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.wpforms-form-page-classic .wpforms-form-page-footer { color: #d1d1d1; } .wpforms-form-page-modern .cls-1 { fill: #fff; } .wpforms-form-page-classic .cls-1 { fill: #d1d1d1; } </style> <link rel="icon" href="https://curtindubai.ac.ae/wp-content/uploads/2023/08/cropped-Curtin-Favicon-32x32.png" sizes="32x32" /> <link rel="icon" href="https://curtindubai.ac.ae/wp-content/uploads/2023/08/cropped-Curtin-Favicon-192x192.png" sizes="192x192" /> <link rel="apple-touch-icon" href="https://curtindubai.ac.ae/wp-content/uploads/2023/08/cropped-Curtin-Favicon-180x180.png" /> <meta name="msapplication-TileImage" content="https://curtindubai.ac.ae/wp-content/uploads/2023/08/cropped-Curtin-Favicon-270x270.png" /> <style type="text/css" id="wp-custom-css"> .health-Sciences-card { margin-left: 50px !important; } .AOC { margin-bottom:0px; } .careerfair-box1 { background-color: #e8e8e8; Padding-left: 50px; padding-right: 50px; } .careerfair-box2 { background-color: #000000; Padding-left: 50px; padding-right: 50px; } section.masthead .masthead__content a { margin-top: 2.2rem; } /* COURSE BLOCK - COURSE PAGE */ .course-accord { text-decoration: none !important; } .course-accord a { text-decoration: none !important; } .block.accordions { margin: 0px !important; } /* TERMS & COND - HOME PAGE */ .tandc{ font-size: 15px; } /* SUBMIT BUTTON - AGENT PAGE */ .submit-agent { background-color: #5525E5 !important; border-color: #5525E5 !important; color: #fff !important; transition: background 0.3s ease-in-out; border-radius: 0px !important; } .submit-agent:hover { background-color: #7953ea !important; } .events-subtitle { margin-bottom: -40px !important; margin-top: -40px !important; } .sb-styleheading { margin-top: -50px !important; } /* COUNTDOWN - BOOTCAMP */ .bootcamp-countdown{ border: 3px #5525e5; border-style: solid; padding: 40px; border-radius: 15px; word-break: normal; } /* ENGG FORUM */ .engg-forum-p { text-align: center !important; } .card{ border-radius:25px; } .card__image{ border-radius: 25px; } .wp-post-image{ border-radius: 25px; } .thumb-img{ border-radius: 25px; } /* PCF */ .pcf-p{ margin-top: -50px; } /** JOBS AT CURTIN **/ .img.kb-img.wp-image-18294{ border-radius: 25px !important; } .jobsatcurtin-bannercta{ --wrapper-height: 34rem !important; } .jobsatcurtin-card{ --card-min-width: 250px !important; } a[href="https://curtindubai.ac.ae/jobs/marketing-lecturer/"] { pointer-events: none !important; } a.btn-primary[href="https://curtindubai.ac.ae/jobs/marketing-lecturer/"] { display: none !important; } a[href="https://curtindubai.ac.ae/jobs/head-of-student-success/"] { pointer-events: none !important; } a.btn-primary[href="https://curtindubai.ac.ae/jobs/head-of-student-success/"] { display: none !important; } a[href="https://curtindubai.ac.ae/jobs/accounting-lecturer/"] { pointer-events: none !important; } a.btn-primary[href="https://curtindubai.ac.ae/jobs/accounting-lecturer/"] { display: none !important; } a[href="https://curtindubai.ac.ae/jobs/head-of-school-it/"] { pointer-events: none !important; } a.btn-primary[href="https://curtindubai.ac.ae/jobs/head-of-school-it/"] { display: none !important; } ---------------------------------- /** JOB VACCANCIES **/ .style-head-job-vacc{ margin-top: -50px !important; } .p-job-list{ color: #000 !important; } h4>a:after{ right: -30px !important; } /** Scholarships & Financial Aid Page **/ @media (max-width: 600px) { .img-scholarship { display: none; } } @media (min-width: 600px) { .img2-scholarship { display: none; } } /** FOOTER KHDA**/ .footer__khda { display: block !important; padding: 20px 20px 20px 20px !important; text-align: center !important; border-width: 2px; border-bottom: 2px solid var(--gray--darker); border-left: 0 solid var(--gray--darker); border-right: 0 solid var(--gray--darker); border-top: 2px solid var(--gray--darker); } /** FOOTER ESAAD LOGO **/ .container.footer_gallery_icons-container{ padding: 0rem 2rem 2rem 2rem; border-width: 2px; border-bottom: 2px solid var(--gray--darker); border-left: 0 solid var(--gray--darker); border-right: 0 solid var(--gray--darker); border-top: 0px solid var(--gray--darker); } /** Footer-Partner with old css **/ /** .footer-gallery { background-color: #000000; }**/ .container, .footer_gallery_icons-container { padding: 2rem 0; display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-orient: horizontal; -webkit-box-direction: normal; -ms-flex-direction: row; flex-direction: row; -webkit-box-align: center; -ms-flex-align: center; align-items: center; -webkit-box-pack: center; -ms-flex-pack: center; justify-content: center; } .footer_gallery_icons-gallery { height: 5.3125rem; position: relative; margin-top: 1rem; margin-bottom: 1rem; display: inline-block; width: 30%; } .footer_gallery_icons-logo { position: absolute; top: 0; left: 0; height: 100%; width: 100%; -o-object-fit: contain; object-fit: contain; } @media only screen and (max-width: 767px) { img { width:100%; } } /** FOOTER SOCIALS **/ a>.ico { --ico-width: 32px; } /** CARDS ON PCF #gain-insights-from-industry-leaders { border: 2px solid #C69D00; } #expand-your-professional-network { border: 2px solid #C69D00; } #stay-ahead-in-your-career { border: 2px solid #C69D00; } **/ </style> <style id="wpforms-css-vars-root"> :root { --wpforms-field-border-radius: 3px; --wpforms-field-background-color: #ffffff; --wpforms-field-border-color: rgba( 0, 0, 0, 0.25 ); --wpforms-field-text-color: rgba( 0, 0, 0, 0.7 ); --wpforms-label-color: rgba( 0, 0, 0, 0.85 ); --wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 ); --wpforms-label-error-color: #d63637; --wpforms-button-border-radius: 3px; --wpforms-button-background-color: #066aab; --wpforms-button-text-color: #ffffff; --wpforms-field-size-input-height: 43px; --wpforms-field-size-input-spacing: 15px; --wpforms-field-size-font-size: 16px; --wpforms-field-size-line-height: 19px; --wpforms-field-size-padding-h: 14px; --wpforms-field-size-checkbox-size: 16px; --wpforms-field-size-sublabel-spacing: 5px; --wpforms-field-size-icon-size: 1; --wpforms-label-size-font-size: 16px; --wpforms-label-size-line-height: 19px; --wpforms-label-size-sublabel-font-size: 14px; --wpforms-label-size-sublabel-line-height: 17px; --wpforms-button-size-font-size: 17px; --wpforms-button-size-height: 41px; --wpforms-button-size-padding-h: 15px; --wpforms-button-size-margin-top: 10px; } </style></head> <body class="single menu-type-global template-page critical-incident curtin-dubai wpforms-form-page-modern wpforms-form-page-custom-logo"> <div id="wpforms-form-page-page"> <div class="wpforms-form-page-wrap"> <main class="wpforms-form-page-main" role="main"> <div class="wpforms-custom-logo"> <img src="https://curtindubai.ac.ae/wp-content/uploads/2023/12/Curtin-Dubai-Logo-Keyline.png" alt="Form Logo"> </div> <div class="wpforms-container wpforms-container-full wpforms-render-modern" id="wpforms-9864"><form id="wpforms-form-9864" class="wpforms-validate wpforms-form" data-formid="9864" method="post" enctype="multipart/form-data" action="/online-application-form/?wpforms_form_id=9864" data-token="6a7d14e9fb9ddbd26d4cd80293ecd883"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript><div class="wpforms-hidden" id="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</div><div class="wpforms-page-indicator progress" data-indicator="progress" data-indicator-color="#c59d00" data-scroll="1" role="progressbar" aria-valuenow="1" aria-valuemin="1" aria-valuemax="5" tabindex="-1"><span class="wpforms-page-indicator-page-title" data-page-1-title="Curtin Dubai Online Application Form">Curtin Dubai Online Application Form</span><span class="wpforms-page-indicator-page-title-sep" > - </span><span class="wpforms-page-indicator-steps">Step <span class="wpforms-page-indicator-steps-current">1</span> of 5</span><div class="wpforms-page-indicator-page-progress-wrap"><div class="wpforms-page-indicator-page-progress" style="width:20%;background-color:#c59d00"></div></div></div><div class="wpforms-field-container"><div class="wpforms-page wpforms-page-1 " data-page="1"><div id="wpforms-9864-field_70-container" class="wpforms-field wpforms-field-pagebreak" data-field-type="pagebreak" data-field-id="70"></div><div id="wpforms-9864-field_73-container" class="wpforms-field wpforms-field-divider" data-field-type="divider" data-field-id="73"><h3 id="wpforms-9864-field_73" name="wpforms[fields][73]" aria-errormessage="wpforms-9864-field_73-error" aria-describedby="wpforms-9864-field_73-description">Applicant Details</h3><div id="wpforms-9864-field_73-description" class="wpforms-field-description">Please fill in your personal details below.