{"id":17,"date":"2021-12-13T14:49:28","date_gmt":"2021-12-13T20:49:28","guid":{"rendered":"https:\/\/vdi.carmis.ai\/?page_id=17"},"modified":"2024-07-02T14:00:03","modified_gmt":"2024-07-02T19:00:03","slug":"home","status":"publish","type":"page","link":"https:\/\/vdi.carmis.ai\/fr\/","title":{"rendered":"Maison"},"content":{"rendered":"<div id=\"cs-content\" class=\"cs-content\"><div class=\"x-section e17-e1 mh-0 formbg\"><div class=\"x-row x-container max width e17-e2 mh-1 mh-2 innerformbg\"><div class=\"x-row-inner\"><div class=\"x-col e17-e3 mh-3 NsdSpacerSmallAll\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            \n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/fr\/wp-json\/wp\/v2\/pages\/17#gf_1' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_106\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your Personal Details<\/h3><\/div><div id=\"field_1_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_1'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_1_1' type='text' value='' class='large' maxlength='50'  tabindex='1'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MIDDLE_NAME gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_3'>Middle Name<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_1_3' type='text' value='' class='large' maxlength='50'  tabindex='2'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_110\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter LAST_NAME gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_110'>Last Name<\/label><div class='ginput_container ginput_container_text'><input name='input_110' id='input_1_110' type='text' value='' class='large' maxlength='50'  tabindex='3'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_111\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter NICK_NAME gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_111'>Preferred\/Other Name<\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_1_111' type='text' value='' class='large' maxlength='50'  tabindex='4' placeholder='(Optional)'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_16\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_16'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_16' id='input_1_16' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='5'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_16_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_16_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_16' class='gform_hidden' value='https:\/\/vdi.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MARITAL_STATUS gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_12'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_1_12' class='large gfield_select' tabindex='6'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><option value='0007' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_1_120\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_120'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_120' id='input_1_120' class='large gfield_select' tabindex='7'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='U' >Unknown<\/option><option value='X' >Non-Binary<\/option><\/select><\/div><\/div><div id=\"field_1_112\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter DEGREE field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_112'>Level of Education<\/label><div class='ginput_container ginput_container_select'><select name='input_112' id='input_1_112' class='large gfield_select' tabindex='8'    aria-invalid=\"false\" ><option value='' ><\/option><option value='0102' >No Schooling<\/option><option value='0101' >Primary Education<\/option><option value='0001' >High School or Lower<\/option><option value='0002' >Pre-university\/Post Secondary<\/option><option value='0003' >Certificate\/Diploma\/Apprenticeship<\/option><option value='0004' >Bachelor Degree<\/option><option value='0005' >Master Degree<\/option><option value='0006' >Ph.D.<\/option><\/select><\/div><\/div><div id=\"field_1_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half EMAIL gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'>Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_1_5' type='email' value='' class='large' tabindex='9'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter PHONENUMBERS gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_4'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_1_4' type='text' value='' class='large'   tabindex='10' placeholder='___-___-____' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter TELE1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_119'>Secondary Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_1_119' type='text' value='' class='large'   tabindex='11' placeholder='___-___-____'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_14\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter PRIMARYLANG notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_14'>Preferred Language<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_1_14' class='large gfield_select' tabindex='12'   aria-required=\"true\" aria-invalid=\"false\" ><option value='058' >English<\/option><option value='069' >French<\/option><option value='005' >Afrikaans<\/option><option value='009' >Albanian<\/option><option value='010' >Amharic<\/option><option value='013' >Arabic<\/option><option value='014' >Armenian<\/option><option value='024' >Bengali<\/option><option value='029' >Bisaya<\/option><option value='033' >Burmese<\/option><option value='036' >Cantonese<\/option><option value='037' >Catalan<\/option><option value='038' >Cebuano<\/option><option value='044' >Chinese<\/option><option value='226' >Chinese - Simplified<\/option><option value='227' >Chinese - Traditional<\/option><option value='047' >Creole<\/option><option value='048' >Croatian<\/option><option value='049' >Czech<\/option><option value='050' >Danish<\/option><option value='055' >Dutch<\/option><option value='064' >Farsi (Persian)<\/option><option value='316' >Filipino<\/option><option value='074' >German<\/option><option value='077' >Gujarati<\/option><option value='237' >Hiligaynon<\/option><option value='083' >Hindi<\/option><option value='086' >Hungarian<\/option><option value='244' >Ilican<\/option><option value='245' >Ilocano<\/option><option value='246' >Indonesian<\/option><option value='090' >Italian<\/option><option value='247' >Itsekiri<\/option><option value='092' >Japanese<\/option><option value='099' >Karen<\/option><option value='104' >Kinyarwanda<\/option><option value='108' >Korean<\/option><option value='121' >Malagasy<\/option><option value='123' >Malayalam<\/option><option value='127' >Mandarin<\/option><option value='129' >Marathi<\/option><option value='266' >Mizo<\/option><option value='133' >Nepali<\/option><option value='144' >Other Middle Eastern Languages<\/option><option value='154' >Pashto<\/option><option value='150' >Polish<\/option><option value='151' >Portuguese<\/option><option value='153' >Punjabi<\/option><option value='155' >Romanian<\/option><option value='156' >Russian<\/option><option value='160' >Serbian<\/option><option value='293' >Shona<\/option><option value='170' >Sinhalese<\/option><option value='172' >Slovene<\/option><option value='173' >Somali<\/option><option value='176' >Spanish<\/option><option value='178' >Swahili<\/option><option value='181' >Tagalog<\/option><option value='182' >Tamil<\/option><option value='185' >Telugu<\/option><option value='186' >Thai<\/option><option value='189' >Tigrigna<\/option><option value='194' >Turkish<\/option><option value='197' >Ukrainian<\/option><option value='199' >Urdu<\/option><option value='202' >Vietnamese<\/option><option value='209' >Yoruba<\/option><option value='001' >Acholi<\/option><option value='002' >Ada<\/option><option value='003' >Affar<\/option><option value='004' >Afghan<\/option><option value='006' >Aka<\/option><option value='007' >Akan<\/option><option value='212' >Aklanon<\/option><option value='008' >Akra<\/option><option value='213' >American Sign Language (ASL)<\/option><option value='011' >Anuak (Anywa)<\/option><option value='214' >Aran<\/option><option value='015' >Ashanti<\/option><option value='215' >Assamese<\/option><option value='016' >Assyrian<\/option><option value='017' >Azeri<\/option><option value='018' >Bahasa Indonesian<\/option><option value='216' >Balochi<\/option><option value='019' >Bambara<\/option><option value='340' >Bamileke \/ Ghomala<\/option><option value='330' >Banso<\/option><option value='020' >Bantu<\/option><option value='217' >Baule<\/option><option value='218' >Belarusian<\/option><option value='021' >Belen<\/option><option value='022' >Bemba<\/option><option value='023' >Bembe<\/option><option value='025' >Beni<\/option><option value='219' >Benin<\/option><option value='026' >Berber<\/option><option value='320' >Beti<\/option><option value='027' >Bhari<\/option><option value='220' >Bicol\/Bikol\/Bicolano<\/option><option value='221' >Bijaiya<\/option><option value='222' >Bilen<\/option><option value='028' >Bini<\/option><option value='030' >Bissa<\/option><option value='223' >Bontok<\/option><option value='224' >Braille (translation only)<\/option><option value='031' >Breton<\/option><option value='032' >Bulgarian<\/option><option value='341' >Burji \/ Bembala \/ Bambala \/ Daashi<\/option><option value='034' >Busan<\/option><option value='035' >Busango<\/option><option value='039' >Chakma<\/option><option value='040' >Chaldean<\/option><option value='041' >Chaocho<\/option><option value='225' >Chavacano<\/option><option value='042' >Chichewa<\/option><option value='043' >Chin<\/option><option value='228' >Chiuchow<\/option><option value='045' >Chiyao<\/option><option value='046' >Chowchau<\/option><option value='229' >Concani<\/option><option value='325' >Cree<\/option><option value='338' >Dagaare<\/option><option value='051' >Dari<\/option><option value='336' >Daza \/ Dazaga \/ Tebu<\/option><option value='053' >Dinka<\/option><option value='054' >Dioula<\/option><option value='230' >Dzongkha<\/option><option value='056' >Edo<\/option><option value='057' >Efik<\/option><option value='321' >Esan<\/option><option value='059' >Estonian<\/option><option value='060' >Ewe<\/option><option value='062' >Fang<\/option><option value='063' >Fanti<\/option><option value='333' >Fe&#039;fe \/ Fe&#039;efe&#039;e \/ Nufi \/ Bafang<\/option><option