{"id":279144,"date":"2020-09-25T15:11:08","date_gmt":"2020-09-25T07:11:08","guid":{"rendered":"https:\/\/undo.edu.my\/mohon\/"},"modified":"2025-12-04T19:24:08","modified_gmt":"2025-12-04T11:24:08","slug":"mohon","status":"publish","type":"page","link":"https:\/\/undo.edu.my\/ms\/mohon\/","title":{"rendered":"Mohon"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#000000&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; width=&#8221;95%&#8221; custom_padding_tablet=&#8221;||0px||false|false&#8221; custom_padding_phone=&#8221;&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;45px&#8221; header_line_height=&#8221;1.2em&#8221; header_2_font_size=&#8221;35px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font_size=&#8221;28px&#8221; header_3_line_height=&#8221;1.2em&#8221; header_4_font=&#8221;|||on|||||&#8221; header_4_font_size=&#8221;20px&#8221; header_4_line_height=&#8221;1.2em&#8221; custom_margin=&#8221;||0px||false|false&#8221; text_font_size_phone=&#8221;18px&#8221; text_font_size_last_edited=&#8221;off|desktop&#8221; header_font_size_tablet=&#8221;33px&#8221; header_font_size_phone=&#8221;28px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;23px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;25px&#8221; header_3_font_size_phone=&#8221;20px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;&#8221; header_4_font_size_phone=&#8221;18px&#8221; header_4_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Borang Permohonan<\/h1>\n<p>[\/et_pb_text][dsm_breadcrumbs home_text=&#8221;UNDO Academy&#8221; show_home_icon=&#8221;off&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; items_text_color=&#8221;#FFFFFF&#8221; items_font_size=&#8221;16px&#8221; items_line_height=&#8221;1em&#8221; current_font_size=&#8221;16px&#8221; current_line_height=&#8221;1em&#8221; items_font_size_tablet=&#8221;&#8221; items_font_size_phone=&#8221;13px&#8221; items_font_size_last_edited=&#8221;on|phone&#8221; home_icon_font_size_tablet=&#8221;&#8221; home_icon_font_size_phone=&#8221;15px&#8221; home_icon_font_size_last_edited=&#8221;on|desktop&#8221; current_font_size_tablet=&#8221;&#8221; current_font_size_phone=&#8221;13px&#8221; current_font_size_last_edited=&#8221;on|phone&#8221; global_module=&#8221;268111&#8243; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221; current_text_color__hover_enabled=&#8221;off|desktop&#8221; items_text_color__hover_enabled=&#8221;on|hover&#8221; items_text_color__hover=&#8221;#FFDE59&#8243;][\/dsm_breadcrumbs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; module_id=&#8221;jet_contact&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#000000&#8243; custom_padding=&#8221;0px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; width=&#8221;95%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Online&#8221; _builder_version=&#8221;4.27.4&#8243; text_font=&#8221;Poppins|||on|||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;20px&#8221; text_line_height=&#8221;120%&#8221; background_layout=&#8221;dark&#8221; custom_margin=&#8221;||15px||false|false&#8221; custom_css_main_element=&#8221;    font-weight: 400 !important;&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Mohon Dalam Talian<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Application Form&#8221; _builder_version=&#8221;4.27.4&#8243; text_font=&#8221;Poppins|500|||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;60px&#8221; text_letter_spacing=&#8221;0.8px&#8221; text_line_height=&#8221;120%&#8221; background_layout=&#8221;dark&#8221; text_font_size_tablet=&#8221;40px&#8221; text_font_size_phone=&#8221;30px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_letter_spacing_tablet=&#8221;0.3px&#8221; text_letter_spacing_phone=&#8221;&#8221; text_letter_spacing_last_edited=&#8221;on|tablet&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Impian Anda Bermula Di Sini.<br \/> Ambil Langkah Pertama.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; width=&#8221;95%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;45px&#8221; header_line_height=&#8221;1.2em&#8221; header_2_font_size=&#8221;35px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font_size=&#8221;28px&#8221; header_3_line_height=&#8221;1.2em&#8221; header_4_font=&#8221;|||on|||||&#8221; header_4_font_size=&#8221;20px&#8221; header_4_line_height=&#8221;1.2em&#8221; text_orientation=&#8221;justified&#8221; text_font_size_phone=&#8221;18px&#8221; text_font_size_last_edited=&#8221;off|desktop&#8221; header_font_size_tablet=&#8221;33px&#8221; header_font_size_phone=&#8221;28px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;23px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;25px&#8221; header_3_font_size_phone=&#8221;20px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;&#8221; header_4_font_size_phone=&#8221;18px&#8221; header_4_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ff-form-has-steps ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Application Form<\/legend>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_3_item_sf\" aria-label=\"Contact\">\n                    Contact                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_3__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_3_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n        <input type='hidden' name='__fluent_form_embded_post_id' value='279144' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"fa681f761b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ms\/wp-json\/wp\/v2\/pages\/279144\" \/><div class='ff-step-container' data-name=\"step_start-3_16\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-step-header'><ul class='ff-step-titles'><li class='ff_active'><span>Programme<\/span><\/li><li><span>Personal<\/span><\/li><li><span>Parent \/ Guardian<\/span><\/li><li><span>Background<\/span><\/li><li><span>Submit<\/span><\/li><\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-3_16\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_programme' id='label_ff_3_programme' aria-label=\"Program\">Program<\/label><\/div><div class='ff-el-input--content'><select name=\"programme\" id=\"ff_3_programme\" class=\"ff-el-form-control\" data-name=\"programme\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_programme\"><option value=\"\">- Pilih Program -<\/option><option value=\"Diploma in Concept Art Illustration\"  >Diploma Seni Konsep &amp; Ilustrasi<\/option><option value=\"Diploma in 3D Animation\"  >Diploma Animasi 3D<\/option><option value=\"Diploma in Game Development\"  >Diploma Pembangunan Permainan<\/option><\/select><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_intake' id='label_ff_3_intake' aria-label=\"Pengambilan\">Pengambilan<\/label><\/div><div class='ff-el-input--content'><select name=\"intake\" id=\"ff_3_intake\" class=\"ff-el-form-control\" data-name=\"intake\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_intake\"><option value=\"\">- Pilih Pengambilan -<\/option><option value=\"January 2026\"  >Januari 2026<\/option><option value=\"May 2026\"  >Boleh 2026<\/option><option value=\"September 2026\"  >September 2026<\/option><option value=\"January 2027\"  >Januari 2027<\/option><option value=\"May 2027\"  >Mei 2027<\/option><option value=\"September 2027\"  >September 2027<\/option><\/select><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Sebelumnya'>Sebelumnya<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Seterusnya'>Seterusnya<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_1\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_2\" ><h3 class='ff-el-section-title'>Maklumat Peribadi<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-type=\"name-element\" data-name=\"name\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_name_first_name_' id='label_ff_3_name_first_name_' >Nama Penuh (Seperti Dalam Kad Pengenalan \/ Pasport)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"name[first_name]\" id=\"ff_3_name_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_name_last_name_' id='label_ff_3_name_last_name_' >Nama keluarga \/ Nama keluarga<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"name[last_name]\" id=\"ff_3_name_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_id_number' id='label_ff_3_id_number' aria-label=\"Nombor Kad Pengenalan \/ Nombor Pasport\">Nombor Kad Pengenalan \/ Nombor Pasport<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"id_number\" class=\"ff-el-form-control\" data-name=\"id_number\" id=\"ff_3_id_number\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_nationality' id='label_ff_3_nationality' aria-label=\"Kewarganegaraan\">Kewarganegaraan<\/label><\/div><div class='ff-el-input--content'><select name=\"nationality\" id=\"ff_3_nationality\" class=\"ff-el-form-control\" placeholder=\"-Pilih-\" data-name=\"nationality\" aria-invalid='false' aria-required=true><option value=''>-Pilih-<\/option><optgroup label=\"\"><option value='MY' >Malaysia<\/option><option value='SG' >Singapore<\/option><\/optgroup><optgroup label=\"\"><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/optgroup><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_date_of_birth' id='label_ff_3_date_of_birth' aria-label=\"Tarikh lahir\">Tarikh lahir<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Tarikh lahir Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"date_of_birth\" id=\"ff_3_date_of_birth\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"date_of_birth\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_gender' id='label_ff_3_gender' aria-label=\"Jantina\">Jantina<\/label><\/div><div class='ff-el-input--content'><select name=\"gender\" id=\"ff_3_gender\" class=\"ff-el-form-control\" data-name=\"gender\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_gender\"><option value=\"\">-Pilih-<\/option><option value=\"Male\"  >Jejaka<\/option><option value=\"Female\"  >Perempuan<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_race' id='label_ff_3_race' aria-label=\"Perlumbaan\">Perlumbaan<\/label><\/div><div class='ff-el-input--content'><select name=\"race\" id=\"ff_3_race\" class=\"ff-el-form-control\" data-name=\"race\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_race\"><option value=\"\">-Pilih-<\/option><option value=\"Malay\"  >Bahasa Melayu<\/option><option value=\"Chinese\"  >Bahasa Cina<\/option><option value=\"Indian\"  >India<\/option><option value=\"Others\"  >Lain<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_race_other' id='label_ff_3_race_other' aria-label=\"Sila nyatakan\">Sila nyatakan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"race_other\" class=\"ff-el-form-control\" data-name=\"race_other\" id=\"ff_3_race_other\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_chinese_name' id='label_ff_3_chinese_name' >Nama