{"id":6831,"date":"2023-07-18T15:38:08","date_gmt":"2023-07-18T07:38:08","guid":{"rendered":"https:\/\/webdemo.panasian.biz\/?page_id=6831"},"modified":"2023-07-18T15:38:08","modified_gmt":"2023-07-18T07:38:08","slug":"ucl-application-form","status":"publish","type":"page","link":"https:\/\/www.panasian.biz\/en\/ucl-application-form\/","title":{"rendered":"Personal Loan Application Form \u79c1\u4eba\u8cb8\u6b3e\u7533\u8acb\u8868\u683c"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_16' style='display:none'><div id='gf_16' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_16'  action='\/en\/wp-json\/wp\/v2\/pages\/6831#gf_16' data-formid='16' > \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform-body gform_body'><div id='gform_page_16_1' class='gform_page ' >\n                                    <div class='gform_page_fields'><div id='gform_fields_16' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_16_101\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_101\"><p>Thank you for your interest in applying our personal loan. In order to speed up your application processing, please fill in your information below. <\/p>\n<p>\u591a\u8b1d\u4f60\u5c0d\u6211\u5011\u7684\u79c1\u4eba\u8cb8\u6b3e\u611f\u8208\u8da3, \u70ba\u4e86\u52a0\u5feb\u60a8\u7684\u7533\u8acb\u8655\u7406\uff0c\u8acb\u5728\u4e0b\u9762\u586b\u5beb\u60a8\u7684\u4fe1\u606f\u3002<\/p><\/div><div id=\"field_16_46\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_16_46\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><h3 class=\"gsection_title\">Applicant Personal Information \u7533\u8acb\u4eba\u500b\u4eba\u8cc7\u6599<\/h3><\/div><div id=\"field_16_200\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_200\"><label class='gfield_label gform-field-label' for='input_16_200' >1. Loan Amount Requested (in HK$) \u7533\u8acb\u8cb8\u6b3e\u984d (\u6e2f\u5e63)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_200' id='input_16_200' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_140\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_140\"><label class='gfield_label gform-field-label' for='input_16_140' >2. Tenor (in month) \u9084\u6b3e\u5e74\u671f (\u6708)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_140' id='input_16_140' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='6' >6<\/option><option value='9' >9<\/option><option value='12' >12<\/option><option value='18' >18<\/option><option value='24' >24<\/option><option value='36' >36<\/option><option value='48' >48<\/option><option value='60' >60<\/option><option value='72' >72<\/option><\/select><\/div><\/div><div id=\"field_16_117\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_117\"><label class='gfield_label gform-field-label' for='input_16_117' >3. Purpose of Loan \u8ca8\u6b3e\u7528\u9014<\/label><div class='ginput_container ginput_container_select'><select name='input_117' id='input_16_117' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='Balance Transfer \u7d50\u9918\u8f49\u6237' >Balance Transfer \u7d50\u9918\u8f49\u6237<\/option><option value='Business Use \u751f\u610f\u5099\u7528' >Business Use \u751f\u610f\u5099\u7528<\/option><option value='Debts Consolidation \u50b5\u52d9\u6574\u5408' >Debts Consolidation \u50b5\u52d9\u6574\u5408<\/option><option value='Decoration \u88dd\u4fee' >Decoration \u88dd\u4fee<\/option><option value='Education Fee \u9032\u4fee' >Education Fee \u9032\u4fee<\/option><option value='New Purchase \u8cfc\u7269' >New Purchase \u8cfc\u7269<\/option><option value='Investment \u6295\u8cc7' >Investment \u6295\u8cc7<\/option><option value='Travel \u65c5\u904a' >Travel \u65c5\u904a<\/option><option value='Wedding \u7d50\u5a5a' >Wedding \u7d50\u5a5a<\/option><option value='Others \u5176\u4ed6' >Others \u5176\u4ed6<\/option><\/select><\/div><\/div><div id=\"field_16_11\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_11\"><label class='gfield_label gform-field-label' for='input_16_11' >4. Salutation \u7a31\u8b02<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_16_11' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value=''  class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='Mr. \u5148\u751f' >Mr. \u5148\u751f<\/option><option value='Miss \u5c0f\u59d0' >Miss \u5c0f\u59d0<\/option><option value='Mrs. \u592a\u592a' >Mrs. \u592a\u592a<\/option><\/select><\/div><\/div><fieldset id=\"field_16_23\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_23\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >5. English Name (Same as HKID) \u82f1\u6587\u59d3\u540d (\u8207\u9999\u6e2f\u8eab\u4efd\u8b49\u76f8\u540c)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_16_23'>\n                            \n                            <span id='input_16_23_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.3' id='input_16_23_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_16_23_3' class='gform-field-label gform-field-label--type-sub '>First Name \u540d<\/label>\n                                                <\/span>\n                            \n                            <span id='input_16_23_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.6' id='input_16_23_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_16_23_6' class='gform-field-label gform-field-label--type-sub '>Last Name \u59d3<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_16_12\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_12\"><label class='gfield_label gform-field-label' for='input_16_12' >6. Chinese Name (Same as HKID) \u4e2d\u6587\u59d3\u540d (\u8207\u9999\u6e2f\u8eab\u4efd\u8b49\u76f8\u540c)<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_16_12' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_15\"  class=\"gfield gfield--type-text charleft.ginput_counter.warningTextareaInfo gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_15\"><label class='gfield_label gform-field-label' for='input_16_15' >7. HKID No. \u9999\u6e2f\u8eab\u4efd\u8b49\u865f\u78bc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_16_15' type='text' value='' class='medium' maxlength='9' aria-describedby=\"gfield_description_16_15\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_16_15'>\u4e0d\u9700\u8f38\u5165\u62ec\u865f, \u4f8b\u5982: A123456(7)  --> A1234567<\/div><\/div><div id=\"field_16_16\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_16\"><label class='gfield_label gform-field-label' for='input_16_16' >8. Date of Birth \u51fa\u751f\u65e5\u671f<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_16' id='input_16_16' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_16_16_date_format gfield_description_16_16\" aria-invalid=\"false\" \/>\n                            <span id='input_16_16_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_16_16' class='gform_hidden' value='https:\/\/www.panasian.biz\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_16_16'>(DD\/MM\/YYYY)<\/div><\/div><fieldset id=\"field_16_22\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_22\"><legend class='gfield_label gform-field-label'  >9. Marital Status \u5a5a\u59fb\u72c0\u6cc1<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_16_22'>\n\t\t\t<div class='gchoice gchoice_16_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Single \u672a\u5a5a'  id='choice_16_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_22_0' id='label_16_22_0' class='gform-field-label gform-field-label--type-inline'>Single \u672a\u5a5a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Married \u5df2\u5a5a'  id='choice_16_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_22_1' id='label_16_22_1' class='gform-field-label gform-field-label--type-inline'>Married \u5df2\u5a5a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_22_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Divorced \u96e2\u5a5a'  id='choice_16_22_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_22_2' id='label_16_22_2' class='gform-field-label gform-field-label--type-inline'>Divorced \u96e2\u5a5a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_22_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Separated \u5206\u5c45'  id='choice_16_22_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_22_3' id='label_16_22_3' class='gform-field-label gform-field-label--type-inline'>Separated \u5206\u5c45<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_22_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Widowed \u55aa\u5076'  id='choice_16_22_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_22_4' id='label_16_22_4' class='gform-field-label gform-field-label--type-inline'>Widowed \u55aa\u5076<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_16_208\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_208\"><label class='gfield_label gform-field-label' for='input_16_208' >10. Nationality \u570b\u7c4d<\/label><div class='ginput_container ginput_container_text'><input name='input_208' id='input_16_208' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_16_25\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_25\"><legend class='gfield_label gform-field-label'  >11. Education Level \u6559\u80b2\u7a0b\u5ea6<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_16_25'>\n\t\t\t<div class='gchoice gchoice_16_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Primary school \u5c0f\u5b78'  id='choice_16_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_25_0' id='label_16_25_0' class='gform-field-label gform-field-label--type-inline'>Primary school \u5c0f\u5b78<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Secondary school \u4e2d\u5b78'  id='choice_16_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_25_1' id='label_16_25_1' class='gform-field-label gform-field-label--type-inline'>Secondary school \u4e2d\u5b78<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='University \u5927\u5b78'  id='choice_16_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_25_2' id='label_16_25_2' class='gform-field-label gform-field-label--type-inline'>University \u5927\u5b78<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_25_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Others \u5176\u4ed6'  id='choice_16_25_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_25_3' id='label_16_25_3' class='gform-field-label gform-field-label--type-inline'>Others \u5176\u4ed6<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_16_32\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_32\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >12. Email Address \u96fb\u90f5\u5730\u5740<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_16_32_container'>\n                                <span id='input_16_32_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='text' name='input_32' id='input_16_32' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_16_32' class='gform-field-label gform-field-label--type-sub '>Enter Email \u8f38\u5165\u96fb\u90f5\u5730\u5740<\/label>\n                                <\/span>\n                                <span id='input_16_32_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='text' name='input_32_2' id='input_16_32_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_16_32_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email \u78ba\u8a8d\u96fb\u90f5\u5730\u5740<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_16_31\"  class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_31\"><label class='gfield_label gform-field-label' for='input_16_31' >13. Mobile No. (Must be able to receive SMS) \u6d41\u52d5\u96fb\u8a71\u865f\u78bc \uff08\u5fc5\u9808\u80fd\u63a5\u6536\u77ed\u4fe1\uff09<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_31' id='input_16_31' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_16_29\"  class=\"gfield gfield--type-phone field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_29\"><label class='gfield_label gform-field-label' for='input_16_29' >14. Residential Telephone No. \u4f4f\u5b85\u96fb\u8a71\u865f\u78bc<\/label><div class='ginput_container ginput_container_phone'><input name='input_29' id='input_16_29' type='text' value='' class='medium'    aria-invalid=\"false\" aria-describedby=\"gfield_description_16_29\"  \/><\/div><div class='gfield_description' id='gfield_description_16_29'>*If you don't have home fixed line, please input mobile number. \u5982\u5bb6\u4e2d\u6c92\u6709\u96fb\u8a71, \u8acb\u8f38\u5165\u624b\u63d0\u96fb\u8a71\u865f\u78bc.<\/div><\/div><fieldset id=\"field_16_181\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_181\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >15. Residential Address in English \u82f1\u6587\u4f4f\u5b85\u5730\u5740<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state ginput_container_address gform-grid-row' id='input_16_181' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_16_181_1_container' >\n                                        <input type='text' name='input_181.1' id='input_16_181_1' value=''    aria-required='false'    \/>\n                                        <label for='input_16_181_1' id='input_16_181_1_label' class='gform-field-label gform-field-label--type-sub '>Room \u5ba4\u865f<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_16_181_2_container' >\n                                        <input type='text' name='input_181.2' id='input_16_181_2' value=''     aria-required='false'   \/>\n                                        <label for='input_16_181_2' id='input_16_181_2_label' class='gform-field-label gform-field-label--type-sub '>Floor \u6a13\u5c64<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_16_181_3_container' >\n                                    <input type='text' name='input_181.3' id='input_16_181_3' value=''    aria-required='false'    \/>\n                                    <label for='input_16_181_3' id='input_16_181_3_label' class='gform-field-label gform-field-label--type-sub '>Block \u5ea7\u6578<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_16_181_4_container' >\n                                        <input type='text' name='input_181.4' id='input_16_181_4' value=''      aria-required='false'    \/>\n                                        <label