{"id":1948,"date":"2018-02-05T07:43:06","date_gmt":"2018-02-05T07:43:06","guid":{"rendered":"http:\/\/hicactus.com\/?page_id=1948"},"modified":"2018-02-05T07:43:06","modified_gmt":"2018-02-05T07:43:06","slug":"online-adviser-form","status":"publish","type":"page","link":"https:\/\/hicactus.com\/ch\/online-adviser-form\/","title":{"rendered":"Online Adviser Form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_row_inner][vc_column_inner css=&#8221;.vc_custom_1516624384145{padding-right: 0px !important;padding-left: 0px !important;}&#8221;]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework online-adviser-form_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' style='display:none'><div id='gf_6' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_6' id='gform_6' class='online-adviser-form' action='\/ch\/wp-json\/wp\/v2\/pages\/1948#gf_6' data-formid='6' novalidate><div id='gf_page_steps_6' class='gf_page_steps'><div id='gf_step_6_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>I AM A<\/span><\/div><div id='gf_step_6_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>PERSONAL DETAILS<\/span><\/div><div id='gf_step_6_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>BUSINESS DETAILS<\/span><\/div><div id='gf_step_6_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>FINANCE DETAILS<\/span><\/div><div id='gf_step_6_5' class='gf_step gf_step_pending'><span class='gf_step_number'>5<\/span><span class='gf_step_label'>EMPLOYMENT DETAILS<\/span><\/div><div id='gf_step_6_6' class='gf_step gf_step_pending'><span class='gf_step_number'>6<\/span><span class='gf_step_label'>PERSONAL HISTORY<\/span><\/div><div id='gf_step_6_7' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>7<\/span><span class='gf_step_label'>DECLARATIONS<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_6_1' class='gform_page f-steps' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_2\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' ><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_2'>\n\t\t\t<li class='gchoice gchoice_6_2_0'>\n\t\t\t\t<input name='input_2' type='radio' value='PRINCIPAL FINANCIAL ADVISER'  id='choice_6_2_0'    \/>\n\t\t\t\t<label for='choice_6_2_0' id='label_6_2_0' class='gform-field-label gform-field-label--type-inline'>PRINCIPAL FINANCIAL ADVISER<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_2_1'>\n\t\t\t\t<input name='input_2' type='radio' value='ASSOCIATE'  id='choice_6_2_1'    \/>\n\t\t\t\t<label for='choice_6_2_1' id='label_6_2_1' class='gform-field-label gform-field-label--type-inline'>ASSOCIATE<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_6_1' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_104\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h1>PERSONAL DETAILS<\/h1><\/li><li id=\"field_6_3\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">GENERAL DETAILS<\/h2><\/li><li id=\"field_6_4\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >TITLE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_4'>\n\t\t\t<li class='gchoice gchoice_6_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Mr'  id='choice_6_4_0'    \/>\n\t\t\t\t<label for='choice_6_4_0' id='label_6_4_0' class='gform-field-label gform-field-label--type-inline'>Mr<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='Mrs'  id='choice_6_4_1'    \/>\n\t\t\t\t<label for='choice_6_4_1' id='label_6_4_1' class='gform-field-label gform-field-label--type-inline'>Mrs<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='Ms'  id='choice_6_4_2'    \/>\n\t\t\t\t<label for='choice_6_4_2' id='label_6_4_2' class='gform-field-label gform-field-label--type-inline'>Ms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_4_3'>\n\t\t\t\t<input name='input_4' type='radio' value='Miss'  id='choice_6_4_3'    \/>\n\t\t\t\t<label for='choice_6_4_3' id='label_6_4_3' class='gform-field-label gform-field-label--type-inline'>Miss<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_4_4'>\n\t\t\t\t<input name='input_4' type='radio' value='gf_other_choice'  id='choice_6_4_4'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_6_4_other' name='input_4_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_123\" class=\"gfield gfield--type-text gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_123'>FIRST NAME<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_123' id='input_6_123' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_125\" class=\"gfield gfield--type-text gf_middle_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_125'>MIDDLE NAME(S)<\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_6_125' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_124\" class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_124'>SURNAME<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_124' id='input_6_124' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_6\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-custom-icon dob_datepicker gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_6'>DATE OF BIRTH<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_6' id='input_6_6' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_6_6_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_6_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_6' class='gform_hidden' value='\/wp-content\/themes\/cactus\/assets\/img\/datepicker.png'\/><\/li><li id=\"field_6_7\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">HOME ADDRESS<\/h2><\/li><li id=\"field_6_8\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_8'>ADDRESS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_6_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_9\" class=\"gfield gfield--type-text gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_9'>SUBURB<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_6_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_10\" class=\"gfield gfield--type-text gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_10'>CITY\/REGION<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_6_10' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_11\" class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_11'>POSTCODE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_6_11' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_103\" class=\"gfield gfield--type-select f-phone-prefix gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_103'>Home Phone Prefix<\/label><div class='ginput_container ginput_container_select'><select name='input_103' id='input_6_103' class='small gfield_select'     aria-invalid=\"false\" ><option value='03' >03<\/option><option value='04' >04<\/option><option value='06' >06<\/option><option value='07' >07<\/option><option value='09' >09<\/option><\/select><\/div><\/li><li id=\"field_6_12\" class=\"gfield gfield--type-text f-phone-val gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_12'>HOME PHONE<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_6_12' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_144\" class=\"gfield gfield--type-select f-phone-prefix gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_144'>Mobile  Prefix<\/label><div class='ginput_container ginput_container_select'><select name='input_144' id='input_6_144' class='small gfield_select'     aria-invalid=\"false\" ><option value='020' >020<\/option><option value='021' >021<\/option><option value='022' >022<\/option><option value='023' >023<\/option><option value='026' >026<\/option><option value='028' >028<\/option><option value='029' >029<\/option><option value='0280' >0280<\/option><option value='0283' >0283<\/option><\/select><\/div><\/li><li id=\"field_6_143\" class=\"gfield gfield--type-text f-phone-val gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_143'>MOBILE<\/label><div class='ginput_container ginput_container_text'><input name='input_143' id='input_6_143' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_13\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">IDENTIFICATION<\/h2><\/li><li id=\"field_6_15\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Please attach Photo ID, colour scan of;\n<ul>\n<li>Personal details page of the Applicants current Passport; or<\/li>\n<li>NZ Firearms Licence; or<\/li>\n<li>NZ Drivers Licence<\/li>\n<\/ul><\/li><li id=\"field_6_14\" class=\"gfield gfield--type-fileupload file_upload_group file_upload_custom remove_asterisk gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_6_14'>These file types are recommended: .jpg, .png, .pdf, .doc, .docx<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='125829120' \/><input name='input_14' id='input_6_14' type='file' class='medium' aria-describedby=\"gfield_upload_rules_6_14 gfield_description_6_14\" onchange='javascript:gformValidateFileSize( this, 125829120 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_14'>Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 120 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_6_14'><\/div> <\/div><div class='gfield_description' id='gfield_description_6_14'>These file types are recommended: .jpg, .png, .pdf, .doc, .docx<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_16' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_6_16' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_3' class='gform_page' data-js='page-field-id-16' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_105\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h1>BUSINESS DETAILS<\/h1><\/li><li id=\"field_6_17\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">GENERAL DETAILS<\/h2><\/li><li id=\"field_6_18\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_18'>LEGAL NAME OF ENTITY (FOR AGREEMENT)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_6_18' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_19\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_19'>BROKERAGE OR COMPANY NAME<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_6_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_22\" class=\"gfield gfield--type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_22'>EMAIL ADDRESS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_22' id='input_6_22' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_23\" class=\"gfield gfield--type-email gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_23'>EMAIL ADDRESS FOR NEW BUSINESS CORRESPONDENCE<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_23' id='input_6_23' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_24\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_24'>EMAIL ADDRESS FOR COMMISSION STATEMENTS<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_24' id='input_6_24' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_120\" class=\"gfield gfield--type-select f-phone-prefix gf_left_half hide-label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_120'>Business Phone Prefix<\/label><div class='ginput_container ginput_container_select'><select name='input_120' id='input_6_120' class='small gfield_select'     aria-invalid=\"false\" ><option value='03' >03<\/option><option value='04' >04<\/option><option value='06' >06<\/option><option value='07' >07<\/option><option value='09' >09<\/option><option value='0508' >0508<\/option><option value='0800' >0800<\/option><\/select><\/div><\/li><li id=\"field_6_21\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_21'>BUSINESS PHONE<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_6_21' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_121\" class=\"gfield