{"id":3358,"date":"2021-09-12T07:34:10","date_gmt":"2021-09-12T02:04:10","guid":{"rendered":"https:\/\/cfhe.org.in\/?page_id=3358"},"modified":"2021-09-13T17:35:51","modified_gmt":"2021-09-13T12:05:51","slug":"cfhe-fellowship-application","status":"publish","type":"page","link":"https:\/\/cfhe.org.in\/cfhe-fellowship-application\/","title":{"rendered":"CfHE Fellowship Application"},"content":{"rendered":"<p>[vc_section][vc_row][vc_column]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-3366\"><form id=\"wpforms-form-3366\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"3366\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-json\/wp\/v2\/pages\/3358?wpforms_form_id=3366\" data-token=\"ce47a6cbcf0026366e2f2099fa89d3e7\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-page-indicator connector\" data-indicator=\"connector\" data-indicator-color=\"#644485\" data-scroll=\"1\"><div class=\"wpforms-page-indicator-page active  wpforms-page-indicator-page-1\" style=\"width:33.333333333333%;\"><span class=\"wpforms-page-indicator-page-number\" style=\"background-color:#644485\">1<span class=\"wpforms-page-indicator-page-triangle\" style=\"border-top-color:#644485\"><\/span><\/span><span class=\"wpforms-page-indicator-page-title\">Personal Details<span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-2\" style=\"width:33.333333333333%;\"><span class=\"wpforms-page-indicator-page-number\" >2<span class=\"wpforms-page-indicator-page-triangle\" ><\/span><\/span><span class=\"wpforms-page-indicator-page-title\">Professional Details<span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-3\" style=\"width:33.333333333333%;\"><span class=\"wpforms-page-indicator-page-number\" >3<span class=\"wpforms-page-indicator-page-triangle\" ><\/span><\/span><span class=\"wpforms-page-indicator-page-title\">Entrepreneurship<span><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \"><div id=\"wpforms-3366-field_131-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"131\"><\/div><div id=\"wpforms-3366-field_2-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_2\">Please upload your passport size photo here. <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-uploader\"\n\tdata-field-id=\"2\"\n\tdata-form-id=\"3366\"\n\tdata-input-name=\"wpforms_3366_2\"\n\tdata-extensions=\"jpg,jpeg,png\"\n\tdata-max-size=\"2097152\"\n\tdata-max-file-number=\"1\"\n\tdata-post-max-size=\"104857600\"\n    data-max-parallel-uploads=\"4\"\n    data-parallel-uploads=\"true\"\n\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" class=\"\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#B1B1B1\" aria-hidden=\"true\"><path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path><\/svg>\n\t\t<span class=\"modern-title\">\n\t\t\tClick or drag a file to this area to upload.\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input type=\"text\" class=\"dropzone-input\"\n\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\tid=\"wpforms-3366-field_2\"\n\tname=\"wpforms_3366_2\" required>\n<div class=\"wpforms-field-description\">File name should be \"Your name_image\"<\/div><\/div><div id=\"wpforms-3366-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_3\">Name of Applicant <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-3366-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" required><label for=\"wpforms-3366-field_3\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3366-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" required><label for=\"wpforms-3366-field_3-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-3366-field_4-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_4\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3366-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-3366-field_5-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_5\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-3366-field_5\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-3366-field_6-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_6\">Date of Birth <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-3366-field_6\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][6][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">dd-mm-yyyy<\/div><\/div><div id=\"wpforms-3366-field_7-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_7\">Address for Communication <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-3366-field_7\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][7][address1]\" required><label for=\"wpforms-3366-field_7\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-3366-field_7-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][7][address2]\" ><label for=\"wpforms-3366-field_7-address2\" class=\"wpforms-field-sublabel after \">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-3366-field_7-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][7][city]\" required><label for=\"wpforms-3366-field_7-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3366-field_7-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][7][state]\" required><label for=\"wpforms-3366-field_7-state\" class=\"wpforms-field-sublabel after \">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-3366-field_7-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][7][postal]\" required><label for=\"wpforms-3366-field_7-postal\" class=\"wpforms-field-sublabel