for='input_16_181_4' id='input_16_181_4_label' class='gform-field-label gform-field-label--type-sub '>Name of Building\/Estate \u5927\u5ec8\u6216\u5c4b\u82d1\u540d\u7a31<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_181.6' id='input_16_181_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_16_182\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_182\"><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex'  ><\/legend>    \n                    <div class='ginput_complex ginput_container has_street ginput_container_address gform-grid-row' id='input_16_182' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_16_182_1_container' >\n                                        <input type='text' name='input_182.1' id='input_16_182_1' value=''    aria-required='false'    \/>\n                                        <label for='input_16_182_1' id='input_16_182_1_label' class='gform-field-label gform-field-label--type-sub '>Number & Name of Street \u8857\u9053\u53ca\u865f\u6578<\/label>\n                                    <\/span><input type='hidden' class='gform_hidden' name='input_182.4' id='input_16_182_4' value=''\/><input type='hidden' class='gform_hidden' name='input_182.6' id='input_16_182_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_16_188\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_188\"><label class='gfield_label gform-field-label' for='input_16_188' >District \u5730\u5340<\/label><div class='ginput_container ginput_container_select'><select name='input_188' id='input_16_188' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='ABERDEEN \u9999\u6e2f\u4ed4' >ABERDEEN \u9999\u6e2f\u4ed4<\/option><option value='ADMIRALTY \u91d1\u9418' >ADMIRALTY \u91d1\u9418<\/option><option value='AP LEI CHAU \u9d28\u8137\u6d32' >AP LEI CHAU \u9d28\u8137\u6d32<\/option><option value='CAUSEWAY BAY \u9285\u947c\u7063' >CAUSEWAY BAY \u9285\u947c\u7063<\/option><option value='CENTRAL \u4e2d\u74b0' >CENTRAL \u4e2d\u74b0<\/option><option value='CHAI WAN \u67f4\u7063' >CHAI WAN \u67f4\u7063<\/option><option value='CHEK LAP KOK \u8d64\u81d8\u89d2' >CHEK LAP KOK \u8d64\u81d8\u89d2<\/option><option value='CHEUNG CHAU \u9577\u6d32' >CHEUNG CHAU \u9577\u6d32<\/option><option value='CHEUNG SHA WAN \u9577\u6c99\u7063' >CHEUNG SHA WAN \u9577\u6c99\u7063<\/option><option value='CHI MA WAN PENINSULA \u829d\u9ebb\u7063' >CHI MA WAN PENINSULA \u829d\u9ebb\u7063<\/option><option value='CLEAR WATER BAY \u6e05\u6c34\u7063' >CLEAR WATER BAY \u6e05\u6c34\u7063<\/option><option value='DIAMOND HILL \u947d\u77f3\u5c71' >DIAMOND HILL \u947d\u77f3\u5c71<\/option><option value='FAN LING \u7c89\u5dba' >FAN LING \u7c89\u5dba<\/option><option value='FO TAN \u706b\u70ad' >FO TAN \u706b\u70ad<\/option><option value='HAPPY VALLEY \u8dd1\u99ac\u5730' >HAPPY VALLEY \u8dd1\u99ac\u5730<\/option><option value='HO MAN TIN \u4f55\u6587\u7530' >HO MAN TIN \u4f55\u6587\u7530<\/option><option value='HUNG HOM \u7d05\u78e1' >HUNG HOM \u7d05\u78e1<\/option><option value='JARDINE&#039;S LOOKOUT \u6e23\u7538\u5c71' >JARDINE&#039;S LOOKOUT \u6e23\u7538\u5c71<\/option><option value='JORDAN \u4f50\u6566' >JORDAN \u4f50\u6566<\/option><option value='KENNEDY TOWN \u5805\u5c3c\u5730\u57ce' >KENNEDY TOWN \u5805\u5c3c\u5730\u57ce<\/option><option value='KOWLOON BAY \u4e5d\u9f8d\u7063' >KOWLOON BAY \u4e5d\u9f8d\u7063<\/option><option value='KOWLOON CITY \u4e5d\u9f8d\u57ce' >KOWLOON CITY \u4e5d\u9f8d\u57ce<\/option><option value='KOWLOON TONG \u4e5d\u9f8d\u5858' >KOWLOON TONG \u4e5d\u9f8d\u5858<\/option><option value='KWAI CHUNG \u8475\u6d8c' >KWAI CHUNG \u8475\u6d8c<\/option><option value='KWAI FONG \u8475\u82b3' >KWAI FONG \u8475\u82b3<\/option><option value='KWUN TONG \u89c0\u5858' >KWUN TONG \u89c0\u5858<\/option><option value='LAI CHI KOK \u8354\u679d\u89d2' >LAI CHI KOK \u8354\u679d\u89d2<\/option><option value='LAM TIN \u85cd\u7530' >LAM TIN \u85cd\u7530<\/option><option value='LAMMA ISLAND \u5357\u4e2b\u5cf6' >LAMMA ISLAND \u5357\u4e2b\u5cf6<\/option><option value='LANTAU ISLAND \u5927\u5dbc\u5c71' >LANTAU ISLAND \u5927\u5dbc\u5c71<\/option><option value='LO WU \u7f85\u6e56' >LO WU \u7f85\u6e56<\/option><option value='MA ON SHAN \u99ac\u978d\u5c71' >MA ON SHAN \u99ac\u978d\u5c71<\/option><option value='MID LEVELS \u4e2d\u534a\u5c71' >MID LEVELS \u4e2d\u534a\u5c71<\/option><option value='MONG KOK \u65fa\u89d2' >MONG KOK \u65fa\u89d2<\/option><option value='NGAU TAU KOK \u725b\u982d\u89d2' >NGAU TAU KOK \u725b\u982d\u89d2<\/option><option value='NORTH POINT \u5317\u89d2' >NORTH POINT \u5317\u89d2<\/option><option value='PENG CHAU \u576a\u6d32' >PENG CHAU \u576a\u6d32<\/option><option value='POK FU LAM \u8584\u6276\u6797' >POK FU LAM \u8584\u6276\u6797<\/option><option value='QUARRY BAY \u9c02\u9b5a\u6d8c' >QUARRY BAY \u9c02\u9b5a\u6d8c<\/option><option value='REPULSE BAY \u6dfa\u6c34\u7063' >REPULSE BAY \u6dfa\u6c34\u7063<\/option><option value='SAI KUNG \u897f\u8ca2' >SAI KUNG \u897f\u8ca2<\/option><option value='SAI WAN HO \u897f\u7063\u6cb3' >SAI WAN HO \u897f\u7063\u6cb3<\/option><option value='SAI WAN \u897f\u7063' >SAI WAN \u897f\u7063<\/option><option value='SAI YING PUN \u897f\u71df\u76e4' >SAI YING PUN \u897f\u71df\u76e4<\/option><option value='SAN PO KONG \u65b0\u84b2\u5d17' >SAN PO KONG \u65b0\u84b2\u5d17<\/option><option value='SAU MAU PING \u79c0\u8302\u576a' >SAU MAU PING \u79c0\u8302\u576a<\/option><option value='SHA TAU KOK \u6c99\u982d\u89d2' >SHA TAU KOK \u6c99\u982d\u89d2<\/option><option value='SHA TIN \u6c99\u7530' >SHA TIN \u6c99\u7530<\/option><option value='SHAM SHUI PO \u6df1\u6c34\u57d7' >SHAM SHUI PO \u6df1\u6c34\u57d7<\/option><option value='SHAM TSENG \u6df1\u4e95' >SHAM TSENG \u6df1\u4e95<\/option><option value='SHATIN \u6c99\u7530' >SHATIN \u6c99\u7530<\/option><option value='SHAU KEI WAN \u7b72\u7b95\u7063' >SHAU KEI WAN \u7b72\u7b95\u7063<\/option><option value='SHEK KIP MEI \u77f3\u7864\u5c3e' >SHEK KIP MEI \u77f3\u7864\u5c3e<\/option><option value='SHEK O \u77f3\u6fb3' >SHEK O \u77f3\u6fb3<\/option><option value='SHEK TONG TSUI \u77f3\u5858\u5480' >SHEK TONG TSUI \u77f3\u5858\u5480<\/option><option value='SHEUNG SHUI \u4e0a\u6c34' >SHEUNG SHUI \u4e0a\u6c34<\/option><option value='SHEUNG WAN \u4e0a\u74b0' >SHEUNG WAN \u4e0a\u74b0<\/option><option value='SIU SAI WAN \u5c0f\u897f\u7063' >SIU SAI WAN \u5c0f\u897f\u7063<\/option><option value='STANLEY \u8d64\u67f1' >STANLEY \u8d64\u67f1<\/option><option value='STONECUTTERS ISLAND \u77f3\u5320\u5cf6' >STONECUTTERS ISLAND \u77f3\u5320\u5cf6<\/option><option value='TAI HANG \u5927\u5751' >TAI HANG \u5927\u5751<\/option><option value='TAI KOK TSUI \u5927\u89d2\u5480' >TAI KOK TSUI \u5927\u89d2\u5480<\/option><option value='TAI KOO SHING \u592a\u53e4\u57ce' >TAI KOO SHING \u592a\u53e4\u57ce<\/option><option value='TAI PO \u5927\u57d4' >TAI PO \u5927\u57d4<\/option><option value='TAI WAI \u5927\u570d' >TAI WAI \u5927\u570d<\/option><option value='THE PEAK \u5c71\u9802' >THE PEAK \u5c71\u9802<\/option><option value='TIN SHUI WAI \u5929\u6c34\u570d' >TIN SHUI WAI \u5929\u6c34\u570d<\/option><option value='TO KWA WAN \u571f\u74dc\u7063' >TO