDViH3lMo5-37\" ><option value=\"\" class=\"placeholder\" disabled selected='selected'>-- Sila Pilih Bangsa --<\/option><option value=\"-- Sila Pilih Bangsa --\" >-- Sila Pilih Bangsa --<\/option><option value=\"Melayu\" >Melayu<\/option><option value=\"Cina\" >Cina<\/option><option value=\"India\" >India<\/option><option value=\"Lain-lain\" >Lain-lain<\/option><\/select><\/div><div id=\"evf-4849-field_AfoMnmAE2d-39-container\" class=\"evf-field evf-field-text form-row everest-forms-conditional-field\" data-field-id=\"AfoMnmAE2d-39\"><label class=\"evf-field-label\" for=\"evf-4849-field_AfoMnmAE2d-39\"><span class=\"evf-label\">Nyatakan Bangsa<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_AfoMnmAE2d-39\" class=\"input-text\" name=\"everest_forms[form_fields][AfoMnmAE2d-39]\" placeholder=\"Sila Nyatakan Bangsa\" conditional_id=\"AfoMnmAE2d-39\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;uDViH3lMo5-37&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Lain-lain&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_wlJoTyM9jB-108-container\" class=\"evf-field evf-field-checkbox form-row everest-forms-trigger-conditional\" data-field-id=\"wlJoTyM9jB-108\"><label class=\"evf-field-label\" for=\"evf-4849-field_wlJoTyM9jB-108\"><span class=\"evf-label\">Permohonan Bersama<\/span> <\/label><ul id=\"evf-4849-field_wlJoTyM9jB-108\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"evf-4849-field_wlJoTyM9jB-108_1\" class=\"input-text\" name=\"everest_forms[form_fields][wlJoTyM9jB-108][]\" value=\"Ya\" conditional_id=\"wlJoTyM9jB-108\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_wlJoTyM9jB-108_1\">Ya<\/label><\/li><\/ul><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_13\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_nf5yZvPJ7t-109-container\" class=\"evf-field evf-field-title form-row everest-forms-conditional-field\" data-field-id=\"nf5yZvPJ7t-109\"><h3 id=\"evf-4849-field_nf5yZvPJ7t-109\" class=\"input-text\" name=\"everest_forms[form_fields][nf5yZvPJ7t-109]\" conditional_id=\"nf5yZvPJ7t-109\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;wlJoTyM9jB-108&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Ya&quot;}}},&quot;required&quot;:0}\">Sertakan Nama Kedua<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_11\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_KRS4mOl2sf-44-container\" class=\"evf-field evf-field-first-name form-row everest-forms-conditional-field\" data-field-id=\"KRS4mOl2sf-44\"><label class=\"evf-field-label\" for=\"evf-4849-field_KRS4mOl2sf-44\"><span class=\"evf-label\">Nama<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_KRS4mOl2sf-44\" class=\"input-text\" name=\"everest_forms[form_fields][KRS4mOl2sf-44]\" placeholder=\"Sila Masukkan Nama Kedua\" conditional_id=\"KRS4mOl2sf-44\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;wlJoTyM9jB-108&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Ya&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_3O3JVLGS2K-45-container\" class=\"evf-field evf-field-first-name form-row everest-forms-conditional-field\" data-field-id=\"3O3JVLGS2K-45\"><label class=\"evf-field-label\" for=\"evf-4849-field_3O3JVLGS2K-45\"><span class=\"evf-label\">No. K\/P (Baru)<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_3O3JVLGS2K-45\" class=\"input-text\" name=\"everest_forms[form_fields][3O3JVLGS2K-45]\" placeholder=\"Sila Masukkan No. K\/P Nama Kedua, Cth : 010101115111\" conditional_id=\"3O3JVLGS2K-45\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;wlJoTyM9jB-108&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Ya&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_14\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_ovYSgzp2OU-41-container\" class=\"evf-field evf-field-title form-row everest-forms-conditional-field\" data-field-id=\"ovYSgzp2OU-41\"><h3 id=\"evf-4849-field_ovYSgzp2OU-41\" class=\"input-text\" name=\"everest_forms[form_fields][ovYSgzp2OU-41]\" conditional_id=\"ovYSgzp2OU-41\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;sjwXeKisXj-40&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Berkahwin&quot;}}},&quot;required&quot;:0}\">Nyatakan Nama Pasangan :-<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_12\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_Mpf8Nad39E-42-container\" class=\"evf-field evf-field-first-name form-row everest-forms-conditional-field\" data-field-id=\"Mpf8Nad39E-42\"><label class=\"evf-field-label\" for=\"evf-4849-field_Mpf8Nad39E-42\"><span class=\"evf-label\">Nama Pasangan<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_Mpf8Nad39E-42\" class=\"input-text\" name=\"everest_forms[form_fields][Mpf8Nad39E-42]\" placeholder=\"Sila Masukkan Nama Pasangan\" conditional_id=\"Mpf8Nad39E-42\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;sjwXeKisXj-40&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Berkahwin&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_9TaNMSMtyj-46-container\" class=\"evf-field evf-field-first-name form-row everest-forms-conditional-field\" data-field-id=\"9TaNMSMtyj-46\"><label class=\"evf-field-label\" for=\"evf-4849-field_9TaNMSMtyj-46\"><span class=\"evf-label\">No. K\/P (Baru) Pasangan<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_9TaNMSMtyj-46\" class=\"input-text\" name=\"everest_forms[form_fields][9TaNMSMtyj-46]\" placeholder=\"Sila Masukkan No. K\/P Pasangan, Cth : 010101115111\" conditional_id=\"9TaNMSMtyj-46\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;sjwXeKisXj-40&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Berkahwin&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_16\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_DSKv1IZRGJ-48-container\" class=\"evf-field