after \">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-3366-field_7-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][7][country]\" required><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Province of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TR\" >Turkey<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-3366-field_7-country\" class=\"wpforms-field-sublabel after \">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-3366-field_8-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_8\">Permenant Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-3366-field_8\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][8][address1]\" required><label for=\"wpforms-3366-field_8\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-3366-field_8-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][8][address2]\" ><label for=\"wpforms-3366-field_8-address2\" class=\"wpforms-field-sublabel after \">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-3366-field_8-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][8][city]\" required><label for=\"wpforms-3366-field_8-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3366-field_8-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][8][state]\" required><label for=\"wpforms-3366-field_8-state\" class=\"wpforms-field-sublabel after \">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-3366-field_8-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][8][postal]\" required><label for=\"wpforms-3366-field_8-postal\" class=\"wpforms-field-sublabel after \">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-3366-field_8-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][8][country]\" required><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Province of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TR\" >Turkey<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-3366-field_8-country\" class=\"wpforms-field-sublabel after \">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-3366-field_130-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"130\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"3366\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" style=\"display:none;\"><div id=\"wpforms-3366-field_42-container\" class=\"wpforms-field wpforms-field-html custom-form-heading\" data-field-id=\"42\"><div id=\"wpforms-3366-field_42\"><h5>Educational Qualifications<\/h5><\/div><\/div><div id=\"wpforms-3366-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-one-fourth wpforms-first wpforms-mobile-full wpforms-field-select-style-modern\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_10\">Graduate<\/label><select id=\"wpforms-3366-field_10\" class=\"wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"1\" name=\"wpforms[fields][10]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select<\/option><option value=\"MBBS\" >MBBS<\/option><option value=\"BDS\" >BDS<\/option><option value=\"BAMS\" >BAMS<\/option><option value=\"BHMS\" >BHMS<\/option><option value=\"BPharm\" >BPharm<\/option><option value=\"BPT\" >BPT<\/option><option value=\"BTech\/BE\" >BTech\/BE<\/option><option value=\"BDes\" >BDes<\/option><\/select><\/div><div id=\"wpforms-3366-field_13-container\" class=\"wpforms-field wpforms-field-select wpforms-one-fourth wpforms-mobile-full wpforms-field-select-style-modern\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_13\">Post Graduate<\/label><select id=\"wpforms-3366-field_13\" class=\"wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"\" name=\"wpforms[fields][13]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select<\/option><option value=\"MD\" >MD<\/option><option value=\"MS\" >MS<\/option><option value=\"MTech\/ME\" >MTech\/ME<\/option><option value=\"MPT\" >MPT<\/option><option value=\"MPharm\" >MPharm<\/option><\/select><\/div><div id=\"wpforms-3366-field_15-container\" class=\"wpforms-field wpforms-field-select wpforms-one-fourth wpforms-mobile-full wpforms-field-select-style-modern\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_15\">Doctoral<\/label><select id=\"wpforms-3366-field_15\" class=\"wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"\" name=\"wpforms[fields][15]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select<\/option><option value=\"PhD\" >PhD<\/option><\/select><\/div><div id=\"wpforms-3366-field_16-container\" class=\"wpforms-field wpforms-field-select wpforms-one-fourth wpforms-mobile-full wpforms-field-select-style-modern\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_16\">Others<\/label><select id=\"wpforms-3366-field_16\" class=\"wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"\" name=\"wpforms[fields][16]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select<\/option><option value=\"MBA\" >MBA<\/option><\/select><\/div><div id=\"wpforms-3366-field_39-container\" class=\"wpforms-field wpforms-field-html custom-form-heading\" data-field-id=\"39\"><div id=\"wpforms-3366-field_39\"><h5>Place of Study<\/h5><\/div><\/div><div id=\"wpforms-3366-field_21-container\" class=\"wpforms-field wpforms-field-select wpforms-one-fourth wpforms-first wpforms-mobile-full wpforms-field-select-style-modern\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_21\">Graduate<\/label><select