KWA WAN \u571f\u74dc\u7063<\/option><option value='TSEUNG KWAN O \u5c07\u8ecd\u6fb3' >TSEUNG KWAN O \u5c07\u8ecd\u6fb3<\/option><option value='TSIM SHA TSUI \u5c16\u6c99\u5480' >TSIM SHA TSUI \u5c16\u6c99\u5480<\/option><option value='TSIM SHA TSUI EAST \u5c16\u6c99\u5480\u6771' >TSIM SHA TSUI EAST \u5c16\u6c99\u5480\u6771<\/option><option value='TSING LUNG TAU \u9752\u9f8d\u982d' >TSING LUNG TAU \u9752\u9f8d\u982d<\/option><option value='TSING YI \u9752\u8863' >TSING YI \u9752\u8863<\/option><option value='TSUEN WAN \u8343\u7063' >TSUEN WAN \u8343\u7063<\/option><option value='TSZ WAN SHAN \u6148\u96f2\u5c71' >TSZ WAN SHAN \u6148\u96f2\u5c71<\/option><option value='TAI PO \u5927\u57d4' >TAI PO \u5927\u57d4<\/option><option value='TAI WAI \u5927\u570d' >TAI WAI \u5927\u570d<\/option><option value='TUEN MUN \u5c6f\u9580' >TUEN MUN \u5c6f\u9580<\/option><option value='TUNG CHUNG \u6771\u6d8c' >TUNG CHUNG \u6771\u6d8c<\/option><option value='WAN CHAI \u7063\u4ed4' >WAN CHAI \u7063\u4ed4<\/option><option value='WONG CHUK HANG \u9ec3\u7af9\u5751' >WONG CHUK HANG \u9ec3\u7af9\u5751<\/option><option value='WONG TAI SIN \u9ec3\u5927\u4ed9' >WONG TAI SIN \u9ec3\u5927\u4ed9<\/option><option value='YAU MA TEI \u6cb9\u9ebb\u5730' >YAU MA TEI \u6cb9\u9ebb\u5730<\/option><option value='YAU TONG \u6cb9\u5858' >YAU TONG \u6cb9\u5858<\/option><option value='YUEN LONG \u5143\u6717' >YUEN LONG \u5143\u6717<\/option><\/select><\/div><\/div><div id=\"field_16_189\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_189\"><label class='gfield_label gform-field-label' for='input_16_189' >Region \u5340\u57df<\/label><div class='ginput_container ginput_container_select'><select name='input_189' id='input_16_189' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='Hong Kong \u9999\u6e2f' >Hong Kong \u9999\u6e2f<\/option><option value='Kowloon \u4e5d\u9f8d' >Kowloon \u4e5d\u9f8d<\/option><option value='New Terrorities \u65b0\u754c' >New Terrorities \u65b0\u754c<\/option><\/select><\/div><\/div><div id=\"field_16_207\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_207\"><label class='gfield_label gform-field-label' for='input_16_207' >16. Year(s) of Residence \u5c45\u4f4f\u5e74\u671f<\/label><div class='ginput_container ginput_container_text'><input name='input_207' id='input_16_207' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_201\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_201\"><label class='gfield_label gform-field-label' for='input_16_201' >17. No. of Dependent(s) \u4f9b\u990a\u4eba\u6578<\/label><div class='ginput_container ginput_container_text'><input name='input_201' id='input_16_201' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_16_210\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_210\"><legend class='gfield_label gform-field-label'  >18. Residential Address Ownership\/Status \u4f4f\u5b85\u5730\u5740\u64c1\u6709\u6b0a<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_16_210'>\n\t\t\t<div class='gchoice gchoice_16_210_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_210' type='radio' value='Self-owned \u81ea\u7f6e'  id='choice_16_210_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_210_0' id='label_16_210_0' class='gform-field-label gform-field-label--type-inline'>Self-owned \u81ea\u7f6e<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_210_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_210' type='radio' value='Mortgaged \u6309\u63ed'  id='choice_16_210_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_210_1' id='label_16_210_1' class='gform-field-label gform-field-label--type-inline'>Mortgaged \u6309\u63ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_210_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_210' type='radio' value='Owned by Parents\/ Relative \u7236\u6bcd\u89aa\u621a\u540d\u4e0b'  id='choice_16_210_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_210_2' id='label_16_210_2' class='gform-field-label gform-field-label--type-inline'>Owned by Parents\/ Relative \u7236\u6bcd\u89aa\u621a\u540d\u4e0b<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_210_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_210' type='radio' value='Quarters \u5bbf\u820d'  id='choice_16_210_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_210_3' id='label_16_210_3' class='gform-field-label gform-field-label--type-inline'>Quarters \u5bbf\u820d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_210_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_210' type='radio' value='Rental-private \u79df\u4f4f - \u79c1\u4eba\u6a13\u5b87'  id='choice_16_210_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_210_4' id='label_16_210_4' class='gform-field-label gform-field-label--type-inline'>Rental-private \u79df\u4f4f - \u79c1\u4eba\u6a13\u5b87<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_210_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_210' type='radio' value='Rental-public \u79df\u4f4f - \u516c\u5171\u623f\u5c4b'  id='choice_16_210_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_210_5' id='label_16_210_5' class='gform-field-label gform-field-label--type-inline'>Rental-public \u79df\u4f4f - \u516c\u5171\u623f\u5c4b<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_16_118\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_118\"><label class='gfield_label gform-field-label' for='input_16_118' >19. Monthly Installment \/ Rental (in HK$) \u6bcf\u6708\u4f9b\u6b3e\/\u79df\u91d1 (\u6e2f\u5e63)<\/label><div class='ginput_container ginput_container_number'><input name='input_118' id='input_16_118' type='text'    value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_16_118\" \/><div class='gfield_description instruction ' id='gfield_instruction_16_118'>Please enter a number from <strong>0<\/strong> to <strong>999999<\/strong>.<\/div><\/div><\/div><div id=\"field_16_119\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_119\"><label class='gfield_label gform-field-label' for='input_16_119' >20. Living with \u8207\u8ab0\u540c\u4f4f<\/label><div class='ginput_container ginput_container_select'><select name='input_119' id='input_16_119' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='Alone \u7368\u5c45' >Alone \u7368\u5c45<\/option><option value='Parents \u8207\u7236\u6bcd\u540c\u4f4f' >Parents \u8207\u7236\u6bcd\u540c\u4f4f<\/option><option value='Brothers\/Sisters \u8207\u5144\u5f1f\u59ca\u59b9\u540c\u4f4f' >Brothers\/Sisters \u8207\u5144\u5f1f\u59ca\u59b9\u540c\u4f4f<\/option><option value='Spouse \u8207\u914d\u5076\u540c\u4f4f' >Spouse \u8207\u914d\u5076\u540c\u4f4f<\/option><option value='Dependents and Others \u8207\u5176\u4ed6\u89aa\u621a\u540c\u4f4f' >Dependents and Others \u8207\u5176\u4ed6\u89aa\u621a\u540c\u4f4f<\/option><\/select><\/div><\/div><div id=\"field_16_202\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_202\"><label class='gfield_label gform-field-label' for='input_16_202' >21. Total Persons living with \u540c\u4f4f\u4eba\u6578<\/label><div class='ginput_container ginput_container_text'><input