</div></div><div id="wpforms-9864-field_1-container" class="wpforms-field wpforms-field-name" data-field-type="name" data-field-id="1"><fieldset><legend class="wpforms-field-label">Name <span class="wpforms-required-label" aria-hidden="true">*</span></legend><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-9864-field_1" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][1][first]" aria-errormessage="wpforms-9864-field_1-error" required><label for="wpforms-9864-field_1" class="wpforms-field-sublabel after ">First</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-9864-field_1-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][1][last]" aria-errormessage="wpforms-9864-field_1-last-error" required><label for="wpforms-9864-field_1-last" class="wpforms-field-sublabel after ">Last</label></div></div></fieldset></div><div id="wpforms-9864-field_14-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-type="select" data-field-id="14"><label class="wpforms-field-label" for="wpforms-9864-field_14">Gender <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_14" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][14]" required="required"><option value="Male" >Male</option><option value="Female" >Female</option></select></div><div id="wpforms-9864-field_67-container" class="wpforms-field wpforms-field-email" data-field-type="email" data-field-id="67"><fieldset><legend class="wpforms-field-label">Email <span class="wpforms-required-label" aria-hidden="true">*</span></legend><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-one-half wpforms-first"><input type="email" id="wpforms-9864-field_67" class="wpforms-field-required wpforms-field-email-primary" name="wpforms[fields][67][primary]" spellcheck="false" aria-errormessage="wpforms-9864-field_67-error" required><label for="wpforms-9864-field_67" class="wpforms-field-sublabel after ">Email</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="email" id="wpforms-9864-field_67-secondary" class="wpforms-field-email-secondary wpforms-field-required" data-rule-confirm="#wpforms-9864-field_67" name="wpforms[fields][67][secondary]" spellcheck="false" aria-errormessage="wpforms-9864-field_67-secondary-error" required><label for="wpforms-9864-field_67-secondary" class="wpforms-field-sublabel after ">Confirm Email</label></div></div></fieldset></div><div id="wpforms-9864-field_122-container" class="wpforms-field wpforms-field-phone" data-field-type="phone" data-field-id="122"><label class="wpforms-field-label" for="wpforms-9864-field_122">Phone Number <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="tel" id="wpforms-9864-field_122" class="wpforms-field-medium wpforms-field-required wpforms-smart-phone-field" data-rule-smart-phone-field="true" name="wpforms[fields][122]" aria-errormessage="wpforms-9864-field_122-error" required></div><div id="wpforms-9864-field_68-container" class="wpforms-field wpforms-field-date-time" data-field-type="date-time" data-field-id="68"><fieldset><legend class="wpforms-field-label">Date of birth <span class="wpforms-required-label" aria-hidden="true">*</span></legend><div class="wpforms-field-date-dropdown-wrap wpforms-field-medium"><select name="wpforms[fields][68][date][m]" id="wpforms-9864-field_68-month" class="wpforms-field-date-time-date-month wpforms-field-required" aria-label="Month" required><option value="" class="placeholder" selected disabled>MM</option><option value="1" >1</option><option value="2" >2</option><option value="3" >3</option><option value="4" >4</option><option value="5" >5</option><option value="6" >6</option><option value="7" >7</option><option value="8" >8</option><option value="9" >9</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option></select><select name="wpforms[fields][68][date][d]" id="wpforms-9864-field_68-day" class="wpforms-field-date-time-date-day wpforms-field-required" aria-label="Day" required><option value="" class="placeholder" selected disabled>DD</option><option value="1" >1</option><option value="2" >2</option><option value="3" >3</option><option value="4" >4</option><option value="5" >5</option><option value="6" >6</option><option value="7" >7</option><option value="8" >8</option><option value="9" >9</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option><option value="13" >13</option><option value="14" >14</option><option value="15" >15</option><option value="16" >16</option><option value="17" >17</option><option value="18" >18</option><option value="19" >19</option><option value="20" >20</option><option value="21" >21</option><option value="22" >22</option><option value="23" >23</option><option value="24" >24</option><option value="25" >25</option><option value="26" >26</option><option value="27" >27</option><option value="28" >28</option><option value="29" >29</option><option value="30" >30</option><option value="31" >31</option></select><select name="wpforms[fields][68][date][y]" id="wpforms-9864-field_68-year" class="wpforms-field-date-time-date-year wpforms-field-required" aria-label="Year" required><option value="" class="placeholder" selected disabled>YYYY</option><option value="2024" >2024</option><option value="2023" >2023</option><option value="2022" >2022</option><option value="2021" >2021</option><option value="2020" >2020</option><option value="2019" >2019</option><option value="2018" >2018</option><option value="2017" >2017</option><option value="2016" >2016</option><option value="2015" >2015</option><option value="2014" >2014</option><option value="2013" >2013</option><option value="2012" >2012</option><option value="2011" >2011</option><option value="2010" >2010</option><option value="2009" >2009</option><option value="2008" >2008</option><option value="2007" >2007</option><option value="2006" >2006</option><option value="2005" >2005</option><option value="2004" >2004</option><option value="2003" >2003</option><option value="2002" >2002</option><option value="2001" >2001</option><option value="2000" >2000</option><option value="1999" >1999</option><option value="1998" >1998</option><option value="1997" >1997</option><option value="1996" >1996</option><option value="1995" >1995</option><option value="1994" >1994</option><option value="1993" >1993</option><option value="1992" >1992</option><option value="1991" >1991</option><option value="1990" >1990</option><option value="1989" >1989</option><option value="1988" >1988</option><option value="1987" >1987</option><option value="1986" >1986</option><option value="1985" >1985</option><option value="1984" >1984</option><option value="1983" >1983</option><option value="1982" >1982</option><option value="1981" >1981</option><option value="1980" >1980</option><option value="1979" >1979</option><option value="1978" >1978</option><option value="1977" >1977</option><option value="1976" >1976</option><option value="1975" >1975</option><option value="1974" >1974</option><option value="1973" >1973</option><option value="1972" >1972</option><option value="1971" >1971</option><option value="1970" >1970</option><option value="1969" >1969</option><option value="1968" >1968</option><option value="1967" >1967</option><option value="1966" >1966</option><option value="1965" >1965</option><option value="1964" >1964</option><option value="1963" >1963</option><option value="1962" >1962</option><option value="1961" >1961</option><option value="1960" >1960</option><option value="1959" >1959</option><option value="1958" >1958</option><option value="1957" >1957</option><option value="1956" >1956</option><option value="1955" >1955</option><option value="1954" >1954</option><option value="1953" >1953</option><option value="1952" >1952</option><option value="1951" >1951</option><option value="1950" >1950</option><option value="1949" >1949</option><option value="1948" >1948</option><option value="1947" >1947</option><option value="1946" >1946</option><option value="1945" >1945</option><option value="1944" >1944</option><option value="1943" >1943</option><option value="1942" >1942</option><option value="1941" >1941</option><option value="1940" >1940</option><option value="1939" >1939</option><option value="1938" >1938</option><option value="1937" >1937</option><option value="1936" >1936</option><option value="1935" >1935</option><option value="1934" >1934</option><option value="1933" >1933</option><option value="1932" >1932</option><option value="1931" >1931</option><option value="1930" >1930</option><option value="1929" >1929</option><option value="1928" >1928</option><option value="1927" >1927</option><option value="1926" >1926</option><option value="1925" >1925</option><option value="1924" >1924</option><option value="1923" >1923</option><option value="1922" >1922</option><option value="1921" >1921</option><option value="1920" >1920</option></select></div></fieldset></div><div id="wpforms-9864-field_121-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-type="select" data-field-id="121"><label class="wpforms-field-label" for="wpforms-9864-field_121">Citizenship <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_121" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][121]" required="required"><option value="" class="placeholder" disabled selected='selected'>Choose your country of citizenship</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="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="Cambodia" >Cambodia</option><option value="Cameroon" >Cameroon</option><option value="Canada" >Canada</option><option value="Cape Verde" >Cape Verde</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 (Keeling) Islands" >Cocos (Keeling) Islands</option><option value="Colombia" >Colombia</option><option value="Comoros" >Comoros</option><option value="Democratic People's Republic of Korea" >Democratic People's Republic of Korea</option><option value="Democratic Republic Of The Congo" >Democratic Republic Of The Congo</option><option value="Cook Islands" >Cook Islands</option><option value="Costa Rica" >Costa Rica</option><option value="Cote D'ivoire" >Cote D'ivoire</option><option value="Croatia" >Croatia</option><option value="Cuba" >Cuba</option><option value="Cyprus" >Cyprus</option><option value="Czech Republic" >Czech Republic</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="East Timor" >East Timor</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="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="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 (Vatican City State)" >Holy See (Vatican City State)</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="Israel" >Israel</option><option value="Italy" >Italy</option><option value="Jamaica" >Jamaica</option><option value="Japan" >Japan</option><option value="Jordan" >Jordan</option><option value="Kazakstan" >Kazakstan</option><option value="Kenya" >Kenya</option><option value="Kiribati" >Kiribati</option><option value="Kosovo" >Kosovo</option><option value="Kuwait" >Kuwait</option><option value="Kyrgyzstan" >Kyrgyzstan</option><option value="Laos" >Laos</option><option value="Latvia" >Latvia</option><option value="Lebanon" >Lebanon</option><option value="Lesotho" >Lesotho</option><option value="Liberia" >Liberia</option><option value="Libyan Arab Jamahiriya" >Libyan Arab Jamahiriya</option><option value="Liechtenstein" >Liechtenstein</option><option value="Lithuania" >Lithuania</option><option