id=\"wpforms-3366-field_21\" class=\"wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"\" name=\"wpforms[fields][21]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select<\/option><option value=\"Tier 1 Govt\" >Tier 1 Govt<\/option><option value=\"Tier 1 Private\" >Tier 1 Private<\/option><option value=\"Tier 2 Govt\" >Tier 2 Govt<\/option><option value=\"Tier 2 Private\" >Tier 2 Private<\/option><option value=\"Tier 3 Private\" >Tier 3 Private<\/option><option value=\"Deemed\" >Deemed<\/option><\/select><\/div><div id=\"wpforms-3366-field_22-container\" class=\"wpforms-field wpforms-field-select wpforms-one-fourth wpforms-mobile-full wpforms-field-select-style-modern\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_22\">Post Graduate<\/label><select id=\"wpforms-3366-field_22\" class=\"wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"\" name=\"wpforms[fields][22]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select<\/option><option value=\"Tier 1 Govt\" >Tier 1 Govt<\/option><option value=\"Tier 1 Private\" >Tier 1 Private<\/option><option value=\"Tier 2 Govt\" >Tier 2 Govt<\/option><option value=\"Tier 2 Private\" >Tier 2 Private<\/option><option value=\"Tier 3 Private\" >Tier 3 Private<\/option><option value=\"Deemed\" >Deemed<\/option><\/select><\/div><div id=\"wpforms-3366-field_23-container\" class=\"wpforms-field wpforms-field-select wpforms-one-fourth wpforms-mobile-full wpforms-field-select-style-modern\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_23\">Doctoral<\/label><select id=\"wpforms-3366-field_23\" class=\"wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"\" name=\"wpforms[fields][23]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select<\/option><option value=\"Tier 1 Govt\" >Tier 1 Govt<\/option><option value=\"Tier 1 Private\" >Tier 1 Private<\/option><option value=\"Tier 2 Govt\" >Tier 2 Govt<\/option><option value=\"Tier 2 Private\" >Tier 2 Private<\/option><option value=\"Tier 3 Private\" >Tier 3 Private<\/option><option value=\"Deemed\" >Deemed<\/option><\/select><\/div><div id=\"wpforms-3366-field_24-container\" class=\"wpforms-field wpforms-field-select wpforms-one-fourth wpforms-mobile-full wpforms-field-select-style-modern\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_24\">Others<\/label><select id=\"wpforms-3366-field_24\" class=\"wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"\" name=\"wpforms[fields][24]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select<\/option><option value=\"Tier 1 Govt\" >Tier 1 Govt<\/option><option value=\"Tier 1 Private\" >Tier 1 Private<\/option><option value=\"Tier 2 Govt\" >Tier 2 Govt<\/option><option value=\"Tier 2 Private\" >Tier 2 Private<\/option><option value=\"Tier 3 Private\" >Tier 3 Private<\/option><option value=\"Deemed\" >Deemed<\/option><\/select><\/div><div id=\"wpforms-3366-field_41-container\" class=\"wpforms-field wpforms-field-html custom-form-heading\" data-field-id=\"41\"><div id=\"wpforms-3366-field_41\"><h5>Educational Qualifications Continued<\/h5><\/div><\/div><div id=\"wpforms-3366-field_40-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fifth wpforms-first custom-form-label\" data-field-id=\"40\"><div id=\"wpforms-3366-field_40\"><h6>Name of Institute<\/h6><\/div><\/div><div id=\"wpforms-3366-field_36-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"36\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_36\">Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_36\" class=\"wpforms-field-large\" name=\"wpforms[fields][36]\" placeholder=\"Graduate\" ><\/div><div id=\"wpforms-3366-field_33-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"33\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_33\">Post Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_33\" class=\"wpforms-field-large\" name=\"wpforms[fields][33]\" placeholder=\"Post Graduate\" ><\/div><div id=\"wpforms-3366-field_34-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"34\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_34\">Doctoral<\/label><input type=\"text\" id=\"wpforms-3366-field_34\" class=\"wpforms-field-large\" name=\"wpforms[fields][34]\" placeholder=\"Doctoral\" ><\/div><div id=\"wpforms-3366-field_55-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"55\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_55\">Others<\/label><input type=\"text\" id=\"wpforms-3366-field_55\" class=\"wpforms-field-large\" name=\"wpforms[fields][55]\" placeholder=\"Others\" ><\/div><div id=\"wpforms-3366-field_43-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fifth wpforms-first custom-form-label\" data-field-id=\"43\"><div id=\"wpforms-3366-field_43\"><h6>Specialization<\/h6><\/div><\/div><div id=\"wpforms-3366-field_56-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"56\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_56\">Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_56\" class=\"wpforms-field-large\" name=\"wpforms[fields][56]\" placeholder=\"Graduate\" ><\/div><div id=\"wpforms-3366-field_57-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"57\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_57\">Post Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_57\" class=\"wpforms-field-large\" name=\"wpforms[fields][57]\" placeholder=\"Post Graduate\" ><\/div><div id=\"wpforms-3366-field_58-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"58\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_58\">Doctoral<\/label><input