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field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_80" ><h3>Before you apply, please prepare the following for your application.</h3> <ul> <li>Image of your NRIC / FIN photo ( front & back, file format should be jpg / png only ) </li> <li>Image of your photo ( Passport size – 35 mm wide & 45mm high, file format should be jpg / png only )</li> <li>Image of the highest Qualifications ( file format should be jpg / png / pdf only )</li> <li>Full name & Company of 2 SIA Corporate Members supporting your application</li> </ul></div><div id="field_25_79" class="gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_79" ><h3>Before you apply, please prepare the following for your application.</h3> <ul> <li>Image of your Student ID Card photo ( front & back, file format should be jpg / png only )</li> <li>Image of your NRIC / FIN photo ( front & back, file format should be jpg / png only ) </li> <li>Image of your photo ( Passport size – 35 mm wide & 45mm high, file format should be jpg / png only )</li> <li>Letter from Dean or Director of the School / College certifying that applicant is currently a student in the School/ College (file format should be jpg / png /pdf only )</li> <li>Referee not required for student membership</li> </ul> <b>Student Members shall be undergraduates with a full time course in architecture in a university or educational institute recognised or acceptable to the Council.</b></div><div id="field_25_1" class="gfield gfield--type-select gfield--width-half gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_1" ><label class='gfield_label gform-field-label' for='input_25_1'>Category of membership<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_25_1' class='medium gfield_select' aria-required="true" aria-invalid="false" ><option value='Corporate' >Corporate</option><option value='Associate' >Associate</option><option value='Student' >Student</option></select></div></div><div id="field_25_8" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_8" ><label class='gfield_label gform-field-label' for='input_25_8'>NRIC / FIN No<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_25_8' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><div id="field_25_89" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_89" >Membership will only be valid till <b>end of year</b></div><div id="field_25_2" class="gfield gfield--type-select gfield--width-full gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_2" ><label class='gfield_label gform-field-label' for='input_25_2'>Year<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_25_2' class='small gfield_select' aria-required="true" aria-invalid="false" ><option value='1' >1</option><option value='2' >2</option><option value='3' >3</option><option value='Yr-out' >Yr-out</option><option value='4' >4</option><option value='5' >5</option></select></div></div><div id="field_25_107" class="gfield gfield--type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_107" ><label class='gfield_label gform-field-label' for='input_25_107'>Letter from Dean or Director of the School / College<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' /><input name='input_107' id='input_25_107' type='file' class='large' aria-describedby="gfield_upload_rules_25_107" onchange='javascript:gformValidateFileSize( this, 52428800 );' /><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_25_107'>Accepted file types: jpg, pdf, png, Max. file size: 50 MB.</span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_25_107'></div></div></div><div id="field_25_37" class="gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_37" ><br>Expected Date of Graduation</div><div id="field_25_3" class="gfield gfield--type-select gfield--width-half gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_3" ><label class='gfield_label gform-field-label' for='input_25_3'>Graduation Month<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_25_3' class='small gfield_select' aria-required="true" aria-invalid="false" ><option value='Jan' >Jan</option><option value='Feb' >Feb</option><option value='Mar' >Mar</option><option value='Apr' >Apr</option><option value='May' >May</option><option value='Jun' >Jun</option><option value='Jul' >Jul</option><option value='Aug' >Aug</option><option value='Sep' >Sep</option><option value='Oct' >Oct</option><option value='Nov' >Nov</option><option value='Dec' >Dec</option></select></div></div><div id="field_25_4" class="gfield gfield--type-select gfield--width-half gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_25_4" ><label class='gfield_label gform-field-label' for='input_25_4'>Graduation Year<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_25_4' class='small gfield_select' aria-required="true" aria-invalid="false" ><option value='2022' >2022</option><option value='2023' >2023</option><option value='2024' >2024</option><option value='2025' >2025</option><option value='2026' >2026</option><option value='2027' >2027</option><option value='2028' >2028</option><option value='2029' >2029</option><option value='2030' >2030</option></select></div></div><div id="field_25_112" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_112" ><label class='gfield_label gform-field-label' for='input_25_112'>Course Of Study</label><div class='ginput_container ginput_container_text'><input name='input_112' id='input_25_112' type='text' value='' class='large' aria-invalid="false" /></div></div><div id="field_25_113" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_113" ><label class='gfield_label gform-field-label' for='input_25_113'>Institution</label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_25_113' type='text' value='' class='large' aria-invalid="false" /></div></div></div> </div> <div class='gform-page-footer gform_page_footer top_label'> <input type='button' id='gform_next_button_25_5' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next' /> <button type='button' id='gform_save_25_2_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button' ><svg aria-hidden="true" focusable="false" width="16" height="16" fill="none" xmlns="http://www.w3.org/2000/svg"><path fill-rule="evenodd" clip-rule="evenodd" d="M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z" fill="#6B7280"/></svg> Save and Continue Later</button> </div> </div> <div id='gform_page_25_2' class='gform_page' data-js='page-field-id-5' style='display:none;'> <div class='gform_page_fields'> <div id='gform_fields_25_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id="field_25_7" class="gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_7" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name in NRIC/Passport<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_25_7'> <span id='input_25_7_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' > <select name='input_7.2' id='input_25_7_2' aria-required='false' > <option value=''></option><option value='Mr' selected='selected'>Mr</option><option value='Mrs' >Mrs</option><option value='Miss' >Miss</option><option value='Ms' >Ms</option><option value='Madam' >Madam</option><option value='Dr' >Dr</option><option value='Prof' >Prof</option> </select> <label for='input_25_7_2' class='gform-field-label gform-field-label--type-sub '>Salutation</label> </span> <span id='input_25_7_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_7.3' id='input_25_7_3' value='' aria-required='true' /> <label for='input_25_7_3' class='gform-field-label gform-field-label--type-sub '>Given Name</label> </span> <span id='input_25_7_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_7.6' id='input_25_7_6' value='' aria-required='true' /> <label for='input_25_7_6' class='gform-field-label gform-field-label--type-sub '>Surname</label> </span> </div><div class='gfield_description' id='gfield_description_25_7'><b> Please provide name as per your NRIC / FIN / Passport</b></div></fieldset><div id="field_25_83" class="gfield gfield--type-fileupload gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_83" ><label class='gfield_label gform-field-label' for='input_25_83'>NRIC / FIN ( Front Image )<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' /><input name='input_83' id='input_25_83' type='file' class='medium' aria-describedby="gfield_upload_rules_25_83" onchange='javascript:gformValidateFileSize( this, 10485760 );' /><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_25_83'>Accepted file types: jpg, png, Max. file size: 10 MB.</span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_25_83'></div></div></div><div id="field_25_84" class="gfield gfield--type-fileupload gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_84" ><label class='gfield_label gform-field-label' for='input_25_84'>NRIC / FIN ( Back Image )<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' /><input name='input_84' id='input_25_84' type='file' class='medium' aria-describedby="gfield_upload_rules_25_84" onchange='javascript:gformValidateFileSize( this, 10485760 );' /><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_25_84'>Accepted file types: jpg, png, Max. file size: 10 MB.