name='input_202' id='input_16_202' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_204\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_204\"><\/br><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_16_50' class='gform_next_button gform-theme-button button' value='Next \u4e0b\u4e00\u9801'  onclick='jQuery(\"#gform_target_page_number_16\").val(\"2\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_16\").val(\"2\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_16_2_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_16\"]){return false;}  window[\"gf_submitting_16\"]=true; jQuery(\"#gform_save_16\").val(1); jQuery(\"#gform_16\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_16\"]){return false;} window[\"gf_submitting_16\"]=true; jQuery(\"#gform_save_16\").val(1); jQuery(\"#gform_16\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later \u5132\u5b58\u4e26\u7a0d\u5f8c\u7e7c\u7e8c<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_16_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_16_2' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_16_62\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_62\"><\/div><div id=\"field_16_35\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_35\"><label class='gfield_label gform-field-label' for='input_16_35' >22. Employer Name \u50f1\u4e3b\u540d\u7a31<\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_16_35' type='text' value='' class='medium' maxlength='100'     aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_30\"  class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_30\"><label class='gfield_label gform-field-label' for='input_16_30' >23. Office Telephone No. \u8fa6\u516c\u5ba4\u96fb\u8a71\u865f\u78bc<\/label><div class='ginput_container ginput_container_phone'><input name='input_30' id='input_16_30' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_16_183\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_183\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >24. Office Address in English \u8fa6\u4e8b\u8655\u82f1\u6587\u5730\u5740<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state ginput_container_address gform-grid-row' id='input_16_183' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_16_183_1_container' >\n                                        <input type='text' name='input_183.1' id='input_16_183_1' value=''    aria-required='false'    \/>\n                                        <label for='input_16_183_1' id='input_16_183_1_label' class='gform-field-label gform-field-label--type-sub '>Room \u5ba4\u865f<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_16_183_2_container' >\n                                        <input type='text' name='input_183.2' id='input_16_183_2' value=''     aria-required='false'   \/>\n                                        <label for='input_16_183_2' id='input_16_183_2_label' class='gform-field-label gform-field-label--type-sub '>Floor \u6a13\u5c64<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_16_183_3_container' >\n                                    <input type='text' name='input_183.3' id='input_16_183_3' value=''    aria-required='false'    \/>\n                                    <label for='input_16_183_3' id='input_16_183_3_label' class='gform-field-label gform-field-label--type-sub '>Block \u5ea7\u6578<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_16_183_4_container' >\n                                        <input type='text' name='input_183.4' id='input_16_183_4' value=''      aria-required='false'    \/>\n                                        <label for='input_16_183_4' id='input_16_183_4_label' class='gform-field-label gform-field-label--type-sub '>Name of Building\/Estate \u5927\u5ec8\u6216\u5c4b\u82d1\u540d\u7a31<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_183.6' id='input_16_183_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_16_184\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_184\"><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex'  ><\/legend>    \n                    <div class='ginput_complex ginput_container has_street ginput_container_address gform-grid-row' id='input_16_184' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_16_184_1_container' >\n                                        <input type='text' name='input_184.1' id='input_16_184_1' value=''    aria-required='false'    \/>\n                                        <label for='input_16_184_1' id='input_16_184_1_label' class='gform-field-label gform-field-label--type-sub '>Number & Name of Street \u8857\u9053\u53ca\u865f\u78bc<\/label>\n                                    <\/span><input type='hidden' class='gform_hidden' name='input_184.4' id='input_16_184_4' value=''\/><input type='hidden' class='gform_hidden' name='input_184.6' id='input_16_184_6' value='Hong Kong' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_16_190\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_190\"><label class='gfield_label gform-field-label' for='input_16_190' >District \u5730\u5340<\/label><div class='ginput_container ginput_container_select'><select name='input_190' id='input_16_190' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='ABERDEEN \u9999\u6e2f\u4ed4' >ABERDEEN \u9999\u6e2f\u4ed4<\/option><option value='ADMIRALTY \u91d1\u9418' >ADMIRALTY \u91d1\u9418<\/option><option value='AP LEI CHAU \u9d28\u8137\u6d32' >AP LEI CHAU \u9d28\u8137\u6d32<\/option><option value='CAUSEWAY BAY \u9285\u947c\u7063' >CAUSEWAY BAY \u9285\u947c\u7063<\/option><option value='CENTRAL \u4e2d\u74b0' >CENTRAL \u4e2d\u74b0<\/option><option value='CHAI WAN \u67f4\u7063' >CHAI WAN \u67f4\u7063<\/option><option value='CHEK LAP KOK \u8d64\u81d8\u89d2' >CHEK LAP KOK \u8d64\u81d8\u89d2<\/option><option value='CHEUNG CHAU \u9577\u6d32' >CHEUNG CHAU \u9577\u6d32<\/option><option value='CHEUNG SHA WAN \u9577\u6c99\u7063' >CHEUNG SHA WAN \u9577\u6c99\u7063<\/option><option value='CHI MA WAN PENINSULA \u829d\u9ebb\u7063' >CHI MA WAN PENINSULA \u829d\u9ebb\u7063<\/option><option value='CLEAR WATER BAY \u6e05\u6c34\u7063' >CLEAR WATER BAY \u6e05\u6c34\u7063<\/option><option value='DIAMOND HILL \u947d\u77f3\u5c71' >DIAMOND HILL \u947d\u77f3\u5c71<\/option><option value='FAN LING \u7c89\u5dba' >FAN LING \u7c89\u5dba<\/option><option value='FO TAN \u706b\u70ad' >FO TAN \u706b\u70ad<\/option><option value='HAPPY VALLEY \u8dd1\u99ac\u5730' >HAPPY VALLEY \u8dd1\u99ac\u5730<\/option><option value='HO MAN TIN \u4f55\u6587\u7530' >HO MAN TIN \u4f55\u6587\u7530<\/option><option value='HUNG HOM \u7d05\u78e1' >HUNG HOM \u7d05\u78e1<\/option><option value='JARDINE&#039;S LOOKOUT \u6e23\u7538\u5c71' >JARDINE&#039;S LOOKOUT \u6e23\u7538\u5c71<\/option><option value='JORDAN \u4f50\u6566' >JORDAN \u4f50\u6566<\/option><option value='KENNEDY TOWN \u5805\u5c3c\u5730\u57ce' >KENNEDY TOWN \u5805\u5c3c\u5730\u57ce<\/option><option value='KOWLOON BAY \u4e5d\u9f8d\u7063' >KOWLOON BAY \u4e5d\u9f8d\u7063<\/option><option value='KOWLOON CITY \u4e5d\u9f8d\u57ce' >KOWLOON CITY \u4e5d\u9f8d\u57ce<\/option><option value='KOWLOON TONG \u4e5d\u9f8d\u5858' >KOWLOON TONG \u4e5d\u9f8d\u5858<\/option><option