type=\"text\" id=\"wpforms-3366-field_58\" class=\"wpforms-field-large\" name=\"wpforms[fields][58]\" placeholder=\"Doctoral\" ><\/div><div id=\"wpforms-3366-field_59-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"59\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_59\">Others<\/label><input type=\"text\" id=\"wpforms-3366-field_59\" class=\"wpforms-field-large\" name=\"wpforms[fields][59]\" placeholder=\"Others\" ><\/div><div id=\"wpforms-3366-field_47-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fifth wpforms-first custom-form-label\" data-field-id=\"47\"><div id=\"wpforms-3366-field_47\"><h6>Year of Passing \/ Acquiring Degree<\/h6><\/div><\/div><div id=\"wpforms-3366-field_60-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"60\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_60\">Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_60\" class=\"wpforms-field-large\" name=\"wpforms[fields][60]\" placeholder=\"Graduate\" ><\/div><div id=\"wpforms-3366-field_61-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"61\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_61\">Post Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_61\" class=\"wpforms-field-large\" name=\"wpforms[fields][61]\" placeholder=\"Post Graduate\" ><\/div><div id=\"wpforms-3366-field_62-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"62\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_62\">Doctoral<\/label><input type=\"text\" id=\"wpforms-3366-field_62\" class=\"wpforms-field-large\" name=\"wpforms[fields][62]\" placeholder=\"Doctoral\" ><\/div><div id=\"wpforms-3366-field_63-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"63\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_63\">Others<\/label><input type=\"text\" id=\"wpforms-3366-field_63\" class=\"wpforms-field-large\" name=\"wpforms[fields][63]\" placeholder=\"Others\" ><\/div><div id=\"wpforms-3366-field_64-container\" class=\"wpforms-field wpforms-field-html custom-form-heading\" data-field-id=\"64\"><div id=\"wpforms-3366-field_64\"><h5>Academic Projects in Healthcare<\/h5><\/div><\/div><div id=\"wpforms-3366-field_65-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fifth wpforms-first custom-form-label\" data-field-id=\"65\"><div id=\"wpforms-3366-field_65\"><h6>Title of the Project<\/h6><\/div><\/div><div id=\"wpforms-3366-field_66-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"66\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_66\">Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_66\" class=\"wpforms-field-large\" name=\"wpforms[fields][66]\" placeholder=\"Graduate\" ><\/div><div id=\"wpforms-3366-field_67-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"67\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_67\">Post Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_67\" class=\"wpforms-field-large\" name=\"wpforms[fields][67]\" placeholder=\"Post Graduate\" ><\/div><div id=\"wpforms-3366-field_68-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"68\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_68\">Doctoral<\/label><input type=\"text\" id=\"wpforms-3366-field_68\" class=\"wpforms-field-large\" name=\"wpforms[fields][68]\" placeholder=\"Doctoral\" ><\/div><div id=\"wpforms-3366-field_69-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"69\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_69\">Others<\/label><input type=\"text\" id=\"wpforms-3366-field_69\" class=\"wpforms-field-large\" name=\"wpforms[fields][69]\" placeholder=\"Others\" ><\/div><div id=\"wpforms-3366-field_70-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fifth wpforms-first custom-form-label\" data-field-id=\"70\"><div id=\"wpforms-3366-field_70\"><h6>Software\/Hardware or Both<\/h6><\/div><\/div><div id=\"wpforms-3366-field_71-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"71\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_71\">Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_71\" class=\"wpforms-field-large\" name=\"wpforms[fields][71]\" placeholder=\"Graduate\" ><\/div><div id=\"wpforms-3366-field_72-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"72\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_72\">Post Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_72\" class=\"wpforms-field-large\" name=\"wpforms[fields][72]\" placeholder=\"Post Graduate\" ><\/div><div id=\"wpforms-3366-field_73-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"73\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_73\">Doctoral<\/label><input type=\"text\" id=\"wpforms-3366-field_73\" class=\"wpforms-field-large\" name=\"wpforms[fields][73]\" placeholder=\"Doctoral\" ><\/div><div id=\"wpforms-3366-field_74-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"74\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_74\">Others<\/label><input type=\"text\" id=\"wpforms-3366-field_74\" class=\"wpforms-field-large\" name=\"wpforms[fields][74]\" placeholder=\"Others\" ><\/div><div id=\"wpforms-3366-field_75-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fifth wpforms-first custom-form-label\" data-field-id=\"75\"><div id=\"wpforms-3366-field_75\"><h6>Support from any Nodal agency (Govt\/Pvt)<\/h6><\/div><\/div><div