Cina<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"chinese_name\" class=\"ff-el-form-control\" data-name=\"chinese_name\" id=\"ff_3_chinese_name\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address' id='label_ff_3_address' aria-label=\"Alamat\">Alamat<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address\" class=\"ff-el-form-control\" data-name=\"address\" id=\"ff_3_address\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_city' id='label_ff_3_city' aria-label=\"Bandar\">Bandar<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"city\" class=\"ff-el-form-control\" data-name=\"city\" id=\"ff_3_city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_state' id='label_ff_3_state' aria-label=\"Negeri\">Negeri<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"state\" class=\"ff-el-form-control\" data-name=\"state\" id=\"ff_3_state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_postcode' id='label_ff_3_postcode' aria-label=\"Poskod\">Poskod<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"postcode\" class=\"ff-el-form-control\" data-name=\"postcode\" id=\"ff_3_postcode\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_country' id='label_ff_3_country' aria-label=\"Negara\">Negara<\/label><\/div><div class='ff-el-input--content'><select name=\"country\" id=\"ff_3_country\" class=\"ff-el-form-control\" placeholder=\"-Pilih-\" data-name=\"country\" aria-invalid='false' aria-required=true><option value=''>-Pilih-<\/option><optgroup label=\"\"><option value='MY' >Malaysia<\/option><option value='SG' >Singapore<\/option><\/optgroup><optgroup label=\"\"><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/optgroup><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_mobile_phone' id='label_ff_3_mobile_phone' aria-label=\"Telefon (Mudah Alih)\">Telefon (Mudah Alih)<\/label><\/div><div class='ff-el-input--content'><input name=\"mobile_phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"mobile_phone\" id=\"ff_3_mobile_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_telephone' id='label_ff_3_telephone' aria-label=\"Telefon (Rumah)\">Telefon (Rumah)<\/label><\/div><div class='ff-el-input--content'><input name=\"telephone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"telephone\" id=\"ff_3_telephone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_email' id='label_ff_3_email' aria-label=\"E-mel\">E-mel<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Sebelumnya'>Sebelumnya<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Seterusnya'>Seterusnya<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_3\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_4\" ><h3 class='ff-el-section-title'>Maklumat Ibu Bapa \/ Penjaga<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_parent_title' id='label_ff_3_parent_title' aria-label=\"Tajuk\">Tajuk<\/label><\/div><div class='ff-el-input--content'><select name=\"parent_title\" id=\"ff_3_parent_title\" class=\"ff-el-form-control\" data-name=\"parent_title\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_parent_title\"><option value=\"\">-Pilih-<\/option><option value=\"Mr\"  >Encik<\/option><option value=\"Ms\"  >Ms<\/option><option value=\"Mrs\"  >Puan<\/option><option value=\"Dato Sri\"  >Dato Sri<\/option><option value=\"Dato\"  >Dato<\/option><option value=\"Datuk\"  >Datuk<\/option><option value=\"Datin\"  >Datin<\/option><option value=\"Dr\"  >Dr<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_parent_guardian_name' id='label_ff_3_parent_guardian_name' >Nama Ibu Bapa \/ Penjaga<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_guardian_name\" class=\"ff-el-form-control\" data-name=\"parent_guardian_name\" id=\"ff_3_parent_guardian_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_relationship_to_applicant' id='label_ff_3_relationship_to_applicant' aria-label=\"Hubungan dengan Pemohon\">Hubungan dengan Pemohon<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"relationship_to_applicant\" class=\"ff-el-form-control\" data-name=\"relationship_to_applicant\" id=\"ff_3_relationship_to_applicant\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_parent_occupation' id='label_ff_3_parent_occupation' aria-label=\"Pekerjaan\">Pekerjaan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_occupation\" class=\"ff-el-form-control\" data-name=\"parent_occupation\" id=\"ff_3_parent_occupation\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_parent_address' id='label_ff_3_parent_address' aria-label=\"Alamat\">Alamat<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_address\" class=\"ff-el-form-control\" data-name=\"parent_address\" id=\"ff_3_parent_address\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_parent_city' id='label_ff_3_parent_city' aria-label=\"Bandar\">Bandar<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_city\" class=\"ff-el-form-control\" data-name=\"parent_city\" id=\"ff_3_parent_city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_parent_state' id='label_ff_3_parent_state' aria-label=\"Negeri\">Negeri<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_state\" class=\"ff-el-form-control\" data-name=\"parent_state\" id=\"ff_3_parent_state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_parent_postcode' id='label_ff_3_parent_postcode' aria-label=\"Poskod\">Poskod<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_postcode\" class=\"ff-el-form-control\" data-name=\"parent_postcode\" id=\"ff_3_parent_postcode\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_parent_country' id='label_ff_3_parent_country' aria-label=\"Negara\">Negara<\/label><\/div><div class='ff-el-input--content'><select name=\"parent_country\" id=\"ff_3_parent_country\" class=\"ff-el-form-control\" placeholder=\"-Pilih-\" data-name=\"parent_country\" aria-invalid='false' aria-required=true><option value=''>-Pilih-<\/option><optgroup label=\"\"><option value='MY' >Malaysia<\/option><option value='SG' >Singapore<\/option><\/optgroup><optgroup label=\"\"><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/optgroup><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_parent_mobile_phone' id='label_ff_3_parent_mobile_phone' aria-label=\"Telefon (Mudah Alih)\">Telefon (Mudah Alih)<\/label><\/div><div class='ff-el-input--content'><input name=\"parent_mobile_phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"parent_mobile_phone\" id=\"ff_3_parent_mobile_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_parent_telephone' id='label_ff_3_parent_telephone' aria-label=\"Telefon (Rumah)\">Telefon (Rumah)<\/label><\/div><div class='ff-el-input--content'><input name=\"parent_telephone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"parent_telephone\" id=\"ff_3_parent_telephone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_parent_email' id='label_ff_3_parent_email' aria-label=\"E-mel\">E-mel<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"parent_email\" id=\"ff_3_parent_email\" class=\"ff-el-form-control\" data-name=\"parent_email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_5\" ><p>-<\/p><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_6\" ><h3 class='ff-el-section-title'>Hubungan Kecemasan<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Hubungan Kecemasan\">Hubungan Kecemasan<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='ec_checkbox_104d5eb29488fe74296a09d56e238300'><input  type=\"checkbox\" name=\"ec_checkbox[]\" data-name=\"ec_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Different From Parent \/ Guardian Contact?\"  id='ec_checkbox_104d5eb29488fe74296a09d56e238300' aria-label='Berbeza daripada hubungan ibu bapa \/ penjaga?' aria-invalid='false' aria-required=false> <span>Berbeza daripada hubungan ibu bapa \/ penjaga?<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_10\"  class='ff-t-container ff-column-container ff_columns_total_3 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ec_title' id='label_ff_3_ec_title' aria-label=\"Tajuk\">Tajuk<\/label><\/div><div class='ff-el-input--content'><select name=\"ec_title\" id=\"ff_3_ec_title\" class=\"ff-el-form-control\" data-name=\"ec_title\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_ec_title\"><option value=\"\">-Pilih-<\/option><option value=\"Mr\"  >Encik<\/option><option value=\"Ms\"  >Ms<\/option><option value=\"Mrs\"  >Puan<\/option><option value=\"Dato Sri\"  >Dato Sri<\/option><option value=\"Dato\"  >Dato<\/option><option value=\"Datuk\"  >Datuk<\/option><option value=\"Datin\"  >Datin<\/option><option value=\"Dr\"  >Dr<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ec_name' id='label_ff_3_ec_name' >Nama Kenalan Kecemasan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_name\" class=\"ff-el-form-control\" data-name=\"ec_name\" id=\"ff_3_ec_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ec_relationship_to_applicant' id='label_ff_3_ec_relationship_to_applicant' aria-label=\"Hubungan dengan Pemohon\">Hubungan dengan Pemohon<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_relationship_to_applicant\" class=\"ff-el-form-control\" data-name=\"ec_relationship_to_applicant\" id=\"ff_3_ec_relationship_to_applicant\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ec_address' id='label_ff_3_ec_address' aria-label=\"Alamat\">Alamat<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_address\" class=\"ff-el-form-control\" data-name=\"ec_address\" id=\"ff_3_ec_address\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-name=\"ff_cn_id_11\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ec_city' id='label_ff_3_ec_city' aria-label=\"Bandar\">Bandar<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_city\" class=\"ff-el-form-control\" data-name=\"ec_city\" id=\"ff_3_ec_city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ec_state' id='label_ff_3_ec_state' aria-label=\"Negeri\">Negeri<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_state\" class=\"ff-el-form-control\" data-name=\"ec_state\" id=\"ff_3_ec_state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_12\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ec_postcode' id='label_ff_3_ec_postcode' aria-label=\"Poskod\">Poskod<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_postcode\" class=\"ff-el-form-control\" data-name=\"ec_postcode\" id=\"ff_3_ec_postcode\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ec_country' id='label_ff_3_ec_country' aria-label=\"Negara\">Negara<\/label><\/div><div class='ff-el-input--content'><select name=\"ec_country\" id=\"ff_3_ec_country\" class=\"ff-el-form-control\" placeholder=\"-Pilih-\" data-name=\"ec_country\" aria-invalid='false' aria-required=true><option