value='065' >Finnish<\/option><option value='066' >Flemish<\/option><option value='231' >Foochow<\/option><option value='067' >Fouki<\/option><option value='068' >Foullah<\/option><option value='070' >Fukinese<\/option><option value='071' >Fulani<\/option><option value='072' >Ga<\/option><option value='073' >Gaelic<\/option><option value='232' >Georgian<\/option><option value='323' >Grebo\/Krumen<\/option><option value='075' >Greek<\/option><option value='076' >Guerze<\/option><option value='233' >Hainam<\/option><option value='234' >Hakha Chin<\/option><option value='078' >Hakka<\/option><option value='235' >Harara<\/option><option value='236' >Harary<\/option><option value='079' >Hargar<\/option><option value='080' >Hassanya<\/option><option value='081' >Hausa<\/option><option value='082' >Hebrew<\/option><option value='084' >Hindko<\/option><option value='085' >Hokkin<\/option><option value='238' >Ibibio<\/option><option value='087' >Ibo<\/option><option value='239' >Icelandic<\/option><option value='334' >Idoma<\/option><option value='240' >Igbo<\/option><option value='241' >Igorot<\/option><option value='242' >Ijaw<\/option><option value='243' >Ika<\/option><option value='088' >Ilongo<\/option><option value='089' >Ishan<\/option><option value='248' >Ivbiosakon<\/option><option value='091' >Izi<\/option><option value='249' >Jarai<\/option><option value='093' >Javanese<\/option><option value='324' >Jingpo<\/option><option value='094' >Jolay<\/option><option value='012' >Juba Arabic<\/option><option value='095' >Kacchi<\/option><option value='250' >Kakwa<\/option><option value='096' >Kanarese<\/option><option value='097' >Kandahari<\/option><option value='098' >Kankani<\/option><option value='251' >Kannada<\/option><option value='252' >Kapampangan<\/option><option value='253' >Kashmiri<\/option><option value='254' >Kazakh<\/option><option value='342' >Kenyang \/ Nyang \/ Banyang \/ Manyang<\/option><option value='100' >Khmer<\/option><option value='101' >Kifuliru<\/option><option value='102' >Kihavu<\/option><option value='322' >Kihemba\/Hemba\/Kiluba-Hemba<\/option><option value='326' >Kikamba<\/option><option value='103' >Kikongo<\/option><option value='335' >Kinnauri<\/option><option value='255' >Kinyamulenge<\/option><option value='105' >Kirega<\/option><option value='106' >Kirundi<\/option><option value='107' >Kiswahili<\/option><option value='256' >Kituba<\/option><option value='257' >Konkani<\/option><option value='328' >Kpelle<\/option><option value='109' >Krio<\/option><option value='110' >Kurdish<\/option><option value='313' >Kurmanji<\/option><option value='258' >Kyrgyz<\/option><option value='259' >La langue des signes qu\u00e9b\u00e9coise (LSQ)<\/option><option value='111' >Laotian<\/option><option value='329' >Lari<\/option><option value='112' >Latvian<\/option><option value='113' >Lebanese<\/option><option value='260' >Lengie<\/option><option value='114' >Lingala<\/option><option value='115' >Lithuanian<\/option><option value='116' >Lowma<\/option><option value='261' >Luganda<\/option><option value='262' >Lugishu<\/option><option value='263' >Lutoro<\/option><option value='117' >Maban<\/option><option value='118' >Macedonian<\/option><option value='264' >Macena<\/option><option value='119' >Macua<\/option><option value='120' >Mahou<\/option><option value='265' >Makonde<\/option><option value='122' >Malay<\/option><option value='124' >Maligo<\/option><option value='125' >Malinke<\/option><option value='126' >Maltese<\/option><option value='327' >Mande<\/option><option value='128' >Mandingo<\/option><option value='311' >Masalit<\/option><option value='130' >Mashi<\/option><option value='131' >Mende<\/option><option value='132' >Mina<\/option><option value='267' >Moldovan<\/option><option value='268' >Mongolian<\/option><option value='269' >Moore<\/option><option value='270' >Naandi\/Cemual<\/option><option value='271' >Ndebele<\/option><option value='337' >Ngiemboon<\/option><option value='331' >Ngomba<\/option><option value='134' >Norwegian<\/option><option value='272' >Nubian<\/option><option value='135' >Nuer<\/option><option value='136' >Nzima<\/option><option value='273' >Oko<\/option><option value='137' >Okpe<\/option><option value='138' >Oriya<\/option><option value='139' >Oromo<\/option><option value='274' >Osal<\/option><option value='140' >Other African Languages<\/option><option value='141' >Other Chinese Dialects<\/option><option value='142' >Other European Languages<\/option><option value='143' >Other Languages<\/option><option value='275' >Other Signed Languages<\/option><option value='145' >Other South Asian Languages<\/option><option value='146' >Other South East Asian Lang.<\/option><option value='276' >Otuho<\/option><option value='277' >Pahari<\/option><option value='278' >Pampango<\/option><option value='279' >Pangasinan<\/option><option value='148' >Peul<\/option><option value='280' >Phuockien<\/option><option value='149' >Pidgin<\/option><option value='281' >Plautdietsch<\/option><option value='152' >Poular<\/option><option value='282' >Rohingya<\/option><option value='283' >Romani<\/option><option value='284' >Rukiga<\/option><option value='285' >Runyankole<\/option><option value='286' >Rutooro<\/option><option value='339' >Saho<\/option><option value='157' >Samoan<\/option><option value='287' >Sango<\/option><option value='288' >Sanskrit<\/option><option value='289' >Sara<\/option><option value='158' >Scoula<\/option><option value='159' >Sechuan<\/option><option value='290' >Senufo<\/option><option value='161' >Serbo-Croatian<\/option><option value='291' >Sesotho<\/option><option value='162' >Seswi<\/option><option value='163' >Seychelles<\/option><option value='292' >Shan<\/option><option value='164' >Shanghai<\/option><option value='165' >Shansai<\/option><option value='166' >Shilluk<\/option><option value='167' >Sign Language<\/option><option value='168' >Sindhi<\/option><option value='171' >Slovak<\/option><option value='312' >Songhai<\/option><option value='174' >Soninke<\/option><option value='314' >Sorani<\/option><option value='294' >Sotho<\/option><option value='175' >Soussou<\/option><option value='295' >Southern Burun<\/option><option value='177' >Suesue<\/option><option value='296' >Sukuma<\/option><option value='179' >Swazai<\/option><option value='180' >Swedish<\/option><option value='317' >Swiss German<\/option><option value='297' >Taichew<\/option><option value='315' >Tamasheq<\/option><option value='183' >Tari<\/option><option value='298' >Tatar<\/option><option value='184' >Tatshanese<\/option><option value='299' >Temne<\/option><option value='300' >Teochew<\/option><option value='187' >Tibetan<\/option><option value='188' >Tichiew<\/option><option value='301' >Tigre<\/option><option value='190' >Timini<\/option><option value='191' >Tiv<\/option><option value='302' >Toishan<\/option><option value='192' >Tshiluba<\/option><option value='193' >Tsibula<\/option><option value='195' >Twi<\/option><option value='318' >Uduk<\/option><option value='200' >Uhrobo<\/option><option value='196' >Uigrigma<\/option><option value='303' >Umbundu<\/option><option value='304' >Unama<\/option><option value='198' >Unknown<\/option><option value='319' >Uyghur<\/option><option value='201' >Uzbek<\/option><option value='305' >Visayan<\/option><option value='306' >Waray<\/option><option value='203' >Welsh<\/option><option value='204' >Western Hemisphere Indian Lang<\/option><option value='205' >Wolof<\/option><option value='206' >Xhosa<\/option><option value='332' >Yacouba<\/option><option value='307' >Yako\/Loko\/Lokaa<\/option><option value='308' >Yekhee\/Afenmai\/Afemai<\/option><option value='207' >Yiboe<\/option><option value='208' >Yiddish<\/option><option value='210' >Zande<\/option><option value='309' >Zshiluba<\/option><option value='310' >Zuganda<\/option><option value='211' >Zulu<\/option><\/select><\/div><\/div><div id=\"field_1_15\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-three-quarter LANGS notranslate field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_15'>Other Spoken Languages (if applicable)<\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_15[]' id='input_1_15' class='large gfield_select' tabindex='13'  aria-invalid=\"false\"  ><option value='058' >English<\/option><option value='069' >French<\/option><option value='005' >Afrikaans<\/option><option value='009' >Albanian<\/option><option value='010' >Amharic<\/option><option value='013' >Arabic<\/option><option value='014' >Armenian<\/option><option value='024' >Bengali<\/option><option value='029' >Bisaya<\/option><option value='033' >Burmese<\/option><option value='036' >Cantonese<\/option><option value='037' >Catalan<\/option><option value='038' >Cebuano<\/option><option value='044' >Chinese<\/option><option value='226' >Chinese - Simplified<\/option><option value='227' >Chinese - Traditional<\/option><option value='047' >Creole<\/option><option value='048' >Croatian<\/option><option value='049' >Czech<\/option><option value='050' >Danish<\/option><option value='055' >Dutch<\/option><option value='064' >Farsi (Persian)<\/option><option value='316' >Filipino<\/option><option value='074' >German<\/option><option value='077' >Gujarati<\/option><option value='237' >Hiligaynon<\/option><option value='083' >Hindi<\/option><option value='086' >Hungarian<\/option><option value='244' >Ilican<\/option><option value='245' >Ilocano<\/option><option value='246' >Indonesian<\/option><option value='090' >Italian<\/option><option value='247' >Itsekiri<\/option><option value='092' >Japanese<\/option><option value='099' >Karen<\/option><option value='104' >Kinyarwanda<\/option><option value='108' >Korean<\/option><option value='121' >Malagasy<\/option><option value='123' >Malayalam<\/option><option value='127' >Mandarin<\/option><option value='129' >Marathi<\/option><option value='266' >Mizo<\/option><option value='133' >Nepali<\/option><option value='144' >Other Middle Eastern Languages<\/option><option value='154' >Pashto<\/option><option value='150' >Polish<\/option><option value='151' >Portuguese<\/option><option value='153' >Punjabi<\/option><option value='155' >Romanian<\/option><option value='156' >Russian<\/option><option value='160' >Serbian<\/option><option value='293' >Shona<\/option><option value='170' >Sinhalese<\/option><option value='172' >Slovene<\/option><option