value="Luxembourg" >Luxembourg</option><option value="Macau" >Macau</option><option value="Macedonia" >Macedonia</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="Federated States Of Micronesia" >Federated States Of Micronesia</option><option value="Republic Of Moldova" >Republic Of Moldova</option><option value="Monaco" >Monaco</option><option value="Mongolia" >Mongolia</option><option value="Montserrat" >Montserrat</option><option value="Montenegro" >Montenegro</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="Netherlands Antilles" >Netherlands Antilles</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="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="Palestinian Territory" >Palestinian Territory</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="Saint Helena" >Saint Helena</option><option value="Saint Kitts And Nevis" >Saint Kitts And Nevis</option><option value="Saint Lucia" >Saint Lucia</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" >Singapore</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="The Republic of South Korea" >The Republic of South Korea</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="Swaziland" >Swaziland</option><option value="Sweden" >Sweden</option><option value="Switzerland" >Switzerland</option><option value="Syrian Arab Republic" >Syrian Arab Republic</option><option value="Taiwan" >Taiwan</option><option value="Tajikistan" >Tajikistan</option><option value="Tanzania" >Tanzania</option><option value="Thailand" >Thailand</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="Turkey" >Turkey</option><option value="Turkmenistan" >Turkmenistan</option><option value="Turks And Caicos Islands" >Turks And Caicos Islands</option><option value="Tuvalu" >Tuvalu</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 of America" >United States of America</option><option value="United States Minor Outlying Islands" >United States Minor Outlying Islands</option><option value="Uruguay" >Uruguay</option><option value="Uzbekistan" >Uzbekistan</option><option value="Vanuatu" >Vanuatu</option><option value="Venezuela" >Venezuela</option><option value="Vietnam" >Vietnam</option><option value="British Virgin Islands" >British Virgin Islands</option><option value="US Virgin Islands" >US Virgin Islands</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></select></div><div id="wpforms-9864-field_78-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-type="select" data-field-id="78"><label class="wpforms-field-label" for="wpforms-9864-field_78">Country of birth <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_78" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][78]" required="required"><option value="" class="placeholder" disabled selected='selected'>Choose your country of birth</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="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="Cambodia" >Cambodia</option><option value="Cameroon" >Cameroon</option><option value="Canada" >Canada</option><option value="Cape Verde" >Cape Verde</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 (Keeling) Islands" >Cocos (Keeling) Islands</option><option value="Colombia" >Colombia</option><option value="Comoros" >Comoros</option><option value="Democratic People's Republic of Korea" >Democratic People's Republic of Korea</option><option value="Democratic Republic Of The Congo" >Democratic Republic Of The Congo</option><option value="Cook Islands" >Cook Islands</option><option value="Costa Rica" >Costa Rica</option><option value="Cote D'ivoire" >Cote D'ivoire</option><option value="Croatia" >Croatia</option><option value="Cuba" >Cuba</option><option value="Cyprus" >Cyprus</option><option value="Czech Republic" >Czech Republic</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="East Timor" >East Timor</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="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="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 (Vatican City State)" >Holy See (Vatican City State)</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="Israel" >Israel</option><option value="Italy" >Italy</option><option value="Jamaica" >Jamaica</option><option value="Japan" >Japan</option><option value="Jordan" >Jordan</option><option value="Kazakstan" >Kazakstan</option><option value="Kenya" >Kenya</option><option value="Kiribati" >Kiribati</option><option value="Kosovo" >Kosovo</option><option value="Kuwait" >Kuwait</option><option value="Kyrgyzstan" >Kyrgyzstan</option><option value="Laos" >Laos</option><option value="Latvia" >Latvia</option><option value="Lebanon" >Lebanon</option><option value="Lesotho" >Lesotho</option><option value="Liberia" >Liberia</option><option value="Libyan Arab Jamahiriya" >Libyan Arab Jamahiriya</option><option value="Liechtenstein" >Liechtenstein</option><option value="Lithuania" >Lithuania</option><option value="Luxembourg" >Luxembourg</option><option value="Macau" >Macau</option><option value="Macedonia" >Macedonia</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="Federated States Of Micronesia" >Federated States Of Micronesia</option><option value="Republic Of Moldova" >Republic Of Moldova</option><option value="Monaco" >Monaco</option><option value="Mongolia" >Mongolia</option><option value="Montserrat" >Montserrat</option><option value="Montenegro" >Montenegro</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="Netherlands Antilles" >Netherlands Antilles</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="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="Palestinian Territory" >Palestinian Territory</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="Saint Helena" >Saint Helena</option><option value="Saint Kitts And Nevis" >Saint Kitts And Nevis</option><option value="Saint Lucia" >Saint Lucia</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" >Singapore</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="The Republic of South Korea" >The Republic of South Korea</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="Swaziland" >Swaziland</option><option value="Sweden" >Sweden</option><option value="Switzerland" >Switzerland</option><option value="Syrian Arab Republic" >Syrian Arab Republic</option><option value="Taiwan" >Taiwan</option><option value="Tajikistan" >Tajikistan</option><option value="Tanzania" >Tanzania</option><option value="Thailand" >Thailand</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="Turkey" >Turkey</option><option value="Turkmenistan" >Turkmenistan</option><option value="Turks And Caicos Islands" >Turks And Caicos Islands</option><option value="Tuvalu" >Tuvalu</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 of America" >United States of America</option><option value="United States Minor Outlying Islands" >United States Minor Outlying Islands</option><option value="Uruguay" >Uruguay</option><option value="Uzbekistan" >Uzbekistan</option><option value="Vanuatu" >Vanuatu</option><option value="Venezuela" >Venezuela</option><option value="Vietnam" >Vietnam</option><option value="British Virgin Islands" >British Virgin Islands</option><option value="US Virgin Islands" >US Virgin Islands</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></select></div><div id="wpforms-9864-field_79-container" class="wpforms-field wpforms-field-text" data-field-type="text" data-field-id="79"><label class="wpforms-field-label" for="wpforms-9864-field_79">UAE Residence Visa No. (if any)</label><input type="text" id="wpforms-9864-field_79" class="wpforms-field-medium" name="wpforms[fields][79]" aria-errormessage="wpforms-9864-field_79-error" ></div><div id="wpforms-9864-field_2-container" class="wpforms-field wpforms-field-address" data-field-type="address" data-field-id="2"><fieldset><legend class="wpforms-field-label">Current Address <span class="wpforms-required-label" aria-hidden="true">*</span></legend><div class="wpforms-field-row wpforms-field-medium"><div ><input type="text" id="wpforms-9864-field_2" class="wpforms-field-address-address1 wpforms-field-required" name="wpforms[fields][2][address1]" aria-errormessage="wpforms-9864-field_2-error" required><label for="wpforms-9864-field_2" class="wpforms-field-sublabel after ">Address Line 1</label></div></div><div class="wpforms-field-row wpforms-field-medium"><div ><input type="text" id="wpforms-9864-field_2-address2" class="wpforms-field-address-address2" name="wpforms[fields][2][address2]" aria-errormessage="wpforms-9864-field_2-address2-error" ><label for="wpforms-9864-field_2-address2" class="wpforms-field-sublabel after ">Address Line 2</label></div></div><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-one-half wpforms-first"><input type="text" id="wpforms-9864-field_2-city" class="wpforms-field-address-city wpforms-field-required" name="wpforms[fields][2][city]" aria-errormessage="wpforms-9864-field_2-city-error" required><label for="wpforms-9864-field_2-city" class="wpforms-field-sublabel after ">City</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-9864-field_2-state" class="wpforms-field-address-state wpforms-field-required" name="wpforms[fields][2][state]" aria-errormessage="wpforms-9864-field_2-state-error" required><label for="wpforms-9864-field_2-state" class="wpforms-field-sublabel after ">State / Province / Region / Emirate</label></div></div><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-one-half wpforms-first"><input type="text" id="wpforms-9864-field_2-postal" class="wpforms-field-address-postal wpforms-field-required" name="wpforms[fields][2][postal]" aria-errormessage="wpforms-9864-field_2-postal-error" required><label for="wpforms-9864-field_2-postal" class="wpforms-field-sublabel after ">Postal Code</label></div></div></fieldset></div><div id="wpforms-9864-field_156-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-type="select" data-field-id="156"><select id="wpforms-9864-field_156" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][156]" required="required"><option value="" class="placeholder" disabled