id=\"wpforms-3366-field_76-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"76\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_76\">Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_76\" class=\"wpforms-field-large\" name=\"wpforms[fields][76]\" placeholder=\"Graduate\" ><\/div><div id=\"wpforms-3366-field_77-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"77\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_77\">Post Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_77\" class=\"wpforms-field-large\" name=\"wpforms[fields][77]\" placeholder=\"Post Graduate\" ><\/div><div id=\"wpforms-3366-field_78-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"78\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_78\">Doctoral<\/label><input type=\"text\" id=\"wpforms-3366-field_78\" class=\"wpforms-field-large\" name=\"wpforms[fields][78]\" placeholder=\"Doctoral\" ><\/div><div id=\"wpforms-3366-field_79-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"79\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_79\">Others<\/label><input type=\"text\" id=\"wpforms-3366-field_79\" class=\"wpforms-field-large\" name=\"wpforms[fields][79]\" placeholder=\"Others\" ><\/div><div id=\"wpforms-3366-field_80-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fifth wpforms-first custom-form-label\" data-field-id=\"80\"><div id=\"wpforms-3366-field_80\"><h6>Any awards or appreciation for the project<\/h6><\/div><\/div><div id=\"wpforms-3366-field_81-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"81\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_81\">Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_81\" class=\"wpforms-field-large\" name=\"wpforms[fields][81]\" placeholder=\"Graduate\" ><\/div><div id=\"wpforms-3366-field_82-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"82\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_82\">Post Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_82\" class=\"wpforms-field-large\" name=\"wpforms[fields][82]\" placeholder=\"Post Graduate\" ><\/div><div id=\"wpforms-3366-field_83-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"83\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_83\">Doctoral<\/label><input type=\"text\" id=\"wpforms-3366-field_83\" class=\"wpforms-field-large\" name=\"wpforms[fields][83]\" placeholder=\"Doctoral\" ><\/div><div id=\"wpforms-3366-field_84-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"84\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_84\">Others<\/label><input type=\"text\" id=\"wpforms-3366-field_84\" class=\"wpforms-field-large\" name=\"wpforms[fields][84]\" placeholder=\"Others\" ><\/div><div id=\"wpforms-3366-field_85-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fifth wpforms-first custom-form-label\" data-field-id=\"85\"><div id=\"wpforms-3366-field_85\"><h6>Status (when you are leaving)- Working Prototype, Already commercialized , what is new<\/h6><\/div><\/div><div id=\"wpforms-3366-field_86-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"86\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_86\">Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_86\" class=\"wpforms-field-large\" name=\"wpforms[fields][86]\" placeholder=\"Graduate\" ><\/div><div id=\"wpforms-3366-field_87-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"87\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_87\">Post Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_87\" class=\"wpforms-field-large\" name=\"wpforms[fields][87]\" placeholder=\"Post Graduate\" ><\/div><div id=\"wpforms-3366-field_88-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"88\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_88\">Doctoral<\/label><input type=\"text\" id=\"wpforms-3366-field_88\" class=\"wpforms-field-large\" name=\"wpforms[fields][88]\" placeholder=\"Doctoral\" ><\/div><div id=\"wpforms-3366-field_89-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"89\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_89\">Others<\/label><input type=\"text\" id=\"wpforms-3366-field_89\" class=\"wpforms-field-large\" name=\"wpforms[fields][89]\" placeholder=\"Others\" ><\/div><div id=\"wpforms-3366-field_90-container\" class=\"wpforms-field wpforms-field-html custom-form-heading\" data-field-id=\"90\"><div id=\"wpforms-3366-field_90\"><h5>Work Experience <span style=\"color:red;\">*<\/span><\/h5><\/div><\/div><div id=\"wpforms-3366-field_92-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fourth wpforms-first custom-form-label\" data-field-id=\"92\"><div id=\"wpforms-3366-field_92\"><h6>Company \/ Organization<\/h6><\/div><\/div><div id=\"wpforms-3366-field_91-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"91\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_91\">Job (Latest 1)<\/label><input type=\"text\" id=\"wpforms-3366-field_91\" class=\"wpforms-field-large\" name=\"wpforms[fields][91]\" placeholder=\"Job (Latest 1)\" ><\/div><div id=\"wpforms-3366-field_93-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"93\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_93\">Job (Latest 2)<\/label><input type=\"text\" id=\"wpforms-3366-field_93\" class=\"wpforms-field-large\" name=\"wpforms[fields][93]\" placeholder=\"Job (Latest 2)\" ><\/div><div id=\"wpforms-3366-field_94-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"94\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_94\">Job (Latest 3)<\/label><input