value='173' >Somali<\/option><option value='176' >Spanish<\/option><option value='178' >Swahili<\/option><option value='181' >Tagalog<\/option><option value='182' >Tamil<\/option><option value='185' >Telugu<\/option><option value='186' >Thai<\/option><option value='189' >Tigrigna<\/option><option value='194' >Turkish<\/option><option value='197' >Ukrainian<\/option><option value='199' >Urdu<\/option><option value='202' >Vietnamese<\/option><option value='209' >Yoruba<\/option><option value='001' >Acholi<\/option><option value='002' >Ada<\/option><option value='003' >Affar<\/option><option value='004' >Afghan<\/option><option value='006' >Aka<\/option><option value='007' >Akan<\/option><option value='212' >Aklanon<\/option><option value='008' >Akra<\/option><option value='213' >American Sign Language (ASL)<\/option><option value='011' >Anuak (Anywa)<\/option><option value='214' >Aran<\/option><option value='015' >Ashanti<\/option><option value='215' >Assamese<\/option><option value='016' >Assyrian<\/option><option value='017' >Azeri<\/option><option value='018' >Bahasa Indonesian<\/option><option value='216' >Balochi<\/option><option value='019' >Bambara<\/option><option value='340' >Bamileke \/ Ghomala<\/option><option value='330' >Banso<\/option><option value='020' >Bantu<\/option><option value='217' >Baule<\/option><option value='218' >Belarusian<\/option><option value='021' >Belen<\/option><option value='022' >Bemba<\/option><option value='023' >Bembe<\/option><option value='025' >Beni<\/option><option value='219' >Benin<\/option><option value='026' >Berber<\/option><option value='320' >Beti<\/option><option value='027' >Bhari<\/option><option value='220' >Bicol\/Bikol\/Bicolano<\/option><option value='221' >Bijaiya<\/option><option value='222' >Bilen<\/option><option value='028' >Bini<\/option><option value='030' >Bissa<\/option><option value='223' >Bontok<\/option><option value='224' >Braille (translation only)<\/option><option value='031' >Breton<\/option><option value='032' >Bulgarian<\/option><option value='341' >Burji \/ Bembala \/ Bambala \/ Daashi<\/option><option value='034' >Busan<\/option><option value='035' >Busango<\/option><option value='039' >Chakma<\/option><option value='040' >Chaldean<\/option><option value='041' >Chaocho<\/option><option value='225' >Chavacano<\/option><option value='042' >Chichewa<\/option><option value='043' >Chin<\/option><option value='228' >Chiuchow<\/option><option value='045' >Chiyao<\/option><option value='046' >Chowchau<\/option><option value='229' >Concani<\/option><option value='325' >Cree<\/option><option value='338' >Dagaare<\/option><option value='051' >Dari<\/option><option value='336' >Daza \/ Dazaga \/ Tebu<\/option><option value='053' >Dinka<\/option><option value='054' >Dioula<\/option><option value='230' >Dzongkha<\/option><option value='056' >Edo<\/option><option value='057' >Efik<\/option><option value='321' >Esan<\/option><option value='059' >Estonian<\/option><option value='060' >Ewe<\/option><option value='062' >Fang<\/option><option value='063' >Fanti<\/option><option value='333' >Fe&#039;fe \/ Fe&#039;efe&#039;e \/ Nufi \/ Bafang<\/option><option value='065' >Finnish<\/option><option value='066' >Flemish<\/option><option value='231' >Foochow<\/option><option value='067' >Fouki<\/option><option value='068' >Foullah<\/option><option value='070' >Fukinese<\/option><option value='071' >Fulani<\/option><option value='072' >Ga<\/option><option value='073' >Gaelic<\/option><option value='232' >Georgian<\/option><option value='323' >Grebo\/Krumen<\/option><option value='075' >Greek<\/option><option value='076' >Guerze<\/option><option value='233' >Hainam<\/option><option value='234' >Hakha Chin<\/option><option value='078' >Hakka<\/option><option value='235' >Harara<\/option><option value='236' >Harary<\/option><option value='079' >Hargar<\/option><option value='080' >Hassanya<\/option><option value='081' >Hausa<\/option><option value='082' >Hebrew<\/option><option value='084' >Hindko<\/option><option value='085' >Hokkin<\/option><option value='238' >Ibibio<\/option><option value='087' >Ibo<\/option><option value='239' >Icelandic<\/option><option value='334' >Idoma<\/option><option value='240' >Igbo<\/option><option value='241' >Igorot<\/option><option value='242' >Ijaw<\/option><option value='243' >Ika<\/option><option value='088' >Ilongo<\/option><option value='089' >Ishan<\/option><option value='248' >Ivbiosakon<\/option><option value='091' >Izi<\/option><option value='249' >Jarai<\/option><option value='093' >Javanese<\/option><option value='324' >Jingpo<\/option><option value='094' >Jolay<\/option><option value='012' >Juba Arabic<\/option><option value='095' >Kacchi<\/option><option value='250' >Kakwa<\/option><option value='096' >Kanarese<\/option><option value='097' >Kandahari<\/option><option value='098' >Kankani<\/option><option value='251' >Kannada<\/option><option value='252' >Kapampangan<\/option><option value='253' >Kashmiri<\/option><option value='254' >Kazakh<\/option><option value='342' >Kenyang \/ Nyang \/ Banyang \/ Manyang<\/option><option value='100' >Khmer<\/option><option value='101' >Kifuliru<\/option><option value='102' >Kihavu<\/option><option value='322' >Kihemba\/Hemba\/Kiluba-Hemba<\/option><option value='326' >Kikamba<\/option><option value='103' >Kikongo<\/option><option value='335' >Kinnauri<\/option><option value='255' >Kinyamulenge<\/option><option value='105' >Kirega<\/option><option value='106' >Kirundi<\/option><option value='107' >Kiswahili<\/option><option value='256' >Kituba<\/option><option value='257' >Konkani<\/option><option value='328' >Kpelle<\/option><option value='109' >Krio<\/option><option value='110' >Kurdish<\/option><option value='313' >Kurmanji<\/option><option value='258' >Kyrgyz<\/option><option value='259' >La langue des signes qu\u00e9b\u00e9coise (LSQ)<\/option><option value='111' >Laotian<\/option><option value='329' >Lari<\/option><option value='112' >Latvian<\/option><option value='113' >Lebanese<\/option><option value='260' >Lengie<\/option><option value='114' >Lingala<\/option><option value='115' >Lithuanian<\/option><option value='116' >Lowma<\/option><option value='261' >Luganda<\/option><option value='262' >Lugishu<\/option><option value='263' >Lutoro<\/option><option value='117' >Maban<\/option><option value='118' >Macedonian<\/option><option value='264' >Macena<\/option><option value='119' >Macua<\/option><option value='120' >Mahou<\/option><option value='265' >Makonde<\/option><option value='122' >Malay<\/option><option value='124' >Maligo<\/option><option value='125' >Malinke<\/option><option value='126' >Maltese<\/option><option value='327' >Mande<\/option><option value='128' >Mandingo<\/option><option value='311' >Masalit<\/option><option value='130' >Mashi<\/option><option value='131' >Mende<\/option><option value='132' >Mina<\/option><option value='267' >Moldovan<\/option><option value='268' >Mongolian<\/option><option value='269' >Moore<\/option><option value='270' >Naandi\/Cemual<\/option><option value='271' >Ndebele<\/option><option value='337' >Ngiemboon<\/option><option value='331' >Ngomba<\/option><option value='134' >Norwegian<\/option><option value='272' >Nubian<\/option><option value='135' >Nuer<\/option><option value='136' >Nzima<\/option><option value='273' >Oko<\/option><option value='137' >Okpe<\/option><option value='138' >Oriya<\/option><option value='139' >Oromo<\/option><option value='274' >Osal<\/option><option value='140' >Other African Languages<\/option><option value='141' >Other Chinese Dialects<\/option><option value='142' >Other European Languages<\/option><option value='143' >Other Languages<\/option><option value='275' >Other Signed Languages<\/option><option value='145' >Other South Asian Languages<\/option><option value='146' >Other South East Asian Lang.<\/option><option value='276' >Otuho<\/option><option value='277' >Pahari<\/option><option value='278' >Pampango<\/option><option value='279' >Pangasinan<\/option><option value='148' >Peul<\/option><option value='280' >Phuockien<\/option><option value='149' >Pidgin<\/option><option value='281' >Plautdietsch<\/option><option value='152' >Poular<\/option><option value='282' >Rohingya<\/option><option value='283' >Romani<\/option><option value='284' >Rukiga<\/option><option value='285' >Runyankole<\/option><option value='286' >Rutooro<\/option><option value='339' >Saho<\/option><option value='157' >Samoan<\/option><option value='287' >Sango<\/option><option value='288' >Sanskrit<\/option><option value='289' >Sara<\/option><option value='158' >Scoula<\/option><option value='159' >Sechuan<\/option><option value='290' >Senufo<\/option><option value='161' >Serbo-Croatian<\/option><option value='291' >Sesotho<\/option><option value='162' >Seswi<\/option><option value='163' >Seychelles<\/option><option value='292' >Shan<\/option><option value='164' >Shanghai<\/option><option value='165' >Shansai<\/option><option value='166' >Shilluk<\/option><option value='167' >Sign Language<\/option><option value='168' >Sindhi<\/option><option value='171' >Slovak<\/option><option value='312' >Songhai<\/option><option value='174' >Soninke<\/option><option value='314' >Sorani<\/option><option value='294' >Sotho<\/option><option value='175' >Soussou<\/option><option value='295' >Southern Burun<\/option><option value='177' >Suesue<\/option><option value='296' >Sukuma<\/option><option value='179' >Swazai<\/option><option value='180' >Swedish<\/option><option value='317' >Swiss German<\/option><option value='297' >Taichew<\/option><option value='315' >Tamasheq<\/option><option value='183' >Tari<\/option><option value='298' >Tatar<\/option><option value='184' >Tatshanese<\/option><option value='299' >Temne<\/option><option value='300' >Teochew<\/option><option value='187' >Tibetan<\/option><option value='188' >Tichiew<\/option><option value='301' >Tigre<\/option><option value='190' >Timini<\/option><option value='191' >Tiv<\/option><option value='302' >Toishan<\/option><option value='192' >Tshiluba<\/option><option value='193' >Tsibula<\/option><option value='195' >Twi<\/option><option value='318' >Uduk<\/option><option value='200' >Uhrobo<\/option><option value='196' >Uigrigma<\/option><option value='303' >Umbundu<\/option><option value='304' >Unama<\/option><option value='198' >Unknown<\/option><option value='319' >Uyghur<\/option><option