</span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_25_84'></div></div></div><div id="field_25_81" class="gfield gfield--type-fileupload gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_81" ><label class='gfield_label gform-field-label' for='input_25_81'>Student ID Card ( Front Image )<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' /><input name='input_81' id='input_25_81' type='file' class='medium' aria-describedby="gfield_upload_rules_25_81 gfield_description_25_81" onchange='javascript:gformValidateFileSize( this, 10485760 );' /><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_25_81'>Accepted file types: jpg, png, Max. file size: 10 MB.</span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_25_81'></div></div><div class='gfield_description' id='gfield_description_25_81'>To apply for student membership, kindly upload a copy of your student pass / card ( front image)</div></div><div id="field_25_82" class="gfield gfield--type-fileupload gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_82" ><label class='gfield_label gform-field-label' for='input_25_82'>Student ID Card ( Back Image )<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' /><input name='input_82' id='input_25_82' type='file' class='medium' aria-describedby="gfield_upload_rules_25_82 gfield_description_25_82" onchange='javascript:gformValidateFileSize( this, 10485760 );' /><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_25_82'>Accepted file types: jpg, png, Max. file size: 10 MB.</span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_25_82'></div></div><div class='gfield_description' id='gfield_description_25_82'>To apply for student membership, kindly upload a copy of your student pass / card ( back image )</div></div><div id="field_25_95" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_95" ><h3 class="gsection_title"></h3></div><fieldset id="field_25_10" class="gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_10" ><legend class='gfield_label gform-field-label' >Gender<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_25_10'> <div class='gchoice gchoice_25_10_0'> <input class='gfield-choice-input' name='input_10' type='radio' value='Male' id='choice_25_10_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_25_10_0' id='label_25_10_0' class='gform-field-label gform-field-label--type-inline'>Male</label> </div> <div class='gchoice gchoice_25_10_1'> <input class='gfield-choice-input' name='input_10' type='radio' value='Female' id='choice_25_10_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_25_10_1' id='label_25_10_1' class='gform-field-label gform-field-label--type-inline'>Female</label> </div></div></div></fieldset><div id="field_25_9" class="gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half gf_left_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_9" ><label class='gfield_label gform-field-label' for='input_25_9'>Date Of Birth<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_date'> <input name='input_9' id='input_25_9' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon' placeholder='dd/mm/yyyy' aria-describedby="input_25_9_date_format" aria-invalid="false" aria-required="true"/> <span id='input_25_9_date_format' class='screen-reader-text'>DD slash MM slash YYYY</span> </div> <input type='hidden' id='gforms_calendar_icon_input_25_9' class='gform_hidden' value='https://sia.org.sg/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg'/></div><div id="field_25_13" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_13" ><label class='gfield_label gform-field-label' for='input_25_13'>Race<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_25_13' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><div id="field_25_14" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_14" ><label class='gfield_label gform-field-label' for='input_25_14'>Citizenship<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_25_14' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><div id="field_25_11" class="gfield gfield--type-select gfield--width-third gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_11" ><label class='gfield_label gform-field-label' for='input_25_11'>Marital Status<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_25_11' class='medium gfield_select' aria-required="true" aria-invalid="false" ><option value='Single' >Single</option><option value='Married' >Married</option></select></div></div><div id="field_25_12" class="gfield gfield--type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_12" ><label class='gfield_label gform-field-label' for='input_25_12'>Residential Status<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_25_12' class='medium gfield_select' aria-required="true" aria-invalid="false" ><option value='Singaporean' >Singaporean</option><option value='Permanent Residence' >Permanent Residence</option><option value='Employment Pass' >Employment Pass</option><option value='Student Pass' >Student Pass</option><option value='Not Applicable' >Not Applicable</option></select></div></div><div id="field_25_91" class="gfield gfield--type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_91" ><label class='gfield_label gform-field-label' for='input_25_91'>Country Of Birth<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_91' id='input_25_91' class='medium gfield_select' aria-required="true" aria-invalid="false" ><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Anguilla' >Anguilla</option><option value='Antarctica' >Antarctica</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Aruba' >Aruba</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Bouvet Island' >Bouvet Island</option><option value='Brazil' >Brazil</option><option value='British Indian Ocean Territory' >British Indian Ocean Territory</option><option value='Brunei Darussalam' >Brunei Darussalam</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cabo Verde' >Cabo Verde</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Christmas Island' >Christmas Island</option><option value='Cocos Islands' >Cocos Islands</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo' >Congo</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Cook Islands' >Cook Islands</option><option value='Costa Rica' >Costa Rica</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Curaçao' >Curaçao</option><option value='Cyprus' >Cyprus</option><option value='Czechia' >Czechia</option><option value='Côte d'Ivoire' >Côte d'Ivoire</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Eswatini' >Eswatini</option><option value='Ethiopia' >Ethiopia</option><option value='Falkland Islands' >Falkland Islands</option><option value='Faroe Islands' >Faroe Islands</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='French Guiana' >French Guiana</option><option value='French Polynesia' >French Polynesia</option><option value='French Southern Territories' >French Southern Territories</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Gibraltar' >Gibraltar</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guadeloupe' >Guadeloupe</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guernsey' >Guernsey</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands</option><option value='Holy See' >Holy See</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Isle of Man' >Isle of Man</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jersey' >Jersey</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='Korea, Democratic People's Republic of' >Korea, Democratic People's Republic of</option><option value='Korea, Republic of' >Korea, Republic of</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Lao People's Democratic Republic' >Lao People's Democratic Republic</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macao' >Macao</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Martinique' >Martinique</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mayotte' >Mayotte</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Montserrat' >Montserrat</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Caledonia' >New Caledonia</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Niue' >Niue</option><option value='Norfolk Island' >Norfolk Island</option><option value='North Macedonia' >North Macedonia</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Norway' >Norway</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine, State of' >Palestine, State of</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Pitcairn' >Pitcairn</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russian Federation' >Russian Federation</option><option value='Rwanda' >Rwanda</option><option value='Réunion' >Réunion</option><option value='Saint Barthélemy' >Saint Barthélemy</option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Martin' >Saint Martin</option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia' >Serbia</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' selected='selected'>Singapore</option><option value='Sint Maarten' >Sint Maarten</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands</option><option value='South Sudan' >South Sudan</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Suriname' >Suriname</option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria Arab Republic' >Syria Arab Republic</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of</option><option