type=\"text\" id=\"wpforms-3366-field_94\" class=\"wpforms-field-large\" name=\"wpforms[fields][94]\" placeholder=\"Job (Latest 3)\" ><\/div><div id=\"wpforms-3366-field_95-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fourth wpforms-first custom-form-label\" data-field-id=\"95\"><div id=\"wpforms-3366-field_95\"><h6>Roles & Responsibilities<\/h6><\/div><\/div><div id=\"wpforms-3366-field_96-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"96\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_96\">Job (Latest 1)<\/label><input type=\"text\" id=\"wpforms-3366-field_96\" class=\"wpforms-field-large\" name=\"wpforms[fields][96]\" placeholder=\"Job (Latest 1)\" ><\/div><div id=\"wpforms-3366-field_97-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"97\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_97\">Job (Latest 2)<\/label><input type=\"text\" id=\"wpforms-3366-field_97\" class=\"wpforms-field-large\" name=\"wpforms[fields][97]\" placeholder=\"Job (Latest 2)\" ><\/div><div id=\"wpforms-3366-field_98-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"98\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_98\">Job (Latest 3)<\/label><input type=\"text\" id=\"wpforms-3366-field_98\" class=\"wpforms-field-large\" name=\"wpforms[fields][98]\" placeholder=\"Job (Latest 3)\" ><\/div><div id=\"wpforms-3366-field_99-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fourth wpforms-first custom-form-label\" data-field-id=\"99\"><div id=\"wpforms-3366-field_99\"><h6>Years of Experience<\/h6><\/div><\/div><div id=\"wpforms-3366-field_100-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"100\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_100\">Job (Latest 1)<\/label><input type=\"text\" id=\"wpforms-3366-field_100\" class=\"wpforms-field-large\" name=\"wpforms[fields][100]\" placeholder=\"Job (Latest 1)\" ><\/div><div id=\"wpforms-3366-field_101-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"101\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_101\">Job (Latest 2)<\/label><input type=\"text\" id=\"wpforms-3366-field_101\" class=\"wpforms-field-large\" name=\"wpforms[fields][101]\" placeholder=\"Job (Latest 2)\" ><\/div><div id=\"wpforms-3366-field_102-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"102\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_102\">Job (Latest 3)<\/label><input type=\"text\" id=\"wpforms-3366-field_102\" class=\"wpforms-field-large\" name=\"wpforms[fields][102]\" placeholder=\"Job (Latest 3)\" ><\/div><div id=\"wpforms-3366-field_103-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fourth wpforms-first custom-form-label\" data-field-id=\"103\"><div id=\"wpforms-3366-field_103\"><h6>Experience with MedTech & Healthcare Industry if so, Roles and Responsibility & Years of Experience<\/h6><\/div><\/div><div id=\"wpforms-3366-field_104-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"104\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_104\">Job (Latest 1)<\/label><input type=\"text\" id=\"wpforms-3366-field_104\" class=\"wpforms-field-large\" name=\"wpforms[fields][104]\" placeholder=\"Job (Latest 1)\" ><\/div><div id=\"wpforms-3366-field_105-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"105\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_105\">Job (Latest 2)<\/label><input type=\"text\" id=\"wpforms-3366-field_105\" class=\"wpforms-field-large\" name=\"wpforms[fields][105]\" placeholder=\"Job (Latest 2)\" ><\/div><div id=\"wpforms-3366-field_106-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"106\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_106\">Job (Latest 3)<\/label><input type=\"text\" id=\"wpforms-3366-field_106\" class=\"wpforms-field-large\" name=\"wpforms[fields][106]\" placeholder=\"Job (Latest 3)\" ><\/div><div id=\"wpforms-3366-field_133-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"133\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"2\" data-formid=\"3366\" disabled>Previous<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"2\" data-formid=\"3366\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3 last \" style=\"display:none;\"><div id=\"wpforms-3366-field_107-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"107\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_107\">Start-up Experience <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-3366-field_107\" class=\"wpforms-field-medium wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][107]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select<\/option><option value=\"None, But I have demonstrated initiative, innovation or voluntary service\" >None, But I have demonstrated initiative, innovation or voluntary service<\/option><option value=\"I have co-founded a startup\" >I have co-founded a startup<\/option><option value=\"Though never founded, worked closely in a startup or a family business\" >Though never founded, worked closely in a startup or a family business<\/option><option value=\"I have co-founded Multiple startups\" >I have co-founded Multiple startups<\/option><\/select><\/div><div id=\"wpforms-3366-field_108-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"108\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_108\">My Qualities <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3366-field_108\" class=\"wpforms-field-required\" data-choice-limit=\"4\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Self