selected='selected'>Choose country</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="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="Cambodia" >Cambodia</option><option value="Cameroon" >Cameroon</option><option value="Canada" >Canada</option><option value="Cape Verde" >Cape Verde</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 (Keeling) Islands" >Cocos (Keeling) Islands</option><option value="Colombia" >Colombia</option><option value="Comoros" >Comoros</option><option value="Democratic People's Republic of Korea" >Democratic People's Republic of Korea</option><option value="Democratic Republic Of The Congo" >Democratic Republic Of The Congo</option><option value="Cook Islands" >Cook Islands</option><option value="Costa Rica" >Costa Rica</option><option value="Cote D'ivoire" >Cote D'ivoire</option><option value="Croatia" >Croatia</option><option value="Cuba" >Cuba</option><option value="Cyprus" >Cyprus</option><option value="Czech Republic" >Czech Republic</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="East Timor" >East Timor</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="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="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 (Vatican City State)" >Holy See (Vatican City State)</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="Israel" >Israel</option><option value="Italy" >Italy</option><option value="Jamaica" >Jamaica</option><option value="Japan" >Japan</option><option value="Jordan" >Jordan</option><option value="Kazakstan" >Kazakstan</option><option value="Kenya" >Kenya</option><option value="Kiribati" >Kiribati</option><option value="Kosovo" >Kosovo</option><option value="Kuwait" >Kuwait</option><option value="Kyrgyzstan" >Kyrgyzstan</option><option value="Laos" >Laos</option><option value="Latvia" >Latvia</option><option value="Lebanon" >Lebanon</option><option value="Lesotho" >Lesotho</option><option value="Liberia" >Liberia</option><option value="Libyan Arab Jamahiriya" >Libyan Arab Jamahiriya</option><option value="Liechtenstein" >Liechtenstein</option><option value="Lithuania" >Lithuania</option><option value="Luxembourg" >Luxembourg</option><option value="Macau" >Macau</option><option value="Macedonia" >Macedonia</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="Federated States Of Micronesia" >Federated States Of Micronesia</option><option value="Republic Of Moldova" >Republic Of Moldova</option><option value="Monaco" >Monaco</option><option value="Mongolia" >Mongolia</option><option value="Montserrat" >Montserrat</option><option value="Montenegro" >Montenegro</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="Netherlands Antilles" >Netherlands Antilles</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="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="Palestinian Territory" >Palestinian Territory</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="Saint Helena" >Saint Helena</option><option value="Saint Kitts And Nevis" >Saint Kitts And Nevis</option><option value="Saint Lucia" >Saint Lucia</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" >Singapore</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="The Republic of South Korea" >The Republic of South Korea</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="Swaziland" >Swaziland</option><option value="Sweden" >Sweden</option><option value="Switzerland" >Switzerland</option><option value="Syrian Arab Republic" >Syrian Arab Republic</option><option value="Taiwan" >Taiwan</option><option value="Tajikistan" >Tajikistan</option><option value="Tanzania" >Tanzania</option><option value="Thailand" >Thailand</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="Turkey" >Turkey</option><option value="Turkmenistan" >Turkmenistan</option><option value="Turks And Caicos Islands" >Turks And Caicos Islands</option><option value="Tuvalu" >Tuvalu</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 of America" >United States of America</option><option value="United States Minor Outlying Islands" >United States Minor Outlying Islands</option><option value="Uruguay" >Uruguay</option><option value="Uzbekistan" >Uzbekistan</option><option value="Vanuatu" >Vanuatu</option><option value="Venezuela" >Venezuela</option><option value="Vietnam" >Vietnam</option><option value="British Virgin Islands" >British Virgin Islands</option><option value="US Virgin Islands" >US Virgin Islands</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></select></div><div id="wpforms-9864-field_83-container" class="wpforms-field wpforms-field-checkbox wpforms-list-3-columns wpforms-conditional-trigger" data-field-type="checkbox" data-field-id="83"><fieldset><legend class="wpforms-field-label">How did you hear about us? <span class="wpforms-required-label" aria-hidden="true">*</span></legend><ul id="wpforms-9864-field_83" class="wpforms-field-required"><li class="choice-5 depth-1"><input type="checkbox" id="wpforms-9864-field_83_5" name="wpforms[fields][83][]" value="Google" aria-errormessage="wpforms-9864-field_83_5-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_83_5">Google</label></li><li class="choice-7 depth-1"><input type="checkbox" id="wpforms-9864-field_83_7" name="wpforms[fields][83][]" value="Social media" aria-errormessage="wpforms-9864-field_83_7-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_83_7">Social media</label></li><li class="choice-1 depth-1"><input type="checkbox" id="wpforms-9864-field_83_1" name="wpforms[fields][83][]" value="Radio" aria-errormessage="wpforms-9864-field_83_1-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_83_1">Radio</label></li><li class="choice-2 depth-1"><input type="checkbox" id="wpforms-9864-field_83_2" name="wpforms[fields][83][]" value="Newspaper" aria-errormessage="wpforms-9864-field_83_2-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_83_2">Newspaper</label></li><li class="choice-9 depth-1"><input type="checkbox" id="wpforms-9864-field_83_9" name="wpforms[fields][83][]" value="Career Fair / Education Expo" aria-errormessage="wpforms-9864-field_83_9-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_83_9">Career Fair / Education Expo</label></li><li class="choice-3 depth-1"><input type="checkbox" id="wpforms-9864-field_83_3" name="wpforms[fields][83][]" value="Email from us" aria-errormessage="wpforms-9864-field_83_3-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_83_3">Email from us</label></li><li class="choice-4 depth-1"><input type="checkbox" id="wpforms-9864-field_83_4" name="wpforms[fields][83][]" value="Agent / Agency" aria-errormessage="wpforms-9864-field_83_4-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_83_4">Agent / Agency</label></li><li class="choice-6 depth-1"><input type="checkbox" id="wpforms-9864-field_83_6" name="wpforms[fields][83][]" value="Word of mouth" aria-errormessage="wpforms-9864-field_83_6-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_83_6">Word of mouth</label></li><li class="choice-8 depth-1"><input type="checkbox" id="wpforms-9864-field_83_8" name="wpforms[fields][83][]" value="Referred by existing student*" aria-errormessage="wpforms-9864-field_83_8-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_83_8">Referred by existing student*</label></li></ul></fieldset></div><div id="wpforms-9864-field_84-container" class="wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show" data-field-type="text" data-field-id="84" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_84">Please specify the agency name <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-9864-field_84" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][84]" aria-errormessage="wpforms-9864-field_84-error" required></div><div id="wpforms-9864-field_163-container" class="wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show" data-field-type="text" data-field-id="163" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_163">Name of the contact person from the agency <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-9864-field_163" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][163]" aria-errormessage="wpforms-9864-field_163-error" required></div><div id="wpforms-9864-field_165-container" class="wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show" data-field-type="email" data-field-id="165" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_165">Email of the agent <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="email" id="wpforms-9864-field_165" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][165]" spellcheck="false" aria-errormessage="wpforms-9864-field_165-error" required></div><div id="wpforms-9864-field_166-container" class="wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show" data-field-type="phone" data-field-id="166" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_166">Phone Number of the agent <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="tel" id="wpforms-9864-field_166" class="wpforms-field-medium wpforms-field-required wpforms-smart-phone-field" data-rule-smart-phone-field="true" name="wpforms[fields][166]" aria-errormessage="wpforms-9864-field_166-error" required></div><div id="wpforms-9864-field_135-container" class="wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show" data-field-type="text" data-field-id="135" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_135">* Referred by existing student - please specify the student name <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-9864-field_135" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][135]" aria-errormessage="wpforms-9864-field_135-error" required></div><div id="wpforms-9864-field_69-container" class="wpforms-field wpforms-field-pagebreak" data-field-type="pagebreak" data-field-id="69"><div class="wpforms-clear wpforms-pagebreak-left"><button class="wpforms-page-button wpforms-page-next wpforms-disabled" data-action="next" data-page="1" data-formid="9864" aria-disabled="true" aria-describedby="wpforms-error-noscript">Next</button></div></div></div><div class="wpforms-page wpforms-page-2 " data-page="2" style="display:none;"><div id="wpforms-9864-field_4-container" class="wpforms-field wpforms-field-divider" data-field-type="divider" data-field-id="4"><h3 id="wpforms-9864-field_4" name="wpforms[fields][4]" aria-errormessage="wpforms-9864-field_4-error" aria-describedby="wpforms-9864-field_4-description">Course Information</h3><div id="wpforms-9864-field_4-description" class="wpforms-field-description">Please fill the fields below for your course preferences.