value='Thailand' >Thailand</option><option value='Timor-Leste' >Timor-Leste</option><option value='Togo' >Togo</option><option value='Tokelau' >Tokelau</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkmenistan' >Turkmenistan</option><option value='Turks and Caicos Islands' >Turks and Caicos Islands</option><option value='Tuvalu' >Tuvalu</option><option value='Türkiye' >Türkiye</option><option value='US Minor Outlying Islands' >US Minor Outlying Islands</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Venezuela' >Venezuela</option><option value='Viet Nam' >Viet Nam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Wallis and Futuna' >Wallis and Futuna</option><option value='Western Sahara' >Western Sahara</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option><option value='Åland Islands' >Åland Islands</option></select></div></div><div id="field_25_96" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_96" ><h3 class="gsection_title"></h3></div><fieldset id="field_25_16" class="gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_16" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Home Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend> <div class='ginput_complex ginput_container has_street has_street2 has_zip has_country ginput_container_address gform-grid-row' id='input_25_16' > <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_25_16_1_container' > <input type='text' name='input_16.1' id='input_25_16_1' value='' aria-required='true' /> <label for='input_25_16_1' id='input_25_16_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address</label> </span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_25_16_2_container' > <input type='text' name='input_16.2' id='input_25_16_2' value='' aria-required='false' /> <label for='input_25_16_2' id='input_25_16_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2</label> </span><input type='hidden' class='gform_hidden' name='input_16.4' id='input_25_16_4' value=''/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_25_16_5_container' > <input type='text' name='input_16.5' id='input_25_16_5' value='' aria-required='true' /> <label for='input_25_16_5' id='input_25_16_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP / Postal Code</label> </span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_25_16_6_container' > <select name='input_16.6' id='input_25_16_6' aria-required='true' ><option value='' ></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Anguilla' >Anguilla</option><option value='Antarctica' >Antarctica</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Aruba' >Aruba</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Bouvet Island' >Bouvet Island</option><option value='Brazil' >Brazil</option><option value='British Indian Ocean Territory' >British Indian Ocean Territory</option><option value='Brunei Darussalam' >Brunei Darussalam</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cabo Verde' >Cabo Verde</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Christmas Island' >Christmas Island</option><option value='Cocos Islands' >Cocos Islands</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo' >Congo</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Cook Islands' >Cook Islands</option><option value='Costa Rica' >Costa Rica</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Curaçao' >Curaçao</option><option value='Cyprus' >Cyprus</option><option value='Czechia' >Czechia</option><option value='Côte d'Ivoire' >Côte d'Ivoire</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Eswatini' >Eswatini</option><option value='Ethiopia' >Ethiopia</option><option value='Falkland Islands' >Falkland Islands</option><option value='Faroe Islands' >Faroe Islands</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='French Guiana' >French Guiana</option><option value='French Polynesia' >French Polynesia</option><option value='French Southern Territories' >French Southern Territories</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Gibraltar' >Gibraltar</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guadeloupe' >Guadeloupe</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guernsey' >Guernsey</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands</option><option value='Holy See' >Holy See</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Isle of Man' >Isle of Man</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jersey' >Jersey</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='Korea, Democratic People's Republic of' >Korea, Democratic People's Republic of</option><option value='Korea, Republic of' >Korea, Republic of</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Lao People's Democratic Republic' >Lao People's Democratic Republic</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macao' >Macao</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Martinique' >Martinique</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mayotte' >Mayotte</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Montserrat' >Montserrat</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Caledonia' >New Caledonia</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Niue' >Niue</option><option value='Norfolk Island' >Norfolk Island</option><option value='North Macedonia' >North Macedonia</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Norway' >Norway</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine, State of' >Palestine, State of</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Pitcairn' >Pitcairn</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russian Federation' >Russian Federation</option><option value='Rwanda' >Rwanda</option><option value='Réunion' >Réunion</option><option value='Saint Barthélemy' >Saint Barthélemy</option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Martin' >Saint Martin</option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia' >Serbia</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' selected='selected'>Singapore</option><option value='Sint Maarten' >Sint Maarten</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands</option><option value='South Sudan' >South Sudan</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Suriname' >Suriname</option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria Arab Republic' >Syria Arab Republic</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of</option><option value='Thailand' >Thailand</option><option value='Timor-Leste' >Timor-Leste</option><option value='Togo' >Togo</option><option value='Tokelau' >Tokelau</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkmenistan' >Turkmenistan</option><option value='Turks and Caicos Islands' >Turks and Caicos Islands</option><option value='Tuvalu' >Tuvalu</option><option value='Türkiye' >Türkiye</option><option value='US Minor Outlying Islands' >US Minor Outlying Islands</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Venezuela' >Venezuela</option><option value='Viet Nam' >Viet Nam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Wallis and Futuna' >Wallis and Futuna</option><option value='Western Sahara' >Western Sahara</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option><option value='Åland Islands' >Åland Islands</option></select> <label for='input_25_16_6' id='input_25_16_6_label' class='gform-field-label gform-field-label--type-sub '>Country</label> </span> <div class='gf_clear gf_clear_complex'></div> </div><div class='gfield_description' id='gfield_description_25_16'>Kindly provide complete residential address in order to receive SIA Publications.</div></fieldset><div id="field_25_18" class="gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible pcafe_sp_field" data-field-class="pcafe_sp_field" data-js-reload="field_25_18" ><label class='gfield_label gform-field-label' for='input_25_18'>Mobile Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone' data-formid='25' data-fieldid='18' data-auto_flag='0' data-flag='flagcode' data-pre_country='none' data-de_country='SG'><span class='spf-phone error-msg hide'></span><span class='spf-phone valid-msg hide'></span><input name='input_18' id='input_25_18' type='tel' value='' class='medium' aria-required="true" aria-invalid="false" aria-describedby="gfield_description_25_18" /></div><div class='gfield_description' id='gfield_description_25_18'>please input your personal mobile contact for future verification purpose</div></div><div id="field_25_17" class="gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_17" ><label class='gfield_label gform-field-label' for='input_25_17'>Home Telephone</label><div class='ginput_container ginput_container_phone'><input name='input_17' id='input_25_17' type='tel' value='' class='medium' aria-invalid="false" /></div></div><div id="field_25_98" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_98" ><div class='ginput_container ginput_container_text'><input name='input_98' id='input_25_98' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_25_99" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_99" ><div class='ginput_container ginput_container_text'><input name='input_99' id='input_25_99' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_25_20" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_20" ><label class='gfield_label gform-field-label' for='input_25_20'>Email Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_20' id='input_25_20' type='email' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></div><div id="field_25_19" class="gfield gfield--type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_19" ><label class='gfield_label gform-field-label' for='input_25_19'>Alternative Email</label><div class='ginput_container ginput_container_email'> <input name='input_19' id='input_25_19' type='email' value='' class='medium' aria-invalid="false" /> </div></div><div id="field_25_48" class="gfield gfield--type-fileupload gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_48" ><label class='gfield_label gform-field-label' for='input_25_48'>Image Of Photo<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' /><input name='input_48' id='input_25_48' type='file' class='medium' aria-describedby="gfield_upload_rules_25_48 gfield_description_25_48" onchange='javascript:gformValidateFileSize( this, 10485760 );' /><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_25_48'>Accepted file types: jpg, png, Max. file size: 10 MB.