value=''>-Pilih-<\/option><optgroup label=\"\"><option value='MY' >Malaysia<\/option><option value='SG' >Singapore<\/option><\/optgroup><optgroup label=\"\"><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/optgroup><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_13\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ec_mobile_phone' id='label_ff_3_ec_mobile_phone' aria-label=\"Telefon (Mudah Alih)\">Telefon (Mudah Alih)<\/label><\/div><div class='ff-el-input--content'><input name=\"ec_mobile_phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"ec_mobile_phone\" id=\"ff_3_ec_mobile_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_ec_telephone' id='label_ff_3_ec_telephone' aria-label=\"Telefon (Rumah)\">Telefon (Rumah)<\/label><\/div><div class='ff-el-input--content'><input name=\"ec_telephone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"ec_telephone\" id=\"ff_3_ec_telephone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_ec_email' id='label_ff_3_ec_email' aria-label=\"E-mel\">E-mel<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"ec_email\" id=\"ff_3_ec_email\" class=\"ff-el-form-control\" data-name=\"ec_email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Sebelumnya'>Sebelumnya<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Seterusnya'>Seterusnya<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_7\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_8\" ><h3 class='ff-el-section-title'>Pendedahan Perubatan<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Adakah anda mempunyai sebarang kecacatan, kecacatan atau keadaan perubatan jangka panjang yang boleh menjejaskan pengajian anda?\">Adakah anda mempunyai sebarang kecacatan, kecacatan atau keadaan perubatan jangka panjang yang boleh menjejaskan pengajian anda?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_question_49925d74148cdf354d0ec37963314c43'><input  type=\"radio\" name=\"md_question\" data-name=\"md_question\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='md_question_49925d74148cdf354d0ec37963314c43' aria-label='Ya' aria-invalid='false' aria-required=true> <span>Ya<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_question_384f943d4109788ccb45f857687c6f70'><input  type=\"radio\" name=\"md_question\" data-name=\"md_question\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='md_question_384f943d4109788ccb45f857687c6f70' aria-label='Tidak' aria-invalid='false' aria-required=true> <span>Tidak<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_2col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Sila nyatakan atau tandakan ( \u221a ) kotak yang berkaitan.\">Sila nyatakan atau tandakan ( \u221a ) kotak yang berkaitan.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_7f11ecc664b44ae88be8c5d33c193a3f'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Dyslexia \/ Asthma\"  id='md_checkbox_7f11ecc664b44ae88be8c5d33c193a3f' aria-label='Disleksia \/ Asma' aria-invalid='false' aria-required=true> <span>Disleksia \/ Asma<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_1be0397749192155647c2b2c7acd1411'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Authism \/ Asperger\"  id='md_checkbox_1be0397749192155647c2b2c7acd1411' aria-label='Authism \/ Asperger' aria-invalid='false' aria-required=true> <span>Authism \/ Asperger<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_d1782f847829eb62b9fc1f810a66e3f6'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Hearing Impairment\"  id='md_checkbox_d1782f847829eb62b9fc1f810a66e3f6' aria-label='Gangguan pendengaran' aria-invalid='false' aria-required=true> <span>Gangguan pendengaran<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_93ff4bd5464f7d310d14b192ea259782'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Epileps\"  id='md_checkbox_93ff4bd5464f7d310d14b192ea259782' aria-label='Epilep' aria-invalid='false' aria-required=true> <span>Epilep<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_5154bd93052acf9458ff233d4d5812a0'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Wheelchair User \/ Mobility Difficulties\"  id='md_checkbox_5154bd93052acf9458ff233d4d5812a0' aria-label='Pengguna Kerusi Roda \/ Kesukaran Mobiliti' aria-invalid='false' aria-required=true> <span>Pengguna Kerusi Roda \/ Kesukaran Mobiliti<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_137f834103d8eb9c5c2b61083b1eea0d'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Colour Blindness\"  id='md_checkbox_137f834103d8eb9c5c2b61083b1eea0d' aria-label='Buta Warna' aria-invalid='false' aria-required=true> <span>Buta Warna<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_764bb01d9766ae9a6c07620abbbad0f8'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Require Personal Care Support\"  id='md_checkbox_764bb01d9766ae9a6c07620abbbad0f8' aria-label='Memerlukan Sokongan Penjagaan Diri' aria-invalid='false' aria-required=true> <span>Memerlukan Sokongan Penjagaan Diri<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_af4d6f3842278ab8aefb38482f43764c'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Mental Health Difficulties\"  id='md_checkbox_af4d6f3842278ab8aefb38482f43764c' aria-label='Kesukaran Kesihatan Mental' aria-invalid='false' aria-required=true> <span>Kesukaran Kesihatan Mental<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_8506cd115015c840292d80af0ed5f066'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Others\"  id='md_checkbox_8506cd115015c840292d80af0ed5f066' aria-label='Lain' aria-invalid='false' aria-required=true> <span>Lain<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_Colour_Blindness_Please_Specify' id='label_ff_3_Colour_Blindness_Please_Specify' aria-label=\"Buta Warna - Sila Nyatakan\">Buta Warna - Sila Nyatakan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Colour_Blindness_Please_Specify\" class=\"ff-el-form-control\" data-name=\"Colour_Blindness_Please_Specify\" id=\"ff_3_Colour_Blindness_Please_Specify\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_Require_Personal_Care_Support_Please_Specify' id='label_ff_3_Require_Personal_Care_Support_Please_Specify' aria-label=\"Memerlukan Sokongan Penjagaan Diri - Sila Nyatakan\">Memerlukan Sokongan Penjagaan Diri - Sila Nyatakan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Require_Personal_Care_Support_Please_Specify\" class=\"ff-el-form-control\" data-name=\"Require_Personal_Care_Support_Please_Specify\" id=\"ff_3_Require_Personal_Care_Support_Please_Specify\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_Mental_Health_Difficulties_Please_Specify' id='label_ff_3_Mental_Health_Difficulties_Please_Specify' aria-label=\"Masalah Kesihatan Mental - Sila Nyatakan\">Masalah Kesihatan Mental - Sila Nyatakan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Mental_Health_Difficulties_Please_Specify\" class=\"ff-el-form-control\" data-name=\"Mental_Health_Difficulties_Please_Specify\" id=\"ff_3_Mental_Health_Difficulties_Please_Specify\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_md_others_please_specify' id='label_ff_3_md_others_please_specify' aria-label=\"Lain-lain - Sila Nyatakan\">Lain-lain - Sila Nyatakan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"md_others_please_specify\" class=\"ff-el-form-control\" data-name=\"md_others_please_specify\" id=\"ff_3_md_others_please_specify\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_9\" ><p>* Maklumat di atas adalah untuk membantu kami dalam mengekalkan kebajikan pelajar secara keseluruhan. Tanggungjawab untuk keselamatan dan kesihatan setiap pelajar terletak pada individu, bukan sekolah. <\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_10\" ><p>-<\/p><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_11\" ><h3 class='ff-el-section-title'>Kenyataan Peribadi<\/h3><div class='ff-section_break_desk'><p>Sila nyatakan alasan anda untuk belajar di Akademi Undo dan untuk memilih program\/jurusan pilihan anda.<\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_personal_statement_description' id='label_ff_3_personal_statement_description' aria-label=\"Kenyataan Peribadi\">Kenyataan Peribadi<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_3_personal_statement_description\" name=\"personal_statement_description\" id=\"ff_3_personal_statement_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"personal_statement_description\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_12\" ><p>-<\/p><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_13\" ><h3 class='ff-el-section-title'>Sumber Sokongan<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sources_of_support' id='label_ff_3_sources_of_support' aria-label=\"Sumber Sokongan\">Sumber Sokongan<\/label><\/div><div class='ff-el-input--content'><select name=\"sources_of_support\" id=\"ff_3_sources_of_support\" class=\"ff-el-form-control\" data-name=\"sources_of_support\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_3_sources_of_support\"><option value=\"\">-Pilih-<\/option><option value=\"I Am Paying For My Own Fees\"  >Saya Membayar Yuran Saya Sendiri<\/option><option value=\"My Parent \/ Guardian Is Paying For My Fees\"  >Ibu Bapa \/ Penjaga Saya Membayar Yuran Saya<\/option><option value=\"A Sponsor Is Paying For My Fees\"  >Penaja Membayar Yuran Saya<\/option><option value=\"Scholarship \/ Loan\"  >Biasiswa \/ Pinjaman<\/option><\/select><\/div><\/div><div data-name=\"ff_cn_id_14\"  class='ff-t-container ff-column-container ff_columns_total_3 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_name_of_sponsor' id='label_ff_3_name_of_sponsor' >Nama Penaja<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"name_of_sponsor\" class=\"ff-el-form-control\" data-name=\"name_of_sponsor\" id=\"ff_3_name_of_sponsor\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sponsor_mobile_phone' id='label_ff_3_sponsor_mobile_phone' aria-label=\"Telefon (Mudah Alih)\">Telefon (Mudah Alih)<\/label><\/div><div class='ff-el-input--content'><input name=\"sponsor_mobile_phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Nombor Telefon Bimbit\" data-name=\"sponsor_mobile_phone\" id=\"ff_3_sponsor_mobile_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_sponsor_email' id='label_ff_3_sponsor_email' aria-label=\"E-mel\">E-mel<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"sponsor_email\" id=\"ff_3_sponsor_email\" class=\"ff-el-form-control\" placeholder=\"Alamat E-mel\" data-name=\"sponsor_email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_15\"  class='ff-t-container ff-column-container ff_columns_total_3 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_scholarship_loan_name' id='label_ff_3_scholarship_loan_name' >Nama Biasiswa \/ Pinjaman<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"scholarship_loan_name\" class=\"ff-el-form-control\" data-name=\"scholarship_loan_name\" id=\"ff_3_scholarship_loan_name\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_scholarship_loan_amount' id='label_ff_3_scholarship_loan_amount' aria-label=\"Biasiswa \/ Jumlah Pinjaman\">Biasiswa \/ Jumlah Pinjaman<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"scholarship_loan_amount\" class=\"ff-el-form-control\" data-name=\"scholarship_loan_amount\" id=\"ff_3_scholarship_loan_amount\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_scholarship_loan_url' id='label_ff_3_scholarship_loan_url' aria-label=\"Laman web\">Laman web<\/label><\/div><div class='ff-el-input--content'><input type=\"url\" name=\"scholarship_loan_url\" class=\"ff-el-form-control\" data-name=\"scholarship_loan_url\" id=\"ff_3_scholarship_loan_url\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Sebelumnya'>Sebelumnya<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Seterusnya'>Seterusnya<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_14\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_15\" ><h3 class='ff-el-section-title'>Terma dan Syarat<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Saya mengisytiharkan setakat pengetahuan saya, bahawa maklumat yang saya berikan dalam borang ini adalah betul. Saya bersetuju untuk mematuhi peraturan Undo Academy, dan menerima bahawa semasa pendaftaran, saya secara peribadi akan menanggung bayaran untuk yuran pengajian dan pendaftaran saya.' class='ff-el-form-check-label ff_tc_label' for=terms_n_condition_1_7c56ad76cd3b63367ca45ae4aadf08f2><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms_n_condition_1\" class=\"ff-el-form-check-input\" data-name=\"terms_n_condition_1\" id=\"terms_n_condition_1_7c56ad76cd3b63367ca45ae4aadf08f2\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Saya mengisytiharkan setakat pengetahuan saya, bahawa maklumat yang saya berikan dalam borang ini adalah betul. Saya bersetuju untuk mematuhi peraturan Undo Academy, dan menerima bahawa semasa pendaftaran, saya secara peribadi akan menanggung bayaran untuk yuran pengajian dan pendaftaran saya. <\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Saya bersetuju dengan pemprosesan data peribadi saya yang terkandung dalam borang ini, atau mana-mana data lain yang mungkin diperoleh oleh Undo Academy daripada saya atau mana-mana orang lain. Saya bersetuju dengan pemprosesan data tersebut untuk sebarang tujuan yang berkaitan dengan pengajian saya, atau isu kesihatan dan keselamatan saya semasa berada di premis, atau atas sebarang sebab lain yang sah. Saya bersetuju bahawa yuran pengajian yang dibayar tidak boleh dikembalikan.' class='ff-el-form-check-label ff_tc_label' for=terms_n_condition_2_1cf0d2e1491d6dd1d44f2a42ddc47386><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms_n_condition_2\" class=\"ff-el-form-check-input\" data-name=\"terms_n_condition_2\" id=\"terms_n_condition_2_1cf0d2e1491d6dd1d44f2a42ddc47386\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Saya bersetuju dengan pemprosesan data peribadi saya yang terkandung dalam borang ini, atau mana-mana data lain yang mungkin diperoleh oleh Undo Academy daripada saya atau mana-mana orang lain. Saya bersetuju dengan pemprosesan data tersebut untuk sebarang tujuan yang berkaitan dengan pengajian saya, atau isu kesihatan dan keselamatan saya semasa berada di premis, atau atas sebarang sebab lain yang sah. Saya bersetuju bahawa yuran pengajian yang dibayar tidak boleh dikembalikan.  <\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Saya bersetuju untuk menerima bahawa Undo Academy berhak mutlak untuk menggunakan mana-mana karya seni saya yang dilakukan semasa pendaftaran saya di Undo Academy untuk tujuan pendidikan dan pengiklanan.' class='ff-el-form-check-label ff_tc_label' for=terms_n_condition_3_db9577e0b93842eaccbe15bc61836d95><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms_n_condition_3\" class=\"ff-el-form-check-input\" data-name=\"terms_n_condition_3\" id=\"terms_n_condition_3_db9577e0b93842eaccbe15bc61836d95\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Saya bersetuju untuk menerima bahawa Undo Academy berhak mutlak untuk menggunakan mana-mana karya seni saya yang dilakukan semasa pendaftaran saya di Undo Academy untuk tujuan pendidikan dan pengiklanan.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Saya bersetuju untuk menerima bahawa Undo Academy berhak untuk menangguhkan atau tidak memulakan sebarang program; untuk menyemak, menukar dan mengemas kini kurikulum mata pelajaran dalam mana-mana program yang difikirkan sesuai dan perlu.' class='ff-el-form-check-label ff_tc_label' for=terms_n_condition_4_932d8b3e89010373a323186d00f87f03><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms_n_condition_4\" class=\"ff-el-form-check-input\" data-name=\"terms_n_condition_4\" id=\"terms_n_condition_4_932d8b3e89010373a323186d00f87f03\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Saya bersetuju untuk menerima bahawa Undo Academy berhak untuk menangguhkan atau tidak memulakan sebarang program; untuk menyemak, menukar dan mengemas kini kurikulum mata pelajaran dalam mana-mana program yang difikirkan sesuai dan perlu.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Penerimaan BersyaratSaya faham bahawa saya akan diterima di bawah penerimaan bersyarat jika saya memohon dengan keputusan ramalan dan jika keputusan rasmi saya tidak memenuhi syarat kemasukan, saya mesti sama ada menarik diri daripada program atau mendaftar dalam program dengan syarat kemasukan yang lebih rendah.' class='ff-el-form-check-label ff_tc_label' for=terms_n_condition_5_53f97c2fd7fa84c3d565f70b09588c3e><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms_n_condition_5\" class=\"ff-el-form-check-input\" data-name=\"terms_n_condition_5\" id=\"terms_n_condition_5_53f97c2fd7fa84c3d565f70b09588c3e\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p><strong>Penerimaan Bersyarat<br><\/strong>Saya faham bahawa saya akan diterima di bawah penerimaan bersyarat jika saya memohon dengan keputusan ramalan dan jika keputusan rasmi saya tidak memenuhi syarat kemasukan, saya mesti sama ada menarik diri daripada program atau mendaftar dalam program dengan syarat kemasukan yang lebih rendah.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group ' ><div class='ff-el-input--content'><div data-fluent_id='3' name='g-recaptcha-response'><div\n\t\tdata-sitekey='6LdrpAgUAAAAALf2B8ZZgQcZrCBEqItO3ptbphC9'\n\t\tid='fluentform-recaptcha-3-1'\n\t\tclass='ff-el-recaptcha g-recaptcha'\n\t\tdata-callback='fluentFormrecaptchaSuccessCallback'><\/div><\/div><\/div><\/div>        <div class=\"ff-step-t-container ff-inner_submit_container ff-column-container ff_columns_total_2\">\n            <div class=\"ff-t-cell ff-t-column-1\"><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><\/div><\/div>\n            <div class=\"ff-t-cell ff-t-column-2\">\n                <div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Submit Form\">Submit Form<\/button><\/div>            <\/div>\n        <\/div>\n        <\/div><\/div><\/div>\n        <\/fieldset><\/form><div id='fluentform_3_errors' class='ff-errors-in-stack ff_form_instance_3_1 ff-form-loading_errors ff_form_instance_3_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_3_1 = {\"id\":\"3\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_3_1\",\"form_id_selector\":\"fluentform_3\",\"rules\":{\"programme\":{\"required\":{\"value\":true,\"message\":\"Medan ini 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required\"}},\"parent_occupation\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"parent_address\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"parent_city\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"parent_state\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"parent_postcode\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"parent_country\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"parent_mobile_phone\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"},\"valid_phone_number\":{\"value\":true,\"message\":\"Nombor telefon tidak sah\",\"global\":false,\"global_message\":\"Phone number is not valid\"}},\"parent_telephone\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"},\"valid_phone_number\":{\"value\":true,\"message\":\"Nombor telefon tidak sah\",\"global\":false,\"global_message\":\"Phone number is not valid\"}},\"parent_email\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"Medan ini mesti mengandungi e-mel yang sah\",\"global\":false,\"global_message\":\"This field must contain a valid email\"}},\"ec_checkbox\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"ec_title\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"ec_name\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"ec_relationship_to_applicant\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"ec_address\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"ec_city\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"ec_state\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"ec_postcode\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"ec_country\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"ec_mobile_phone\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"},\"valid_phone_number\":{\"value\":true,\"message\":\"Nombor telefon tidak sah\",\"global\":false,\"global_message\":\"Phone number is not valid\"}},\"ec_telephone\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"},\"valid_phone_number\":{\"value\":true,\"message\":\"Nombor telefon tidak sah\",\"global\":false,\"global_message\":\"Phone number is not valid\"}},\"ec_email\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"Medan ini mesti mengandungi e-mel yang sah\",\"global\":false,\"global_message\":\"This field must contain a valid email\"}},\"md_question\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"md_checkbox\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"Colour_Blindness_Please_Specify\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"Require_Personal_Care_Support_Please_Specify\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"Mental_Health_Difficulties_Please_Specify\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"md_others_please_specify\":{\"required\":{\"value\":true,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"personal_statement_description\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"sources_of_support\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"name_of_sponsor\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"sponsor_mobile_phone\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"},\"valid_phone_number\":{\"value\":true,\"message\":\"Nombor telefon tidak sah\",\"global\":false,\"global_message\":\"Phone number is not valid\"}},\"sponsor_email\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"Medan ini mesti mengandungi e-mel yang sah\",\"global\":false,\"global_message\":\"This field must contain a valid email\"}},\"scholarship_loan_name\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"scholarship_loan_amount\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"}},\"scholarship_loan_url\":{\"required\":{\"value\":false,\"message\":\"Medan ini diperlukan\",\"global\":false,\"global_message\":\"This field is required\"},\"url\":{\"value\":true,\"message\":\"Medan ini mesti mengandungi url yang sah\",\"global\":false,\"global_message\":\"This field must contain a valid url\"}},\"terms_n_condition_1\":{\"required\":{\"value\":true,\"message\":\"Anda mesti menerima Terma dan Syarat sebelum anda boleh membuat penyerahan.