value='201' >Uzbek<\/option><option value='305' >Visayan<\/option><option value='306' >Waray<\/option><option value='203' >Welsh<\/option><option value='204' >Western Hemisphere Indian Lang<\/option><option value='205' >Wolof<\/option><option value='206' >Xhosa<\/option><option value='332' >Yacouba<\/option><option value='307' >Yako\/Loko\/Lokaa<\/option><option value='308' >Yekhee\/Afenmai\/Afemai<\/option><option value='207' >Yiboe<\/option><option value='208' >Yiddish<\/option><option value='210' >Zande<\/option><option value='309' >Zshiluba<\/option><option value='310' >Zuganda<\/option><option value='211' >Zulu<\/option><\/select><\/div><\/div><div id=\"field_1_113\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Current Residential Address<\/h3><\/div><div id=\"field_1_117\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-three-quarter ADDRESS1 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_117'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_117' id='input_1_117' type='text' value='' class='large' maxlength='200'  tabindex='14'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_116\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter UNIT_NO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_116'>Apt\/Unit #<\/label><div class='ginput_container ginput_container_text'><input name='input_116' id='input_1_116' type='text' value='' class='large' maxlength='7'  tabindex='15'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_121\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-five-twelfths CITY field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_121'>City<\/label><div class='ginput_container ginput_container_select'><select name='input_121' id='input_1_121' class='large gfield_select' tabindex='16'    aria-invalid=\"false\" ><option value='' ><\/option><option value='0400201256' >Vernon<\/option><option value='0400201012' >Armstrong<\/option><option value='0400201035' >Burnaby<\/option><option value='0400250015' >Cherryville<\/option><option value='0400201275' >Coldstream<\/option><option value='0400201056' >Cranbrook<\/option><option value='0400250014' >Edgewood<\/option><option value='0400201072' >Enderby<\/option><option value='0400201075' >Falkland<\/option><option value='0400201096' >Grand Forks<\/option><option value='0400250017' >Grindrod<\/option><option value='0400201118' >Kelowna<\/option><option value='0400201276' >Lake Country<\/option><option value='0400201141' >Lumby<\/option><option value='0400201159' >Nelson<\/option><option value='0400201170' >Osoyoos<\/option><option value='0400201174' >Peachland<\/option><option value='0400201176' >Penticton<\/option><option value='0400201191' >Prince George<\/option><option value='0400201201' >Revelstoke<\/option><option value='0400201210' >Salmon Arm<\/option><option value='0400201217' >Sicamous<\/option><option value='0400250018' >Silverton<\/option><option value='0400201233' >Surrey<\/option><option value='0400201253' >Vancouver<\/option><option value='0400201261' >West Kelowna<\/option><option value='0400250016' >Westbank<\/option><option value='0400201262' >Westwold<\/option><\/select><\/div><\/div><div id=\"field_1_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third PROVINCE gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_9'>Province<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_1_9' class='large gfield_select' tabindex='17'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='04002' >British Columbia<\/option><\/select><\/div><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter POSTALCODE gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_8'>Postal Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_1_8' type='text' value='' class='large'   tabindex='18' placeholder='A#A#A#' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_27\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Immigration Related Information<\/h3><\/div><div id=\"field_1_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third CAN_STATUS gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_17'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_1_17' class='large gfield_select' tabindex='19'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0003' >Permanent Resident<\/option><option value='0415' >PR - Approved in Principle<\/option><option value='0412' >PR - Other Economic<\/option><option value='0402' >Other Humanitarian Pathway<\/option><option value='0033' >Provincial Nominee Awaiting PR<\/option><option value='0404' >CUAET Visa Holder<\/option><option value='0405' >Open Work Permit Holder<\/option><option value='0021' >Post Graduate Work Permit Holder<\/option><option value='0407' >Closed Work Permit Holder<\/option><option value='0406' >Temporary Foreign Worker<\/option><option value='0403' >Study Permit Holder - International Post-Secondary Student<\/option><option value='0416' >Study Permit - Minor<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0414' >Temporary resident<\/option><option value='0006' >Refugee Claimant (RC)<\/option><option value='0410' >Canadian Citizen - By Birth<\/option><option value='0411' >Naturalized Canadian Citizen<\/option><option value='0401' >Asylum Seeker<\/option><option value='0413' >RNIP<\/option><option value='0005' >Other<\/option><\/select><\/div><\/div><div id=\"field_1_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third FOSSIDNO gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_19'>UCI\/IUC (Unique Client Identifier)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_1_19' type='text' value='' class='large'   tabindex='20'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_109'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_1_109' type='text' value='' class='large'   tabindex='21'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-five-twelfths CNT_CITIZENSHIP field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_6'>Country of Origin<\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_1_6' class='large gfield_select' tabindex='22'    aria-invalid=\"false\" ><option value='' ><\/option><option value='002' >Afghanistan<\/option><option value='003' >Albania<\/option><option value='004' >Alderney<\/option><option value='005' >Algeria<\/option><option value='006' >American Samoa<\/option><option value='007' >Andorra<\/option><option value='008' >Angola<\/option><option value='009' >Anguilla<\/option><option value='010' >Antigua and Barbuda<\/option><option value='011' >Argentina<\/option><option value='012' >Armenia<\/option><option value='014' >Australia<\/option><option value='015' >Austria<\/option><option value='016' >Azerbaijan<\/option><option value='017' >Bahamas<\/option><option value='018' >Bahrain<\/option><option value='019' >Bangladesh<\/option><option value='020' >Barbados<\/option><option value='021' >Belarus<\/option><option value='022' >Belgium<\/option><option value='023' >Belize<\/option><option value='024' >Benin<\/option><option value='025' >Bermuda<\/option><option value='026' >Bhutan<\/option><option value='027' >Bolivia<\/option><option value='029' >Bosnia and Herzegovina<\/option><option value='030' >Botswana<\/option><option value='031' >Brazil<\/option><option value='033' >British Virgin Islands<\/option><option value='034' >Brunei<\/option><option value='035' >Bulgaria<\/option><option value='036' >Burkina Faso<\/option><option value='037' >Myanmar (formerly Burma)<\/option><option value='038' >Burundi<\/option><option value='039' >Cameroon<\/option><option value='040' >Canada<\/option><option value='041' >Canary Islands<\/option><option value='042' >Cabo Verde<\/option><option value='043' >Cayman Islands<\/option><option value='044' >Central African Republic<\/option><option value='045' >Chad<\/option><option value='047' >Chile<\/option><option value='048' >China (PRC)<\/option><option value='049' >Colombia<\/option><option value='050' >Comoros<\/option><option value='051' >Congo Democratic Republic of<\/option><option value='052' >Congo (Congo Republic)<\/option><option value='054' >Costa Rica<\/option><option value='055' >Croatia<\/option><option value='056' >Cuba<\/option><option value='057' >Cyprus<\/option><option value='058' >Czechia (Czech Republic)<\/option><option value='059' >Denmark<\/option><option value='060' >Djibouti<\/option><option value='061' >Dominican Republic<\/option><option value='062' >Ecuador<\/option><option value='063' >Egypt<\/option><option value='064' >El Salvador<\/option><option value='065' >England<\/option><option value='066' >Equatorial Guinea<\/option><option value='067' >Eritrea<\/option><option value='068' >Estonia<\/option><option value='069' >Ethiopia<\/option><option value='071' >Germany<\/option><option value='072' >Fiji<\/option><option value='073' >Finland<\/option><option value='075' >Fr. Polynesia<\/option><option value='076' >France<\/option><option value='077' >French Guiana<\/option><option value='078' >Gabon<\/option><option value='079' >Gambia<\/option><option value='080' >Georgia<\/option><option value='081' >Ghana<\/option><option value='083' >Greece<\/option><option value='084' >Greenland<\/option><option value='085' >Grenada<\/option><option value='086' >Guadaloupe<\/option><option value='087' >Guam<\/option><option value='088' >Guatemala<\/option><option value='089' >Guinea<\/option><option value='090' >Guinea-bissau<\/option><option value='091' >Guyana<\/option><option value='092' >Haiti<\/option><option value='093' >Honduras<\/option><option value='094' >Hong Kong<\/option><option value='095' >Hungary<\/option><option value='096' >Iceland<\/option><option value='097' >India<\/option><option value='098' >Indonesia<\/option><option value='099' >Iran<\/option><option value='100' >Iraq<\/option><option value='101' >Ireland<\/option><option value='102' >Israel<\/option><option value='103' >Italy<\/option><option value='104' >Cote d Ivoire (Ivory Coast)<\/option><option value='105' >Jamaica<\/option><option value='106' >Japan<\/option><option value='107' >Jordan<\/option><option value='109' >Kazakhstan<\/option><option value='110' >Kenya<\/option><option value='111' >Kerguelen Islands<\/option><option value='112' >Kyrgyzstan<\/option><option value='113' >Kiribati<\/option><option value='114' >Korea, North<\/option><option value='115' >Korea, South<\/option><option value='116' >Kosovo<\/option><option