evf-field-date-time form-row everest-forms-conditional-field\" data-field-id=\"DSKv1IZRGJ-48\"><label class=\"evf-field-label\" for=\"evf-4849-field_DSKv1IZRGJ-48\"><span class=\"evf-label\">Tarikh Lahir<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_DSKv1IZRGJ-48\" class=\"flatpickr-field input-text\" name=\"everest_forms[form_fields][DSKv1IZRGJ-48]\" placeholder=\"Sila Masukkan Tarikh Lahir Pasangan\" data-time-interval=\"15\" data-date-time=\"date\" data-mode=\"single\" data-locale=\"en\" data-date-format=\"Y-m-d\" conditional_id=\"DSKv1IZRGJ-48\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;sjwXeKisXj-40&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Berkahwin&quot;}}},&quot;required&quot;:0}\"  ><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_NNU6vO5Ad0-49-container\" class=\"evf-field evf-field-text form-row everest-forms-conditional-field\" data-field-id=\"NNU6vO5Ad0-49\"><label class=\"evf-field-label\" for=\"evf-4849-field_NNU6vO5Ad0-49\"><span class=\"evf-label\">Tempat Lahir<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_NNU6vO5Ad0-49\" class=\"input-text\" name=\"everest_forms[form_fields][NNU6vO5Ad0-49]\" placeholder=\"Sila Masukkan Tempat Lahir Pasangan\" conditional_id=\"NNU6vO5Ad0-49\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;sjwXeKisXj-40&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Berkahwin&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_17\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_EVCDOUZXYF-50-container\" class=\"evf-field evf-field-title form-row\" data-field-id=\"EVCDOUZXYF-50\"><h3 id=\"evf-4849-field_EVCDOUZXYF-50\" class=\"input-text\" name=\"everest_forms[form_fields][EVCDOUZXYF-50]\" conditional_id=\"EVCDOUZXYF-50\">PEKERJAAN<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_18\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_pLlQlD52Vw-51-container\" class=\"evf-field evf-field-first-name form-row\" data-field-id=\"pLlQlD52Vw-51\"><label class=\"evf-field-label\" for=\"evf-4849-field_pLlQlD52Vw-51\"><span class=\"evf-label\">Pekerjaan \/ Jawatan Pemohon<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_pLlQlD52Vw-51\" class=\"input-text\" name=\"everest_forms[form_fields][pLlQlD52Vw-51]\" placeholder=\"Sila Masukkan Pekerjaan\" conditional_id=\"pLlQlD52Vw-51\" ><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_U6wIJbu2Tz-53-container\" class=\"evf-field evf-field-first-name form-row\" data-field-id=\"U6wIJbu2Tz-53\"><label class=\"evf-field-label\" for=\"evf-4849-field_U6wIJbu2Tz-53\"><span class=\"evf-label\">Nama Majikan<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_U6wIJbu2Tz-53\" class=\"input-text\" name=\"everest_forms[form_fields][U6wIJbu2Tz-53]\" placeholder=\"Sila Masukkan Nama Majikan\" conditional_id=\"U6wIJbu2Tz-53\" ><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_20\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_ARnbimXMwV-55-container\" class=\"evf-field evf-field-address form-row\" data-field-id=\"ARnbimXMwV-55\"><label class=\"evf-field-label\" for=\"evf-4849-field_ARnbimXMwV-55\"><span class=\"evf-label\">Alamat Majikan<\/span> <\/label><input id=\"ARnbimXMwV-55\" type=\"hidden\" class=\"input-text evf-conditional-logic-holder\" conditional_rules=\"\" conditional_id=\"ARnbimXMwV-55\" \/><div class=\"everest-forms-field-row\" ><div ><input type=\"text\" id=\"evf-4849-field_ARnbimXMwV-55\" class=\"evf-field-address-address1\" name=\"everest_forms[form_fields][ARnbimXMwV-55][address1]\" placeholder=\"Sila Masukkan Alamat\"   ><label for=\"evf-4849-field_ARnbimXMwV-55\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Alamat<\/label><\/div><\/div><div class=\"everest-forms-field-row\"><div class=\"evf-field-row-block everest-forms-one-half everest-forms-first\"><input type=\"text\" id=\"evf-4849-field_ARnbimXMwV-55-city\" class=\"evf-field-address-city\" name=\"everest_forms[form_fields][ARnbimXMwV-55][city]\" placeholder=\"Sila Masukkan Daerah\"  ><label for=\"evf-4849-field_ARnbimXMwV-55-city\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Bandar<\/label><\/div><div class=\"evf-field-row-block everest-forms-one-half\"><span class=\"evf-4849-field_ARnbimXMwV-55-state\"><select id=\"evf-4849-field_ARnbimXMwV-55-state\" class=\"evf-field-address-state\" name=\"everest_forms[form_fields][ARnbimXMwV-55][state]\" placeholder=\"-- Sila Pilih Negeri --\"  ><option class=\"placeholder\" value=\"\" selected disabled>-- Sila Pilih Negeri --<\/option><option value=\"JHR\" >Johor<\/option><option value=\"KDH\" >Kedah<\/option><option value=\"KTN\" >Kelantan<\/option><option value=\"LBN\" >Labuan<\/option><option value=\"MLK\" >Malacca (Melaka)<\/option><option value=\"NSN\" >Negeri Sembilan<\/option><option value=\"PHG\" >Pahang<\/option><option value=\"PNG\" >Penang (Pulau Pinang)<\/option><option value=\"PRK\" >Perak<\/option><option value=\"PLS\" >Perlis<\/option><option value=\"SBH\" >Sabah<\/option><option value=\"SWK\" >Sarawak<\/option><option value=\"SGR\" >Selangor<\/option><option value=\"TRG\" >Terengganu<\/option><option value=\"PJY\" >Putrajaya<\/option><option value=\"KUL\" >Kuala Lumpur<\/option><\/select><\/span><label for=\"evf-4849-field_ARnbimXMwV-55-state\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Negeri<\/label><\/div><\/div><div class=\"everest-forms-field-row\"><div class=\"evf-field-row-block everest-forms-one-half everest-forms-first\"><input type=\"text\" id=\"evf-4849-field_ARnbimXMwV-55-postal\" class=\"evf-field-address-postal\" name=\"everest_forms[form_fields][ARnbimXMwV-55][postal]\" placeholder=\"Sila Masukkan Poskod\"  ><label