\",\"global\":false,\"global_message\":\"This field is required\"}},\"terms_n_condition_2\":{\"required\":{\"value\":true,\"message\":\"Anda mesti menerima Terma dan Syarat sebelum anda boleh membuat penyerahan.\",\"global\":false,\"global_message\":\"This field is required\"}},\"terms_n_condition_3\":{\"required\":{\"value\":true,\"message\":\"Anda mesti menerima Terma dan Syarat sebelum anda boleh membuat penyerahan.\",\"global\":false,\"global_message\":\"This field is required\"}},\"terms_n_condition_4\":{\"required\":{\"value\":true,\"message\":\"Anda mesti menerima Terma dan Syarat sebelum anda boleh membuat penyerahan.\",\"global\":false,\"global_message\":\"This field is required\"}},\"terms_n_condition_5\":{\"required\":{\"value\":true,\"message\":\"Anda mesti menerima Terma dan Syarat sebelum anda boleh membuat penyerahan.\",\"global\":false,\"global_message\":\"This field is required\"}},\"g-recaptcha-response\":[]},\"debounce_time\":300,\"conditionals\":{\"race_other\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"race\",\"value\":\"Others\",\"operator\":\"=\"}]},\"chinese_name\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"race\",\"value\":\"Chinese\",\"operator\":\"=\"}]},\"ff_cn_id_10\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"ec_checkbox\",\"value\":\"Different From Parent \\\/ Guardian Contact?\",\"operator\":\"=\"}]},\"ec_title\":{\"conditions\":[],\"status\":false,\"type\":\"any\",\"container_condition\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"ec_checkbox\",\"value\":\"Different From Parent \\\/ Guardian 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Contact?\",\"operator\":\"=\"}]}},\"ec_country\":{\"conditions\":[],\"status\":false,\"type\":\"any\",\"container_condition\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"ec_checkbox\",\"value\":\"Different From Parent \\\/ Guardian Contact?\",\"operator\":\"=\"}]}},\"ff_cn_id_13\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"ec_checkbox\",\"value\":\"Different From Parent \\\/ Guardian Contact?\",\"operator\":\"=\"}]},\"ec_mobile_phone\":{\"conditions\":[],\"status\":false,\"type\":\"any\",\"container_condition\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"ec_checkbox\",\"value\":\"Different From Parent \\\/ Guardian Contact?\",\"operator\":\"=\"}]}},\"ec_telephone\":{\"conditions\":[],\"status\":false,\"type\":\"any\",\"container_condition\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"ec_checkbox\",\"value\":\"Different From Parent \\\/ Guardian Contact?\",\"operator\":\"=\"}]}},\"ec_email\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"ec_checkbox\",\"value\":\"Different From Parent \\\/ Guardian Contact?\",\"operator\":\"=\"}]},\"md_checkbox\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"md_question\",\"value\":\"yes\",\"operator\":\"=\"}]},\"Colour_Blindness_Please_Specify\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"md_checkbox\",\"value\":\"Colour Blindness\",\"operator\":\"=\"}]},\"Require_Personal_Care_Support_Please_Specify\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"md_checkbox\",\"value\":\"Require Personal Care Support\",\"operator\":\"=\"}]},\"Mental_Health_Difficulties_Please_Specify\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"md_checkbox\",\"value\":\"Mental Health Difficulties\",\"operator\":\"=\"}]},\"md_others_please_specify\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"md_checkbox\",\"value\":\"Others\",\"operator\":\"=\"}]},\"ff_cn_id_14\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"sources_of_support\",\"value\":\"A Sponsor Is Paying For My Fees\",\"operator\":\"=\"}]},\"name_of_sponsor\":{\"conditions\":[],\"status\":false,\"type\":\"any\",\"container_condition\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"sources_of_support\",\"value\":\"A Sponsor Is Paying For My Fees\",\"operator\":\"=\"}]}},\"sponsor_mobile_phone\":{\"conditions\":[],\"status\":false,\"type\":\"any\",\"container_condition\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"sources_of_support\",\"value\":\"A Sponsor Is Paying For My Fees\",\"operator\":\"=\"}]}},\"sponsor_email\":{\"conditions\":[],\"status\":false,\"type\":\"any\",\"container_condition\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"sources_of_support\",\"value\":\"A Sponsor Is Paying For My Fees\",\"operator\":\"=\"}]}},\"ff_cn_id_15\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"sources_of_support\",\"value\":\"Scholarship \\\/ Loan\",\"operator\":\"=\"}]},\"scholarship_loan_name\":{\"conditions\":[],\"status\":false,\"type\":\"any\",\"container_condition\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"sources_of_support\",\"value\":\"Scholarship \\\/ Loan\",\"operator\":\"=\"}]}},\"scholarship_loan_amount\":{\"conditions\":[],\"status\":false,\"type\":\"any\",\"container_condition\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"sources_of_support\",\"value\":\"Scholarship \\\/ Loan\",\"operator\":\"=\"}]}},\"scholarship_loan_url\":{\"conditions\":[],\"status\":false,\"type\":\"any\",\"container_condition\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"sources_of_support\",\"value\":\"Scholarship \\\/ Loan\",\"operator\":\"=\"}]}}}};\n                            <\/script>\n            [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Borang Permohonan<div class=\"et_pb_module dsm_breadcrumbs dsm_breadcrumbs_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t<nav class=\"dsm_breadcrumbs_wrap\">\n\t\t\t\t<ul class=\"dsm_breadcrumbs\" itemscope itemtype=\"https:\/\/schema.org\/BreadcrumbList\">\t\t\t<li class=\"dsm_breadcrumbs_item dsm_home_item dsm_home_item_custom\" itemprop=\"itemListElement\" itemscope\n\t\t\titemtype=\"https:\/\/schema.org\/ListItem\">\n\t\t\t\t<a href=\"https:\/\/undo.edu.my\/ms\/\" itemprop=\"item\" target=\"\">\n\t\t\t\t\t<span class='dsm_home_text_wrapper'>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"dsm_home_text\" itemprop=\"name\">\n\t\t\t\t\t\t\t\tUNDO Academy\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t\t<meta itemprop=\"position\" content=\"1\" \/>\n\t\t\t<\/li>\n\n\t\t<li class=\"dsm_breadcrumbs_separator\"> <span class=\"et-pb-icon dsm_separator_icon\">5<\/span><\/li><\/ul>\n\t\t\t<\/nav>\n\t\t\t\t<\/div>\n\t\t\t<\/div>Mohon Dalam TalianImpian Anda Bermula Di Sini. Ambil Langkah Pertama.<div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_2 ff-form-loading ff-form-has-steps ffs_default\" data-form_instance=\"ff_form_instance_3_2\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Application Form<\/legend>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_3_item_sf\" aria-label=\"Newsletter\">\n                    Newsletter                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_3__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_3_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n        <input type='hidden' name='__fluent_form_embded_post_id' value='279144' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"fa681f761b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ms\/wp-json\/wp\/v2\/pages\/279144\" \/><div class='ff-step-container' data-name=\"step_start-3_16\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-step-header'><ul class='ff-step-titles'><li class='ff_active'><span>Programme<\/span><\/li><li><span>Personal<\/span><\/li><li><span>Parent \/ Guardian<\/span><\/li><li><span>Background<\/span><\/li><li><span>Submit<\/span><\/li><\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-3_16\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_programme' id='label_ff_3_2_programme' aria-label=\"Program\">Program<\/label><\/div><div class='ff-el-input--content'><select name=\"programme\" id=\"ff_3_2_programme\" class=\"ff-el-form-control\" data-name=\"programme\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_2_programme\"><option value=\"\">- Pilih Program -<\/option><option value=\"Diploma in Concept Art Illustration\"  >Diploma Seni Konsep &amp; Ilustrasi<\/option><option value=\"Diploma in 3D Animation\"  >Diploma Animasi 3D<\/option><option value=\"Diploma in Game Development\"  >Diploma Pembangunan Permainan<\/option><\/select><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_intake' id='label_ff_3_2_intake' aria-label=\"Pengambilan\">Pengambilan<\/label><\/div><div class='ff-el-input--content'><select name=\"intake\" id=\"ff_3_2_intake\" class=\"ff-el-form-control\" data-name=\"intake\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_2_intake\"><option value=\"\">- Pilih Pengambilan -<\/option><option value=\"January 2026\"  >Januari 2026<\/option><option value=\"May 2026\"  >Boleh 2026<\/option><option value=\"September 2026\"  >September 2026<\/option><option value=\"January 2027\"  >Januari 2027<\/option><option value=\"May 2027\"  >Mei 2027<\/option><option value=\"September 2027\"  >September 2027<\/option><\/select><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Sebelumnya'>Sebelumnya<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Seterusnya'>Seterusnya<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_1\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_2\" ><h3 class='ff-el-section-title'>Maklumat Peribadi<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-type=\"name-element\" data-name=\"name\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_name_first_name_' id='label_ff_3_2_name_first_name_' >Nama Penuh (Seperti Dalam Kad Pengenalan \/ Pasport)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"name[first_name]\" id=\"ff_3_2_name_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_name_last_name_' id='label_ff_3_2_name_last_name_' >Nama keluarga \/ Nama