Motivation\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_4\">Self Motivation<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Team Player\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_5\">Team Player<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Strong People Skill\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_6\">Strong People Skill<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Creative\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_7\">Creative<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Passionate\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_8\">Passionate<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Risk Taking Capability\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_9\">Risk Taking Capability<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_10\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Adaptability\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_10\">Adaptability<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_11\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Perseverance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_11\">Perseverance<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_12\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Decision Making\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_12\">Decision Making<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_13\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Managerial Skills\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_13\">Managerial Skills<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_14\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Technical Skills\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_14\">Technical Skills<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_15\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Hastiness\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_15\">Hastiness<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_16\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Stubbornness\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_16\">Stubbornness<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_17\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Emotional\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_17\">Emotional<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_108_18\" data-rule-check-limit=\"true\" name=\"wpforms[fields][108][]\" value=\"Unstructured\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_108_18\">Unstructured<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Select maximum of 4 choices<\/div><\/div><div id=\"wpforms-3366-field_109-container\" class=\"wpforms-field wpforms-field-html custom-form-heading\" data-field-id=\"109\"><div id=\"wpforms-3366-field_109\"><h5>Entrepreneurship Experience During College days<\/h5><\/div><\/div><div id=\"wpforms-3366-field_110-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fifth wpforms-first custom-form-label\" data-field-id=\"110\"><div id=\"wpforms-3366-field_110\"><h6>Name of the Startup<\/h6><\/div><\/div><div id=\"wpforms-3366-field_111-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"111\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_111\">Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_111\" class=\"wpforms-field-large\" name=\"wpforms[fields][111]\" placeholder=\"Graduate\" ><\/div><div id=\"wpforms-3366-field_112-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"112\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_112\">Post Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_112\" class=\"wpforms-field-large\" name=\"wpforms[fields][112]\" placeholder=\"Post Graduate\" ><\/div><div id=\"wpforms-3366-field_113-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"113\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_113\">Doctoral<\/label><input type=\"text\" id=\"wpforms-3366-field_113\" class=\"wpforms-field-large\" name=\"wpforms[fields][113]\" placeholder=\"Doctoral\" ><\/div><div id=\"wpforms-3366-field_114-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"114\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_114\">Others<\/label><input type=\"text\" id=\"wpforms-3366-field_114\" class=\"wpforms-field-large\" name=\"wpforms[fields][114]\" placeholder=\"Others\" ><\/div><div id=\"wpforms-3366-field_115-container\" class=\"wpforms-field wpforms-field-html wpforms-one-fifth wpforms-first custom-form-label\" data-field-id=\"115\"><div id=\"wpforms-3366-field_115\"><h6>Your Roles & Responsibilities<\/h6><\/div><\/div><div id=\"wpforms-3366-field_116-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"116\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_116\">Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_116\" class=\"wpforms-field-large\" name=\"wpforms[fields][116]\" placeholder=\"Graduate\" ><\/div><div id=\"wpforms-3366-field_117-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"117\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_117\">Post Graduate<\/label><input type=\"text\" id=\"wpforms-3366-field_117\" class=\"wpforms-field-large\" name=\"wpforms[fields][117]\" placeholder=\"Post Graduate\" ><\/div><div id=\"wpforms-3366-field_118-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"118\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_118\">Doctoral<\/label><input