gfield--type-select f-phone-prefix gf_right_half hide-label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_121'>Mobile Prefix<\/label><div class='ginput_container ginput_container_select'><select name='input_121' id='input_6_121' class='small gfield_select'     aria-invalid=\"false\" ><option value='020' >020<\/option><option value='021' >021<\/option><option value='022' >022<\/option><option value='023' >023<\/option><option value='026' >026<\/option><option value='028' >028<\/option><option value='029' >029<\/option><option value='0280' >0280<\/option><option value='0283' >0283<\/option><\/select><\/div><\/li><li id=\"field_6_25\" class=\"gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_25'>MOBILE<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_6_25' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_26\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">PHYSICAL ADDRESS<\/h2><\/li><li id=\"field_6_27\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_27'>ADDRESS LINE 1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_6_27' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_28\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_28'>ADDRESS LINE 2<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_6_28' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_29\" class=\"gfield gfield--type-text gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_29'>SUBURB<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_6_29' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_30\" class=\"gfield gfield--type-text gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_30'>CITY\/REGION<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_6_30' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_31\" class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_31'>POSTCODE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_6_31' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_32\" class=\"gfield gfield--type-section gsection postal_group_btn field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">POSTAL ADDRESS (IF DIFFERENT)<\/h2><\/li><li id=\"field_6_33\" class=\"gfield gfield--type-text postal_group field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_33'>ADDRESS LINE 1<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_6_33' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_34\" class=\"gfield gfield--type-text postal_group field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_34'>ADDRESS LINE 2<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_6_34' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_35\" class=\"gfield gfield--type-text gf_left_third postal_group field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_35'>SUBURB<\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_6_35' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_36\" class=\"gfield gfield--type-text gf_middle_third postal_group field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_36'>CITY\/REGION<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_6_36' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_37\" class=\"gfield gfield--type-text gf_right_third postal_group field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_37'>POSTCODE<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_6_37' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_20' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_6_20' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_4' class='gform_page' data-js='page-field-id-20' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_106\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h1>FINANCE DETAILS<\/h1><\/li><li id=\"field_6_38\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">TAX<\/h2><\/li><li id=\"field_6_39\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline are_you_gst_registered gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >ARE YOU GST REGISTERED<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_39'>\n\t\t\t<li class='gchoice gchoice_6_39_0'>\n\t\t\t\t<input name='input_39' type='radio' value='Yes'  id='choice_6_39_0'    \/>\n\t\t\t\t<label for='choice_6_39_0' id='label_6_39_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_39_1'>\n\t\t\t\t<input name='input_39' type='radio' value='No'  id='choice_6_39_1'    \/>\n\t\t\t\t<label for='choice_6_39_1' id='label_6_39_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_40\" class=\"gfield gfield--type-text gf_left_half v-a-top show_gst_fields gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_40'>GST NUMBER<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_6_40' type='text' value='' class='medium'    placeholder='XXX - XXX - XXX' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_41\" class=\"gfield gfield--type-text gf_right_half show_gst_fields field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_41'>IRD NUMBER<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_6_41' type='text' value='' class='medium'  aria-describedby=\"gfield_description_6_41\"  placeholder='XXX - XXX - XXX'  aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_6_41'>(Not required if trading as a company)<\/div><\/li><li id=\"field_6_141\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >If you are <strong>not<\/strong> trading as a limited company, do you hold a Certificate of Exemption for withholding tax?