for=\"evf-4849-field_ARnbimXMwV-55-postal\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Poskod<\/label><\/div><\/div><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_nRo44PCQZJ-57-container\" class=\"evf-field evf-field-phone form-row validate-phone\" data-field-id=\"nRo44PCQZJ-57\"><label class=\"evf-field-label\" for=\"evf-4849-field_nRo44PCQZJ-57\"><span class=\"evf-label\">No. Telefon Majikan<\/span> <\/label><input type=\"tel\" id=\"evf-4849-field_nRo44PCQZJ-57\" class=\"input-text evf-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"everest_forms[form_fields][nRo44PCQZJ-57]\" placeholder=\"Sila Masukkan No. Tel Majikan\" conditional_id=\"nRo44PCQZJ-57\" ><\/div><div id=\"evf-4849-field_usaYfKxbmH-59-container\" class=\"evf-field evf-field-select form-row\" data-field-id=\"usaYfKxbmH-59\"><label class=\"evf-field-label\" for=\"evf-4849-field_usaYfKxbmH-59\"><span class=\"evf-label\">Jenis Majikan<\/span> <\/label><select id=\"evf-4849-field_usaYfKxbmH-59\" class=\"input-text evf-enhanced-select\" data-placeholder=\"-- Sila Pilih Jenis Majikan --\" name=\"everest_forms[form_fields][usaYfKxbmH-59]\" conditional_id=\"usaYfKxbmH-59\" ><option value=\"\" class=\"placeholder\" disabled selected='selected'>-- Sila Pilih Jenis Majikan --<\/option><option value=\"-- Sila Pilih Jenis Majikan --\" >-- Sila Pilih Jenis Majikan --<\/option><option value=\"KERAJAAN\" >KERAJAAN<\/option><option value=\"BADAN BERKANUN\" >BADAN BERKANUN<\/option><option value=\"SWASTA\" >SWASTA<\/option><\/select><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_19\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_aZZVvwhrdH-52-container\" class=\"evf-field evf-field-first-name form-row everest-forms-conditional-field\" data-field-id=\"aZZVvwhrdH-52\"><label class=\"evf-field-label\" for=\"evf-4849-field_aZZVvwhrdH-52\"><span class=\"evf-label\">Pekerjaan Pasangan<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_aZZVvwhrdH-52\" class=\"input-text\" name=\"everest_forms[form_fields][aZZVvwhrdH-52]\" placeholder=\"Sila Masukkan Pekerjaan\" conditional_id=\"aZZVvwhrdH-52\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;sjwXeKisXj-40&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Berkahwin&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_D3GRJRhVIF-54-container\" class=\"evf-field evf-field-first-name form-row everest-forms-conditional-field\" data-field-id=\"D3GRJRhVIF-54\"><label class=\"evf-field-label\" for=\"evf-4849-field_D3GRJRhVIF-54\"><span class=\"evf-label\">Nama Majikan Pasangan<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_D3GRJRhVIF-54\" class=\"input-text\" name=\"everest_forms[form_fields][D3GRJRhVIF-54]\" placeholder=\"Sila Masukkan Nama Majikan Pasangan\" conditional_id=\"D3GRJRhVIF-54\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;sjwXeKisXj-40&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Berkahwin&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_21\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_7g21CfekqS-56-container\" class=\"evf-field evf-field-address form-row everest-forms-conditional-field\" data-field-id=\"7g21CfekqS-56\"><label class=\"evf-field-label\" for=\"evf-4849-field_7g21CfekqS-56\"><span class=\"evf-label\">Alamat Majikan Pasangan<\/span> <\/label><input id=\"7g21CfekqS-56\" type=\"hidden\" class=\"input-text evf-conditional-logic-holder\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;sjwXeKisXj-40&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Berkahwin&quot;}}},&quot;required&quot;:0}\" conditional_id=\"7g21CfekqS-56\" \/><div class=\"everest-forms-field-row\" ><div ><input type=\"text\" id=\"evf-4849-field_7g21CfekqS-56\" class=\"evf-field-address-address1\" name=\"everest_forms[form_fields][7g21CfekqS-56][address1]\" placeholder=\"Sila Masukkan Alamat Majikan Pasangan\"   ><label for=\"evf-4849-field_7g21CfekqS-56\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Alamat<\/label><\/div><\/div><div class=\"everest-forms-field-row\"><div class=\"evf-field-row-block everest-forms-one-half everest-forms-first\"><input type=\"text\" id=\"evf-4849-field_7g21CfekqS-56-city\" class=\"evf-field-address-city\" name=\"everest_forms[form_fields][7g21CfekqS-56][city]\" placeholder=\"Sila Masukkan Daerah\"  ><label for=\"evf-4849-field_7g21CfekqS-56-city\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Bandar<\/label><\/div><div class=\"evf-field-row-block everest-forms-one-half\"><span class=\"evf-4849-field_7g21CfekqS-56-state\"><select id=\"evf-4849-field_7g21CfekqS-56-state\" class=\"evf-field-address-state\" name=\"everest_forms[form_fields][7g21CfekqS-56][state]\" placeholder=\"-- Sila Pilih Negeri --\"  ><option class=\"placeholder\" value=\"\" selected disabled>-- Sila Pilih Negeri --<\/option><option value=\"JHR\" >Johor<\/option><option value=\"KDH\" >Kedah<\/option><option value=\"KTN\" >Kelantan<\/option><option value=\"LBN\" >Labuan<\/option><option value=\"MLK\" >Malacca (Melaka)<\/option><option value=\"NSN\" >Negeri Sembilan<\/option><option value=\"PHG\" >Pahang<\/option><option value=\"PNG\" >Penang (Pulau Pinang)<\/option><option value=\"PRK\" >Perak<\/option><option value=\"PLS\" >Perlis<\/option><option value=\"SBH\" >Sabah<\/option><option value=\"SWK\" >Sarawak<\/option><option value=\"SGR\" >Selangor<\/option><option value=\"TRG\" >Terengganu<\/option><option value=\"PJY\" >Putrajaya<\/option><option value=\"KUL\" >Kuala Lumpur<\/option><\/select><\/span><label for=\"evf-4849-field_7g21CfekqS-56-state\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Negeri<\/label><\/div><\/div><div class=\"everest-forms-field-row\"><div class=\"evf-field-row-block everest-forms-one-half