keluarga<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"name[last_name]\" id=\"ff_3_2_name_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_id_number' id='label_ff_3_2_id_number' aria-label=\"Nombor Kad Pengenalan \/ Nombor Pasport\">Nombor Kad Pengenalan \/ Nombor Pasport<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"id_number\" class=\"ff-el-form-control\" data-name=\"id_number\" id=\"ff_3_2_id_number\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_nationality' id='label_ff_3_2_nationality' aria-label=\"Kewarganegaraan\">Kewarganegaraan<\/label><\/div><div class='ff-el-input--content'><select name=\"nationality\" id=\"ff_3_2_nationality\" class=\"ff-el-form-control\" placeholder=\"-Pilih-\" data-name=\"nationality\" aria-invalid='false' aria-required=true><option value=''>-Pilih-<\/option><optgroup label=\"\"><option value='MY' >Malaysia<\/option><option value='SG' >Singapore<\/option><\/optgroup><optgroup label=\"\"><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/optgroup><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_date_of_birth' id='label_ff_3_2_date_of_birth' aria-label=\"Tarikh lahir\">Tarikh lahir<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Tarikh lahir Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"date_of_birth\" id=\"ff_3_2_date_of_birth\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"date_of_birth\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_gender' id='label_ff_3_2_gender' aria-label=\"Jantina\">Jantina<\/label><\/div><div class='ff-el-input--content'><select name=\"gender\" id=\"ff_3_2_gender\" class=\"ff-el-form-control\" data-name=\"gender\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_2_gender\"><option value=\"\">-Pilih-<\/option><option value=\"Male\"  >Jejaka<\/option><option value=\"Female\"  >Perempuan<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_race' id='label_ff_3_2_race' aria-label=\"Perlumbaan\">Perlumbaan<\/label><\/div><div class='ff-el-input--content'><select name=\"race\" id=\"ff_3_2_race\" class=\"ff-el-form-control\" data-name=\"race\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_2_race\"><option value=\"\">-Pilih-<\/option><option value=\"Malay\"  >Bahasa Melayu<\/option><option value=\"Chinese\"  >Bahasa Cina<\/option><option value=\"Indian\"  >India<\/option><option value=\"Others\"  >Lain<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_race_other' id='label_ff_3_2_race_other' aria-label=\"Sila nyatakan\">Sila nyatakan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"race_other\" class=\"ff-el-form-control\" data-name=\"race_other\" id=\"ff_3_2_race_other\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_chinese_name' id='label_ff_3_2_chinese_name' >Nama Cina<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"chinese_name\" class=\"ff-el-form-control\" data-name=\"chinese_name\" id=\"ff_3_2_chinese_name\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_address' id='label_ff_3_2_address' aria-label=\"Alamat\">Alamat<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address\" class=\"ff-el-form-control\" data-name=\"address\" id=\"ff_3_2_address\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_city' id='label_ff_3_2_city' aria-label=\"Bandar\">Bandar<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"city\" class=\"ff-el-form-control\" data-name=\"city\" id=\"ff_3_2_city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_state' id='label_ff_3_2_state' aria-label=\"Negeri\">Negeri<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"state\" class=\"ff-el-form-control\" data-name=\"state\" id=\"ff_3_2_state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_postcode' id='label_ff_3_2_postcode' aria-label=\"Poskod\">Poskod<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"postcode\" class=\"ff-el-form-control\" data-name=\"postcode\" id=\"ff_3_2_postcode\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_country' id='label_ff_3_2_country' aria-label=\"Negara\">Negara<\/label><\/div><div class='ff-el-input--content'><select name=\"country\" id=\"ff_3_2_country\" class=\"ff-el-form-control\" placeholder=\"-Pilih-\" data-name=\"country\" aria-invalid='false' aria-required=true><option value=''>-Pilih-<\/option><optgroup label=\"\"><option value='MY' >Malaysia<\/option><option value='SG' >Singapore<\/option><\/optgroup><optgroup label=\"\"><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/optgroup><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_mobile_phone' id='label_ff_3_2_mobile_phone' aria-label=\"Telefon (Mudah Alih)\">Telefon (Mudah Alih)<\/label><\/div><div class='ff-el-input--content'><input name=\"mobile_phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"mobile_phone\" id=\"ff_3_2_mobile_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_telephone' id='label_ff_3_2_telephone' aria-label=\"Telefon (Rumah)\">Telefon (Rumah)<\/label><\/div><div class='ff-el-input--content'><input name=\"telephone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"telephone\" id=\"ff_3_2_telephone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_email' id='label_ff_3_2_email' aria-label=\"E-mel\">E-mel<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_2_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Sebelumnya'>Sebelumnya<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Seterusnya'>Seterusnya<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_3\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_4\" ><h3 class='ff-el-section-title'>Maklumat Ibu Bapa \/ Penjaga<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_parent_title' id='label_ff_3_2_parent_title' aria-label=\"Tajuk\">Tajuk<\/label><\/div><div class='ff-el-input--content'><select name=\"parent_title\" id=\"ff_3_2_parent_title\" class=\"ff-el-form-control\" data-name=\"parent_title\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_2_parent_title\"><option value=\"\">-Pilih-<\/option><option value=\"Mr\"  >Encik<\/option><option value=\"Ms\"  >Ms<\/option><option value=\"Mrs\"  >Puan<\/option><option value=\"Dato Sri\"  >Dato Sri<\/option><option value=\"Dato\"  >Dato<\/option><option value=\"Datuk\"  >Datuk<\/option><option value=\"Datin\"  >Datin<\/option><option value=\"Dr\"  >Dr<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_parent_guardian_name' id='label_ff_3_2_parent_guardian_name' >Nama Ibu Bapa \/ Penjaga<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_guardian_name\" class=\"ff-el-form-control\" data-name=\"parent_guardian_name\" id=\"ff_3_2_parent_guardian_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_relationship_to_applicant' id='label_ff_3_2_relationship_to_applicant' aria-label=\"Hubungan dengan Pemohon\">Hubungan dengan Pemohon<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"relationship_to_applicant\" class=\"ff-el-form-control\" data-name=\"relationship_to_applicant\" id=\"ff_3_2_relationship_to_applicant\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_parent_occupation' id='label_ff_3_2_parent_occupation' aria-label=\"Pekerjaan\">Pekerjaan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_occupation\" class=\"ff-el-form-control\" data-name=\"parent_occupation\" id=\"ff_3_2_parent_occupation\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_parent_address' id='label_ff_3_2_parent_address' aria-label=\"Alamat\">Alamat<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_address\" class=\"ff-el-form-control\" data-name=\"parent_address\" id=\"ff_3_2_parent_address\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_parent_city' id='label_ff_3_2_parent_city' aria-label=\"Bandar\">Bandar<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_city\" class=\"ff-el-form-control\" data-name=\"parent_city\" id=\"ff_3_2_parent_city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_parent_state' id='label_ff_3_2_parent_state' aria-label=\"Negeri\">Negeri<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_state\" class=\"ff-el-form-control\" data-name=\"parent_state\" id=\"ff_3_2_parent_state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_parent_postcode' id='label_ff_3_2_parent_postcode' aria-label=\"Poskod\">Poskod<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"parent_postcode\" class=\"ff-el-form-control\" data-name=\"parent_postcode\" id=\"ff_3_2_parent_postcode\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_parent_country' id='label_ff_3_2_parent_country' aria-label=\"Negara\">Negara<\/label><\/div><div class='ff-el-input--content'><select name=\"parent_country\" id=\"ff_3_2_parent_country\" class=\"ff-el-form-control\" placeholder=\"-Pilih-\" data-name=\"parent_country\" aria-invalid='false' aria-required=true><option value=''>-Pilih-<\/option><optgroup label=\"\"><option value='MY' >Malaysia<\/option><option value='SG' >Singapore<\/option><\/optgroup><optgroup label=\"\"><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/optgroup><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_parent_mobile_phone' id='label_ff_3_2_parent_mobile_phone' aria-label=\"Telefon (Mudah Alih)\">Telefon (Mudah Alih)<\/label><\/div><div class='ff-el-input--content'><input name=\"parent_mobile_phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"parent_mobile_phone\" id=\"ff_3_2_parent_mobile_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_parent_telephone' id='label_ff_3_2_parent_telephone' aria-label=\"Telefon (Rumah)\">Telefon (Rumah)<\/label><\/div><div class='ff-el-input--content'><input name=\"parent_telephone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"parent_telephone\" id=\"ff_3_2_parent_telephone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_parent_email' id='label_ff_3_2_parent_email' aria-label=\"E-mel\">E-mel<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"parent_email\" id=\"ff_3_2_parent_email\" class=\"ff-el-form-control\" data-name=\"parent_email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_5\" ><p>-<\/p><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_6\" ><h3 class='ff-el-section-title'>Hubungan Kecemasan<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Hubungan Kecemasan\">Hubungan Kecemasan<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='ec_checkbox_16ef27d082aedeed1042db61d7893293'><input  type=\"checkbox\" name=\"ec_checkbox[]\" data-name=\"ec_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Different From Parent \/ Guardian Contact?\"  id='ec_checkbox_16ef27d082aedeed1042db61d7893293' aria-label='Berbeza daripada hubungan ibu bapa \/ penjaga?' aria-invalid='false' aria-required=false> <span>Berbeza daripada hubungan ibu bapa \/ penjaga?