<span class=\"gfield_required\">*<\/span><\/li><li id=\"field_6_42\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline remove_asterisk hide-label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you hold Certificate of Exemption for withholding tax<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_42'>\n\t\t\t<li class='gchoice gchoice_6_42_0'>\n\t\t\t\t<input name='input_42' type='radio' value='Yes'  id='choice_6_42_0'    \/>\n\t\t\t\t<label for='choice_6_42_0' id='label_6_42_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_42_1'>\n\t\t\t\t<input name='input_42' type='radio' value='No'  id='choice_6_42_1'    \/>\n\t\t\t\t<label for='choice_6_42_1' id='label_6_42_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_43\" class=\"gfield gfield--type-fileupload coe_file gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_43'>Please attach a copy of your Certificate of Exemption.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_43' id='input_6_43' type='file' class='medium' aria-describedby=\"gfield_upload_rules_6_43 gfield_description_6_43\" onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_43'>Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 2 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_6_43'><\/div> <\/div><div class='gfield_description' id='gfield_description_6_43'>These file types are recommended: .jpg, .png, .pdf, .doc, .docx<\/div><\/li><li id=\"field_6_44\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">BANK DETAILS<\/h2><\/li><li id=\"field_6_142\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Please attach a bank deposit slip or screen shot of bank number incorporating the bank account name.<\/li><li id=\"field_6_45\" class=\"gfield gfield--type-fileupload file_upload_custom remove_asterisk hide-label field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_6_45'>These file types are recommended: .jpg, .png, .pdf, .doc, .docx<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_45' id='input_6_45' type='file' class='medium' aria-describedby=\"gfield_upload_rules_6_45 gfield_description_6_45\" onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_45'>Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 2 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_6_45'><\/div> <\/div><div class='gfield_description' id='gfield_description_6_45'>These file types are recommended: .jpg, .png, .pdf, .doc, .docx<\/div><\/li><li id=\"field_6_46\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">PROFESSIONAL INDEMNITY INSURANCE<\/h2><\/li><li id=\"field_6_140\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Please attach a copy of your <strong>current<\/strong> policy schedule or a letter confirming your cover under a current professional indemnity policy. Minimum cover required is $1m per Principal Adviser or $500k per Associate Adviser (to a maximum amount of $10m).<\/li><li id=\"field_6_47\" class=\"gfield gfield--type-fileupload file_upload_custom remove_asterisk gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_6_47'>These file types are recommended: .jpg, .png, .pdf, .doc, .docx<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_47' id='input_6_47' type='file' class='medium' aria-describedby=\"gfield_upload_rules_6_47 gfield_description_6_47\" onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_47'>Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 2 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_6_47'><\/div> <\/div><div class='gfield_description' id='gfield_description_6_47'>These file types are recommended: .jpg, .png, .pdf, .doc, .docx<\/div><\/li><li id=\"field_6_48\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">DISCLOSURE STATEMENT<\/h2><\/li><li id=\"field_6_139\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >For your protection we will undertake a compliance check on your behalf and will ensure your disclosure statement will match the requirements. Please attach a copy of your disclosure statement which is a requirement under New Zealand legislation.<\/li><li id=\"field_6_49\" class=\"gfield gfield--type-fileupload file_upload_custom remove_asterisk gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_6_49'>These file types are recommended: .jpg, .png, .pdf, .doc, .docx<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_49' id='input_6_49' type='file' class='medium' aria-describedby=\"gfield_upload_rules_6_49 gfield_description_6_49\" onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_49'>Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 2 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_6_49'><\/div> <\/div><div class='gfield_description' id='gfield_description_6_49'>These file types are recommended: .jpg, .png, .pdf, .doc, .docx<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_50' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_6_50' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_5' class='gform_page overflow-hidden' data-js='page-field-id-50' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_107\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h1>EMPLOYMENT DETAILS<\/h1><\/li><li id=\"field_6_122\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">EMPLOYMENT HISTORY<\/h2><\/li><li id=\"field_6_51\" class=\"gfield gfield--type-list employment-history-list gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >PLEASE PROVIDE DETAILS OF YOUR LAST 5 YEARS EMPLOYMENT<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_51_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_51_col_2' class='gfield_list_col_even' \/><col id='gfield_list_51_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_51_col_4' class='gfield_list_col_even' \/><col id='gfield_list_51_col_5' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Date<\/th><th scope=\"col\">Name of Employer<\/th><th scope=\"col\">City\/Country<\/th><th scope=\"col\">Role<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_51_cell1' data-label='Date'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date, Row 1' data-aria-label-template='Date, Row {0}' type='text' name='input_51[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_51_cell2' data-label='Name of Employer'><input aria-invalid='false' aria-required=\"true\"  aria-label='Name of Employer, Row 1' data-aria-label-template='Name of Employer, Row {0}' type='text' name='input_51[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_51_cell3' data-label='City\/Country'><input aria-invalid='false' aria-required=\"true\"  aria-label='City\/Country, Row 1' data-aria-label-template='City\/Country, Row {0}' type='text' name='input_51[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_51_cell4' data-label='Role'><input aria-invalid='false' aria-required=\"true\"  aria-label='Role, Row 1' data-aria-label-template='Role, Row {0}' type='text' name='input_51[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 15)' onkeypress='gformAddListItem(this, 15)'><img src='https:\/\/hicactus.com\/app\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 15)' onkeypress='gformDeleteListItem(this, 15)' style=\"visibility:hidden;\"><img src='\/wp-content\/themes\/cactus\/assets\/img\/delete-row-list.png' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_52\" class=\"gfield gfield--type-list sales-experience-list gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >PLEASE PROVIDE DETAILS OF ANY RELEVANT SALES EXPERIENCE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_52_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_52_col_2' class='gfield_list_col_even' \/><col id='gfield_list_52_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_52_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Service\/Product<\/th><th scope=\"col\">Name of Employer<\/th><th scope=\"col\">Source of business\/sales<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_52_cell1' data-label='Service\/Product'><input aria-invalid='false' aria-required=\"true\"  aria-label='Service\/Product, Row 1' data-aria-label-template='Service\/Product, Row {0}' type='text' name='input_52[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_52_cell2' data-label='Name of Employer'><input aria-invalid='false' aria-required=\"true\"  aria-label='Name of Employer, Row 1' data-aria-label-template='Name of Employer, Row {0}' type='text' name='input_52[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_52_cell3' data-label='Source of business\/sales'><input aria-invalid='false' aria-required=\"true\"  aria-label='Source of business\/sales, Row 1' data-aria-label-template='Source of business\/sales, Row {0}' type='text' name='input_52[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 15)' onkeypress='gformAddListItem(this, 15)'><img src='https:\/\/hicactus.com\/app\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 15)' onkeypress='gformDeleteListItem(this, 15)' style=\"visibility:hidden;\"><img src='\/wp-content\/themes\/cactus\/assets\/img\/delete-row-list.png' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_6_53\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">REFERENCES<\/h2><\/li><li id=\"field_6_110\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Please provide the names and addresses of two past employers or supervisors or industry references.<\/p><\/li><li id=\"field_6_111\" class=\"gfield gfield--type-html ref_one gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >REFEREE 1<\/li><li id=\"field_6_55\" class=\"gfield gfield--type-text ref_one gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_55'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_6_55' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_57\" class=\"gfield gfield--type-text ref_one gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_57'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_6_57' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_59\" class=\"gfield gfield--type-email ref_one gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_59'>Email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_59' id='input_6_59' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_113\" class=\"gfield gfield--type-select f-phone-prefix ref_one hide-label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_113'>Phone Number Prefix<\/label><div class='ginput_container ginput_container_select'><select name='input_113' id='input_6_113' class='small gfield_select'     aria-invalid=\"false\" ><option value='03' >03<\/option><option value='04' >04<\/option><option value='06' >06<\/option><option value='07' >07<\/option><option value='09' >09<\/option><option value='0508' >0508<\/option><option value='0800' >0800<\/option><option value='020' >020<\/option><option value='021' >021<\/option><option value='022' >022<\/option><option value='023' >023<\/option><option value='026' >026<\/option><option value='027' >027<\/option><option value='028' >028<\/option><option value='029' >029<\/option><option value='0280' >0280<\/option><option value='0283' >0283<\/option><\/select><\/div><\/li><li id=\"field_6_62\" class=\"gfield gfield--type-text ref_one f-phone-val gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_62'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_6_62' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_112\" class=\"gfield gfield--type-html ref_two gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >REFEREE 2<\/li><li id=\"field_6_56\" class=\"gfield gfield--type-text ref_two gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_56'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_6_56' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_58\" class=\"gfield gfield--type-text ref_two gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_58'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_6_58' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_60\" class=\"gfield