everest-forms-first\"><input type=\"text\" id=\"evf-4849-field_7g21CfekqS-56-postal\" class=\"evf-field-address-postal\" name=\"everest_forms[form_fields][7g21CfekqS-56][postal]\" placeholder=\"Sila Masukkan Poskod\"  ><label for=\"evf-4849-field_7g21CfekqS-56-postal\" class=\"everest-forms-field-sublabel after everest-forms-sublabel-hide\">Poskod<\/label><\/div><\/div><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_xBDU3ZSCtk-58-container\" class=\"evf-field evf-field-phone form-row validate-phone everest-forms-conditional-field\" data-field-id=\"xBDU3ZSCtk-58\"><label class=\"evf-field-label\" for=\"evf-4849-field_xBDU3ZSCtk-58\"><span class=\"evf-label\">No. Telefon Majikan Pasangan<\/span> <\/label><input type=\"tel\" id=\"evf-4849-field_xBDU3ZSCtk-58\" class=\"input-text evf-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"everest_forms[form_fields][xBDU3ZSCtk-58]\" placeholder=\"Sila Masukkan No. Tel Majikan Pasangan\" conditional_id=\"xBDU3ZSCtk-58\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;sjwXeKisXj-40&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Berkahwin&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_23\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_BIkjr58cDZ-61-container\" class=\"evf-field evf-field-title form-row\" data-field-id=\"BIkjr58cDZ-61\"><h3 id=\"evf-4849-field_BIkjr58cDZ-61\" class=\"input-text\" name=\"everest_forms[form_fields][BIkjr58cDZ-61]\" conditional_id=\"BIkjr58cDZ-61\">MAKLUMAT PENDAPATAN<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_24\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_eiaHLISijr-64-container\" class=\"evf-field evf-field-payment-single form-row\" data-field-id=\"eiaHLISijr-64\"><label class=\"evf-field-label\" for=\"evf-4849-field_eiaHLISijr-64\"><span class=\"evf-label\">Pemohon (RM)<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_eiaHLISijr-64\" class=\"input-text evf-payment-price evf-payment-user-input\" data-rule-currency=\"[&quot;$&quot;,false]\" name=\"everest_forms[form_fields][eiaHLISijr-64]\" value=\"0.00\" placeholder=\"Sila Masukkan Pendapatan Pemohon\" conditional_id=\"eiaHLISijr-64\"><div class=\"evf-field-description\">Sila Masukkan Pendapatan Pemohon<\/div><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_7HUz3603sU-65-container\" class=\"evf-field evf-field-payment-single form-row everest-forms-conditional-field\" data-field-id=\"7HUz3603sU-65\"><label class=\"evf-field-label\" for=\"evf-4849-field_7HUz3603sU-65\"><span class=\"evf-label\">Pasangan (RM)<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_7HUz3603sU-65\" class=\"input-text evf-payment-price evf-payment-user-input\" data-rule-currency=\"[&quot;$&quot;,false]\" name=\"everest_forms[form_fields][7HUz3603sU-65]\" value=\"0.00\" placeholder=\"Sila Masukkan Pendapatan Pemohon\" conditional_id=\"7HUz3603sU-65\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;sjwXeKisXj-40&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Berkahwin&quot;}}},&quot;required&quot;:0}\"><div class=\"evf-field-description\">Sila Masukkan Pendapatan Pasangan<\/div><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_25\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_ceeaUeszKf-66-container\" class=\"evf-field evf-field-title form-row\" data-field-id=\"ceeaUeszKf-66\"><h3 id=\"evf-4849-field_ceeaUeszKf-66\" class=\"input-text\" name=\"everest_forms[form_fields][ceeaUeszKf-66]\" conditional_id=\"ceeaUeszKf-66\">KEDIAMAN SEKARANG<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_26\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_0a9B7aKl3u-67-container\" class=\"evf-field evf-field-radio form-row everest-forms-list-inline everest-forms-trigger-conditional\" data-field-id=\"0a9B7aKl3u-67\"><label class=\"evf-field-label\" for=\"evf-4849-field_0a9B7aKl3u-67\"><span class=\"evf-label\">Status Kediaman Sekarang<\/span> <\/label><ul id=\"evf-4849-field_0a9B7aKl3u-67\"><li class=\"choice-1 depth-1 everest-forms-selected\"><input type=\"radio\" id=\"evf-4849-field_0a9B7aKl3u-67_1\" class=\"input-text\" name=\"everest_forms[form_fields][0a9B7aKl3u-67]\" value=\"Sendiri\" conditional_id=\"0a9B7aKl3u-67\"   checked='checked'><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_0a9B7aKl3u-67_1\">Sendiri<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"evf-4849-field_0a9B7aKl3u-67_2\" class=\"input-text\" name=\"everest_forms[form_fields][0a9B7aKl3u-67]\" value=\"Menyewa\" conditional_id=\"0a9B7aKl3u-67\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_0a9B7aKl3u-67_2\">Menyewa<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"evf-4849-field_0a9B7aKl3u-67_3\" class=\"input-text\" name=\"everest_forms[form_fields][0a9B7aKl3u-67]\" value=\"Menumpang\" conditional_id=\"0a9B7aKl3u-67\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_0a9B7aKl3u-67_3\">Menumpang<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"evf-4849-field_0a9B7aKl3u-67_4\" class=\"input-text\" name=\"everest_forms[form_fields][0a9B7aKl3u-67]\" value=\"Lain-lain\" conditional_id=\"0a9B7aKl3u-67\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_0a9B7aKl3u-67_4\">Lain-lain<\/label><\/li><\/ul><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_28\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_NyJeTD49zL-70-container\" class=\"evf-field evf-field-title form-row everest-forms-conditional-field\" data-field-id=\"NyJeTD49zL-70\"><h3 id=\"evf-4849-field_NyJeTD49zL-70\" class=\"input-text\" name=\"everest_forms[form_fields][NyJeTD49zL-70]\" conditional_id=\"NyJeTD49zL-70\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;0a9B7aKl3u-67&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Menyewa&quot;}}},&quot;required&quot;:0}\">Jika