value='117' >Kuwait<\/option><option value='118' >Laos<\/option><option value='119' >Latvia<\/option><option value='120' >Lebanon<\/option><option value='121' >Lesotho<\/option><option value='122' >Liberia<\/option><option value='123' >Libya<\/option><option value='124' >Liechtenstein<\/option><option value='125' >Lithuania<\/option><option value='126' >Luxembourg<\/option><option value='128' >North Macedonia<\/option><option value='129' >Madagascar<\/option><option value='130' >Malawi<\/option><option value='131' >Malaysia<\/option><option value='132' >Maldives<\/option><option value='133' >Mali<\/option><option value='134' >Malta<\/option><option value='135' >Marshall Islands<\/option><option value='137' >Mauritania<\/option><option value='138' >Mauritius<\/option><option value='140' >Mexico<\/option><option value='141' >Moldova<\/option><option value='142' >Monaco<\/option><option value='143' >Mongolia<\/option><option value='144' >Montserrat<\/option><option value='145' >Morocco<\/option><option value='146' >Mozambique<\/option><option value='147' >Namibia<\/option><option value='148' >Nauru<\/option><option value='149' >Nepal<\/option><option value='150' >Netherlands<\/option><option value='153' >New Caledonia<\/option><option value='154' >New Zealand<\/option><option value='155' >Nicaragua<\/option><option value='156' >Niger<\/option><option value='157' >Nigeria<\/option><option value='158' >Northern Ireland<\/option><option value='159' >Norway<\/option><option value='160' >Pakistan<\/option><option value='161' >Palestine<\/option><option value='162' >Panama<\/option><option value='164' >Papua New Guinea<\/option><option value='165' >Paraguay<\/option><option value='166' >Peru<\/option><option value='167' >Philippines<\/option><option value='168' >Pitcairn Islands<\/option><option value='169' >Poland<\/option><option value='170' >Portugal<\/option><option value='171' >Puerto Rico<\/option><option value='172' >Qatar<\/option><option value='173' >Reunion<\/option><option value='174' >Romania<\/option><option value='175' >Russia<\/option><option value='176' >Rwanda<\/option><option value='177' >Samoa<\/option><option value='178' >San Marino<\/option><option value='179' >Sao Tome and Principe<\/option><option value='180' >Saudi Arabia<\/option><option value='181' >Scotland<\/option><option value='182' >Senegal<\/option><option value='183' >Serbia<\/option><option value='184' >Seychelles<\/option><option value='185' >Sierra Leone<\/option><option value='186' >Singapore<\/option><option value='187' >Solomon Islands<\/option><option value='188' >Somalia<\/option><option value='189' >South Africa<\/option><option value='190' >Spain<\/option><option value='191' >Sri Lanka<\/option><option value='192' >St. Helena<\/option><option value='193' >St. Kitts and Nevis<\/option><option value='194' >St. Lucia<\/option><option value='195' >St. Pierre Et Miquelon<\/option><option value='196' >St. Vincent And The Grenadines<\/option><option value='197' >Stateless<\/option><option value='198' >Sudan<\/option><option value='199' >Suriname<\/option><option value='200' >Eswatini (formerly Swaziland)<\/option><option value='201' >Sweden<\/option><option value='202' >Switzerland<\/option><option value='203' >Syria<\/option><option value='204' >Tajikistan<\/option><option value='205' >Tanzania<\/option><option value='206' >Thailand<\/option><option value='207' >Tibet<\/option><option value='208' >Togo<\/option><option value='209' >Tonga<\/option><option value='210' >Trinidad &amp; Tobago<\/option><option value='211' >Tunisia<\/option><option value='212' >Turkey<\/option><option value='213' >Turkmenistan<\/option><option value='214' >Turks &amp; Caicos<\/option><option value='215' >Tuvalu<\/option><option value='216' >U.S. Virgin Islands<\/option><option value='217' >United States of America<\/option><option value='219' >Uganda<\/option><option value='220' >Ukraine<\/option><option value='221' >United Arab Emirates<\/option><option value='223' >Uruguay<\/option><option value='224' >Uzbekistan<\/option><option value='225' >Vanuatu<\/option><option value='226' >Holy See (Vatican City)<\/option><option value='227' >Venezuela<\/option><option value='228' >Vietnam<\/option><option value='231' >Wales<\/option><option value='233' >Western Sahara<\/option><option value='234' >Yemen<\/option><option value='235' >Yugoslavia<\/option><option value='237' >Zambia<\/option><option value='238' >Zimbabwe<\/option><option value='239' >Oman<\/option><option value='240' >Sudan, South<\/option><option value='241' >United Kingdom<\/option><option value='242' >Slovenia<\/option><option value='243' >Slovakia (Slovak Republic)<\/option><option value='244' >Taiwan (ROC)<\/option><option value='245' >Cambodia<\/option><option value='246' >Dominica<\/option><option value='247' >East Timor (Timor-Leste)<\/option><option value='248' >Micronesia<\/option><option value='249' >Montenegro<\/option><option value='250' >Palau<\/option><\/select><\/div><\/div><div id=\"field_1_23\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-seven-twelfths DATE_FIRSTARRIVAL field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_23'>Date of Arrival<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_23' id='input_1_23' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='23'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_23_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_23_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_23' class='gform_hidden' value='https:\/\/vdi.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_122\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full REFER_BY field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_122'>How Did You Hear About Us<\/label><div class='ginput_container ginput_container_select'><select name='input_122' id='input_1_122' class='large gfield_select' tabindex='24'    aria-invalid=\"false\" ><option value='' ><\/option><option value='L001' >Not Referred<\/option><option value='L003' >Community centre \/ library<\/option><option value='L004' >Employer \/ co-worker<\/option><option value='L005' >Ethnic or religious organization<\/option><option value='L006' >Family \/ friends<\/option><option value='L007' >Canadian government agency<\/option><option value='L008' >Government publication \/ brochure \/ website<\/option><option value='L009' >Immigration consultant \/ lawyer<\/option><option value='L010' >Internal to my organization<\/option><option value='L011' >Non-governmental newspaper \/ media \/ publication \/ brochure \/ Web site<\/option><option value='L012' >In-Canada orientation session<\/option><option value='L013' >Overseas orientation session (e.g. CIIP)<\/option><option value='L014' >Other settlement service provider<\/option><option value='L015' >School<\/option><option value='L018' >Recruitment via Destination Canada and Canadian embassies<\/option><option value='L019' >Recruitment via website and social media<\/option><option value='L020' >Walk-in<\/option><\/select><\/div><\/div><div id=\"field_1_128\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Emergency Contact Information<\/h3><\/div><div id=\"field_1_129\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter EMER_NAME gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_129'>Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_1_129' type='text' value='' class='large' maxlength='50'  tabindex='25'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_133\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter EMER_TELE1 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_133'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_1_133' type='text' value='' class='large'   tabindex='26' placeholder='___-___-____' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_131\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half EMER_EMAIL gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_131'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_131' id='input_1_131' type='email' value='' class='large' tabindex='27'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_42\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Services<\/h3><\/div><div id=\"field_1_136\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full REASON gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_136'>Which type of services are you interested in:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_136[]' id='input_1_136' class='large gfield_select' tabindex='28'  aria-invalid=\"false\" aria-required=\"true\" ><option value='0001' >Settlement Services<\/option><option value='0002' >School Related Services (SWIS)<\/option><option value='0003' >Employment<\/option><option value='0004' >Language Skills<\/option><option value='0005' >Community Events<\/option><\/select><\/div><\/div><fieldset id=\"field_1_139\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full GENREMARKS field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you require childcare services when accessing services at VDICSS?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_139'>\n\t\t\t<div class='gchoice gchoice_1_139_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='Yes'  id='choice_1_139_0' onchange='gformToggleRadioOther( this )'  tabindex='29'  \/>\n\t\t\t\t\t<label for='choice_1_139_0' id='label_1_139_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_139_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value=''  id='choice_1_139_1' onchange='gformToggleRadioOther( this )'  tabindex='30'  \/>\n\t\t\t\t\t<label for='choice_1_139_1' id='label_1_139_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_59\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full GENREMARKS gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_59'>Would you like to provide any additional information<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_1_59' type='text' value='' class='large' maxlength='1000'  tabindex='31'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_134\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Details of Family Members<\/h3><\/div><fieldset id=\"field_1_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you like to register your family members so that they can also receive services with us?