{"id":653,"date":"2017-03-22T02:42:45","date_gmt":"2017-03-22T02:42:45","guid":{"rendered":"http:\/\/www.gurukulam.my\/?page_id=653"},"modified":"2017-03-22T02:42:45","modified_gmt":"2017-03-22T02:42:45","slug":"membership-form","status":"publish","type":"page","link":"https:\/\/www.gurukulam.my\/?page_id=653","title":{"rendered":"Membership Form"},"content":{"rendered":"<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f455-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F653#wpcf7-f455-o1\" method=\"post\" class=\"wpcf7-form init cf7skins cf7s-caspar\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"455\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f455-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<legend>Personal Details<\/legend>\n<ol class=\"column\">\n<ol>\n<li> <strong><\/strong> <\/li>\n<li><label for='item1a'> First Name* <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap item1a\"><input type=\"text\" name=\"item1a\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"item1a\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First Name\" \/><\/span> <\/li>\n<li><label for='item2a'> Last Name* <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap item2a\"><input type=\"text\" name=\"item2a\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"item2a\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last Name\" \/><\/span> <\/li>\n<li><label for='cf7s-menu-01'> Gender* <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap cf7s-menu-01\"><select name=\"cf7s-menu-01\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"cf7s-menu-01\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/span> <\/li>\n<li><label for='item3a'> Your Age* <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap item3a\"><input type=\"text\" name=\"item3a\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"item3a\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"What is Your Age as of today\" \/><\/span> <\/li>\n<li><label for='number-age'> Your Age* <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap number-age\"><input type=\"number\" name=\"number-age\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" min=\"18\" max=\"99\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"21\" \/><\/span><\/li>\n<\/ol>\n<ol>\n<li> <strong>Contact Details*<\/strong> <\/li>\n<li><label for='item1b'> Mobile No <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap item1b\"><input type=\"text\" name=\"item1b\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"item1b\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Cell-Phone 010-xxx xxxx\" \/><\/span> <\/li>\n<li><label for='item2b'> Email Address <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap item2b\"><input type=\"text\" name=\"item2b\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"item2b\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter valid Email\" \/><\/span> <\/li>\n<li><label for='item3b'> Malaysian IC No <\/label><span class=\"wpcf7-form-control-wrap item3b\"><input type=\"text\" name=\"item3b\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item3b\" aria-invalid=\"false\" placeholder=\"NRIC xxxxxx-xx-xxxx\" \/><\/span> <\/li>\n<li><label for='item3b'> Passport <\/label><span class=\"wpcf7-form-control-wrap item3b\"><input type=\"text\" name=\"item3b\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item3b\" aria-invalid=\"false\" placeholder=\"Your Passport\" \/><\/span> <\/li>\n<li><label for='cf7s-menu-02'> Locality <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap cf7s-menu-02\"><select name=\"cf7s-menu-02\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"cf7s-menu-02\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Malaysian\">Malaysian<\/option><option value=\"Foreigner\">Foreigner<\/option><\/select><\/span> <\/li>\n<\/ol>\n<\/ol>\n<legend>Other Details<\/legend>\n<ol class=\"column box\">\n<ol>\n<li> <strong>Address<\/strong> <\/li>\n<li><label for='item1c'> Line 1 <\/label><span class=\"wpcf7-form-control-wrap item1c\"><input type=\"text\" name=\"item1c\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item1c\" aria-invalid=\"false\" \/><\/span> <\/li>\n<li><label for='item2c'> Line 2 <\/label><span class=\"wpcf7-form-control-wrap item2c\"><input