Menyewa :<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_27\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_iVxKCEPZbB-69-container\" class=\"evf-field evf-field-payment-single form-row everest-forms-conditional-field\" data-field-id=\"iVxKCEPZbB-69\"><label class=\"evf-field-label\" for=\"evf-4849-field_iVxKCEPZbB-69\"><span class=\"evf-label\">Sewa Bulanan (RM)<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_iVxKCEPZbB-69\" class=\"input-text evf-payment-price evf-payment-user-input\" data-rule-currency=\"[&quot;$&quot;,false]\" name=\"everest_forms[form_fields][iVxKCEPZbB-69]\" value=\"0.00\" placeholder=\"Sila Masukkan Pendapatan Pemohon\" conditional_id=\"iVxKCEPZbB-69\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;0a9B7aKl3u-67&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Menyewa&quot;}}},&quot;required&quot;:0}\"><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_mW3tWMKQmo-71-container\" class=\"evf-field evf-field-number form-row everest-forms-conditional-field\" data-field-id=\"mW3tWMKQmo-71\"><label class=\"evf-field-label\" for=\"evf-4849-field_mW3tWMKQmo-71\"><span class=\"evf-label\">Tempoh Menyewa<\/span> <\/label><input type=\"number\" id=\"evf-4849-field_mW3tWMKQmo-71\" class=\"input-text\" name=\"everest_forms[form_fields][mW3tWMKQmo-71]\" placeholder=\"Sila Masukkan Tempoh Menyewa\" step=\"1\" min=\"0\" max=\"99\" conditional_id=\"mW3tWMKQmo-71\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;0a9B7aKl3u-67&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Menyewa&quot;}}},&quot;required&quot;:0}\" \/><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_29\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_zJ14ofe5Qq-72-container\" class=\"evf-field evf-field-title form-row everest-forms-conditional-field\" data-field-id=\"zJ14ofe5Qq-72\"><h3 id=\"evf-4849-field_zJ14ofe5Qq-72\" class=\"input-text\" name=\"everest_forms[form_fields][zJ14ofe5Qq-72]\" conditional_id=\"zJ14ofe5Qq-72\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;0a9B7aKl3u-67&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Menumpang&quot;}}},&quot;required&quot;:0}\">Jika Menumpang :<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_30\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_req1JZ6y7Y-74-container\" class=\"evf-field evf-field-number form-row everest-forms-conditional-field\" data-field-id=\"req1JZ6y7Y-74\"><label class=\"evf-field-label\" for=\"evf-4849-field_req1JZ6y7Y-74\"><span class=\"evf-label\">Tempoh Menumpang<\/span> <\/label><input type=\"number\" id=\"evf-4849-field_req1JZ6y7Y-74\" class=\"input-text\" name=\"everest_forms[form_fields][req1JZ6y7Y-74]\" placeholder=\"Sila Masukkan Tempoh Menumpang\" conditional_id=\"req1JZ6y7Y-74\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;0a9B7aKl3u-67&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Menumpang&quot;}}},&quot;required&quot;:0}\" \/><\/div><div id=\"evf-4849-field_r40sLwwCWX-76-container\" class=\"evf-field evf-field-first-name form-row everest-forms-conditional-field\" data-field-id=\"r40sLwwCWX-76\"><label class=\"evf-field-label\" for=\"evf-4849-field_r40sLwwCWX-76\"><span class=\"evf-label\">Pertalian Pemilik dengan Pemohon<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_r40sLwwCWX-76\" class=\"input-text\" name=\"everest_forms[form_fields][r40sLwwCWX-76]\" placeholder=\"Sila Masukkan Pertalian Pemilik dengan Pemohon\" conditional_id=\"r40sLwwCWX-76\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;0a9B7aKl3u-67&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Menumpang&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_iSIj6F45m4-75-container\" class=\"evf-field evf-field-first-name form-row everest-forms-conditional-field\" data-field-id=\"iSIj6F45m4-75\"><label class=\"evf-field-label\" for=\"evf-4849-field_iSIj6F45m4-75\"><span class=\"evf-label\">Nama Pemilik<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_iSIj6F45m4-75\" class=\"input-text\" name=\"everest_forms[form_fields][iSIj6F45m4-75]\" placeholder=\"Sila Masukkan Nama Pemilik\" conditional_id=\"iSIj6F45m4-75\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;0a9B7aKl3u-67&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Menumpang&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_31\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_1MdnZJlAw1-78-container\" class=\"evf-field evf-field-first-name form-row everest-forms-conditional-field\" data-field-id=\"1MdnZJlAw1-78\"><label class=\"evf-field-label\" for=\"evf-4849-field_1MdnZJlAw1-78\"><span class=\"evf-label\">Jika Lain-lain, Sila Nyatakan :<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_1MdnZJlAw1-78\" class=\"input-text\" name=\"everest_forms[form_fields][1MdnZJlAw1-78]\" placeholder=\"Sila Masukkan Lain-lain\" conditional_id=\"1MdnZJlAw1-78\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;0a9B7aKl3u-67&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Lain-lain&quot;}}},&quot;required&quot;:0}\" ><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_32\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_Y990Q0MGh0-79-container\" class=\"evf-field evf-field-number form-row\" data-field-id=\"Y990Q0MGh0-79\"><label class=\"evf-field-label\" for=\"evf-4849-field_Y990Q0MGh0-79\"><span class=\"evf-label\">Tempoh Pemohon Tinggal di Negeri Terengganu?