</span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_25_48'></div></div><div class='gfield_description' id='gfield_description_25_48'>Passport size photo 35mm x 45mm (width x height) is recommended. Please note that the photo will be published in the Members’ Directory.</div></div></div> </div> <div class='gform-page-footer gform_page_footer top_label'> <input type='button' id='gform_previous_button_25_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous' /> <input type='button' id='gform_next_button_25_21' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next' /> <button type='button' id='gform_save_25_3_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button' ><svg aria-hidden="true" focusable="false" width="16" height="16" fill="none" xmlns="http://www.w3.org/2000/svg"><path fill-rule="evenodd" clip-rule="evenodd" d="M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z" fill="#6B7280"/></svg> Save and Continue Later</button> </div> </div> <div id='gform_page_25_3' class='gform_page' data-js='page-field-id-21' style='display:none;'> <div class='gform_page_fields'> <div id='gform_fields_25_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id="field_25_67" class="gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_67" ><label class="gfield_label">Registered Place of Practice</label><br></div><div id="field_25_87" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_87" ><label class='gfield_label gform-field-label' for='input_25_87'>Company<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_25_87' type='text' value='' class='medium' aria-describedby="gfield_description_25_87" aria-required="true" aria-invalid="false" /></div><div class='gfield_description' id='gfield_description_25_87'>key in 3 char to search, If Company not found please use Other</div></div><div id="field_25_22" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_22" ><label class='gfield_label gform-field-label' for='input_25_22'>Company Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_25_22' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><div id="field_25_88" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_88" ><div class='ginput_container ginput_container_text'><input name='input_88' id='input_25_88' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><fieldset id="field_25_23" class="gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_23" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend> <div class='ginput_complex ginput_container has_street has_zip has_country ginput_container_address gform-grid-row' id='input_25_23' > <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_25_23_1_container' > <input type='text' name='input_23.1' id='input_25_23_1' value='' aria-required='true' /> <label for='input_25_23_1' id='input_25_23_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address</label> </span><input type='hidden' class='gform_hidden' name='input_23.4' id='input_25_23_4' value=''/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_25_23_5_container' > <input type='text' name='input_23.5' id='input_25_23_5' value='' aria-required='true' /> <label for='input_25_23_5' id='input_25_23_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP / Postal Code</label> </span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_25_23_6_container' > <select name='input_23.6' id='input_25_23_6' aria-required='true' ><option value='' ></option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Anguilla' >Anguilla</option><option value='Antarctica' >Antarctica</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Aruba' >Aruba</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Bouvet Island' >Bouvet Island</option><option value='Brazil' >Brazil</option><option value='British Indian Ocean Territory' >British Indian Ocean Territory</option><option value='Brunei Darussalam' >Brunei Darussalam</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cabo Verde' >Cabo Verde</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Christmas Island' >Christmas Island</option><option value='Cocos Islands' >Cocos Islands</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo' >Congo</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Cook Islands' >Cook Islands</option><option value='Costa Rica' >Costa Rica</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Curaçao' >Curaçao</option><option value='Cyprus' >Cyprus</option><option value='Czechia' >Czechia</option><option value='Côte d'Ivoire' >Côte d'Ivoire</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Eswatini' >Eswatini</option><option value='Ethiopia' >Ethiopia</option><option value='Falkland Islands' >Falkland Islands</option><option value='Faroe Islands' >Faroe Islands</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='French Guiana' >French Guiana</option><option value='French Polynesia' >French Polynesia</option><option value='French Southern Territories' >French Southern Territories</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Gibraltar' >Gibraltar</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guadeloupe' >Guadeloupe</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guernsey' >Guernsey</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands</option><option value='Holy See' >Holy See</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Isle of Man' >Isle of Man</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jersey' >Jersey</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='Korea, Democratic People's Republic of' >Korea, Democratic People's Republic of</option><option value='Korea, Republic of' >Korea, Republic of</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Lao People's Democratic Republic' >Lao People's Democratic Republic</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macao' >Macao</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Martinique' >Martinique</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mayotte' >Mayotte</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Montserrat' >Montserrat</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Caledonia' >New Caledonia</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Niue' >Niue</option><option value='Norfolk Island' >Norfolk Island</option><option value='North Macedonia' >North Macedonia</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Norway' >Norway</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine, State of' >Palestine, State of</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Pitcairn' >Pitcairn</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russian Federation' >Russian Federation</option><option value='Rwanda' >Rwanda</option><option value='Réunion' >Réunion</option><option value='Saint Barthélemy' >Saint Barthélemy</option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Martin' >Saint Martin</option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia' >Serbia</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' selected='selected'>Singapore</option><option value='Sint Maarten' >Sint Maarten</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands</option><option value='South Sudan' >South Sudan</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Suriname' >Suriname</option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria Arab Republic' >Syria Arab Republic</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of</option><option value='Thailand' >Thailand</option><option value='Timor-Leste' >Timor-Leste</option><option value='Togo' >Togo</option><option value='Tokelau' >Tokelau</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkmenistan' >Turkmenistan</option><option value='Turks and Caicos Islands' >Turks and Caicos Islands</option><option value='Tuvalu' >Tuvalu</option><option value='Türkiye' >Türkiye</option><option value='US Minor Outlying Islands' >US Minor Outlying Islands</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Venezuela' >Venezuela</option><option value='Viet Nam' >Viet Nam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Wallis