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_43'>\n\t\t\t<div class='gchoice gchoice_1_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Y'  id='choice_1_43_0' onchange='gformToggleRadioOther( this )'  tabindex='32'  \/>\n\t\t\t\t\t<label for='choice_1_43_0' id='label_1_43_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='N'  id='choice_1_43_1' onchange='gformToggleRadioOther( this )'  tabindex='33'  \/>\n\t\t\t\t\t<label for='choice_1_43_1' id='label_1_43_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_61\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_61'>How many members would you like to add?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_61' id='input_1_61' class='large gfield_select' tabindex='34'   aria-required=\"true\" aria-invalid=\"false\" ><option value='1' selected='selected'>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><\/select><\/div><\/div><div id=\"field_1_62\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 1<\/h3><\/div><div id=\"field_1_46\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER1_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_46'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_1_46' type='text' value='' class='large' maxlength='50'  tabindex='35'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER1_LAST_NAME gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_52'>Last Name<\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_1_52' type='text' value='' class='large' maxlength='50'  tabindex='36'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_54\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER1_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_54'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_54' id='input_1_54' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='37'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_54_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_54_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_54' class='gform_hidden' value='https:\/\/vdi.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_140\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER1_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_140'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_140' id='input_1_140' class='large gfield_select' tabindex='38'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0003' >Permanent Resident<\/option><option value='0415' >PR - Approved in Principle<\/option><option value='0412' >PR - Other Economic<\/option><option value='0402' >Other Humanitarian Pathway<\/option><option value='0033' >Provincial Nominee Awaiting PR<\/option><option value='0404' >CUAET Visa Holder<\/option><option value='0405' >Open Work Permit Holder<\/option><option value='0021' >Post Graduate Work Permit Holder<\/option><option value='0407' >Closed Work Permit Holder<\/option><option value='0406' >Temporary Foreign Worker<\/option><option value='0403' >Study Permit Holder - International Post-Secondary Student<\/option><option value='0416' >Study Permit - Minor<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0414' >Temporary resident<\/option><option value='0006' >Refugee Claimant (RC)<\/option><option value='0410' >Canadian Citizen - By Birth<\/option><option value='0411' >Naturalized Canadian Citizen<\/option><option value='0401' >Asylum Seeker<\/option><option value='0413' >RNIP<\/option><option value='0005' >Other<\/option><\/select><\/div><\/div><div id=\"field_1_55\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER1_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_55'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_1_55' class='large gfield_select' tabindex='39'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='U' >Unknown<\/option><option value='X' >Non-Binary<\/option><\/select><\/div><\/div><div id=\"field_1_146\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER1_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_146'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_146' id='input_1_146' class='large gfield_select' tabindex='40'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><option value='0007' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_1_53\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER1_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_53'>Relation with you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_53' id='input_1_53' class='large gfield_select' tabindex='41'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='06' >Common Law Spouse<\/option><option value='34' >Partner<\/option><option value='44' >Spouse<\/option><option value='52' >Unknown<\/option><option value='55' >Child<\/option><option value='56' >Parent<\/option><\/select><\/div><\/div><div id=\"field_1_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER1_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_56'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_1_56' type='text' value='' class='large'   tabindex='42'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_65\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 2<\/h3><\/div><div id=\"field_1_63\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER2_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_63'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_1_63' type='text' value='' class='large' maxlength='50'  tabindex='43'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_64\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER2_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_64'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_1_64' type='text' value='' class='large' maxlength='50'  tabindex='44'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_67\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER2_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_67'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_67' id='input_1_67' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='45'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_67_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_67_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_67' class='gform_hidden' value='https:\/\/vdi.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_145\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER2_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_145'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_145' id='input_1_145' class='large gfield_select' tabindex='46'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0003' >Permanent Resident<\/option><option value='0415' >PR - Approved in Principle<\/option><option value='0412' >PR - Other Economic<\/option><option value='0402' >Other Humanitarian Pathway<\/option><option value='0033' >Provincial Nominee Awaiting PR<\/option><option value='0404' >CUAET Visa Holder<\/option><option value='0405' >Open Work Permit Holder<\/option><option value='0021' >Post Graduate Work Permit Holder<\/option><option value='0407' >Closed Work Permit Holder<\/option><option value='0406' >Temporary Foreign Worker<\/option><option value='0403' >Study Permit Holder - International Post-Secondary Student<\/option><option value='0416' >Study Permit - Minor<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0414' >Temporary resident<\/option><option value='0006' >Refugee Claimant (RC)<\/option><option value='0410' >Canadian Citizen - By Birth<\/option><option value='0411' >Naturalized Canadian Citizen<\/option><option value='0401' >Asylum Seeker<\/option><option value='0413' >RNIP<\/option><option value='0005' >Other<\/option><\/select><\/div><\/div><div id=\"field_1_68\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER2_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_68'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_68' id='input_1_68' class='large gfield_select' tabindex='47'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='U' >Unknown<\/option><option value='X' >Non-Binary<\/option><\/select><\/div><\/div><div id=\"field_1_147\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER2_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_147'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_147' id='input_1_147' class='large gfield_select' tabindex='48'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><option value='0007' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_1_69\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER2_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_69'>Relation with you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_1_69' class='large gfield_select' tabindex='49'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='06' >Common Law Spouse<\/option><option value='34' >Partner<\/option><option value='44' >Spouse<\/option><option value='52' >Unknown<\/option><option value='55' >Child<\/option><option value='56' >Parent<\/option><\/select><\/div><\/div><div id=\"field_1_66\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER2_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_66'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_1_66' type='text' value='' class='large'   tabindex='50'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_70\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 3<\/h3><\/div><div id=\"field_1_71\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER3_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_71'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_1_71' type='text' value='' class='large' maxlength='50'  tabindex='51'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_72\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER3_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_72'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_1_72' type='text' value='' class='large' maxlength='50'  tabindex='52'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_74\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER3_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_74'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_74' id='input_1_74' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='53'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_74_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_74_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_74' class='gform_hidden' value='https:\/\/vdi.