gfield--type-email ref_two gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_60'>Email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_60' id='input_6_60' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_114\" class=\"gfield gfield--type-select f-phone-prefix ref_two hide-label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_114'>Phone Number Prefix<\/label><div class='ginput_container ginput_container_select'><select name='input_114' id='input_6_114' class='small gfield_select'     aria-invalid=\"false\" ><option value='03' >03<\/option><option value='04' >04<\/option><option value='06' >06<\/option><option value='07' >07<\/option><option value='09' >09<\/option><option value='0508' >0508<\/option><option value='0800' >0800<\/option><option value='020' >020<\/option><option value='021' >021<\/option><option value='022' >022<\/option><option value='023' >023<\/option><option value='026' >026<\/option><option value='027' >027<\/option><option value='028' >028<\/option><option value='029' >029<\/option><option value='0280' >0280<\/option><option value='0283' >0283<\/option><\/select><\/div><\/li><li id=\"field_6_63\" class=\"gfield gfield--type-text ref_two f-phone-val gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_63'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_6_63' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_64\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">CURRENT MEMBERSHIPS<\/h2><\/li><li id=\"field_6_66\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_66'>Please describe any relationship you have or have had with any industry group<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_66' id='input_6_66' class='textarea medium'   maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_67\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_67'>Member of Dealer Group<\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_6_67' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_68\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_68'>FSP Registration Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_6_68' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_69\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_69'>Current Disputes Resolution Scheme Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_6_69' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_70\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_70'>Current Disputes Resolution Scheme Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_6_70' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_71' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_6_71' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_6' class='gform_page overflow-hidden' data-js='page-field-id-71' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_108\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h1>PERSONAL HISTORY<\/h1><\/li><li id=\"field_6_72\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">LIQUIDATION, BANKRUPTCY OR RECEIVERSHIP<\/h2><\/li><li id=\"field_6_73\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_73'>Have you ever been adjudged bankrupt or been the director of a company that has gone into liquidation or receivership, or have you ever been prohibited by any legislation or a court or have any actions pending from taking part in the management of a business or a company? If yes, please provide details.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_73' id='input_6_73' class='textarea medium'   maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_74\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">CONVICTIONS*<\/h2><\/li><li id=\"field_6_75\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_75'>Please advise if, in the last 5 years, you have been convicted or have any actions pending of any offence against the Securities Markets Amendment Act 2006 or of any crime involving dishonesty or a director or principal officer of a company convicted of such an offence.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_75' id='input_6_75' class='textarea medium'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_76\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">CURRENT AGENCIES<\/h2><\/li><li id=\"field_6_77\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline q_active_agency gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you have any active agencies with other companies?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_77'>\n\t\t\t<li class='gchoice gchoice_6_77_0'>\n\t\t\t\t<input name='input_77' type='radio' value='Yes' checked='checked' id='choice_6_77_0'    \/>\n\t\t\t\t<label for='choice_6_77_0' id='label_6_77_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_77_1'>\n\t\t\t\t<input name='input_77' type='radio' value='No'  id='choice_6_77_1'    \/>\n\t\t\t\t<label for='choice_6_77_1' id='label_6_77_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_126\" class=\"gfield gfield--type-text gf_left_third active_agency_company first_row gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_126'>COMPANY<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_126' id='input_6_126' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_130\" class=\"gfield gfield--type-text gf_middle_third curr_persistency active_agency_company first_row gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_130'>CURRENT PERSISTENCY<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_130' id='input_6_130' type='text' value='' class='medium'    placeholder='%' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_134\" class=\"gfield gfield--type-text gf_right_third active_agency_company first_row gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_134'>APPROXIMATE