and Futuna' >Wallis and Futuna</option><option value='Western Sahara' >Western Sahara</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option><option value='Åland Islands' >Åland Islands</option></select> <label for='input_25_23_6' id='input_25_23_6_label' class='gform-field-label gform-field-label--type-sub '>Country</label> </span> <div class='gf_clear gf_clear_complex'></div> </div></fieldset><div id="field_25_24" class="gfield gfield--type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_24" ><label class='gfield_label gform-field-label' for='input_25_24'>Main Line<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_24' id='input_25_24' type='tel' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><div id="field_25_26" class="gfield gfield--type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_26" ><label class='gfield_label gform-field-label' for='input_25_26'>DID</label><div class='ginput_container ginput_container_phone'><input name='input_26' id='input_25_26' type='tel' value='' class='medium' aria-invalid="false" /></div></div><div id="field_25_25" class="gfield gfield--type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_25" ><label class='gfield_label gform-field-label' for='input_25_25'>Fax</label><div class='ginput_container ginput_container_phone'><input name='input_25' id='input_25_25' type='tel' value='' class='medium' aria-invalid="false" /></div></div><div id="field_25_27" class="gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_27" ><label class='gfield_label gform-field-label' for='input_25_27'>Designation<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_25_27' class='medium gfield_select' aria-required="true" aria-invalid="false" ><option value='Sole Proprietor' >Sole Proprietor</option><option value='Director' >Director</option><option value='Partner' >Partner</option><option value='Associate' >Associate</option><option value='Others' >Others</option></select></div></div><div id="field_25_62" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_62" ><label class='gfield_label gform-field-label' for='input_25_62'>Designation – Other</label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_25_62' type='text' value='' class='medium' aria-invalid="false" /></div></div><fieldset id="field_25_28" class="gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_28" ><legend class='gfield_label gform-field-label' >PREFERRED MAILING ADDRESS<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_25_28'> <div class='gchoice gchoice_25_28_0'> <input class='gfield-choice-input' name='input_28' type='radio' value='Registered Place Of Practice' id='choice_25_28_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_25_28_0' id='label_25_28_0' class='gform-field-label gform-field-label--type-inline'>Registered Place Of Practice</label> </div> <div class='gchoice gchoice_25_28_1'> <input class='gfield-choice-input' name='input_28' type='radio' value='Home' id='choice_25_28_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_25_28_1' id='label_25_28_1' class='gform-field-label gform-field-label--type-inline'>Home</label> </div></div></div></fieldset><fieldset id="field_25_68" class="gfield gfield--type-radio gfield--type-choice gfield--width-half gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_68" ><legend class='gfield_label gform-field-label' >PREFERRED MAILING ADDRESS<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_25_68'> <div class='gchoice gchoice_25_68_0'> <input class='gfield-choice-input' name='input_68' type='radio' value='Company' id='choice_25_68_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_25_68_0' id='label_25_68_0' class='gform-field-label gform-field-label--type-inline'>Company</label> </div> <div class='gchoice gchoice_25_68_1'> <input class='gfield-choice-input' name='input_68' type='radio' value='Home' id='choice_25_68_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_25_68_1' id='label_25_68_1' class='gform-field-label gform-field-label--type-inline'>Home</label> </div></div></div></fieldset></div> </div> <div class='gform-page-footer gform_page_footer top_label'> <input type='button' id='gform_previous_button_25_31' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous' /> <input type='button' id='gform_next_button_25_31' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next' /> <button type='button' id='gform_save_25_4_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button' ><svg aria-hidden="true" focusable="false" width="16" height="16" fill="none" xmlns="http://www.w3.org/2000/svg"><path fill-rule="evenodd" clip-rule="evenodd" d="M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z" fill="#6B7280"/></svg> Save and Continue Later</button> </div> </div> <div id='gform_page_25_4' class='gform_page' data-js='page-field-id-31' style='display:none;'> <div class='gform_page_fields'> <div id='gform_fields_25_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id="field_25_38" class="gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_38" ><label class="gfield_label">BOA Singapore</label><br></div><div id="field_25_44" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_44" ><label class='gfield_label gform-field-label' for='input_25_44'>BOA Singapore Reg No<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_25_44' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><div id="field_25_93" class="gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_93" ><label class='gfield_label gform-field-label' for='input_25_93'>BOA Singapore Registration Date<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_date'> <input name='input_93' id='input_25_93' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' placeholder='dd/mm/yyyy' aria-describedby="input_25_93_date_format" aria-invalid="false" aria-required="true"/> <span id='input_25_93_date_format' class='screen-reader-text'>DD slash MM slash YYYY</span> </div> <input type='hidden' id='gforms_calendar_icon_input_25_93' class='gform_hidden' value='https://sia.org.sg/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg'/></div><div id="field_25_45" class="gfield gfield--type-fileupload gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_45" ><label class='gfield_label gform-field-label' for='input_25_45'>Image of BOA Singapore Registration Cert<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' /><input name='input_45' id='input_25_45' type='file' class='medium' aria-describedby="gfield_upload_rules_25_45" onchange='javascript:gformValidateFileSize( this, 10485760 );' /><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_25_45'>Accepted file types: jpg, png, pdf, Max. file size: 10 MB.</span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_25_45'></div></div></div><div id="field_25_97" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_97" ><h3 class="gsection_title">Qualifications</h3></div><fieldset id="field_25_34" class="gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_34" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Qualification<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class="gfield_list_header gform-grid-row"><div class="gform-field-label gfield_header_item gform-grid-col">Academic Qualifications</div><div class="gform-field-label gfield_header_item gform-grid-col">Name Of Institution</div><div class="gform-field-label gfield_header_item gform-grid-col">Year Of Graduation</div><div class="gfield_header_item gfield_header_item--icons gform-grid-col"> </div></div><div class="gfield_list_groups"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell1 gform-grid-col' data-label='Academic Qualifications'><select name='input_34[]' aria-invalid='false' aria-required="true" aria-label='Academic Qualifications, Row 1' data-aria-label-template='Academic Qualifications, Row {0}'><option value='Diploma' >Diploma</option><option value='Degree' >Degree</option><option value='Bachelor' >Bachelor</option><option value='Master' >Master</option><option value='PHD' >PHD</option></select></div><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell2 gform-grid-col' data-label='Name Of Institution'><input aria-invalid='false' aria-required="true" aria-label='Name Of Institution, Row 1' data-aria-label-template='Name Of Institution, Row {0}' type='text' name='input_34[]' value='' /></div><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell3 gform-grid-col' data-label='Year Of Graduation'><input aria-invalid='false' aria-required="true" aria-label='Year Of Graduation, Row 1' data-aria-label-template='Year Of Graduation, Row {0}' type='text' name='input_34[]' value='' /></div><div class='gfield_list_icons gform-grid-col'> <button type="button" class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add</button> <button type="button" class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style="visibility:hidden;">Remove</button></div></div></div></div></div></fieldset><div id="field_25_94" class="gfield gfield--type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_94" ><label class='gfield_label gform-field-label' for='input_25_94'>Highest Relevant Qualification Certificate<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' /><input name='input_94' id='input_25_94' type='file' class='large' aria-describedby="gfield_upload_rules_25_94 gfield_description_25_94" onchange='javascript:gformValidateFileSize( this, 104857600 );' /><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_25_94'>Accepted file types: jpg, png, pdf, Max. file size: 100 MB.