type=\"text\" name=\"item2c\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item2c\" aria-invalid=\"false\" \/><\/span> <\/li>\n<li><label for='item3c'> Post Code <\/label><span class=\"wpcf7-form-control-wrap item3c\"><input type=\"text\" name=\"item3c\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item3c\" aria-invalid=\"false\" \/><\/span> <\/li>\n<li><label for='item3c'> Country <\/label><span class=\"wpcf7-form-control-wrap item3c\"><input type=\"text\" name=\"item3c\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item3c\" aria-invalid=\"false\" \/><\/span> <\/li>\n<\/ol>\n<ol>\n<li> <strong>Ready Class column<\/strong> <\/li>\n<li><label for='item1d'> Item1 <\/label><span class=\"wpcf7-form-control-wrap item1d\"><input type=\"text\" name=\"item1d\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item1d\" aria-invalid=\"false\" \/><\/span> <\/li>\n<li><label for='cf7s-menu-04'> Dropdown Menu <\/label><span class=\"wpcf7-form-control-wrap cf7s-menu-04\"><select name=\"cf7s-menu-04\" class=\"wpcf7-form-control wpcf7-select\" id=\"cf7s-menu-04\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Item1\">Item1<\/option><option value=\"Item2\">Item2<\/option><option value=\"Item3\">Item3<\/option><\/select><\/span> <\/li>\n<li><label for='item2d'> Item2 <\/label><span class=\"wpcf7-form-control-wrap item2d\"><input type=\"text\" name=\"item2d\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item2d\" aria-invalid=\"false\" \/><\/span> <\/li>\n<\/ol>\n<ol>\n<li> <strong>Ready Class column<\/strong> <\/li>\n<li><label for='item1e'> Item1 <\/label><span class=\"wpcf7-form-control-wrap item1e\"><input type=\"text\" name=\"item1e\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item1e\" aria-invalid=\"false\" \/><\/span> <\/li>\n<li><label for='item2e'> Item2 <\/label><span class=\"wpcf7-form-control-wrap item2e\"><input type=\"text\" name=\"item2e\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item2e\" aria-invalid=\"false\" \/><\/span> <\/li>\n<li><label for='item3e'> Item3 <\/label><span class=\"wpcf7-form-control-wrap item3e\"><input type=\"text\" name=\"item3e\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"item3e\" aria-invalid=\"false\" \/><\/span> <\/li>\n<li><label for='cf7s-menu-05'> Dropdown Menu <\/label><span class=\"wpcf7-form-control-wrap cf7s-menu-05\"><select name=\"cf7s-menu-05\" class=\"wpcf7-form-control wpcf7-select\" id=\"cf7s-menu-05\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Item1\">Item1<\/option><option value=\"Item2\">Item2<\/option><option value=\"Item3\">Item3<\/option><\/select><\/span> <\/li>\n<\/ol>\n<\/ol>\n<\/fieldset>\n<table id=\"t01\">\n<tr>\n<th>Firstname<\/th>\n<th>Lastname<\/th>\n<th>Age<\/th>\n<\/tr>\n<tr>\n<td><span class=\"wpcf7-form-control-wrap item1a\"><input type=\"text\" name=\"item1a\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"item1a\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First Name\" \/><\/span><\/td>\n<td><span class=\"wpcf7-form-control-wrap item2a\"><input type=\"text\" name=\"item2a\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"item2a\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last Name\" \/><\/span><\/td>\n<td><span class=\"wpcf7-form-control-wrap item3a\"><input type=\"text\" name=\"item3a\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"item3a\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"What is Your Age as of today\" \/><\/span><\/td>\n<\/tr>\n<\/table>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.gurukulam.my\/index.php?rest_route=\/wp\/v2\/pages\/653"}],"collection":[{"href":"https:\/\/www.gurukulam.my\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.gurukulam.my\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.gurukulam.my\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gurukulam.my\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=653"}],"version-history":[{"count":1,"href":"https:\/\/www.gurukulam.my\/index.php?rest_route=\/wp\/v2\/pages\/653\/revisions"}],"predecessor-version":[{"id":654,"href":"https:\/\/www.gurukulam.my\/index.php?rest_route=\/wp\/v2\/pages\/653\/revisions\/654"}],"wp:attachment":[{"href":"https:\/\/www.gurukulam.my\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=653"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}