API IN FORCE (BOOK SIZE)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_134' id='input_6_134' type='text' value='' class='medium'    placeholder='$' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_129\" class=\"gfield gfield--type-text gf_left_third active_agency_company field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_129'>COMPANY<\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_6_129' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_132\" class=\"gfield gfield--type-text gf_middle_third curr_persistency active_agency_company field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_132'>CURRENT PERSISTENCY<\/label><div class='ginput_container ginput_container_text'><input name='input_132' id='input_6_132' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_137\" class=\"gfield gfield--type-text gf_right_third active_agency_company field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_137'>APPROXIMATE API IN FORCE (BOOK SIZE)<\/label><div class='ginput_container ginput_container_text'><input name='input_137' id='input_6_137' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_128\" class=\"gfield gfield--type-text gf_left_third active_agency_company field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_128'>COMPANY<\/label><div class='ginput_container ginput_container_text'><input name='input_128' id='input_6_128' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_131\" class=\"gfield gfield--type-text gf_middle_third curr_persistency active_agency_company field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_131'>CURRENT PERSISTENCY<\/label><div class='ginput_container ginput_container_text'><input name='input_131' id='input_6_131' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_136\" class=\"gfield gfield--type-text gf_right_third active_agency_company field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_136'>APPROXIMATE API IN FORCE (BOOK SIZE)<\/label><div class='ginput_container ginput_container_text'><input name='input_136' id='input_6_136' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_127\" class=\"gfield gfield--type-text gf_left_third active_agency_company field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_127'>COMPANY<\/label><div class='ginput_container ginput_container_text'><input name='input_127' id='input_6_127' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_133\" class=\"gfield gfield--type-text gf_middle_third curr_persistency active_agency_company field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_133'>CURRENT PERSISTENCY<\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_6_133' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_135\" class=\"gfield gfield--type-text gf_right_third active_agency_company field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_135'>APPROXIMATE API IN FORCE (BOOK SIZE)<\/label><div class='ginput_container ginput_container_text'><input name='input_135' id='input_6_135' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_80\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">RESIDENCY STATUS<\/h2><\/li><li id=\"field_6_81\" class=\"gfield gfield--type-select gf_left_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_81'>Please advise your New Zealand residency status<\/label><div class='ginput_container ginput_container_select'><select name='input_81' id='input_6_81' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Citizen' >Citizen<\/option><option value='Resident' >Resident<\/option><option value='Permanent Resident' >Permanent Resident<\/option><\/select><\/div><\/li><li id=\"field_6_82\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">AGENCY HISTORY<\/h2><\/li><li id=\"field_6_83\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_83'>Have you ever had an agency terminated or declined by another company? If yes, please provide details.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_83' id='input_6_83' class='textarea medium'   maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_84\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">CREDIT CHECK<\/h2><\/li><li id=\"field_6_119\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >As part of this application Cactus will carry out a credit check and\/or PPSR, and may ask for further details regarding any defaults recorded on the credit check report. Cactus also reserves the right to carry out a credit check from time to time at our sole discretion. We reserve the right to pass this information to your Principal.<\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_85' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_6_85' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_7' class='gform_page' data-js='page-field-id-85' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_109\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h1>DECLARATIONS<\/h1><\/li><li id=\"field_6_86\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">PRIVACY ACT 1993<\/h2><\/li><li id=\"field_6_118\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >This Financial Adviser Application form collects personal information about you in order to assess and process your application. Failure to provide this information may result in your application being declined. This information is collected by Cactus and will be held at Cactus\u2019 Auckland head office. You have certain rights of access to, and correction of, your personal information under the Privacy Act 1993.<\/li><li id=\"field_6_87\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">DECLARATION<\/h2><\/li><li id=\"field_6_115\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >I hereby apply for appointment as a financial adviser with Cactus and declare and agree as follows:<\/li><li id=\"field_6_89\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><ul> \n<li>\tTo the best of my knowledge the information and answers to questions contained in this application are true and correct.