</span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_25_94'></div></div><div class='gfield_description' id='gfield_description_25_94'>Certified True Copy of Highest Qualification Certificate(s) ( ie degree/diploma etc )</div></div><fieldset id="field_25_36" class="gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_36" ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ></legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class="gfield_list_header gform-grid-row"><div class="gform-field-label gfield_header_item gform-grid-col">Professional Membership</div><div class="gform-field-label gfield_header_item gform-grid-col">Year</div><div class="gfield_header_item gfield_header_item--icons gform-grid-col"> </div></div><div class="gfield_list_groups"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_36_cell1 gform-grid-col' data-label='Professional Membership'><input aria-invalid='false' aria-label='Professional Membership, Row 1' data-aria-label-template='Professional Membership, Row {0}' type='text' name='input_36[]' value='' /></div><div class='gfield_list_group_item gfield_list_cell gfield_list_36_cell2 gform-grid-col' data-label='Year'><input aria-invalid='false' aria-label='Year, Row 1' data-aria-label-template='Year, Row {0}' type='text' name='input_36[]' value='' /></div><div class='gfield_list_icons gform-grid-col'> <button type="button" class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add</button> <button type="button" class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style="visibility:hidden;">Remove</button></div></div></div></div></div></fieldset><fieldset id="field_25_35" class="gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_35" ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ></legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class="gfield_list_header gform-grid-row"><div class="gform-field-label gfield_header_item gform-grid-col">Professional Registrations</div><div class="gform-field-label gfield_header_item gform-grid-col">Year</div><div class="gfield_header_item gfield_header_item--icons gform-grid-col"> </div></div><div class="gfield_list_groups"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_35_cell1 gform-grid-col' data-label='Professional Registrations'><input aria-invalid='false' aria-label='Professional Registrations, Row 1' data-aria-label-template='Professional Registrations, Row {0}' type='text' name='input_35[]' value='' /></div><div class='gfield_list_group_item gfield_list_cell gfield_list_35_cell2 gform-grid-col' data-label='Year'><input aria-invalid='false' aria-label='Year, Row 1' data-aria-label-template='Year, Row {0}' type='text' name='input_35[]' value='' /></div><div class='gfield_list_icons gform-grid-col'> <button type="button" class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add</button> <button type="button" class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style="visibility:hidden;">Remove</button></div></div></div></div></div></fieldset></div> </div> <div class='gform-page-footer gform_page_footer top_label'> <input type='button' id='gform_previous_button_25_100' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous' /> <input type='button' id='gform_next_button_25_100' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next' /> <button type='button' id='gform_save_25_5_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button' ><svg aria-hidden="true" focusable="false" width="16" height="16" fill="none" xmlns="http://www.w3.org/2000/svg"><path fill-rule="evenodd" clip-rule="evenodd" d="M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z" fill="#6B7280"/></svg> Save and Continue Later</button> </div> </div> <div id='gform_page_25_5' class='gform_page' data-js='page-field-id-100' style='display:none;'> <div class='gform_page_fields'> <div id='gform_fields_25_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id="field_25_49" class="gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_49" ><span style="font-weight: 700;">Particulars of SIA Corporate Member Supporting The Application</span><br> <small>There will be email notification to the referee</small><br></div><div id="field_25_52" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_52" ><label class='gfield_label gform-field-label' for='input_25_52'>SIA Referee 1<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_25_52' type='text' value='' class='large' aria-describedby="gfield_description_25_52" aria-required="true" aria-invalid="false" /></div><div class='gfield_description' id='gfield_description_25_52'>key in 3 char to search. Only qualifying SIA members may be chosen as a referee.</div></div><div id="field_25_57" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_57" ><label class='gfield_label gform-field-label' for='input_25_57'>SIA Referee 2<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_25_57' type='text' value='' class='large' aria-describedby="gfield_description_25_57" aria-required="true" aria-invalid="false" /></div><div class='gfield_description' id='gfield_description_25_57'>key in 3 char to search. Only qualifying SIA members may be chosen as a referee.</div></div><div id="field_25_85" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_85" ><div class='ginput_container ginput_container_text'><input name='input_85' id='input_25_85' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_25_110" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_110" ><div class='ginput_container ginput_container_text'><input name='input_110' id='input_25_110' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_25_86" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_86" ><div class='ginput_container ginput_container_text'><input name='input_86' id='input_25_86' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_25_111" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_111" ><div class='ginput_container ginput_container_text'><input name='input_111' id='input_25_111' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><fieldset id="field_25_32" class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_inline field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_32" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >SIA COMMITTEES</legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_32'><div class='gchoice gchoice_25_32_1'> <input class='gfield-choice-input' name='input_32.1' type='checkbox' value='Alternative Dispute Resolution (ADR)' id='choice_25_32_1' /> <label for='choice_25_32_1' id='label_25_32_1' class='gform-field-label gform-field-label--type-inline'>Alternative Dispute Resolution (ADR)</label> </div><div class='gchoice gchoice_25_32_2'> <input class='gfield-choice-input' name='input_32.2' type='checkbox' value='Archifest' id='choice_25_32_2' /> <label for='choice_25_32_2' id='label_25_32_2' class='gform-field-label gform-field-label--type-inline'>Archifest</label> </div><div class='gchoice gchoice_25_32_3'> <input class='gfield-choice-input' name='input_32.3' type='checkbox' value='Architecture Business' id='choice_25_32_3' /> <label for='choice_25_32_3' id='label_25_32_3' class='gform-field-label gform-field-label--type-inline'>Architecture Business</label> </div><div class='gchoice gchoice_25_32_4'> <input class='gfield-choice-input' name='input_32.4' type='checkbox' value='Awards' id='choice_25_32_4' /> <label for='choice_25_32_4' id='label_25_32_4' class='gform-field-label gform-field-label--type-inline'>Awards</label> </div><div class='gchoice gchoice_25_32_5'> <input class='gfield-choice-input' name='input_32.5' type='checkbox' value='Building Contracts' id='choice_25_32_5' /> <label for='choice_25_32_5' id='label_25_32_5' class='gform-field-label gform-field-label--type-inline'>Building Contracts</label> </div><div class='gchoice gchoice_25_32_6'> <input class='gfield-choice-input' name='input_32.6' type='checkbox' value='Building Control & Park Sub-Committee' id='choice_25_32_6' /> <label for='choice_25_32_6' id='label_25_32_6' class='gform-field-label gform-field-label--type-inline'>Building Control & Park Sub-Committee</label> </div><div class='gchoice gchoice_25_32_7'> <input class='gfield-choice-input' name='input_32.7' type='checkbox' value='Competitions' id='choice_25_32_7' /> <label for='choice_25_32_7' id='label_25_32_7' class='gform-field-label gform-field-label--type-inline'>Competitions</label> </div><div class='gchoice gchoice_25_32_8'> <input class='gfield-choice-input' name='input_32.8' type='checkbox' value='Constitution Review' id='choice_25_32_8' /> <label for='choice_25_32_8' id='label_25_32_8' class='gform-field-label gform-field-label--type-inline'>Constitution Review</label> </div><div class='gchoice gchoice_25_32_9'> <input class='gfield-choice-input' name='input_32.9' type='checkbox' value='Continuing Professional Development (CPD)' id='choice_25_32_9' /> <label for='choice_25_32_9' id='label_25_32_9' class='gform-field-label gform-field-label--type-inline'>Continuing