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_144\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER3_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_144'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_144' id='input_1_144' class='large gfield_select' tabindex='54'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0003' >Permanent Resident<\/option><option value='0415' >PR - Approved in Principle<\/option><option value='0412' >PR - Other Economic<\/option><option value='0402' >Other Humanitarian Pathway<\/option><option value='0033' >Provincial Nominee Awaiting PR<\/option><option value='0404' >CUAET Visa Holder<\/option><option value='0405' >Open Work Permit Holder<\/option><option value='0021' >Post Graduate Work Permit Holder<\/option><option value='0407' >Closed Work Permit Holder<\/option><option value='0406' >Temporary Foreign Worker<\/option><option value='0403' >Study Permit Holder - International Post-Secondary Student<\/option><option value='0416' >Study Permit - Minor<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0414' >Temporary resident<\/option><option value='0006' >Refugee Claimant (RC)<\/option><option value='0410' >Canadian Citizen - By Birth<\/option><option value='0411' >Naturalized Canadian Citizen<\/option><option value='0401' >Asylum Seeker<\/option><option value='0413' >RNIP<\/option><option value='0005' >Other<\/option><\/select><\/div><\/div><div id=\"field_1_75\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER3_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_75'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_1_75' class='large gfield_select' tabindex='55'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='U' >Unknown<\/option><option value='X' >Non-Binary<\/option><\/select><\/div><\/div><div id=\"field_1_151\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER3_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_151'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_151' id='input_1_151' class='large gfield_select' tabindex='56'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><option value='0007' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_1_76\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER3_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_76'>Relation with you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_1_76' class='large gfield_select' tabindex='57'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='06' >Common Law Spouse<\/option><option value='34' >Partner<\/option><option value='44' >Spouse<\/option><option value='52' >Unknown<\/option><option value='55' >Child<\/option><option value='56' >Parent<\/option><\/select><\/div><\/div><div id=\"field_1_73\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER3_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_73'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_1_73' type='text' value='' class='large'   tabindex='58'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_77\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 4<\/h3><\/div><div id=\"field_1_83\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER4_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_83'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_1_83' type='text' value='' class='large' maxlength='50'  tabindex='59'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_82\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER4_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_82'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_1_82' type='text' value='' class='large' maxlength='50'  tabindex='60'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_80\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER4_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_80'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_80' id='input_1_80' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='61'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_80_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_80_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_80' class='gform_hidden' value='https:\/\/vdi.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_143\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER4_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_143'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_143' id='input_1_143' class='large gfield_select' tabindex='62'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0003' >Permanent Resident<\/option><option value='0415' >PR - Approved in Principle<\/option><option value='0412' >PR - Other Economic<\/option><option value='0402' >Other Humanitarian Pathway<\/option><option value='0033' >Provincial Nominee Awaiting PR<\/option><option value='0404' >CUAET Visa Holder<\/option><option value='0405' >Open Work Permit Holder<\/option><option value='0021' >Post Graduate Work Permit Holder<\/option><option value='0407' >Closed Work Permit Holder<\/option><option value='0406' >Temporary Foreign Worker<\/option><option value='0403' >Study Permit Holder - International Post-Secondary Student<\/option><option value='0416' >Study Permit - Minor<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0414' >Temporary resident<\/option><option value='0006' >Refugee Claimant (RC)<\/option><option value='0410' >Canadian Citizen - By Birth<\/option><option value='0411' >Naturalized Canadian Citizen<\/option><option value='0401' >Asylum Seeker<\/option><option value='0413' >RNIP<\/option><option value='0005' >Other<\/option><\/select><\/div><\/div><div id=\"field_1_79\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER4_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_79'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_1_79' class='large gfield_select' tabindex='63'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='U' >Unknown<\/option><option value='X' >Non-Binary<\/option><\/select><\/div><\/div><div id=\"field_1_150\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER4_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_150'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_150' id='input_1_150' class='large gfield_select' tabindex='64'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><option value='0007' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_1_78\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER4_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_78'>Relation with you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_1_78' class='large gfield_select' tabindex='65'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='06' >Common Law Spouse<\/option><option value='34' >Partner<\/option><option value='44' >Spouse<\/option><option value='52' >Unknown<\/option><option value='55' >Child<\/option><option value='56' >Parent<\/option><\/select><\/div><\/div><div id=\"field_1_81\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER4_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_81'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_1_81' type='text' value='' class='large'   tabindex='66'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_84\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 5<\/h3><\/div><div id=\"field_1_90\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER5_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_90'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_1_90' type='text' value='' class='large' maxlength='50'  tabindex='67'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_89\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER5_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_89'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_1_89' type='text' value='' class='large' maxlength='50'  tabindex='68'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_87\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER5_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_87'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_87' id='input_1_87' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='69'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_87_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_87_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_87' class='gform_hidden' value='https:\/\/vdi.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_142\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER5_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_142'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_142' id='input_1_142' class='large gfield_select' tabindex='70'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0003' >Permanent Resident<\/option><option value='0415' >PR - Approved in Principle<\/option><option value='0412' >PR - Other Economic<\/option><option value='0402' >Other Humanitarian Pathway<\/option><option value='0033' >Provincial Nominee Awaiting PR<\/option><option value='0404' >CUAET Visa Holder<\/option><option value='0405' >Open Work Permit Holder<\/option><option value='0021' >Post Graduate Work Permit Holder<\/option><option value='0407' >Closed Work Permit Holder<\/option><option value='0406' >Temporary Foreign Worker<\/option><option value='0403' >Study Permit Holder - International Post-Secondary Student<\/option><option value='0416' >Study Permit - Minor<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0414' >Temporary resident<\/option><option value='0006' >Refugee Claimant (RC)<\/option><option value='0410' >Canadian Citizen - By Birth<\/option><option value='0411' >Naturalized Canadian Citizen<\/option><option value='0401' >Asylum Seeker<\/option><option value='0413' >RNIP<\/option><option value='0005' >Other<\/option><\/select><\/div><\/div><div id=\"field_1_85\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER5_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_85'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_1_85' class='large gfield_select' tabindex='71'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='U' >Unknown<\/option><option value='X' >Non-Binary<\/option><\/select><\/div><\/div><div id=\"field_1_149\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER5_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_149'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_149' id='input_1_149' class='large gfield_select' tabindex='72'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><option value='0007' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_1_86\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER5_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_86'>Relation