<\/li>\n<li>I have not withheld any information that would influence Cactus\u2019 decision in respect of the application.<\/li>\n<li>To maintain Professional Indemnity Insurance as required by the Cactus Adviser Agreement on acceptance of this application by Cactus.<\/li>\n<li>I authorise Cactus to request credit checks and\/or PPSR and collect any personal information relevant to this application. In collecting this information, I agree that Cactus is not required to make me aware that such information is being collected.<\/li>\n<\/ul><\/li><li id=\"field_6_90\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">ADMINISTRATION PROCESS<\/h2><\/li><li id=\"field_6_116\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >In order for your application to be processed, Cactus requires all documentation as listed in the attached checklist, and any other information requested by Cactus for the purpose of assessing your application at our sole discretion. In the event this is not received, we will return your application back to you for completion.<\/li><li id=\"field_6_91\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">AGENCY PROCESS<\/h2><\/li><li id=\"field_6_117\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Please note this application form does not constitute an acceptance of an agency agreement, nor does it entitle you to quote or apply for Cactus products either for yourself or your clients.<\/li><li id=\"field_6_93\" class=\"gfield gfield--type-checkbox gfield--type-choice ap_one remove_asterisk gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_93'><li class='gchoice gchoice_6_93_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_93.1' type='checkbox'  value='I AGREE TO THE TERMS AND CONDITIONS OF THIS APPLICATION'  id='choice_6_93_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_93_1' id='label_6_93_1' class='gform-field-label gform-field-label--type-inline'>I AGREE TO THE TERMS AND CONDITIONS OF THIS APPLICATION<span class=\"gfield_required\">*<\/span><\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_95\" class=\"gfield gfield--type-text ap_one gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_95'>FULL NAME<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_6_95' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_98\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-custom-icon ap_one gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_98'>DATE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_98' id='input_6_98' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_6_98_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_98_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_98' class='gform_hidden' value='\/wp-content\/themes\/cactus\/assets\/img\/datepicker.png'\/><\/li><li id=\"field_6_101\" class=\"gfield gfield--type-text full-width-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_101'>If you are applying to be an Associate and work with an Agency what is the name of the Principal Agency  you will be working under?<\/label><div class='ginput_container ginput_container_text'><input name='input_101' id='input_6_101' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_6' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_6' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <input type='hidden' name='gform_ajax' value='form_id=6&amp;title=&amp;description=&amp;tabindex=0&amp;theme=legacy&amp;styles=[]&amp;hash=7786ea4e953a3cf64a9be75ac4832cd0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_6' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_6' id='gform_theme_6' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_6' id='gform_style_settings_6' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='kFJbJKCknQRrz5YZpP0Q1q+jRvjpdfoOt6YbxHivSYSgmxgQ2S1E\/QpCctZZHbszKy2uhaiN4LWZxoLSRAPXmxqGzEYIJzUJjoA1eVbbmYkZKOw=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_6' value='WyJbXSIsImRjNzNkY2NlNzJkZDY1YmRmYjMxNmQ0NWU1OGE3NGZmIl0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_6' id='gform_ajax_frame_6' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\t\t                <script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 6, 'https:\/\/hicactus.com\/app\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_6').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_6');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_6').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_6').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_6').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_6').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_6').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_6').val();gformInitSpinner( 6, 'https:\/\/hicactus.com\/app\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [6, current_page]);window['gf_submitting_6'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_6').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_6').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [6]);window['gf_submitting_6'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_6').text());}else{jQuery('#gform_6').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"6\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_6\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_6\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_6\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 6, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;          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