<\/span> <\/label><input type=\"number\" id=\"evf-4849-field_Y990Q0MGh0-79\" class=\"input-text\" name=\"everest_forms[form_fields][Y990Q0MGh0-79]\" placeholder=\"Sila Masukkan Tempoh (Tahun)\" step=\"1\" min=\"1\" max=\"99\" conditional_id=\"Y990Q0MGh0-79\" \/><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_33\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_eYC0tMTlTt-85-container\" class=\"evf-field evf-field-title form-row\" data-field-id=\"eYC0tMTlTt-85\"><h3 id=\"evf-4849-field_eYC0tMTlTt-85\" class=\"input-text\" name=\"everest_forms[form_fields][eYC0tMTlTt-85]\" conditional_id=\"eYC0tMTlTt-85\">CARA BAYARAN<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_34\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_GtGmZluXA6-86-container\" class=\"evf-field evf-field-radio form-row everest-forms-list-inline everest-forms-trigger-conditional\" data-field-id=\"GtGmZluXA6-86\"><label class=\"evf-field-label\" for=\"evf-4849-field_GtGmZluXA6-86\"><span class=\"evf-label\">Cara Bayaran<\/span> <\/label><ul id=\"evf-4849-field_GtGmZluXA6-86\"><li class=\"choice-1 depth-1 everest-forms-selected\"><input type=\"radio\" id=\"evf-4849-field_GtGmZluXA6-86_1\" class=\"input-text\" name=\"everest_forms[form_fields][GtGmZluXA6-86]\" value=\"Sendiri\" conditional_id=\"GtGmZluXA6-86\"   checked='checked'><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_GtGmZluXA6-86_1\">Sendiri<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"evf-4849-field_GtGmZluXA6-86_2\" class=\"input-text\" name=\"everest_forms[form_fields][GtGmZluXA6-86]\" value=\"Pinjaman\" conditional_id=\"GtGmZluXA6-86\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_GtGmZluXA6-86_2\">Pinjaman<\/label><\/li><\/ul><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_OmuUq5UQdu-87-container\" class=\"evf-field evf-field-radio form-row everest-forms-list-inline everest-forms-trigger-conditional everest-forms-conditional-field\" data-field-id=\"OmuUq5UQdu-87\"><label class=\"evf-field-label\" for=\"evf-4849-field_OmuUq5UQdu-87\"><span class=\"evf-label\">Sumber Bayaran<\/span> <\/label><ul id=\"evf-4849-field_OmuUq5UQdu-87\"><li class=\"choice-1 depth-1 everest-forms-selected\"><input type=\"radio\" id=\"evf-4849-field_OmuUq5UQdu-87_1\" class=\"input-text\" name=\"everest_forms[form_fields][OmuUq5UQdu-87]\" value=\"Kerajaan\" conditional_id=\"OmuUq5UQdu-87\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;GtGmZluXA6-86&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Pinjaman&quot;}}},&quot;required&quot;:0}\"   checked='checked'><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_OmuUq5UQdu-87_1\">Kerajaan<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"evf-4849-field_OmuUq5UQdu-87_2\" class=\"input-text\" name=\"everest_forms[form_fields][OmuUq5UQdu-87]\" value=\"Bank \/ Institusi Kewangan\" conditional_id=\"OmuUq5UQdu-87\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;GtGmZluXA6-86&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Pinjaman&quot;}}},&quot;required&quot;:0}\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_OmuUq5UQdu-87_2\">Bank \/ Institusi Kewangan<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"evf-4849-field_OmuUq5UQdu-87_5\" class=\"input-text\" name=\"everest_forms[form_fields][OmuUq5UQdu-87]\" value=\"Majikan\" conditional_id=\"OmuUq5UQdu-87\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;GtGmZluXA6-86&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Pinjaman&quot;}}},&quot;required&quot;:0}\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_OmuUq5UQdu-87_5\">Majikan<\/label><\/li><\/ul><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_35\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_uggARSHlfR-91-container\" class=\"evf-field evf-field-title form-row everest-forms-conditional-field\" data-field-id=\"uggARSHlfR-91\"><h3 id=\"evf-4849-field_uggARSHlfR-91\" class=\"input-text\" name=\"everest_forms[form_fields][uggARSHlfR-91]\" conditional_id=\"uggARSHlfR-91\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;GtGmZluXA6-86&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Pinjaman&quot;},&quot;2&quot;:{&quot;field&quot;:&quot;OmuUq5UQdu-87&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Kerajaan&quot;}}},&quot;required&quot;:0}\">Jika Kerajaan :<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_36\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_2OUsGMCHUX-89-container\" class=\"evf-field evf-field-radio form-row everest-forms-list-inline everest-forms-trigger-conditional everest-forms-conditional-field\" data-field-id=\"2OUsGMCHUX-89\"><label class=\"evf-field-label\" for=\"evf-4849-field_2OUsGMCHUX-89\"><span class=\"evf-label\">Adakah Pemohon Layak mendapat Pinjaman sekarang?<\/span> <\/label><ul id=\"evf-4849-field_2OUsGMCHUX-89\"><li class=\"choice-1 depth-1 everest-forms-selected\"><input type=\"radio\" id=\"evf-4849-field_2OUsGMCHUX-89_1\" class=\"input-text\" name=\"everest_forms[form_fields][2OUsGMCHUX-89]\" value=\"Ya\" conditional_id=\"2OUsGMCHUX-89\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;GtGmZluXA6-86&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Pinjaman&quot;},&quot;2&quot;:{&quot;field&quot;:&quot;OmuUq5UQdu-87&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Kerajaan&quot;}}},&quot;required&quot;:0}\"   checked='checked'><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_2OUsGMCHUX-89_1\">Ya<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"evf-4849-field_2OUsGMCHUX-89_2\" class=\"input-text\" name=\"everest_forms[form_fields][2OUsGMCHUX-89]\" value=\"Tidak\" conditional_id=\"2OUsGMCHUX-89\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;GtGmZluXA6-86&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Pinjaman&quot;},&quot;2&quot;:{&quot;field&quot;:&quot;OmuUq5UQdu-87&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Kerajaan&quot;}}},&quot;required&quot;:0}\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_2OUsGMCHUX-89_2\">Tidak<\/label><\/li><\/ul><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_cuXAKLaD0Q-93-container\" class=\"evf-field