<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_10\"  class='ff-t-container ff-column-container ff_columns_total_3 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_ec_title' id='label_ff_3_2_ec_title' aria-label=\"Tajuk\">Tajuk<\/label><\/div><div class='ff-el-input--content'><select name=\"ec_title\" id=\"ff_3_2_ec_title\" class=\"ff-el-form-control\" data-name=\"ec_title\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_2_ec_title\"><option value=\"\">-Pilih-<\/option><option value=\"Mr\"  >Encik<\/option><option value=\"Ms\"  >Ms<\/option><option value=\"Mrs\"  >Puan<\/option><option value=\"Dato Sri\"  >Dato Sri<\/option><option value=\"Dato\"  >Dato<\/option><option value=\"Datuk\"  >Datuk<\/option><option value=\"Datin\"  >Datin<\/option><option value=\"Dr\"  >Dr<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_ec_name' id='label_ff_3_2_ec_name' >Nama Kenalan Kecemasan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_name\" class=\"ff-el-form-control\" data-name=\"ec_name\" id=\"ff_3_2_ec_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_ec_relationship_to_applicant' id='label_ff_3_2_ec_relationship_to_applicant' aria-label=\"Hubungan dengan Pemohon\">Hubungan dengan Pemohon<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_relationship_to_applicant\" class=\"ff-el-form-control\" data-name=\"ec_relationship_to_applicant\" id=\"ff_3_2_ec_relationship_to_applicant\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_ec_address' id='label_ff_3_2_ec_address' aria-label=\"Alamat\">Alamat<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_address\" class=\"ff-el-form-control\" data-name=\"ec_address\" id=\"ff_3_2_ec_address\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-name=\"ff_cn_id_11\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_ec_city' id='label_ff_3_2_ec_city' aria-label=\"Bandar\">Bandar<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_city\" class=\"ff-el-form-control\" data-name=\"ec_city\" id=\"ff_3_2_ec_city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_ec_state' id='label_ff_3_2_ec_state' aria-label=\"Negeri\">Negeri<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_state\" class=\"ff-el-form-control\" data-name=\"ec_state\" id=\"ff_3_2_ec_state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_12\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_ec_postcode' id='label_ff_3_2_ec_postcode' aria-label=\"Poskod\">Poskod<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ec_postcode\" class=\"ff-el-form-control\" data-name=\"ec_postcode\" id=\"ff_3_2_ec_postcode\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_ec_country' id='label_ff_3_2_ec_country' aria-label=\"Negara\">Negara<\/label><\/div><div class='ff-el-input--content'><select name=\"ec_country\" id=\"ff_3_2_ec_country\" class=\"ff-el-form-control\" placeholder=\"-Pilih-\" data-name=\"ec_country\" aria-invalid='false' aria-required=true><option value=''>-Pilih-<\/option><optgroup label=\"\"><option value='MY' >Malaysia<\/option><option value='SG' >Singapore<\/option><\/optgroup><optgroup label=\"\"><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/optgroup><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_13\"  class='ff-t-container ff-column-container ff_columns_total_2 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_ec_mobile_phone' id='label_ff_3_2_ec_mobile_phone' aria-label=\"Telefon (Mudah Alih)\">Telefon (Mudah Alih)<\/label><\/div><div class='ff-el-input--content'><input name=\"ec_mobile_phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"ec_mobile_phone\" id=\"ff_3_2_ec_mobile_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_ec_telephone' id='label_ff_3_2_ec_telephone' aria-label=\"Telefon (Rumah)\">Telefon (Rumah)<\/label><\/div><div class='ff-el-input--content'><input name=\"ec_telephone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" data-name=\"ec_telephone\" id=\"ff_3_2_ec_telephone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_ec_email' id='label_ff_3_2_ec_email' aria-label=\"E-mel\">E-mel<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"ec_email\" id=\"ff_3_2_ec_email\" class=\"ff-el-form-control\" data-name=\"ec_email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Sebelumnya'>Sebelumnya<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Seterusnya'>Seterusnya<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_7\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_8\" ><h3 class='ff-el-section-title'>Pendedahan Perubatan<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Adakah anda mempunyai sebarang kecacatan, kecacatan atau keadaan perubatan jangka panjang yang boleh menjejaskan pengajian anda?\">Adakah anda mempunyai sebarang kecacatan, kecacatan atau keadaan perubatan jangka panjang yang boleh menjejaskan pengajian anda?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_question_85145bdf78344aadaf9ee959705d86b1'><input  type=\"radio\" name=\"md_question\" data-name=\"md_question\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='md_question_85145bdf78344aadaf9ee959705d86b1' aria-label='Ya' aria-invalid='false' aria-required=true> <span>Ya<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_question_75c7bbf09911ad2cbcf5a450a4267622'><input  type=\"radio\" name=\"md_question\" data-name=\"md_question\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='md_question_75c7bbf09911ad2cbcf5a450a4267622' aria-label='Tidak' aria-invalid='false' aria-required=true> <span>Tidak<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_2col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Sila nyatakan atau tandakan ( \u221a ) kotak yang berkaitan.\">Sila nyatakan atau tandakan ( \u221a ) kotak yang berkaitan.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_67747a706f560ba985286410f192546a'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Dyslexia \/ Asthma\"  id='md_checkbox_67747a706f560ba985286410f192546a' aria-label='Disleksia \/ Asma' aria-invalid='false' aria-required=true> <span>Disleksia \/ Asma<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_66a473885b27e395d13ae4b58b4a050a'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Authism \/ Asperger\"  id='md_checkbox_66a473885b27e395d13ae4b58b4a050a' aria-label='Authism \/ Asperger' aria-invalid='false' aria-required=true> <span>Authism \/ Asperger<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_1bd5701fb3e09f6ed35923219d4c7f15'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Hearing Impairment\"  id='md_checkbox_1bd5701fb3e09f6ed35923219d4c7f15' aria-label='Gangguan pendengaran' aria-invalid='false' aria-required=true> <span>Gangguan pendengaran<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_c8d664db9048df20e20cfffcdc246c92'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Epileps\"  id='md_checkbox_c8d664db9048df20e20cfffcdc246c92' aria-label='Epilep' aria-invalid='false' aria-required=true> <span>Epilep<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_48ea63465c0f58ba6773bb3a4f720c38'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Wheelchair User \/ Mobility Difficulties\"  id='md_checkbox_48ea63465c0f58ba6773bb3a4f720c38' aria-label='Pengguna Kerusi Roda \/ Kesukaran Mobiliti' aria-invalid='false' aria-required=true> <span>Pengguna Kerusi Roda \/ Kesukaran Mobiliti<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_5c7c55e4a65718dc8bf5cf370e93d19b'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Colour Blindness\"  id='md_checkbox_5c7c55e4a65718dc8bf5cf370e93d19b' aria-label='Buta Warna' aria-invalid='false' aria-required=true> <span>Buta Warna<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_b550926eab24b581a71868d9a0267ea5'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Require Personal Care Support\"  id='md_checkbox_b550926eab24b581a71868d9a0267ea5' aria-label='Memerlukan Sokongan Penjagaan Diri' aria-invalid='false' aria-required=true> <span>Memerlukan Sokongan Penjagaan Diri<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_7a273fdf287db5544cae9ed54c213b42'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Mental Health Difficulties\"  id='md_checkbox_7a273fdf287db5544cae9ed54c213b42' aria-label='Kesukaran Kesihatan Mental' aria-invalid='false' aria-required=true> <span>Kesukaran Kesihatan Mental<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='md_checkbox_78bf8ca63ab341cd0a85b9d4e4dea438'><input  type=\"checkbox\" name=\"md_checkbox[]\" data-name=\"md_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Others\"  id='md_checkbox_78bf8ca63ab341cd0a85b9d4e4dea438' aria-label='Lain' aria-invalid='false' aria-required=true> <span>Lain<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_Colour_Blindness_Please_Specify' id='label_ff_3_2_Colour_Blindness_Please_Specify' aria-label=\"Buta Warna - Sila Nyatakan\">Buta Warna - Sila Nyatakan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Colour_Blindness_Please_Specify\" class=\"ff-el-form-control\" data-name=\"Colour_Blindness_Please_Specify\" id=\"ff_3_2_Colour_Blindness_Please_Specify\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_Require_Personal_Care_Support_Please_Specify' id='label_ff_3_2_Require_Personal_Care_Support_Please_Specify' aria-label=\"Memerlukan Sokongan Penjagaan Diri - Sila Nyatakan\">Memerlukan Sokongan Penjagaan Diri - Sila Nyatakan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Require_Personal_Care_Support_Please_Specify\" class=\"ff-el-form-control\" data-name=\"Require_Personal_Care_Support_Please_Specify\" id=\"ff_3_2_Require_Personal_Care_Support_Please_Specify\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_Mental_Health_Difficulties_Please_Specify' id='label_ff_3_2_Mental_Health_Difficulties_Please_Specify' aria-label=\"Masalah Kesihatan Mental - Sila Nyatakan\">Masalah Kesihatan Mental - Sila Nyatakan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"Mental_Health_Difficulties_Please_Specify\" class=\"ff-el-form-control\" data-name=\"Mental_Health_Difficulties_Please_Specify\" id=\"ff_3_2_Mental_Health_Difficulties_Please_Specify\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_2_md_others_please_specify' id='label_ff_3_2_md_others_please_specify' aria-label=\"Lain-lain - Sila Nyatakan\">Lain-lain - Sila Nyatakan<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"md_others_please_specify\" class=\"ff-el-form-control\" data-name=\"md_others_please_specify\" id=\"ff_3_2_md_others_please_specify\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_9\" ><p>* Maklumat di atas adalah untuk membantu kami dalam mengekalkan kebajikan pelajar secara keseluruhan. Tanggungjawab untuk keselamatan dan kesihatan setiap pelajar terletak pada individu, bukan sekolah. <\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_10\" ><p>-<\/p><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_11\" ><h3 class='ff-el-section-title'>Kenyataan Peribadi<\/h3><div class='ff-section_break_desk'><p>Sila nyatakan alasan anda untuk belajar di Akademi Undo dan untuk memilih program\/jurusan pilihan anda.