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219 lines
12 KiB
219 lines
12 KiB
2 years ago
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@extends('layout.app')
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@section('title')
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<title>Enquiry Form</title>
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<meta name="description" content="ET Education and Visa Services, presented by Extratech, is an adept provider of excellent education consultation, information, and visa guidance solution to students seeking schooling abroad.">
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<meta name="robots" content="index, follow" />
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<meta property="og:url" content="" />
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<meta property="og:image" content="{{url('frontend/images/banner.png')}}"/>
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<meta property="og:title" content="ET-Visas"/>
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<meta property="og:description" content="ET Education and Visa Services, presented by Extratech, is an adept provider of excellent education consultation, information, and visa guidance solution to students seeking schooling abroad."/>
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@endsection
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@section('content')
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<section class="enquiry-form-section">
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<h2>Can you please send me fill up this information sheet and we will get back to you soon, Thanks !</h2>
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<form action="">
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<div class="row enquiry-form-row">
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<h3>Personal Details</h3>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">First Name</label>
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<input type="text" class="form-control mt-2" id="fname" name="fname" placeholder="Enter your First name" required>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Middle Name</label>
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<input type="text" class="form-control mt-2" id="mname" name="mname" placeholder="Enter your Middle name" required>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Last Name</label>
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<input type="text" class="form-control mt-2" id="lname" name="lname" placeholder="Enter your Last name" required>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Date of birth</label>
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<input type="text" class="form-control mt-2" id="dob" name="dob" placeholder="Enter your Date of birth" required>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Country</label>
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<input type="text" class="form-control mt-2" id="country" name="country" placeholder="Enter your Country Name" required>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Gender</label>
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<div class="d-flex gap-2 mt-2" onclick="eGender()">
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<div class="form-check">
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<input class="form-check-input gender" type="radio" name="gender" value="Male"/>
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<label class="form-check-label">
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Male
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</label>
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</div>
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<div class="form-check">
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<input class="form-check-input gender" type="radio" name="gender" value="Female"/>
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<label class="form-check-label">
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Female
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</label>
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</div>
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<div class="form-check">
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<input class="form-check-input gender" type="radio" name="gender" value="Other"/>
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<label class="form-check-label">
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Other
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</label>
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</div>
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</div>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Address</label>
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<input type="text" class="form-control mt-2" id="address" name="address" placeholder="Enter your Address" required>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Email</label>
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<input type="text" class="form-control mt-2" id="email" name="email" placeholder="Enter your Email Address" required>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Phone</label>
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<input type="text" class="form-control mt-2" id="phone" name="phone" placeholder="Enter your Phone Number" required>
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</div>
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</div>
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<h3>Addidional Information</h3>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Highest Qualification</label>
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<input type="text" class="form-control mt-2" id="highestqualification" name="highestqualification" placeholder="Enter your Highest Qualification">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Stream</label>
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<input type="text" class="form-control mt-2" id="stream" name="stream" placeholder="Enter your Stream">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">% or GPA</label>
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<input type="text" class="form-control mt-2" id="gpa" name="gpa" placeholder="Enter your % or GPA">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Passed Year</label>
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<input type="text" class="form-control mt-2" id="passedyear" name="passedyear" placeholder="Enter your Passed Year">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Gap after Studies</label>
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<input type="text" class="form-control mt-2" id="gap" name="gap" placeholder="Enter your Gap after Studies">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">What you are doing now?</label>
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<input type="text" class="form-control mt-2" id="gpa" name="gpa" placeholder="Enter your Current Status">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Work experience Details ( If any )</label>
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<input type="text" class="form-control mt-2" id="work-experience" name="work-experience" placeholder="Enter your Work experience Details">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Salary mode</label>
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<input type="text" class="form-control mt-2" id="salary-mode" name="salary-mode" placeholder="Enter your Salary Mode">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">IELTS / PTE Score</label>
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<input type="text" class="form-control mt-2" id="test-score" name="test-score" required>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Marital Status</label>
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<div class="d-flex gap-2 mt-2" onclick="maritalStatus()">
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<div class="form-check">
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<input class="form-check-input marital-status" type="radio" name="marital-status" value="Male"/>
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<label class="form-check-label">
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Single
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</label>
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</div>
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<div class="form-check">
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<input class="form-check-input marital-status" type="radio" name="marital-status" value="Female"/>
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<label class="form-check-label">
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Married
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</label>
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</div>
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<div class="form-check">
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<input class="form-check-input marital-status" type="radio" name="marital-status" value="Other"/>
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<label class="form-check-label">
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Widow
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</label>
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</div>
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</div>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Married date: (Only if Married if not Leave it bank)</label>
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<input type="date" class="form-control mt-2" id="married-date" name="married-date">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Spouse Academics</label>
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<input type="text" class="form-control mt-2" id="spouse-academics" name="spouse-academics" placeholder="Enter your Spouse Academics">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Work Experience of Spouse</label>
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<input type="text" class="form-control mt-2" id="spouse-work-experience" name="spouse-work-experience" placeholder="Enter Work Experience of Spouse">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Spouse Salary Mode</label>
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<input type="text" class="form-control mt-2" id="spouse-salary-mode" name="spouse-salary-mode" placeholder="Enter Spouse Salary Mode">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Immigration History: </label>
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<input type="text" class="form-control mt-2" id="immigration-history" name="immigration-history" placeholder="Enter your Immigration History">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Desired study field</label>
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<input type="text" class="form-control mt-2" id="desired-study-field" name="desired-study-field" placeholder="Enter your Desired study field">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group mb-3">
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<label for="name">Desired location (If Any)</label>
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<input type="text" class="form-control mt-2" id="desired-location" name="desired-location" placeholder="Enter your Desired location">
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</div>
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</div>
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<div class="col-md-12 text-center">
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<button type="submit" class="enquiry-from-btn">Submit</button>
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</div>
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</div>
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</form>
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</section>
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@endsection
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