evf-field-payment-single form-row everest-forms-conditional-field\" data-field-id=\"cuXAKLaD0Q-93\"><label class=\"evf-field-label\" for=\"evf-4849-field_cuXAKLaD0Q-93\"><span class=\"evf-label\">Jika YA, nyatakan Jumlah Pinjaman Maksima (RM) :<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_cuXAKLaD0Q-93\" class=\"input-text evf-payment-price evf-payment-user-input\" data-rule-currency=\"[&quot;$&quot;,false]\" name=\"everest_forms[form_fields][cuXAKLaD0Q-93]\" placeholder=\"Sila Masukkan Jumlah Pinjaman Maksima\" conditional_id=\"cuXAKLaD0Q-93\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;GtGmZluXA6-86&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Pinjaman&quot;},&quot;2&quot;:{&quot;field&quot;:&quot;OmuUq5UQdu-87&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Kerajaan&quot;},&quot;3&quot;:{&quot;field&quot;:&quot;2OUsGMCHUX-89&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;Ya&quot;}}},&quot;required&quot;:0}\"><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_39\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_mGA0tfbwVU-97-container\" class=\"evf-field evf-field-title form-row everest-forms-conditional-field\" data-field-id=\"mGA0tfbwVU-97\"><h3 id=\"evf-4849-field_mGA0tfbwVU-97\" class=\"input-text\" name=\"everest_forms[form_fields][mGA0tfbwVU-97]\" conditional_id=\"mGA0tfbwVU-97\" conditional_rules=\"{&quot;conditional_option&quot;:&quot;show&quot;,&quot;conditionals&quot;:{&quot;1&quot;:{&quot;1&quot;:{&quot;field&quot;:&quot;OmuUq5UQdu-87&quot;,&quot;operator&quot;:&quot;is&quot;,&quot;value&quot;:&quot;---Select Option---&quot;}}},&quot;required&quot;:0}\">Simpanan yang boleh digunakan :<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_38\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_1\"><div id=\"evf-4849-field_QSNbXouJ5k-96-container\" class=\"evf-field evf-field-payment-single form-row\" data-field-id=\"QSNbXouJ5k-96\"><label class=\"evf-field-label\" for=\"evf-4849-field_QSNbXouJ5k-96\"><span class=\"evf-label\">Simpanan Sendiri, Bank dan Lain-lain (RM) :<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_QSNbXouJ5k-96\" class=\"input-text evf-payment-price evf-payment-user-input\" data-rule-currency=\"[&quot;$&quot;,false]\" name=\"everest_forms[form_fields][QSNbXouJ5k-96]\" placeholder=\"Nyatakan Jumlah Simpanan, Bank dan Lain-lain\" conditional_id=\"QSNbXouJ5k-96\"><\/div><\/div><div class=\"evf-frontend-grid evf-grid-2\" data-grid=\"grid_2\"><div id=\"evf-4849-field_8IZsf40W3W-95-container\" class=\"evf-field evf-field-payment-single form-row\" data-field-id=\"8IZsf40W3W-95\"><label class=\"evf-field-label\" for=\"evf-4849-field_8IZsf40W3W-95\"><span class=\"evf-label\">Jumlah KWSP (RM) :<\/span> <\/label><input type=\"text\" id=\"evf-4849-field_8IZsf40W3W-95\" class=\"input-text evf-payment-price evf-payment-user-input\" data-rule-currency=\"[&quot;$&quot;,false]\" name=\"everest_forms[form_fields][8IZsf40W3W-95]\" placeholder=\"Nyatakan Jumlah KWSP\" conditional_id=\"8IZsf40W3W-95\"><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_44\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_vv0sD90CNF-106-container\" class=\"evf-field evf-field-title form-row\" data-field-id=\"vv0sD90CNF-106\"><h3 id=\"evf-4849-field_vv0sD90CNF-106\" class=\"input-text\" name=\"everest_forms[form_fields][vv0sD90CNF-106]\" conditional_id=\"vv0sD90CNF-106\">PENGAKUAN<\/h3><\/div><\/div><\/div><div class=\"evf-frontend-row\" data-row=\"row_37\" conditional_rules=\"[]\"><div class=\"evf-frontend-grid evf-grid-1\" data-grid=\"grid_1\"><div id=\"evf-4849-field_6u5HoFg0wj-98-container\" class=\"evf-field evf-field-checkbox form-row\" data-field-id=\"6u5HoFg0wj-98\"><label class=\"evf-field-label evf-label-hide\" for=\"evf-4849-field_6u5HoFg0wj-98\"><span class=\"evf-label\">PENGAKUAN<\/span> <\/label><ul id=\"evf-4849-field_6u5HoFg0wj-98\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"evf-4849-field_6u5HoFg0wj-98_1\" class=\"input-text\" name=\"everest_forms[form_fields][6u5HoFg0wj-98][]\" value=\"Saya mengaku bahawa segala butir-butir yang di berikan dalam borang ini adalah benar dan saya bertanggungjawab atas segalanya.\" conditional_id=\"6u5HoFg0wj-98\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_6u5HoFg0wj-98_1\">Saya mengaku bahawa segala butir-butir yang di berikan dalam borang ini adalah benar dan saya bertanggungjawab atas segalanya.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"evf-4849-field_6u5HoFg0wj-98_2\" class=\"input-text\" name=\"everest_forms[form_fields][6u5HoFg0wj-98][]\" value=\"Saya juga bersetuju pihak P-Excell Management Sdn Bhd. menarik balik tawaran dan \/ atau pembelian rumah dipohon ini, jika sekiranya kelak didapati keterangan-keterangan yang diberi dalam borang ini tidak benar walaupun setelah tawaran atau pembelian rumah ini di tandatangani.\" conditional_id=\"6u5HoFg0wj-98\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_6u5HoFg0wj-98_2\">Saya juga bersetuju pihak P-Excell Management Sdn Bhd. menarik balik tawaran dan \/ atau pembelian rumah dipohon ini, jika sekiranya kelak didapati keterangan-keterangan yang diberi dalam borang ini tidak benar walaupun setelah tawaran atau pembelian rumah ini di tandatangani.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"evf-4849-field_6u5HoFg0wj-98_3\" class=\"input-text\" name=\"everest_forms[form_fields][6u5HoFg0wj-98][]\" value=\"Saya bersetuju kesemua wang pendaftaran bagi permohonan ini TIDAK dikembalikan kepada saya sekiranya saya MENOLAK tawaran membeli yang dikeluarkan kepada saya.