type=\"text\" id=\"wpforms-3366-field_118\" class=\"wpforms-field-large\" name=\"wpforms[fields][118]\" placeholder=\"Doctoral\" ><\/div><div id=\"wpforms-3366-field_119-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fifth\" data-field-id=\"119\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_119\">Others<\/label><input type=\"text\" id=\"wpforms-3366-field_119\" class=\"wpforms-field-large\" name=\"wpforms[fields][119]\" placeholder=\"Others\" ><\/div><div id=\"wpforms-3366-field_120-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"120\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_120\">Upload your Resume <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-uploader\"\n\tdata-field-id=\"120\"\n\tdata-form-id=\"3366\"\n\tdata-input-name=\"wpforms_3366_120\"\n\tdata-extensions=\"pdf\"\n\tdata-max-size=\"2097152\"\n\tdata-max-file-number=\"1\"\n\tdata-post-max-size=\"104857600\"\n    data-max-parallel-uploads=\"4\"\n    data-parallel-uploads=\"true\"\n\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" class=\"\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#B1B1B1\" aria-hidden=\"true\"><path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path><\/svg>\n\t\t<span class=\"modern-title\">\n\t\t\tClick or drag a file to this area to upload.\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input type=\"text\" class=\"dropzone-input\"\n\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\tid=\"wpforms-3366-field_120\"\n\tname=\"wpforms_3366_120\" required>\n<div class=\"wpforms-field-description\">File name should be \"Your name_Resume''<\/div><\/div><div id=\"wpforms-3366-field_122-container\" class=\"wpforms-field wpforms-field-html custom-form-heading\" data-field-id=\"122\"><div id=\"wpforms-3366-field_122\"><h5>Details of any person known to me who are currently doing \/ have done CfHE fellowship program<\/h5><\/div><\/div><div id=\"wpforms-3366-field_124-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"124\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_124\">Name<\/label><input type=\"text\" id=\"wpforms-3366-field_124\" class=\"wpforms-field-large\" name=\"wpforms[fields][124]\" placeholder=\"Name\" ><\/div><div id=\"wpforms-3366-field_125-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"125\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_125\">Relationship<\/label><input type=\"text\" id=\"wpforms-3366-field_125\" class=\"wpforms-field-large\" name=\"wpforms[fields][125]\" placeholder=\"Relationship\" ><\/div><div id=\"wpforms-3366-field_126-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"126\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_126\">Name<\/label><input type=\"text\" id=\"wpforms-3366-field_126\" class=\"wpforms-field-large\" name=\"wpforms[fields][126]\" placeholder=\"Name\" ><\/div><div id=\"wpforms-3366-field_127-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"127\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-3366-field_127\">Relationship<\/label><input type=\"text\" id=\"wpforms-3366-field_127\" class=\"wpforms-field-large\" name=\"wpforms[fields][127]\" placeholder=\"Relationship\" ><\/div><div id=\"wpforms-3366-field_128-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"128\"><label class=\"wpforms-field-label\" for=\"wpforms-3366-field_128\">Terms and Conditions <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3366-field_128\" class=\"wpforms-field-required\"><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-3366-field_128_3\" name=\"wpforms[fields][128][]\" value=\"I accept the Terms and Conditions\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3366-field_128_3\">I accept the Terms and Conditions<\/label><\/li><\/ul><div class=\"wpforms-field-description wpforms-disclaimer-description\">I declare that the information provided by me in the application is true and correct<\/div><\/div><div id=\"wpforms-3366-field_132-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"132\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><\/div><\/div><\/div><\/div><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"3366\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-3366\" value=\"wpforms-submit\" aria-live=\"assertive\" >Submit<\/button><img src=\"https:\/\/cfhe.org.in\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"\"><\/div><\/form><\/div>  <!-- .wpforms-container -->[\/vc_column][\/vc_row][\/vc_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_section][vc_row][vc_column][\/vc_column][\/vc_row][\/vc_section]<\/p>\n","protected":false},"author":1,"featured_media":2547,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/cfhe.org.in\/wp-json\/wp\/v2\/pages\/3358"}],"collection":[{"href":"https:\/\/cfhe.org.in\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cfhe.org.in\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cfhe.org.in\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cfhe.org.in\/wp-json\/wp\/v2\/comments?post=3358"}],"version-history":[{"count":0,"href":"https:\/\/cfhe.org.in\/wp-json\/wp\/v2\/pages\/3358\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cfhe.org.in\/wp-json\/wp\/v2\/media\/2547"}],"wp:attachment":[{"href":"https:\/\/cfhe.org.in\/wp-json\/wp\/v2\/media?parent=3358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}