<\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_personal_statement_description' id='label_ff_3_2_personal_statement_description' aria-label=\"Kenyataan Peribadi\">Kenyataan Peribadi<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_3_2_personal_statement_description\" name=\"personal_statement_description\" id=\"ff_3_2_personal_statement_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"personal_statement_description\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_12\" ><p>-<\/p><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_13\" ><h3 class='ff-el-section-title'>Sumber Sokongan<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_sources_of_support' id='label_ff_3_2_sources_of_support' aria-label=\"Sumber Sokongan\">Sumber Sokongan<\/label><\/div><div class='ff-el-input--content'><select name=\"sources_of_support\" id=\"ff_3_2_sources_of_support\" class=\"ff-el-form-control\" data-name=\"sources_of_support\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_3_2_sources_of_support\"><option value=\"\">-Pilih-<\/option><option value=\"I Am Paying For My Own Fees\"  >Saya Membayar Yuran Saya Sendiri<\/option><option value=\"My Parent \/ Guardian Is Paying For My Fees\"  >Ibu Bapa \/ Penjaga Saya Membayar Yuran Saya<\/option><option value=\"A Sponsor Is Paying For My Fees\"  >Penaja Membayar Yuran Saya<\/option><option value=\"Scholarship \/ Loan\"  >Biasiswa \/ Pinjaman<\/option><\/select><\/div><\/div><div data-name=\"ff_cn_id_14\"  class='ff-t-container ff-column-container ff_columns_total_3 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_name_of_sponsor' id='label_ff_3_2_name_of_sponsor' >Nama Penaja<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"name_of_sponsor\" class=\"ff-el-form-control\" data-name=\"name_of_sponsor\" id=\"ff_3_2_name_of_sponsor\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_sponsor_mobile_phone' id='label_ff_3_2_sponsor_mobile_phone' aria-label=\"Telefon (Mudah Alih)\">Telefon (Mudah Alih)<\/label><\/div><div class='ff-el-input--content'><input name=\"sponsor_mobile_phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Nombor Telefon Bimbit\" data-name=\"sponsor_mobile_phone\" id=\"ff_3_2_sponsor_mobile_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_sponsor_email' id='label_ff_3_2_sponsor_email' aria-label=\"E-mel\">E-mel<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"sponsor_email\" id=\"ff_3_2_sponsor_email\" class=\"ff-el-form-control\" placeholder=\"Alamat E-mel\" data-name=\"sponsor_email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_15\"  class='ff-t-container ff-column-container ff_columns_total_3 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_scholarship_loan_name' id='label_ff_3_2_scholarship_loan_name' >Nama Biasiswa \/ Pinjaman<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"scholarship_loan_name\" class=\"ff-el-form-control\" data-name=\"scholarship_loan_name\" id=\"ff_3_2_scholarship_loan_name\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_scholarship_loan_amount' id='label_ff_3_2_scholarship_loan_amount' aria-label=\"Biasiswa \/ Jumlah Pinjaman\">Biasiswa \/ Jumlah Pinjaman<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"scholarship_loan_amount\" class=\"ff-el-form-control\" data-name=\"scholarship_loan_amount\" id=\"ff_3_2_scholarship_loan_amount\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_2_scholarship_loan_url' id='label_ff_3_2_scholarship_loan_url' aria-label=\"Laman web\">Laman web<\/label><\/div><div class='ff-el-input--content'><input type=\"url\" name=\"scholarship_loan_url\" class=\"ff-el-form-control\" data-name=\"scholarship_loan_url\" id=\"ff_3_2_scholarship_loan_url\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Sebelumnya'>Sebelumnya<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Seterusnya'>Seterusnya<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_14\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_15\" ><h3 class='ff-el-section-title'>Terma dan Syarat<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Saya mengisytiharkan setakat pengetahuan saya, bahawa maklumat yang saya berikan dalam borang ini adalah betul. Saya bersetuju untuk mematuhi peraturan Undo Academy, dan menerima bahawa semasa pendaftaran, saya secara peribadi akan menanggung bayaran untuk yuran pengajian dan pendaftaran saya.' class='ff-el-form-check-label ff_tc_label' for=terms_n_condition_1_99aa12f2e76f65b1ad14567bea857aa5><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms_n_condition_1\" class=\"ff-el-form-check-input\" data-name=\"terms_n_condition_1\" id=\"terms_n_condition_1_99aa12f2e76f65b1ad14567bea857aa5\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Saya mengisytiharkan setakat pengetahuan saya, bahawa maklumat yang saya berikan dalam borang ini adalah betul. Saya bersetuju untuk mematuhi peraturan Undo Academy, dan menerima bahawa semasa pendaftaran, saya secara peribadi akan menanggung bayaran untuk yuran pengajian dan pendaftaran saya. <\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Saya bersetuju dengan pemprosesan data peribadi saya yang terkandung dalam borang ini, atau mana-mana data lain yang mungkin diperoleh oleh Undo Academy daripada saya atau mana-mana orang lain. Saya bersetuju dengan pemprosesan data tersebut untuk sebarang tujuan yang berkaitan dengan pengajian saya, atau isu kesihatan dan keselamatan saya semasa berada di premis, atau atas sebarang sebab lain yang sah. Saya bersetuju bahawa yuran pengajian yang dibayar tidak boleh dikembalikan.' class='ff-el-form-check-label ff_tc_label' for=terms_n_condition_2_c7cb258714525731d0ba4b5bb22c8193><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms_n_condition_2\" class=\"ff-el-form-check-input\" data-name=\"terms_n_condition_2\" id=\"terms_n_condition_2_c7cb258714525731d0ba4b5bb22c8193\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Saya bersetuju dengan pemprosesan data peribadi saya yang terkandung dalam borang ini, atau mana-mana data lain yang mungkin diperoleh oleh Undo Academy daripada saya atau mana-mana orang lain. Saya bersetuju dengan pemprosesan data tersebut untuk sebarang tujuan yang berkaitan dengan pengajian saya, atau isu kesihatan dan keselamatan saya semasa berada di premis, atau atas sebarang sebab lain yang sah. Saya bersetuju bahawa yuran pengajian yang dibayar tidak boleh dikembalikan.  <\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Saya bersetuju untuk menerima bahawa Undo Academy berhak mutlak untuk menggunakan mana-mana karya seni saya yang dilakukan semasa pendaftaran saya di Undo Academy untuk tujuan pendidikan dan pengiklanan.' class='ff-el-form-check-label ff_tc_label' for=terms_n_condition_3_6e2e06e20bfd9159dda098bf78d17fef><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms_n_condition_3\" class=\"ff-el-form-check-input\" data-name=\"terms_n_condition_3\" id=\"terms_n_condition_3_6e2e06e20bfd9159dda098bf78d17fef\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Saya bersetuju untuk menerima bahawa Undo Academy berhak mutlak untuk menggunakan mana-mana karya seni saya yang dilakukan semasa pendaftaran saya di Undo Academy untuk tujuan pendidikan dan pengiklanan.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Saya bersetuju untuk menerima bahawa Undo Academy berhak untuk menangguhkan atau tidak memulakan sebarang program; untuk menyemak, menukar dan mengemas kini kurikulum mata pelajaran dalam mana-mana program yang difikirkan sesuai dan perlu.' class='ff-el-form-check-label ff_tc_label' for=terms_n_condition_4_ec7424c8639f6ca3ac4121f2445a2872><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms_n_condition_4\" class=\"ff-el-form-check-input\" data-name=\"terms_n_condition_4\" id=\"terms_n_condition_4_ec7424c8639f6ca3ac4121f2445a2872\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Saya bersetuju untuk menerima bahawa Undo Academy berhak untuk menangguhkan atau tidak memulakan sebarang program; untuk menyemak, menukar dan mengemas kini kurikulum mata pelajaran dalam mana-mana program yang difikirkan sesuai dan perlu.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Penerimaan BersyaratSaya faham bahawa saya akan diterima di bawah penerimaan bersyarat jika saya memohon dengan keputusan ramalan dan jika keputusan rasmi saya tidak memenuhi syarat kemasukan, saya mesti sama ada menarik diri daripada program atau mendaftar dalam program dengan syarat kemasukan yang lebih rendah.' class='ff-el-form-check-label ff_tc_label' for=terms_n_condition_5_8737360f5456936842c82fe7aaf3fdfd><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms_n_condition_5\" class=\"ff-el-form-check-input\" data-name=\"terms_n_condition_5\" id=\"terms_n_condition_5_8737360f5456936842c82fe7aaf3fdfd\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p><strong>Penerimaan Bersyarat<br><\/strong>Saya faham bahawa saya akan diterima di bawah penerimaan bersyarat jika saya memohon dengan keputusan ramalan dan jika keputusan rasmi saya tidak memenuhi syarat kemasukan, saya mesti sama ada menarik diri daripada program atau mendaftar dalam program dengan syarat kemasukan yang lebih rendah.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group ' ><div class='ff-el-input--content'><div data-fluent_id='3' name='g-recaptcha-response'><div\n\t\tdata-sitekey='6LdrpAgUAAAAALf2B8ZZgQcZrCBEqItO3ptbphC9'\n\t\tid='fluentform-recaptcha-3-2'\n\t\tclass='ff-el-recaptcha g-recaptcha'\n\t\tdata-callback='fluentFormrecaptchaSuccessCallback'><\/div><\/div><\/div><\/div>        <div class=\"ff-step-t-container ff-inner_submit_container ff-column-container ff_columns_total_2\">\n            <div class=\"ff-t-cell ff-t-column-1\"><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><\/div><\/div>\n            <div class=\"ff-t-cell ff-t-column-2\">\n                <div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Submit Form\">Submit Form<\/button><\/div>            <\/div>\n        <\/div>\n        <\/div><\/div><\/div>\n        <\/fieldset><\/form><div id='fluentform_3_errors' class='ff-errors-in-stack ff_form_instance_3_2 ff-form-loading_errors ff_form_instance_3_2_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_3_2 = {\"id\":\"3\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_3_2\",\"form_id_selector\":\"fluentform_3\",\"rules\":{\"programme\":{\"required\":{\"value\":true,\"message\":\"Medan ini 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