Professional Development (CPD)</label> </div><div class='gchoice gchoice_25_32_11'> <input class='gfield-choice-input' name='input_32.11' type='checkbox' value='Corporate Social Responsibilities (CSR)' id='choice_25_32_11' /> <label for='choice_25_32_11' id='label_25_32_11' class='gform-field-label gform-field-label--type-inline'>Corporate Social Responsibilities (CSR)</label> </div><div class='gchoice gchoice_25_32_12'> <input class='gfield-choice-input' name='input_32.12' type='checkbox' value='Development Control Sub-Committee' id='choice_25_32_12' /> <label for='choice_25_32_12' id='label_25_32_12' class='gform-field-label gform-field-label--type-inline'>Development Control Sub-Committee</label> </div><div class='gchoice gchoice_25_32_13'> <input class='gfield-choice-input' name='input_32.13' type='checkbox' value='Digital Technology' id='choice_25_32_13' /> <label for='choice_25_32_13' id='label_25_32_13' class='gform-field-label gform-field-label--type-inline'>Digital Technology</label> </div><div class='gchoice gchoice_25_32_14'> <input class='gfield-choice-input' name='input_32.14' type='checkbox' value='Education' id='choice_25_32_14' /> <label for='choice_25_32_14' id='label_25_32_14' class='gform-field-label gform-field-label--type-inline'>Education</label> </div><div class='gchoice gchoice_25_32_15'> <input class='gfield-choice-input' name='input_32.15' type='checkbox' value='Environment Sub-Committee' id='choice_25_32_15' /> <label for='choice_25_32_15' id='label_25_32_15' class='gform-field-label gform-field-label--type-inline'>Environment Sub-Committee</label> </div><div class='gchoice gchoice_25_32_16'> <input class='gfield-choice-input' name='input_32.16' type='checkbox' value='Fire Safety & Security Sub-Committee' id='choice_25_32_16' /> <label for='choice_25_32_16' id='label_25_32_16' class='gform-field-label gform-field-label--type-inline'>Fire Safety & Security Sub-Committee</label> </div><div class='gchoice gchoice_25_32_17'> <input class='gfield-choice-input' name='input_32.17' type='checkbox' value='IHL Engagement' id='choice_25_32_17' /> <label for='choice_25_32_17' id='label_25_32_17' class='gform-field-label gform-field-label--type-inline'>IHL Engagement</label> </div><div class='gchoice gchoice_25_32_18'> <input class='gfield-choice-input' name='input_32.18' type='checkbox' value='Internationalisation' id='choice_25_32_18' /> <label for='choice_25_32_18' id='label_25_32_18' class='gform-field-label gform-field-label--type-inline'>Internationalisation</label> </div><div class='gchoice gchoice_25_32_19'> <input class='gfield-choice-input' name='input_32.19' type='checkbox' value='Membership' id='choice_25_32_19' /> <label for='choice_25_32_19' id='label_25_32_19' class='gform-field-label gform-field-label--type-inline'>Membership</label> </div><div class='gchoice gchoice_25_32_21'> <input class='gfield-choice-input' name='input_32.21' type='checkbox' value='Mentorship' id='choice_25_32_21' /> <label for='choice_25_32_21' id='label_25_32_21' class='gform-field-label gform-field-label--type-inline'>Mentorship</label> </div><div class='gchoice gchoice_25_32_22'> <input class='gfield-choice-input' name='input_32.22' type='checkbox' value='Publications' id='choice_25_32_22' /> <label for='choice_25_32_22' id='label_25_32_22' class='gform-field-label gform-field-label--type-inline'>Publications</label> </div><div class='gchoice gchoice_25_32_23'> <input class='gfield-choice-input' name='input_32.23' type='checkbox' value='Recreation' id='choice_25_32_23' /> <label for='choice_25_32_23' id='label_25_32_23' class='gform-field-label gform-field-label--type-inline'>Recreation</label> </div><div class='gchoice gchoice_25_32_24'> <input class='gfield-choice-input' name='input_32.24' type='checkbox' value='Research & Standards Sub-Committee' id='choice_25_32_24' /> <label for='choice_25_32_24' id='label_25_32_24' class='gform-field-label gform-field-label--type-inline'>Research & Standards Sub-Committee</label> </div><div class='gchoice gchoice_25_32_25'> <input class='gfield-choice-input' name='input_32.25' type='checkbox' value='Road & Transport Sub-Committee' id='choice_25_32_25' /> <label for='choice_25_32_25' id='label_25_32_25' class='gform-field-label gform-field-label--type-inline'>Road & Transport Sub-Committee</label> </div><div class='gchoice gchoice_25_32_26'> <input class='gfield-choice-input' name='input_32.26' type='checkbox' value='SIA Dinner' id='choice_25_32_26' /> <label for='choice_25_32_26' id='label_25_32_26' class='gform-field-label gform-field-label--type-inline'>SIA Dinner</label> </div><div class='gchoice gchoice_25_32_27'> <input class='gfield-choice-input' name='input_32.27' type='checkbox' value='Small and Medium Architecture' id='choice_25_32_27' /> <label for='choice_25_32_27' id='label_25_32_27' class='gform-field-label gform-field-label--type-inline'>Small and Medium Architecture</label> </div><div class='gchoice gchoice_25_32_28'> <input class='gfield-choice-input' name='input_32.28' type='checkbox' value='Stat Boards' id='choice_25_32_28' /> <label for='choice_25_32_28' id='label_25_32_28' class='gform-field-label gform-field-label--type-inline'>Stat Boards</label> </div><div class='gchoice gchoice_25_32_29'> <input class='gfield-choice-input' name='input_32.29' type='checkbox' value='Sustainability' id='choice_25_32_29' /> <label for='choice_25_32_29' id='label_25_32_29' class='gform-field-label gform-field-label--type-inline'>Sustainability</label> </div><div class='gchoice gchoice_25_32_31'> <input class='gfield-choice-input' name='input_32.31' type='checkbox' value='Wellness Resiliency' id='choice_25_32_31' /> <label for='choice_25_32_31' id='label_25_32_31' class='gform-field-label gform-field-label--type-inline'>Wellness Resiliency</label> </div><div class='gchoice gchoice_25_32_32'> <input class='gfield-choice-input' name='input_32.32' type='checkbox' value='Workplace Safety & Health (WSH)' id='choice_25_32_32' /> <label for='choice_25_32_32' id='label_25_32_32' class='gform-field-label gform-field-label--type-inline'>Workplace Safety & Health (WSH)</label> </div><div class='gchoice gchoice_25_32_33'> <input class='gfield-choice-input' name='input_32.33' type='checkbox' value='Young Architect League (YAL)' id='choice_25_32_33' /> <label for='choice_25_32_33' id='label_25_32_33' class='gform-field-label gform-field-label--type-inline'>Young Architect League (YAL)</label> </div></div></div></fieldset><fieldset id="field_25_77" class="gfield gfield--type-checkbox gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_77" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Optional Information to be publish<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_77'><div class='gchoice gchoice_25_77_1'> <input class='gfield-choice-input' name='input_77.1' type='checkbox' value='Email Address' id='choice_25_77_1' aria-describedby="gfield_description_25_77"/> <label for='choice_25_77_1' id='label_25_77_1' class='gform-field-label gform-field-label--type-inline'>Email Address</label> </div><div class='gchoice gchoice_25_77_2'> <input class='gfield-choice-input' name='input_77.2' type='checkbox' value='Mobile Phone' id='choice_25_77_2' /> <label for='choice_25_77_2' id='label_25_77_2' class='gform-field-label gform-field-label--type-inline'>Mobile Phone</label> </div><div class='gchoice gchoice_25_77_3'> <input class='gfield-choice-input' name='input_77.3' type='checkbox' value='Company Address' id='choice_25_77_3' /> <label for='choice_25_77_3' id='label_25_77_3' class='gform-field-label gform-field-label--type-inline'>Company Address</label> </div></div></div><div class='gfield_description' id='gfield_description_25_77'>Please choose the optional information that allows publishing in member directory ( at least one ).<br> <ul class="gfield_checkbox"><li><label style="max-width:none">By selecting the above options, you agree that Singapore Institute of Architects may collect, use and disclose your personal data, as provided in this application form obtained by our organisation as a result of your membership, for the following purposes in accordance with the Personal Data Protection Act 2012: (a) the processing of this membership application; and (b) the administration of the membership with our organisation. Please visit our website at <a href="http://www.sia.org.sg">www.sia.org.sg</a> for further details on our data protection policy, including how you may access and correct your personal data or withdraw consent to the collection, use or disclosure of your personal data.</label></li></ul></div></fieldset><fieldset id="field_25_63" class="gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_63" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Declaration<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_63'><div class='gchoice gchoice_25_63_1'> <input class='gfield-choice-input' name='input_63.1' type='checkbox' value='I hereby declare that the information given above is true and if selected, I shall abide by the Constitution, By-Laws and Code of Professional Conduct and Ethics of the Institute for the time being in force. <br> I agreed with all the <a href="https://apex.sia.org.sg/xshare/SIA_PDPA_Policy.pdf">terms and condition</a>.' id='choice_25_63_1' /> <label for='choice_25_63_1' id='label_25_63_1' class='gform-field-label gform-field-label--type-inline'>I hereby declare that the information given above is true and if selected, I shall abide by the Constitution, By-Laws and Code of Professional Conduct and Ethics of the Institute for the time being in force. <br> I agreed with all the <a href="https://apex.sia.org.sg/xshare/SIA_PDPA_Policy.pdf">terms and condition</a>.