with you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_86' id='input_1_86' class='large gfield_select' tabindex='73'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='06' >Common Law Spouse<\/option><option value='34' >Partner<\/option><option value='44' >Spouse<\/option><option value='52' >Unknown<\/option><option value='55' >Child<\/option><option value='56' >Parent<\/option><\/select><\/div><\/div><div id=\"field_1_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER5_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_88'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_1_88' type='text' value='' class='large'   tabindex='74'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_91\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Member 6<\/h3><\/div><div id=\"field_1_97\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER6_FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_97'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_97' id='input_1_97' type='text' value='' class='large' maxlength='50'  tabindex='75'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_96\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER6_LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_96'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_1_96' type='text' value='' class='large' maxlength='50'  tabindex='76'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_94\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter MEMBER6_DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_94'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_94' id='input_1_94' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='77'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_94_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_94_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_94' class='gform_hidden' value='https:\/\/vdi.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_141\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER6_CANSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_141'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_141' id='input_1_141' class='large gfield_select' tabindex='78'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0003' >Permanent Resident<\/option><option value='0415' >PR - Approved in Principle<\/option><option value='0412' >PR - Other Economic<\/option><option value='0402' >Other Humanitarian Pathway<\/option><option value='0033' >Provincial Nominee Awaiting PR<\/option><option value='0404' >CUAET Visa Holder<\/option><option value='0405' >Open Work Permit Holder<\/option><option value='0021' >Post Graduate Work Permit Holder<\/option><option value='0407' >Closed Work Permit Holder<\/option><option value='0406' >Temporary Foreign Worker<\/option><option value='0403' >Study Permit Holder - International Post-Secondary Student<\/option><option value='0416' >Study Permit - Minor<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0414' >Temporary resident<\/option><option value='0006' >Refugee Claimant (RC)<\/option><option value='0410' >Canadian Citizen - By Birth<\/option><option value='0411' >Naturalized Canadian Citizen<\/option><option value='0401' >Asylum Seeker<\/option><option value='0413' >RNIP<\/option><option value='0005' >Other<\/option><\/select><\/div><\/div><div id=\"field_1_92\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER6_GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_92'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_92' id='input_1_92' class='large gfield_select' tabindex='79'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='U' >Unknown<\/option><option value='X' >Non-Binary<\/option><\/select><\/div><\/div><div id=\"field_1_148\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER6_MARSTAT gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_148'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_148' id='input_1_148' class='large gfield_select' tabindex='80'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Common-Law<\/option><option value='0002' >Divorced<\/option><option value='0003' >Married<\/option><option value='0004' >Separated<\/option><option value='0005' >Single<\/option><option value='0006' >Widowed<\/option><option value='0007' >Unknown<\/option><\/select><\/div><\/div><div id=\"field_1_93\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter MEMBER6_RELATIONSHIP notranslate gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_93'>Relation with you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_93' id='input_1_93' class='large gfield_select' tabindex='81'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='06' >Common Law Spouse<\/option><option value='34' >Partner<\/option><option value='44' >Spouse<\/option><option value='52' >Unknown<\/option><option value='55' >Child<\/option><option value='56' >Parent<\/option><\/select><\/div><\/div><div id=\"field_1_95\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter MEMBER6_FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_95'>UCI\/IUC (Unique Client Identifier)<\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_1_95' type='text' value='' class='large'   tabindex='82'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_126\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Consents and Confidentiality Statement<\/h3><\/div><fieldset id=\"field_1_127\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full EMAILSCONSENT field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mail Consent<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_127'><div class='gchoice gchoice_1_127_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.1' type='checkbox'  value='Y'  id='choice_1_127_1' tabindex='83'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_127_1' id='label_1_127_1' class='gform-field-label gform-field-label--type-inline'>I consent to be added to VDICSS's mailing list for information on events and workshops.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_135\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Vernon and District Immigrant and Community Services Society (VDICSS) protects personal information by following the government's privacy laws as outlined in the Personal Information Act, Bill 38: <a href=\"https:\/\/www.bclaws.gov.bc.ca\/civix\/document\/id\/lc\/billsprevious\/4th37th:gov38-1\" target=\"_blank\">https:\/\/www.bclaws.gov.bc.ca\/civix\/document\/id\/lc\/billsprevious\/4th37th:gov38-1<\/a><\/p>\n<p>Staff will not disclose any information without client permission unless legally obligated to do so. Completion and submission of this intake form implies consent to collecting information for these purposes.<\/p>\n<p>By signing below and submitting this form, you confirm that you have read the Gathering Information statement and has given consent to future Immigration, Refugees, and Citizenship Canada Research\/Consultation.<\/p><\/div><div id=\"field_1_125\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half SIGN1_PATH gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_125'>Please either enter you initials here  OR Sign in next box<\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_1_125' type='text' value='' class='small' maxlength='5'  tabindex='84'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_124\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-half SIGN1_PATH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_124'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><input type='hidden' value='' name='input_124' id='input_1_124_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_1_124_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_1_124' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/vdi.carmis.ai\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_1_124_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_1_124_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_1_124_data' name='input_1_124_data' value=''><\/div><\/div><div id=\"field_1_105\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_105'>Captcha<\/label><div id='input_1_105' class='ginput_container ginput_recaptcha' data-sitekey='6LdfPsAqAAAAAKhYgUyEsd4lzqvW8s1RGRv3JQvO'  data-theme='light' data-tabindex='85'  data-badge=''><\/div><\/div><div id=\"field_1_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_31'>Program (Admin Only)<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_1_31' type='text' value='0001' class='large'   tabindex='86'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_32\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter DATE_VISITED field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_32'>Date Visited (Admin Only)<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_32' id='input_1_32' type='text' value='19\/06\/2026' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='87'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_32_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_32_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_32' class='gform_hidden' value='https:\/\/vdi.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_137\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter OF_LANG field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_137'>Official Language (Admin Only)<\/label><div class='ginput_container ginput_container_text'><input name='input_137' id='input_1_137' type='text' value='1' class='large'   tabindex='88'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_138\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter CurrentJobStatus field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_138'>Current Emp Status (Admin Only)<\/label><div class='ginput_container ginput_container_text'><input name='input_138' id='input_1_138' type='text' value='0005' class='large'   tabindex='89'   aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit' tabindex='90' \/> <input type='hidden' name='gform_ajax' value='form_id=1&amp;title=1&amp;description=1&amp;tabindex=1&amp;theme=orbital&amp;styles=[]&amp;hash=edc7306762e6ca18001f4b5562124008' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='LOd7lVN2MkjABd0PlaLkg6WFpn2jWqeZ6tR4fm8WB1wPOpSmbdpeWyxsh\/\/Tbg8escZ7R0CBMxUjlSoqqyJBE9zg\/aNHZyBvYqjxDbuFsX\/Uc7A=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' 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