\" conditional_id=\"6u5HoFg0wj-98\"  ><label class=\"everest-forms-field-label-inline\" for=\"evf-4849-field_6u5HoFg0wj-98_3\">Saya bersetuju kesemua wang pendaftaran bagi permohonan ini TIDAK dikembalikan kepada saya sekiranya saya MENOLAK tawaran membeli yang dikeluarkan kepada saya.<\/label><\/li><\/ul><\/div><\/div><\/div><\/div><div class=\"evf-honeypot-container evf-field-hp\"><label for=\"evf-4849-field-hp\" class=\"evf-field-label\">Phone<\/label><input type=\"text\" name=\"everest_forms[hp]\" id=\"evf-4849-field-hp\" class=\"input-text\"><\/div><div class=\"evf-recaptcha-container\" style=\"display:block\"><div class=\"g-recaptcha\" data-sitekey=\"6LfKKzQlAAAAAE9x7Ing8suhQXq33rNCCykL0kb8\"><\/div><\/div><div class=\"evf-submit-container\" ><input type=\"hidden\" name=\"everest_forms[id]\" value=\"4849\"><input type=\"hidden\" name=\"everest_forms[author]\" value=\"1\"><button type='submit' name='everest_forms[submit]' class='everest-forms-submit-button button evf-submit' id='evf-submit-4849' value='evf-submit' data-process-text=\"Processing\u2026\" conditional_rules='&quot;&quot;' conditional_id='evf-submit-4849'  aria-live=\"assertive\">HANTAR PERMOHON<\/button>&nbsp;<button type='submit' name='everest_forms[save_and_continue]' class='everest-forms-save-and-continue-button button evf-save-and-continue' id='evf-save-and-continue-4849' value='evf-save-and-continue' data-process-text=\"&quot;Processing\u2026&quot;\" conditional_rules='&quot;&quot;' conditional_id='evf-submit-4849' >SIMPAN<\/button><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"ms\"\/><\/form><\/div><!-- .evf-container --><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Borang. Borang Permohonan Pembelian Rumah Dibawah P-Excell Management Sdn. Bhd. Sila lengkapkan borang dibawah :- MAKLUMAT PROJEK Nama Projek *&#8212; Sila Pilih Projek &#8212;Projek Perumahan Batu Hampar (Hamparan)Projek Perumahan KP Perdana Fasa 5DProjek Perumahan Taman Desa Tok JamalJenis Rumah *&#8212; Sila Pilih Jenis Rumah &#8212;Jenis Rumah *&#8212; Sila Pilih Jenis Rumah &#8212;Rumah Teres 1 TingkatJenis [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Borang Pemohonan - Leading Construction &amp; Engineering Company<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pexcellmanagement.com\/ms\/borang-pemohonan\/\" \/>\n<meta property=\"og:locale\" content=\"ms_MY\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Borang Pemohonan - Leading Construction &amp; Engineering Company\" \/>\n<meta property=\"og:description\" content=\"Borang. Borang Permohonan Pembelian Rumah Dibawah P-Excell Management Sdn. Bhd. Sila lengkapkan borang dibawah :- MAKLUMAT PROJEK Nama Projek *&#8212; Sila Pilih Projek &#8212;Projek Perumahan Batu Hampar (Hamparan)Projek Perumahan KP Perdana Fasa 5DProjek Perumahan Taman Desa Tok JamalJenis Rumah *&#8212; Sila Pilih Jenis Rumah &#8212;Jenis Rumah *&#8212; Sila Pilih Jenis Rumah &#8212;Rumah Teres 1 TingkatJenis [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pexcellmanagement.com\/ms\/borang-pemohonan\/\" \/>\n<meta property=\"og:site_name\" content=\"Leading Construction &amp; Engineering Company\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-28T03:22:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pexcellmanagement.com\/wp-content\/uploads\/2023\/02\/Logo-P-excell.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minit\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/pexcellmanagement.com\/borang-pemohonan\/\",\"url\":\"https:\/\/pexcellmanagement.com\/borang-pemohonan\/\",\"name\":\"Borang Pemohonan - Leading Construction &amp; Engineering Company\",\"isPartOf\":{\"@id\":\"https:\/\/pexcellmanagement.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/pexcellmanagement.com\/borang-pemohonan\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/pexcellmanagement.com\/borang-pemohonan\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/pexcellmanagement.com\/wp-content\/uploads\/2023\/02\/Logo-P-excell.png\",\"datePublished\":\"2023-02-25T04:12:37+00:00\",\"dateModified\":\"2023-03-28T03:22:56+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/pexcellmanagement.com\/borang-pemohonan\/#breadcrumb\"},\"inLanguage\":\"ms-MY\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/pexcellmanagement.com\/borang-pemohonan\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"ms-MY\",\"@id\":\"https:\/\/pexcellmanagement.com\/borang-pemohonan\/#primaryimage\",\"url\":\"https:\/\/pexcellmanagement.com\/wp-content\/uploads\/2023\/02\/Logo-P-excell.png\",\"contentUrl\":\"https:\/\/pexcellmanagement.com\/wp-content\/uploads\/2023\/02\/Logo-P-excell.png\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/pexcellmanagement.com\/borang-pemohonan\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/pexcellmanagement.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Borang Pemohonan\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/pexcellmanagement.com\/#website\",\"url\":\"https:\/\/pexcellmanagement.com\/\",\"name\":\"Leading Construction &amp; Engineering Company\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/pexcellmanagement.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"ms-MY\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Borang Pemohonan - Leading Construction &amp; Engineering Company","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/pexcellmanagement.com\/ms\/borang-pemohonan\/","og_locale":"ms_MY","og_type":"article","og_title":"Borang Pemohonan - Leading Construction &amp; Engineering Company","og_description":"Borang. Borang Permohonan Pembelian Rumah Dibawah P-Excell Management Sdn. Bhd. 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