</label> </div></div></div></fieldset><div id="field_25_74" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_74" ><div class='ginput_container ginput_container_text'><input name='input_74' id='input_25_74' type='hidden' class='gform_hidden' aria-invalid="false" value='' /></div></div><div id="field_25_75" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_75" ><div class='ginput_container ginput_container_text'><input name='input_75' id='input_25_75' type='hidden' class='gform_hidden' aria-invalid="false" value='67410ceb489e6' /></div></div><div id="field_25_118" class="gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_118" ><h3 class="gsection_title">SIA Survey Form 2022</h3><div class='gsection_description' id='gfield_description_25_118'>We would like to take this opportunity to understand our members’ profile and preferences to better serve you. Please take a moment to answer these quick survey. The survey data may be used to update the genealogy mapping as part of SIA’s 60th anniversary celebration</div></div><div id="field_25_120" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_120" >*This survey form is optional, you can skip and proceed with submission.</div><div id="field_25_121" class="gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_121" ><h3 class="gsection_title">1. Employment History</h3><div class='gsection_description' id='gfield_description_25_121'>Share with us your employment journey, right after graduation, including Internship.</div></div><fieldset id="field_25_102" class="gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_102" ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ></legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class="gfield_list_header gform-grid-row"><div class="gform-field-label gfield_header_item gform-grid-col">Designation</div><div class="gform-field-label gfield_header_item gform-grid-col">Company</div><div class="gform-field-label gfield_header_item gform-grid-col">Location</div><div class="gform-field-label gfield_header_item gform-grid-col">From</div><div class="gform-field-label gfield_header_item gform-grid-col">To</div><div class="gfield_header_item gfield_header_item--icons gform-grid-col"> </div></div><div class="gfield_list_groups"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_102_cell1 gform-grid-col' data-label='Designation'><input aria-invalid='false' aria-label='Designation, Row 1' data-aria-label-template='Designation, Row {0}' type='text' name='input_102[]' value='' /></div><div class='gfield_list_group_item gfield_list_cell gfield_list_102_cell2 gform-grid-col' data-label='Company'><input aria-invalid='false' aria-label='Company, Row 1' data-aria-label-template='Company, Row {0}' type='text' name='input_102[]' value='' /></div><div class='gfield_list_group_item gfield_list_cell gfield_list_102_cell3 gform-grid-col' data-label='Location'><input aria-invalid='false' aria-label='Location, Row 1' data-aria-label-template='Location, Row {0}' type='text' name='input_102[]' value='' /></div><div class='gfield_list_group_item gfield_list_cell gfield_list_102_cell4 gform-grid-col' data-label='From'><input aria-invalid='false' aria-label='From, Row 1' data-aria-label-template='From, Row {0}' type='text' name='input_102[]' value='' /></div><div class='gfield_list_group_item gfield_list_cell gfield_list_102_cell5 gform-grid-col' data-label='To'><input aria-invalid='false' aria-label='To, Row 1' data-aria-label-template='To, Row {0}' type='text' name='input_102[]' value='' /></div><div class='gfield_list_icons gform-grid-col'> <button type="button" class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add</button> <button type="button" class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style="visibility:hidden;">Remove</button></div></div></div></div></div></fieldset><div id="field_25_109" class="gfield gfield--type-website gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_109" ><label class='gfield_label gform-field-label' for='input_25_109'>linkedin</label><div class='ginput_container ginput_container_website'> <input name='input_109' id='input_25_109' type='url' value='' class='large' placeholder='https://' aria-invalid="false"/> </div></div><div id="field_25_122" class="gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_122" ><h3 class="gsection_title">2. Mentors</h3><div class='gsection_description' id='gfield_description_25_122'>Let us know key people who have helped, guided and influenced you, to reach where you are today.</div></div><fieldset id="field_25_103" class="gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_103" ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ></legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class="gfield_list_header gform-grid-row"><div class="gform-field-label gfield_header_item gform-grid-col">Name</div><div class="gform-field-label gfield_header_item gform-grid-col">Firm / Institution</div><div class="gfield_header_item gfield_header_item--icons gform-grid-col"> </div></div><div class="gfield_list_groups"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_103_cell1 gform-grid-col' data-label='Name'><input aria-invalid='false' aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_103[]' value='' /></div><div class='gfield_list_group_item gfield_list_cell gfield_list_103_cell2 gform-grid-col' data-label='Firm / Institution'><input aria-invalid='false' aria-label='Firm / Institution, Row 1' data-aria-label-template='Firm / Institution, Row {0}' type='text' name='input_103[]' value='' /></div><div class='gfield_list_icons gform-grid-col'> <button type="button" class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 3)'>Add</button> <button type="button" class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 3)' style="visibility:hidden;">Remove</button></div></div></div></div></div></fieldset><div id="field_25_123" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_123" ><h3 class="gsection_title">3. Area Of Interest</h3></div><fieldset id="field_25_124" class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_inline field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_25_124" ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' >Learn more about these committees</legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_124'><div class='gchoice gchoice_25_124_1'> <input class='gfield-choice-input' name='input_124.1' type='checkbox' value='Alternative Dispute Resolution (ADR)' id='choice_25_124_1' aria-describedby="gfield_description_25_124"/> <label for='choice_25_124_1' id='label_25_124_1' class='gform-field-label gform-field-label--type-inline'>Alternative Dispute Resolution (ADR)</label> </div><div class='gchoice gchoice_25_124_2'> <input class='gfield-choice-input' name='input_124.2' type='checkbox' value='Archifest' id='choice_25_124_2' /> <label for='choice_25_124_2' id='label_25_124_2' class='gform-field-label gform-field-label--type-inline'>Archifest</label> </div><div class='gchoice gchoice_25_124_3'> <input class='gfield-choice-input' name='input_124.3' type='checkbox' value='Architecture Business' id='choice_25_124_3' /> <label for='choice_25_124_3' id='label_25_124_3' class='gform-field-label gform-field-label--type-inline'>Architecture Business</label> </div><div class='gchoice gchoice_25_124_4'> <input class='gfield-choice-input' name='input_124.4' type='checkbox' value='Awards' id='choice_25_124_4' /> <label for='choice_25_124_4' id='label_25_124_4' class='gform-field-label gform-field-label--type-inline'>Awards</label> </div><div class='gchoice gchoice_25_124_5'> <input class='gfield-choice-input' name='input_124.5' type='checkbox' value='Building Contracts' id='choice_25_124_5' /> <label for='choice_25_124_5' id='label_25_124_5' class='gform-field-label gform-field-label--type-inline'>Building Contracts</label> </div><div class='gchoice gchoice_25_124_6'> <input class='gfield-choice-input' name='input_124.6' type='checkbox' value='Building Control & Park Sub-Committee' id='choice_25_124_6' /> <label for='choice_25_124_6' id='label_25_124_6' class='gform-field-label gform-field-label--type-inline'>Building Control & Park Sub-Committee</label> </div><div class='gchoice gchoice_25_124_7'> <input class='gfield-choice-input' name='input_124.7' type='checkbox' value='Competitions' id='choice_25_124_7' /> <label for='choice_25_124_7' id='label_25_124_7' class='gform-field-label gform-field-label--type-inline'>Competitions</label> </div><div class='gchoice gchoice_25_124_8'> <input class='gfield-choice-input' name='input_124.8' type='checkbox' value='Constitution Review' id='choice_25_124_8' /> <label for='choice_25_124_8' id='label_25_124_8' class='gform-field-label gform-field-label--type-inline'>Constitution 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