</div></div><div id="wpforms-9864-field_81-container" class="wpforms-field wpforms-field-radio wpforms-conditional-trigger" data-field-type="radio" data-field-id="81"><fieldset><legend class="wpforms-field-label">What are you applying for? <span class="wpforms-required-label" aria-hidden="true">*</span></legend><ul id="wpforms-9864-field_81" class="wpforms-field-required"><li class="choice-1 depth-1"><input type="radio" id="wpforms-9864-field_81_1" name="wpforms[fields][81]" value="Foundation Program" aria-errormessage="wpforms-9864-field_81_1-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_81_1">Foundation Program</label></li><li class="choice-2 depth-1"><input type="radio" id="wpforms-9864-field_81_2" name="wpforms[fields][81]" value="Undergraduate Program" aria-errormessage="wpforms-9864-field_81_2-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_81_2">Undergraduate Program</label></li><li class="choice-3 depth-1"><input type="radio" id="wpforms-9864-field_81_3" name="wpforms[fields][81]" value="Postgraduate Program" aria-errormessage="wpforms-9864-field_81_3-error" required ><label class="wpforms-field-label-inline" for="wpforms-9864-field_81_3">Postgraduate Program</label></li></ul></fieldset></div><div id="wpforms-9864-field_11-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-classic" data-field-type="select" data-field-id="11" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_11">Which foundation program would you like to be admitted to? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_11" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][11]" required="required"><option value="" class="placeholder" disabled selected='selected'>Select Program</option><option value="Foundation in Architecture & Interior Design*" >Foundation in Architecture & Interior Design*</option><option value="Foundation in Business" >Foundation in Business</option><option value="Foundation in Design" >Foundation in Design</option><option value="Foundation in Engineering" >Foundation in Engineering</option><option value="Foundation in Humanities" >Foundation in Humanities</option><option value="Foundation in Information Technology" >Foundation in Information Technology</option><option value="Foundation in Psychology" >Foundation in Psychology</option></select></div><div id="wpforms-9864-field_85-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-classic" data-field-type="select" data-field-id="85" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_85">Which undergraduate program would you like to be admitted to? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_85" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][85]" required="required"><option value="" class="placeholder" disabled selected='selected'>Select Program</option><option value="B-Arch - Bachelor of Applied Science (Architectural Science)*" >B-Arch - Bachelor of Applied Science (Architectural Science)*</option><option value="BBA - Social Media & Digital Marketing" >BBA - Social Media & Digital Marketing</option><option value="BBA - Innovation and Entrepreneurship" >BBA - Innovation and Entrepreneurship</option><option value="BBA - Small Business Start-Up" >BBA - Small Business Start-Up</option><option value="BBA - Tourism and Hospitality Essentials" >BBA - Tourism and Hospitality Essentials</option><option value="BBA - Workforce Management" >BBA - Workforce Management</option><option value="BCom - Accounting" >BCom - Accounting</option><option value="BCom - Accounting & Finance (Double Major)" >BCom - Accounting & Finance (Double Major)</option><option value="BCom - Finance" >BCom - Finance</option><option value="BCom - International Business" >BCom - International Business</option><option value="BCom - Finance & International Business (Double Major)" >BCom - Finance & International Business (Double Major)</option><option value="BCom - Finance & Marketing (Double Major)" >BCom - Finance & Marketing (Double Major)</option><option value="BCom - International Business & Marketing (Double Major)" >BCom - International Business & Marketing (Double Major)</option><option value="BCom - Marketing" >BCom - Marketing</option><option value="BDes - Animation and Game Design*" >BDes - Animation and Game Design*</option><option value="BDes - Digital Experience and Interaction Design*" >BDes - Digital Experience and Interaction Design*</option><option value="BDes - Graphic Design" >BDes - Graphic Design</option><option value="BEng - Mechanical Engineering" >BEng - Mechanical Engineering</option><option value="BID - Bachelor of Interior Design*" >BID - Bachelor of Interior Design*</option><option value="BSc - Cyber Security" >BSc - Cyber Security</option><option value="BSc - Information Technology" >BSc - Information Technology</option><option value="BSc - Psychological Science" >BSc - Psychological Science</option></select></div><div id="wpforms-9864-field_87-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-classic" data-field-type="select" data-field-id="87" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_87">Which postgraduate program would you like to be admitted to? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_87" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][87]" required="required"><option value="" class="placeholder" disabled selected='selected'>Select Program</option><option value="Master of Engineering Management" >Master of Engineering Management</option><option value="MBA in International Business" >MBA in International Business</option></select></div><div id="wpforms-9864-field_89-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="89" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_89">When are you interested in starting university? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_89" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][89]" required="required"><option value="Jan 2025" >Jan 2025</option><option value="May 2025" >May 2025</option><option value="Sep 2025" >Sep 2025</option><option value="Jan 2026" >Jan 2026</option><option value="May 2026" >May 2026</option><option value="Sep 2026" >Sep 2026</option><option value="Jan 2027" >Jan 2027</option><option value="May 2027" >May 2027</option><option value="Sep 2027" >Sep 2027</option></select></div><div id="wpforms-9864-field_173-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="173" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_173">When are you interested in starting university? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_173" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][173]" required="required"><option value="Sep 2025" >Sep 2025</option><option value="Jan 2026" >Jan 2026</option><option value="May 2026" >May 2026</option><option value="Sep 2026" >Sep 2026</option><option value="Jan 2027" >Jan 2027</option><option value="May 2027" >May 2027</option><option value="Sep 2027" >Sep 2027</option></select></div><div id="wpforms-9864-field_138-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="138" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_138">When are you interested in starting university? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_138" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][138]" required="required"><option value="Jan 2025" >Jan 2025</option><option value="May 2025" >May 2025</option><option value="Sep 2025" >Sep 2025</option><option value="Jan 2026" >Jan 2026</option><option value="May 2026" >May 2026</option><option value="Sep 2026" >Sep 2026</option><option value="Jan 2027" >Jan 2027</option><option value="May 2027" >May 2027</option><option value="Sep 2027" >Sep 2027</option></select></div><div id="wpforms-9864-field_170-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="170" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_170">When are you interested in starting university? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_170" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][170]" required="required"><option value="Jan 2025" >Jan 2025</option><option value="May 2025" >May 2025</option><option value="Sep 2025" >Sep 2025</option><option value="Jan 2026" >Jan 2026</option><option value="May 2026" >May 2026</option><option value="Sep 2026" >Sep 2026</option><option value="Jan 2027" >Jan 2027</option><option value="May 2027" >May 2027</option><option value="Sep 2027" >Sep 2027</option></select></div><div id="wpforms-9864-field_142-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="142" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_142">When are you interested in starting university? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_142" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][142]" required="required"><option value="Sep 2025" >Sep 2025</option><option value="Sep 2026" >Sep 2026</option><option value="Sep 2027" >Sep 2027</option><option value="Sep 2028" >Sep 2028</option></select></div><div id="wpforms-9864-field_143-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="143" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_143">When are you interested in starting university? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_143" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][143]" required="required"><option value="Feb 2025" >Feb 2025</option><option value="Sep 2025" >Sep 2025</option><option value="Feb 2026" >Feb 2026</option><option value="Sep 2026" >Sep 2026</option><option value="Feb 2027" >Feb 2027</option><option value="Sep 2027" >Sep 2027</option></select></div><div id="wpforms-9864-field_144-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="144" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_144">When are you interested in starting university? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_144" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][144]" required="required"><option value="Jan 2025" >Jan 2025</option><option value="Sep 2025" >Sep 2025</option><option value="Jan 2026" >Jan 2026</option><option value="Sep 2026" >Sep 2026</option><option value="Jan 2027" >Jan 2027</option><option value="Sep 2027" >Sep 2027</option></select></div><div id="wpforms-9864-field_168-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="168" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_168">When are you interested in starting university? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_168" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][168]" required="required"><option value="Sep 2026" >Sep 2026</option><option value="Sep 2027" >Sep 2027</option><option value="Sep 2028" >Sep 2028</option></select></div><div id="wpforms-9864-field_169-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="169" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_169">When are you interested in starting university? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_169" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][169]" required="required"><option value="Feb 2025" >Feb 2025</option><option value="July 2025" >July 2025</option><option value="Nov 2025" >Nov 2025</option><option value="Feb 2026" >Feb 2026</option><option value="July 2026" >July 2026</option><option value="Nov 2026" >Nov 2026</option></select></div><div id="wpforms-9864-field_172-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="172" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_172">When are you interested in starting university? <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_172" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][172]" required="required"><option value="Feb 2025" >Feb 2025</option><option value="July 2025" >July 2025</option><option value="Feb 2026" >Feb 2026</option><option value="July 2026" >July 2026</option><option value="Feb 2027" >Feb 2027</option><option value="July 2027" >July 2027</option></select></div><div id="wpforms-9864-field_90-container" class="wpforms-field wpforms-field-pagebreak" data-field-type="pagebreak" data-field-id="90"><div class="wpforms-clear wpforms-pagebreak-left"><button class="wpforms-page-button wpforms-page-prev wpforms-disabled" data-action="prev" data-page="2" data-formid="9864" aria-disabled="true" aria-describedby="wpforms-error-noscript">Previous</button><button class="wpforms-page-button wpforms-page-next wpforms-disabled" data-action="next" data-page="2" data-formid="9864" aria-disabled="true" aria-describedby="wpforms-error-noscript">Next</button></div></div></div><div class="wpforms-page wpforms-page-3 " data-page="3" style="display:none;"><div id="wpforms-9864-field_91-container" class="wpforms-field wpforms-field-divider" data-field-type="divider" data-field-id="91"><h3 id="wpforms-9864-field_91" name="wpforms[fields][91]" aria-errormessage="wpforms-9864-field_91-error" aria-describedby="wpforms-9864-field_91-description">Educational Qualifications</h3><div id="wpforms-9864-field_91-description" class="wpforms-field-description">Please provide details of all formal studies you have completed and those you are currently undertaking (if any). You are also required to supply an original or certified copy of your academic award/s and transcript/s for all tertiary studies except those undertaken at Curtin. Academic records must contain an explanation of grading system descriptions.</div></div><div id="wpforms-9864-field_98-container" class="wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show" data-field-type="divider" data-field-id="98" style="display:none;"><h3 id="wpforms-9864-field_98" name="wpforms[fields][98]" aria-errormessage="wpforms-9864-field_98-error" aria-describedby="wpforms-9864-field_98-description">Tertiary Education</h3><div id="wpforms-9864-field_98-description" class="wpforms-field-description">Please fill in all details of any tertiary education you have undertaken.</div></div><div id="wpforms-9864-field_92-container" class="wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show" data-field-type="text" data-field-id="92" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_92">University Name <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-9864-field_92" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][92]" aria-errormessage="wpforms-9864-field_92-error" required></div><div id="wpforms-9864-field_99-container" class="wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show" data-field-type="text" data-field-id="99" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_99">Degree <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-9864-field_99" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][99]" aria-errormessage="wpforms-9864-field_99-error" required></div><div id="wpforms-9864-field_97-container" class="wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic" data-field-type="select" data-field-id="97" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_97">Country <span class="wpforms-required-label" aria-hidden="true">*</span></label><select id="wpforms-9864-field_97" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][97]" required="required"><option value="" class="placeholder" disabled selected='selected'>Choose country</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="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="Cambodia" >Cambodia</option><option value="Cameroon" >Cameroon</option><option value="Canada" >Canada</option><option value="Cape Verde" >Cape Verde</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 (Keeling) Islands" >Cocos (Keeling) Islands</option><option value="Colombia" >Colombia</option><option value="Comoros" >Comoros</option><option value="Democratic People's Republic of Korea" >Democratic People's Republic of Korea</option><option value="Democratic Republic Of The Congo" >Democratic Republic Of The Congo</option><option value="Cook Islands" >Cook Islands</option><option value="Costa Rica" >Costa Rica</option><option value="Cote D'ivoire" >Cote D'ivoire</option><option value="Croatia" >Croatia</option><option value="Cuba" >Cuba</option><option value="Cyprus" >Cyprus</option><option value="Czech Republic" >Czech Republic</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="East Timor" >East Timor</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="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="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 (Vatican City State)" >Holy See (Vatican City State)</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="Israel" >Israel</option><option value="Italy" >Italy</option><option value="Jamaica" >Jamaica</option><option value="Japan" >Japan</option><option value="Jordan" >Jordan</option><option value="Kazakstan" >Kazakstan</option><option value="Kenya" >Kenya</option><option value="Kiribati" >Kiribati</option><option value="Kosovo" >Kosovo</option><option value="Kuwait" >Kuwait</option><option value="Kyrgyzstan" >Kyrgyzstan</option><option value="Laos" >Laos</option><option value="Latvia" >Latvia</option><option value="Lebanon" >Lebanon</option><option value="Lesotho" >Lesotho</option><option value="Liberia" >Liberia</option><option value="Libyan Arab Jamahiriya" >Libyan Arab Jamahiriya</option><option value="Liechtenstein" >Liechtenstein</option><option value="Lithuania" >Lithuania</option><option value="Luxembourg" >Luxembourg</option><option value="Macau" >Macau</option><option value="Macedonia" >Macedonia</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="Federated States Of Micronesia" >Federated States Of Micronesia</option><option value="Republic Of Moldova" >Republic Of Moldova</option><option value="Monaco" >Monaco</option><option value="Mongolia" >Mongolia</option><option value="Montserrat" >Montserrat</option><option value="Montenegro" >Montenegro</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="Netherlands Antilles" >Netherlands Antilles</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="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="Palestinian Territory" >Palestinian Territory</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="Saint Helena" >Saint Helena</option><option value="Saint Kitts And Nevis" >Saint Kitts And Nevis</option><option value="Saint Lucia" >Saint Lucia</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" >Singapore</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="The Republic of South Korea" >The Republic of South Korea</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="Swaziland" >Swaziland</option><option value="Sweden" >Sweden</option><option value="Switzerland" >Switzerland</option><option value="Syrian Arab Republic" >Syrian Arab Republic</option><option value="Taiwan" >Taiwan</option><option value="Tajikistan" >Tajikistan</option><option value="Tanzania" >Tanzania</option><option value="Thailand" >Thailand</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="Turkey" >Turkey</option><option value="Turkmenistan" >Turkmenistan</option><option value="Turks And Caicos Islands" >Turks And Caicos Islands</option><option value="Tuvalu" >Tuvalu</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 of America" >United States of America</option><option value="United States Minor Outlying Islands" >United States Minor Outlying Islands</option><option value="Uruguay" >Uruguay</option><option value="Uzbekistan" >Uzbekistan</option><option value="Vanuatu" >Vanuatu</option><option value="Venezuela" >Venezuela</option><option value="Vietnam" >Vietnam</option><option value="British Virgin Islands" >British Virgin Islands</option><option value="US Virgin Islands" >US Virgin Islands</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></select></div><div id="wpforms-9864-field_123-container" class="wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show" data-field-type="text" data-field-id="123" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_123">University graduation month and year <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-9864-field_123" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][123]" aria-errormessage="wpforms-9864-field_123-error" required></div><div id="wpforms-9864-field_95-container" class="wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show" data-field-type="file-upload" data-field-id="95" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_95">University Degree and/or Transcripts <span class="wpforms-required-label" aria-hidden="true">*</span></label><div class="wpforms-uploader" data-field-id="95" data-form-id="9864" data-input-name="wpforms_9864_95" data-extensions="jpg,jpeg,jpe,png,gif,webp,mov,qt,avi,mpeg,mpg,mpe,3gp,3gpp,3g2,3gp2,mid,midi,pdf,doc,docx,docm,pot,pps,ppt,pptx,pptm,odt,ppsx,ppsm,xla,xls,xlt,xlw,xlsx,xlsm,xlsb,key,mp3,m4a,m4b,ogg,oga,flac,wav,mp4,m4v,webm,ogv" data-max-size="2097152" data-max-file-number="4" data-post-max-size="1536000" data-max-parallel-uploads="4" data-parallel-uploads="true" data-file-chunk-size="1536000"> <div class="dz-message"> <svg viewBox="0 0 1024 1024" focusable="false" data-icon="inbox" width="50px" height="50px" fill="currentColor" aria-hidden="true"> <path d="M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z"></path> </svg> <span class="modern-title">Click or drag files to this area to upload.</span> <span class="modern-hint">You can upload up to 4 files.</span> </div> </div> <input type="text" autocomplete="off" class="dropzone-input" style="position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;" id="wpforms-9864-field_95" name="wpforms_9864_95" required value=""> <div id="wpforms-9864-field_95-description" class="wpforms-field-description">Enclosed certified copies of academic transcripts and final results. <br> <strong>Please note:</strong> The max file size for each of the file should not be above 2MB. </div></div><div id="wpforms-9864-field_103-container" class="wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show" data-field-type="file-upload" data-field-id="103" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_103">Evidence of work experience and professional registration</label><div class="wpforms-uploader" data-field-id="103" data-form-id="9864" data-input-name="wpforms_9864_103" data-extensions="jpg,jpeg,jpe,png,gif,webp,mov,qt,avi,mpeg,mpg,mpe,3gp,3gpp,3g2,3gp2,mid,midi,pdf,doc,docx,docm,pot,pps,ppt,pptx,pptm,odt,ppsx,ppsm,xla,xls,xlt,xlw,xlsx,xlsm,xlsb,key,mp3,m4a,m4b,ogg,oga,flac,wav,mp4,m4v,webm,ogv" data-max-size="2097152" data-max-file-number="2" data-post-max-size="1536000" data-max-parallel-uploads="4" data-parallel-uploads="true" data-file-chunk-size="1536000"> <div class="dz-message"> <svg viewBox="0 0 1024 1024" focusable="false" data-icon="inbox" width="50px" height="50px" fill="currentColor" aria-hidden="true"> <path d="M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z"></path> </svg> <span class="modern-title">Click or drag files to this area to upload.</span> <span class="modern-hint">You can upload up to 2 files.</span> </div> </div> <input type="text" autocomplete="off" class="dropzone-input" style="position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;" id="wpforms-9864-field_103" name="wpforms_9864_103" value=""> <div id="wpforms-9864-field_103-description" class="wpforms-field-description">Supplementary documentation may be required depending on the postgraduate course you are applying for. If required, please ensure certified copies of work experience statements from your employers and professional registration papers are provided. You can also attach a Resume or a Curriculum Vitae in lieu of the aforementioned. <br> <strong>Please note:</strong> The max file size for each of the file should not be above 2MB. </div></div><div id="wpforms-9864-field_100-container" class="wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show" data-field-type="divider" data-field-id="100" style="display:none;"><h3 id="wpforms-9864-field_100" name="wpforms[fields][100]" aria-errormessage="wpforms-9864-field_100-error" aria-describedby="wpforms-9864-field_100-description">Secondary Education</h3><div id="wpforms-9864-field_100-description" class="wpforms-field-description">Please fill in all details of all secondary education you have undertaken.</div></div><div id="wpforms-9864-field_96-container" class="wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show" data-field-type="text" data-field-id="96" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_96">High school name <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-9864-field_96" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][96]" aria-errormessage="wpforms-9864-field_96-error" required></div><div id="wpforms-9864-field_101-container" class="wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show" data-field-type="text" data-field-id="101" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_101">Curriculum <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-9864-field_101" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][101]" aria-errormessage="wpforms-9864-field_101-error" aria-describedby="wpforms-9864-field_101-description" required><div id="wpforms-9864-field_101-description" class="wpforms-field-description">Please state whether the curriculum studied was British (A Levels/GCE O Levels), WAEC, American curriculum, etc.</div></div><div id="wpforms-9864-field_94-container" class="wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show" data-field-type="date-time" data-field-id="94" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_94">High school graduation date (expected) <span class="wpforms-required-label" aria-hidden="true">*</span></label><div class="wpforms-datepicker-wrap"><input type="text" id="wpforms-9864-field_94" class="wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium" data-date-format="F j, Y" data-disable-past-dates="0" data-input="true" name="wpforms[fields][94][date]" placeholder="Select date" aria-errormessage="wpforms-9864-field_94-error" required><a title="Clear Date" data-clear class="wpforms-datepicker-clear" style="display:none;"></a></div></div><div id="wpforms-9864-field_104-container" class="wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show" data-field-type="file-upload" data-field-id="104" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_104">High School Degree and/or Transcript <span class="wpforms-required-label" aria-hidden="true">*</span></label><div class="wpforms-uploader" data-field-id="104" data-form-id="9864" data-input-name="wpforms_9864_104" data-extensions="jpg,jpeg,jpe,png,gif,webp,mov,qt,avi,mpeg,mpg,mpe,3gp,3gpp,3g2,3gp2,mid,midi,pdf,doc,docx,docm,pot,pps,ppt,pptx,pptm,odt,ppsx,ppsm,xla,xls,xlt,xlw,xlsx,xlsm,xlsb,key,mp3,m4a,m4b,ogg,oga,flac,wav,mp4,m4v,webm,ogv" data-max-size="2097152" data-max-file-number="6" data-post-max-size="1536000" data-max-parallel-uploads="4" data-parallel-uploads="true" data-file-chunk-size="1536000"> <div class="dz-message"> <svg viewBox="0 0 1024 1024" focusable="false" data-icon="inbox" width="50px" height="50px" fill="currentColor" aria-hidden="true"> <path d="M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z"></path> </svg> <span class="modern-title">Click or drag files to this area to upload.</span> <span class="modern-hint">You can upload up to 6 files.</span> </div> </div> <input type="text" autocomplete="off" class="dropzone-input" style="position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;" id="wpforms-9864-field_104" name="wpforms_9864_104" required value=""> <div id="wpforms-9864-field_104-description" class="wpforms-field-description">Enclosed are certified copies of academic transcripts and final results. <br> <strong>Please note:</strong> The max file size for each of the file should not be above 2MB. </div></div><div id="wpforms-9864-field_24-container" class="wpforms-field wpforms-field-textarea" data-field-type="textarea" data-field-id="24"><label class="wpforms-field-label" for="wpforms-9864-field_24">Do you have any additional comments?</label><textarea id="wpforms-9864-field_24" class="wpforms-field-small" name="wpforms[fields][24]" aria-errormessage="wpforms-9864-field_24-error" ></textarea></div><div id="wpforms-9864-field_105-container" class="wpforms-field wpforms-field-pagebreak" data-field-type="pagebreak" data-field-id="105"><div class="wpforms-clear wpforms-pagebreak-left"><button class="wpforms-page-button wpforms-page-prev wpforms-disabled" data-action="prev" data-page="3" data-formid="9864" aria-disabled="true" aria-describedby="wpforms-error-noscript">Previous</button><button class="wpforms-page-button wpforms-page-next wpforms-disabled" data-action="next" data-page="3" data-formid="9864" aria-disabled="true" aria-describedby="wpforms-error-noscript">Next</button></div></div></div><div class="wpforms-page wpforms-page-4 " data-page="4" style="display:none;"><div id="wpforms-9864-field_113-container" class="wpforms-field wpforms-field-divider" data-field-type="divider" data-field-id="113"><h3 id="wpforms-9864-field_113" name="wpforms[fields][113]" aria-errormessage="wpforms-9864-field_113-error" aria-describedby="wpforms-9864-field_113-description">Sponsor or Parent/Guardian Details</h3><div id="wpforms-9864-field_113-description" class="wpforms-field-description">(Please attach sponsorship letter if available/applicable)</div></div><div id="wpforms-9864-field_34-container" class="wpforms-field wpforms-field-name" data-field-type="name" data-field-id="34"><fieldset><legend class="wpforms-field-label">Name</legend><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-9864-field_34" class="wpforms-field-name-first" name="wpforms[fields][34][first]" aria-errormessage="wpforms-9864-field_34-error" ><label for="wpforms-9864-field_34" class="wpforms-field-sublabel after ">First</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-9864-field_34-last" class="wpforms-field-name-last" name="wpforms[fields][34][last]" aria-errormessage="wpforms-9864-field_34-last-error" ><label for="wpforms-9864-field_34-last" class="wpforms-field-sublabel after ">Last</label></div></div></fieldset></div><div id="wpforms-9864-field_35-container" class="wpforms-field wpforms-field-text" data-field-type="text" data-field-id="35"><label class="wpforms-field-label" for="wpforms-9864-field_35">Relationship</label><input type="text" id="wpforms-9864-field_35" class="wpforms-field-medium" name="wpforms[fields][35]" aria-errormessage="wpforms-9864-field_35-error" ></div><div id="wpforms-9864-field_107-container" class="wpforms-field wpforms-field-email" data-field-type="email" data-field-id="107"><label class="wpforms-field-label" for="wpforms-9864-field_107">Email</label><input type="email" id="wpforms-9864-field_107" class="wpforms-field-medium" name="wpforms[fields][107]" spellcheck="false" aria-errormessage="wpforms-9864-field_107-error" ></div><div id="wpforms-9864-field_151-container" class="wpforms-field wpforms-field-phone" data-field-type="phone" data-field-id="151"><label class="wpforms-field-label" for="wpforms-9864-field_151">Phone Number</label><input type="tel" id="wpforms-9864-field_151" class="wpforms-field-medium wpforms-smart-phone-field" data-rule-smart-phone-field="true" name="wpforms[fields][151]" aria-errormessage="wpforms-9864-field_151-error" ></div><div id="wpforms-9864-field_114-container" class="wpforms-field wpforms-field-file-upload" data-field-type="file-upload" data-field-id="114"><label class="wpforms-field-label" for="wpforms-9864-field_114">Sponsorship Letter (optional)</label><div class="wpforms-uploader" data-field-id="114" data-form-id="9864" data-input-name="wpforms_9864_114" data-extensions="jpg,jpeg,jpe,png,gif,webp,mov,qt,avi,mpeg,mpg,mpe,3gp,3gpp,3g2,3gp2,mid,midi,pdf,doc,docx,docm,pot,pps,ppt,pptx,pptm,odt,ppsx,ppsm,xla,xls,xlt,xlw,xlsx,xlsm,xlsb,key,mp3,m4a,m4b,ogg,oga,flac,wav,mp4,m4v,webm,ogv" data-max-size="2097152" data-max-file-number="2" data-post-max-size="1536000" data-max-parallel-uploads="4" data-parallel-uploads="true" data-file-chunk-size="1536000"> <div class="dz-message"> <svg viewBox="0 0 1024 1024" focusable="false" data-icon="inbox" width="50px" height="50px" fill="currentColor" aria-hidden="true"> <path d="M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z"></path> </svg> <span class="modern-title">Click or drag files to this area to upload.</span> <span class="modern-hint">You can upload up to 2 files.</span> </div> </div> <input type="text" autocomplete="off" class="dropzone-input" style="position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;" id="wpforms-9864-field_114" name="wpforms_9864_114" value=""> <div id="wpforms-9864-field_114-description" class="wpforms-field-description"><strong>Please note:</strong> The max file size for each of the file should not be above 2MB. </div></div><div id="wpforms-9864-field_109-container" class="wpforms-field wpforms-field-divider" data-field-type="divider" data-field-id="109"><h3 id="wpforms-9864-field_109" name="wpforms[fields][109]" aria-errormessage="wpforms-9864-field_109-error" aria-describedby="wpforms-9864-field_109-description">Medical Challenges</h3><div id="wpforms-9864-field_109-description" class="wpforms-field-description">The information below is used to assist the university in monitoring, supporting and improving services to students with medical challenges. Disclosing this information will not affect your admission to the university.</div></div><div id="wpforms-9864-field_110-container" class="wpforms-field wpforms-field-checkbox wpforms-conditional-trigger" data-field-type="checkbox" data-field-id="110"><fieldset><legend class="wpforms-field-label">If you have any challenges please indicate from the options below:</legend><ul id="wpforms-9864-field_110"><li class="choice-1 depth-1"><input type="checkbox" id="wpforms-9864-field_110_1" name="wpforms[fields][110][]" value="Hearing" aria-errormessage="wpforms-9864-field_110_1-error" ><label class="wpforms-field-label-inline" for="wpforms-9864-field_110_1">Hearing</label></li><li class="choice-2 depth-1"><input type="checkbox" id="wpforms-9864-field_110_2" name="wpforms[fields][110][]" value="Vision" aria-errormessage="wpforms-9864-field_110_2-error" ><label class="wpforms-field-label-inline" for="wpforms-9864-field_110_2">Vision</label></li><li class="choice-3 depth-1"><input type="checkbox" id="wpforms-9864-field_110_3" name="wpforms[fields][110][]" value="Learning" aria-errormessage="wpforms-9864-field_110_3-error" ><label class="wpforms-field-label-inline" for="wpforms-9864-field_110_3">Learning</label></li><li class="choice-5 depth-1"><input type="checkbox" id="wpforms-9864-field_110_5" name="wpforms[fields][110][]" value="Medical" aria-errormessage="wpforms-9864-field_110_5-error" ><label class="wpforms-field-label-inline" for="wpforms-9864-field_110_5">Medical</label></li><li class="choice-4 depth-1"><input type="checkbox" id="wpforms-9864-field_110_4" name="wpforms[fields][110][]" value="Mobility" aria-errormessage="wpforms-9864-field_110_4-error" ><label class="wpforms-field-label-inline" for="wpforms-9864-field_110_4">Mobility</label></li><li class="choice-6 depth-1"><input type="checkbox" id="wpforms-9864-field_110_6" name="wpforms[fields][110][]" value="Other*" aria-errormessage="wpforms-9864-field_110_6-error" ><label class="wpforms-field-label-inline" for="wpforms-9864-field_110_6">Other*</label></li></ul></fieldset></div><div id="wpforms-9864-field_39-container" class="wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show" data-field-type="textarea" data-field-id="39" style="display:none;"><label class="wpforms-field-label" for="wpforms-9864-field_39">*Medical Challenges - Please specify. <span class="wpforms-required-label" aria-hidden="true">*</span></label><textarea id="wpforms-9864-field_39" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][39]" aria-errormessage="wpforms-9864-field_39-error" aria-describedby="wpforms-9864-field_39-description" required></textarea><div id="wpforms-9864-field_39-description" class="wpforms-field-description">List your organizations, position, description of the activity, and hours per week of involvement.</div></div><div id="wpforms-9864-field_111-container" class="wpforms-field wpforms-field-pagebreak" data-field-type="pagebreak" data-field-id="111"><div class="wpforms-clear wpforms-pagebreak-left"><button class="wpforms-page-button wpforms-page-prev wpforms-disabled" data-action="prev" data-page="4" data-formid="9864" aria-disabled="true" aria-describedby="wpforms-error-noscript">Previous</button><button class="wpforms-page-button wpforms-page-next wpforms-disabled" data-action="next" data-page="4" data-formid="9864" aria-disabled="true" aria-describedby="wpforms-error-noscript">Next</button></div></div></div><div class="wpforms-page wpforms-page-5 last " data-page="5" style="display:none;"><div id="wpforms-9864-field_115-container" class="wpforms-field wpforms-field-divider" data-field-type="divider" data-field-id="115"><h3 id="wpforms-9864-field_115" name="wpforms[fields][115]" aria-errormessage="wpforms-9864-field_115-error" aria-describedby="wpforms-9864-field_115-description">Declaration</h3><div id="wpforms-9864-field_115-description" class="wpforms-field-description"><b>I declare:</b><br/> 1. All of the information and supporting documents provided with this form are true and correct.<br/> 2. I will inform the University immediately if any of the information provided changes.<br/> 3. I understand the structure and content of the course I am applying for.<br/> 4. I have access to sufficient funds to meet the tuition, travel and living costs of living in Dubai (for myself and any dependents) for the duration of my studies.<br/> 5. I have not previously had a Dubai visa cancelled or a Dubai visa application rejected.<br/> 6. That I have personally signed this form. <br/><br/> <b>I understand:</b><br/> 1. That the University may obtain official records from any institution or organisation I have claimed a previous association with, for the purposes of verifying my academic or employment history.<br/> 2. That in order to be admitted to the University I must meet the University鈥檚 academic and English language requirements for my chosen course; and have a valid U.A.E Residence Visa.<br/> 3. The personal information collected on this form and during my enrolment at Curtin University may be disclosed to:<br/> <li>The Australian Government and designated authorities where required for compliance with the Education Services for Overseas Students Act 2000 (Cth) and its associated legislation.</li> <li>The University鈥檚 preferred Overseas Student Health Cover provider for the purposes of setting up an insurance policy.</li> <li>Curtin overseas representatives for the purposes of assisting me with my application.</li> <li>Qualsearch for the purposes of verifying my qualifications, where I am applying for a postgraduate course.</li> 4. I have the right to access and amend personal information about me held by the University, subject to legislation, by contacting the Freedom of Information Coordinator at oicoordinator@curtin.edu.au <br/> 5. I understand that if I do not complete all the questions of this form, it may not be possible for the University to process my application. <br/> 6. I authorise Curtin University Dubai to obtain further academic information or official student records from any educational institution or recognised educational qualifications assessment body necessary and/or, where my work experience is relevant, to verify my employment history for the purpose of making an informed decision about my application.<br/> 7. 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