value='KWAI CHUNG \u8475\u6d8c' >KWAI CHUNG \u8475\u6d8c<\/option><option value='KWAI FONG \u8475\u82b3' >KWAI FONG \u8475\u82b3<\/option><option value='KWUN TONG \u89c0\u5858' >KWUN TONG \u89c0\u5858<\/option><option value='LAI CHI KOK \u8354\u679d\u89d2' >LAI CHI KOK \u8354\u679d\u89d2<\/option><option value='LAM TIN \u85cd\u7530' >LAM TIN \u85cd\u7530<\/option><option value='LAMMA ISLAND \u5357\u4e2b\u5cf6' >LAMMA ISLAND \u5357\u4e2b\u5cf6<\/option><option value='LANTAU ISLAND \u5927\u5dbc\u5c71' >LANTAU ISLAND \u5927\u5dbc\u5c71<\/option><option value='LO WU \u7f85\u6e56' >LO WU \u7f85\u6e56<\/option><option value='MA ON SHAN \u99ac\u978d\u5c71' >MA ON SHAN \u99ac\u978d\u5c71<\/option><option value='MID LEVELS \u4e2d\u534a\u5c71' >MID LEVELS \u4e2d\u534a\u5c71<\/option><option value='MONG KOK \u65fa\u89d2' >MONG KOK \u65fa\u89d2<\/option><option value='NGAU TAU KOK \u725b\u982d\u89d2' >NGAU TAU KOK \u725b\u982d\u89d2<\/option><option value='NORTH POINT \u5317\u89d2' >NORTH POINT \u5317\u89d2<\/option><option value='PENG CHAU \u576a\u6d32' >PENG CHAU \u576a\u6d32<\/option><option value='POK FU LAM \u8584\u6276\u6797' >POK FU LAM \u8584\u6276\u6797<\/option><option value='QUARRY BAY \u9c02\u9b5a\u6d8c' >QUARRY BAY \u9c02\u9b5a\u6d8c<\/option><option value='REPULSE BAY \u6dfa\u6c34\u7063' >REPULSE BAY \u6dfa\u6c34\u7063<\/option><option value='SAI KUNG \u897f\u8ca2' >SAI KUNG \u897f\u8ca2<\/option><option value='SAI WAN HO \u897f\u7063\u6cb3' >SAI WAN HO \u897f\u7063\u6cb3<\/option><option value='SAI WAN \u897f\u7063' >SAI WAN \u897f\u7063<\/option><option value='SAI YING PUN \u897f\u71df\u76e4' >SAI YING PUN \u897f\u71df\u76e4<\/option><option value='SAN PO KONG \u65b0\u84b2\u5d17' >SAN PO KONG \u65b0\u84b2\u5d17<\/option><option value='SAU MAU PING \u79c0\u8302\u576a' >SAU MAU PING \u79c0\u8302\u576a<\/option><option value='SHA TAU KOK \u6c99\u982d\u89d2' >SHA TAU KOK \u6c99\u982d\u89d2<\/option><option value='SHA TIN \u6c99\u7530' >SHA TIN \u6c99\u7530<\/option><option value='SHAM SHUI PO \u6df1\u6c34\u57d7' >SHAM SHUI PO \u6df1\u6c34\u57d7<\/option><option value='SHAM TSENG \u6df1\u4e95' >SHAM TSENG \u6df1\u4e95<\/option><option value='SHATIN \u6c99\u7530' >SHATIN \u6c99\u7530<\/option><option value='SHAU KEI WAN \u7b72\u7b95\u7063' >SHAU KEI WAN \u7b72\u7b95\u7063<\/option><option value='SHEK KIP MEI \u77f3\u7864\u5c3e' >SHEK KIP MEI \u77f3\u7864\u5c3e<\/option><option value='SHEK O \u77f3\u6fb3' >SHEK O \u77f3\u6fb3<\/option><option value='SHEK TONG TSUI \u77f3\u5858\u5480' >SHEK TONG TSUI \u77f3\u5858\u5480<\/option><option value='SHEUNG SHUI \u4e0a\u6c34' >SHEUNG SHUI \u4e0a\u6c34<\/option><option value='SHEUNG WAN \u4e0a\u74b0' >SHEUNG WAN \u4e0a\u74b0<\/option><option value='SIU SAI WAN \u5c0f\u897f\u7063' >SIU SAI WAN \u5c0f\u897f\u7063<\/option><option value='STANLEY \u8d64\u67f1' >STANLEY \u8d64\u67f1<\/option><option value='STONECUTTERS ISLAND \u77f3\u5320\u5cf6' >STONECUTTERS ISLAND \u77f3\u5320\u5cf6<\/option><option value='TAI HANG \u5927\u5751' >TAI HANG \u5927\u5751<\/option><option value='TAI KOK TSUI \u5927\u89d2\u5480' >TAI KOK TSUI \u5927\u89d2\u5480<\/option><option value='TAI KOO SHING \u592a\u53e4\u57ce' >TAI KOO SHING \u592a\u53e4\u57ce<\/option><option value='TAI PO \u5927\u57d4' >TAI PO \u5927\u57d4<\/option><option value='TAI WAI \u5927\u570d' >TAI WAI \u5927\u570d<\/option><option value='THE PEAK \u5c71\u9802' >THE PEAK \u5c71\u9802<\/option><option value='TIN SHUI WAI \u5929\u6c34\u570d' >TIN SHUI WAI \u5929\u6c34\u570d<\/option><option value='TO KWA WAN \u571f\u74dc\u7063' >TO KWA WAN \u571f\u74dc\u7063<\/option><option value='TSEUNG KWAN O \u5c07\u8ecd\u6fb3' >TSEUNG KWAN O \u5c07\u8ecd\u6fb3<\/option><option value='TSIM SHA TSUI \u5c16\u6c99\u5480' >TSIM SHA TSUI \u5c16\u6c99\u5480<\/option><option value='TSIM SHA TSUI EAST \u5c16\u6c99\u5480\u6771' >TSIM SHA TSUI EAST \u5c16\u6c99\u5480\u6771<\/option><option value='TSING LUNG TAU \u9752\u9f8d\u982d' >TSING LUNG TAU \u9752\u9f8d\u982d<\/option><option value='TSING YI \u9752\u8863' >TSING YI \u9752\u8863<\/option><option value='TSUEN WAN \u8343\u7063' >TSUEN WAN \u8343\u7063<\/option><option value='TSZ WAN SHAN \u6148\u96f2\u5c71' >TSZ WAN SHAN \u6148\u96f2\u5c71<\/option><option value='TAI PO \u5927\u57d4' >TAI PO \u5927\u57d4<\/option><option value='TAI WAI \u5927\u570d' >TAI WAI \u5927\u570d<\/option><option value='TUEN MUN \u5c6f\u9580' >TUEN MUN \u5c6f\u9580<\/option><option value='TUNG CHUNG \u6771\u6d8c' >TUNG CHUNG \u6771\u6d8c<\/option><option value='WAN CHAI \u7063\u4ed4' >WAN CHAI \u7063\u4ed4<\/option><option value='WONG CHUK HANG \u9ec3\u7af9\u5751' >WONG CHUK HANG \u9ec3\u7af9\u5751<\/option><option value='WONG TAI SIN \u9ec3\u5927\u4ed9' >WONG TAI SIN \u9ec3\u5927\u4ed9<\/option><option value='YAU MA TEI \u6cb9\u9ebb\u5730' >YAU MA TEI \u6cb9\u9ebb\u5730<\/option><option value='YAU TONG \u6cb9\u5858' >YAU TONG \u6cb9\u5858<\/option><option value='YUEN LONG \u5143\u6717' >YUEN LONG \u5143\u6717<\/option><\/select><\/div><\/div><div id=\"field_16_191\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_191\"><label class='gfield_label gform-field-label' for='input_16_191' >Region \u5340\u57df<\/label><div class='ginput_container ginput_container_select'><select name='input_191' id='input_16_191' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='Hong Kong \u9999\u6e2f' >Hong Kong \u9999\u6e2f<\/option><option value='Kowloon \u4e5d\u9f8d' >Kowloon \u4e5d\u9f8d<\/option><option value='New Terrorities \u65b0\u754c' >New Terrorities \u65b0\u754c<\/option><\/select><\/div><\/div><fieldset id=\"field_16_37\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_37\"><legend class='gfield_label gform-field-label'  >25. Employment Type \u53d7\u8058\u65b9\u6cd5<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_16_37'>\n\t\t\t<div class='gchoice gchoice_16_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Full-time \u5168\u8077'  id='choice_16_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_37_0' id='label_16_37_0' class='gform-field-label gform-field-label--type-inline'>Full-time \u5168\u8077<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Part-time \u517c\u8077'  id='choice_16_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_37_1' id='label_16_37_1' class='gform-field-label gform-field-label--type-inline'>Part-time \u517c\u8077<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_37_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Self-employed \u81ea\u50f1'  id='choice_16_37_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_37_2' id='label_16_37_2' class='gform-field-label gform-field-label--type-inline'>Self-employed \u81ea\u50f1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_37_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Freelance \u81ea\u7531\u5de5\u4f5c\u8005'  id='choice_16_37_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_37_3' id='label_16_37_3' class='gform-field-label gform-field-label--type-inline'>Freelance \u81ea\u7531\u5de5\u4f5c\u8005<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_37_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Pension \u9000\u4f11\u91d1'  id='choice_16_37_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_37_4' id='label_16_37_4' class='gform-field-label gform-field-label--type-inline'>Pension \u9000\u4f11\u91d1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_37_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Others \u5176\u4ed6'  id='choice_16_37_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_37_5' id='label_16_37_5' class='gform-field-label gform-field-label--type-inline'>Others \u5176\u4ed6<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_16_193\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_193\"><label class='gfield_label gform-field-label' for='input_16_193' >26. Industry \u884c\u696d (eg. Transportation)<\/label><div class='ginput_container ginput_container_text'><input name='input_193' id='input_16_193' type='text' value='' class='medium' maxlength='50'     aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_33\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_33\"><label class='gfield_label gform-field-label' for='input_16_33' >27. Occupation \u8077\u696d (eg. Accounting)<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_16_33' type='text' value='' class='medium' maxlength='50'     aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_121\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_121\"><label class='gfield_label gform-field-label' for='input_16_121' >28. Position \u8077\u4f4d<\/label><div class='ginput_container ginput_container_text'><input name='input_121' id='input_16_121' type='text' value='' class='medium' maxlength='50'     aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_34\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_34\"><label class='gfield_label gform-field-label' for='input_16_34' >29. Year(s) of Service \u670d\u52d9\u5e74\u8cc7<\/label><div class='ginput_container ginput_container_number'><input name='input_34' id='input_16_34' type='text'    value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_16_34\" \/><div class='gfield_description instruction ' id='gfield_instruction_16_34'>Please enter a number from <strong>0<\/strong> to <strong>99<\/strong>.<\/div><\/div><\/div><div id=\"field_16_199\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_199\"><label class='gfield_label gform-field-label' for='input_16_199' >30. Year(s) of Industry \u73fe\u6709\u884c\u696d\u5e74\u8cc7<\/label><div class='ginput_container ginput_container_number'><input name='input_199' id='input_16_199' type='text'    value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_16_199\" \/><div class='gfield_description instruction ' id='gfield_instruction_16_199'>Please enter a number from <strong>0<\/strong> to <strong>99<\/strong>.<\/div><\/div><\/div><div id=\"field_16_194\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_194\"><label class='gfield_label gform-field-label' for='input_16_194' >31. Basic Monthly Income (in HK$) \u57fa\u672c\u6708\u85aa (\u6e2f\u5e63)<\/label><div class='ginput_container ginput_container_text'><input name='input_194' id='input_16_194' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_195\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_195\"><label class='gfield_label gform-field-label' for='input_16_195' >32. Monthly Commission (in HK$) \u5e73\u5747\u6bcf\u6708\u4f63\u91d1 (\u6e2f\u5e63)<\/label><div class='ginput_container ginput_container_text'><input name='input_195' id='input_16_195' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_196\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_196\"><label class='gfield_label gform-field-label' for='input_16_196' >33. Monthly Additional Income (in HK$) \u5e73\u5747\u6bcf\u6708\u984d\u5916\u6536\u5165 (\u6e2f\u5e63)<\/label><div class='ginput_container ginput_container_text'><input name='input_196' id='input_16_196' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_125\"  class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_125\"><label class='gfield_label gform-field-label' for='input_16_125' >34. Total Monthly Income (in HK$) \u6bcf\u6708\u7e3d\u6536\u5165 (\u6e2f\u5e63)<\/label><div class='ginput_container ginput_container_number'><input name='input_125' id='input_16_125' type='text'    value='' class='medium'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_instruction_16_125\" \/><\/div><\/div><div id=\"field_16_126\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_126\"><label class='gfield_label gform-field-label' for='input_16_126' >35. Salary Paid Method \u652f\u85aa\u65b9\u5f0f<\/label><div class='ginput_container ginput_container_select'><select name='input_126' id='input_16_126' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='Autopay \u81ea\u52d5\u8f49\u8cec' >Autopay \u81ea\u52d5\u8f49\u8cec<\/option><option value='Cheque \u652f\u7968' >Cheque \u652f\u7968<\/option><option value='Cash \u73fe\u91d1' >Cash \u73fe\u91d1<\/option><option value='Others \u5176\u4ed6\u65b9\u5f0f' >Others \u5176\u4ed6\u65b9\u5f0f<\/option><\/select><\/div><\/div><div id=\"field_16_192\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_192\"><label class='gfield_label gform-field-label' for='input_16_192' >36. Salary Pay Day \u652f\u85aa\u65e5<\/label><div class='ginput_container ginput_container_select'><select name='input_192' id='input_16_192' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><option value='End of the month' >End of the month<\/option><option value='Government Pay Day' >Government Pay Day<\/option><\/select><\/div><\/div><div id=\"field_16_128\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_128\"><label class='gfield_label gform-field-label' for='input_16_128' >37. Salary Type \u53d7\u85aa\u65b9\u5f0f<\/label><div class='ginput_container ginput_container_select'><select name='input_128' id='input_16_128' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='Regular Salaried \u56fa\u5b9a\u85aa\u91d1' >Regular Salaried \u56fa\u5b9a\u85aa\u91d1<\/option><option value='Non-regular Salaried \u975e\u56fa\u671f\u85aa\u91d1' >Non-regular Salaried \u975e\u56fa\u671f\u85aa\u91d1<\/option><option value='Self-employed \u81ea\u50f1' >Self-employed \u81ea\u50f1<\/option><option value='Others \u5176\u4ed6' >Others \u5176\u4ed6<\/option><\/select><\/div><\/div><div id=\"field_16_129\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_129\"><label class='gfield_label gform-field-label' for='input_16_129' >38. Autopay Bank Name \u81ea\u52d5\u8f49\u8cec\u9280\u884c\u540d\u7a31<\/label><div class='ginput_container ginput_container_select'><select name='input_129' id='input_16_129' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='The Bank of East Asia, Limited \u6771\u4e9e\u9280\u884c\u6709\u9650\u516c\u53f8' >The Bank of East Asia, Limited \u6771\u4e9e\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='The Hongkong and Shanghai Banking Corporation Limited \u9999\u6e2f\u4e0a\u6d77\u532f\u8c50\u9280\u884c\u6709\u9650\u516c\u53f8' >The Hongkong and Shanghai Banking Corporation Limited \u9999\u6e2f\u4e0a\u6d77\u532f\u8c50\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='Standard Chartered Bank (Hong Kong) Limited \u6e23\u6253\u9280\u884c(\u9999\u6e2f)\u6709\u9650\u516c\u53f8' >Standard Chartered Bank (Hong Kong) Limited \u6e23\u6253\u9280\u884c(\u9999\u6e2f)\u6709\u9650\u516c\u53f8<\/option><option value='Bank of China (Hong Kong) Limited \u4e2d\u570b\u9280\u884c(\u9999\u6e2f)\u6709\u9650\u516c\u53f8' >Bank of China (Hong Kong) Limited \u4e2d\u570b\u9280\u884c(\u9999\u6e2f)\u6709\u9650\u516c\u53f8<\/option><option value='Dah Sing Bank, Ltd. \u5927\u65b0\u9280\u884c\u6709\u9650\u516c\u53f8' >Dah Sing Bank, Ltd. \u5927\u65b0\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='Hang Seng Bank Ltd. \u6052\u751f\u9280\u884c\u6709\u9650\u516c\u53f8' >Hang Seng Bank Ltd. \u6052\u751f\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='DBS Bank (Hong Kong) Limited \u661f\u5c55\u9280\u884c(\u9999\u6e2f)\u6709\u9650\u516c\u53f8' >DBS Bank (Hong Kong) Limited \u661f\u5c55\u9280\u884c(\u9999\u6e2f)\u6709\u9650\u516c\u53f8<\/option><option value='Citibank, N.A. \u82b1\u65d7\u9280\u884c' >Citibank, N.A. \u82b1\u65d7\u9280\u884c<\/option><option value='CMB Wing Lung Bank Limited \u62db\u5546\u6c38\u9686\u9280\u884c\u6709\u9650\u516c\u53f8' >CMB Wing Lung Bank Limited \u62db\u5546\u6c38\u9686\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='China CITIC Bank International Limited \u4e2d\u4fe1\u9280\u884c(\u570b\u969b)\u6709\u9650\u516c\u53f8' >China CITIC Bank International Limited \u4e2d\u4fe1\u9280\u884c(\u570b\u969b)\u6709\u9650\u516c\u53f8<\/option><option value='Mevas Bank Limited \u8c50\u660e\u9280\u884c\u6709\u9650\u516c\u53f8' >Mevas Bank Limited \u8c50\u660e\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='Shanghai Commercial Bank Ltd. \u4e0a\u6d77\u5546\u696d\u9280\u884c\u6709\u9650\u516c\u53f8' >Shanghai Commercial Bank Ltd. \u4e0a\u6d77\u5546\u696d\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='Bank of Communications Co., Ltd \u4ea4\u901a\u9280\u884c\u80a1\u4efd\u6709\u9650\u516c\u53f8' >Bank of Communications Co., Ltd \u4ea4\u901a\u9280\u884c\u80a1\u4efd\u6709\u9650\u516c\u53f8<\/option><option value='Public Bank (Hong Kong) Limited \u5927\u773e\u9280\u884c(\u9999\u6e2f)\u6709\u9650\u516c\u53f8' >Public Bank (Hong Kong) Limited \u5927\u773e\u9280\u884c(\u9999\u6e2f)\u6709\u9650\u516c\u53f8<\/option><option value='OCBC Wing Hang Bank Limited \u83ef\u50d1\u6c38\u4ea8\u9280\u884c\u6709\u9650\u516c\u53f8' >OCBC Wing Hang Bank Limited \u83ef\u50d1\u6c38\u4ea8\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='Chiyu Banking Corporation Ltd. \u96c6\u53cb\u9280\u884c\u6709\u9650\u516c\u53f8' >Chiyu Banking Corporation Ltd. \u96c6\u53cb\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='Chong Hing Bank Limited \u5275\u8208\u9280\u884c\u6709\u9650\u516c\u53f8' >Chong Hing Bank Limited \u5275\u8208\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='Nanyang Commercial Bank, Ltd. \u5357\u6d0b\u5546\u696d\u9280\u884c\u6709\u9650\u516c\u53f8' >Nanyang Commercial Bank, Ltd. \u5357\u6d0b\u5546\u696d\u9280\u884c\u6709\u9650\u516c\u53f8<\/option><option value='Fubon Bank (Hong Kong) Limited \u5bcc\u90a6\u9280\u884c(\u9999\u6e2f)\u6709\u9650\u516c\u53f8' >Fubon Bank (Hong Kong) Limited \u5bcc\u90a6\u9280\u884c(\u9999\u6e2f)\u6709\u9650\u516c\u53f8<\/option><\/select><\/div><\/div><div id=\"field_16_185\"  class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_185\"><label class='gfield_label gform-field-label' for='input_16_185' >39. Autopay Bank Account Number \u81ea\u52d5\u8f49\u8cec\u9280\u884c\u6237\u53e3\u865f\u78bc<\/label><div class='ginput_container ginput_container_text'><input name='input_185' id='input_16_185' type='text' value='' class='medium'  aria-describedby=\"gfield_description_16_185\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_16_185'>\u5206\u884c\u7de8\u865f\u53ca\u5e33\u6236\u865f\u78bc<\/div><\/div><div id=\"field_16_141\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_141\"><label class='gfield_label gform-field-label' for='input_16_141' >40. Number of existing credit facilities \u73fe\u6709\u4fe1\u8cb8\u6578\u91cf<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_141' id='input_16_141' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Please Select \u8acb\u9078\u64c7 --<\/option><option value='0' >0<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><\/div><div id=\"field_16_179\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_179\"><\/br><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_16_180' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous \u4e0a\u4e00\u9801'  onclick='jQuery(\"#gform_target_page_number_16\").val(\"1\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_16\").val(\"1\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_16_180' class='gform_next_button gform-theme-button button' value='Next \u4e0b\u4e00\u9801'  onclick='jQuery(\"#gform_target_page_number_16\").val(\"3\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_16\").val(\"3\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_16_3_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_16\"]){return false;}  window[\"gf_submitting_16\"]=true; jQuery(\"#gform_save_16\").val(1); jQuery(\"#gform_16\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_16\"]){return false;} window[\"gf_submitting_16\"]=true; jQuery(\"#gform_save_16\").val(1); jQuery(\"#gform_16\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later \u5132\u5b58\u4e26\u7a0d\u5f8c\u7e7c\u7e8c<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_16_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_16_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_16_142\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_142\"><h3 class=\"gsection_title\">Existing Credit Facilities Detail - 1 \u73fe\u6709\u4fe1\u8cb8\u8cc7\u6599 - 1<\/h3><\/div><div id=\"field_16_132\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_132\"><label class='gfield_label gform-field-label' for='input_16_132' >Name of Bank \/ Finance Company \u9280\u884c\u6216\u8ca1\u52d9\u6a5f\u69cb\u540d\u7a31 - (1)<\/label><div class='ginput_container ginput_container_text'><input name='input_132' id='input_16_132' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_133\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_133\"><label class='gfield_label gform-field-label' for='input_16_133' >Borrowed Amount (in HK$) \u8cb8\u6b3e\u91d1\u984d(\u6e2f\u5e63) - (1)<\/label><div class='ginput_container ginput_container_number'><input name='input_133' id='input_16_133' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_134\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_134\"><label class='gfield_label gform-field-label' for='input_16_134' >Monthly Installment Amount (in HK$) \u6bcf\u6708\u4f9b\u6b3e (\u6e2f\u5e63) - (1)<\/label><div class='ginput_container ginput_container_number'><input name='input_134' id='input_16_134' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_135\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_135\"><label class='gfield_label gform-field-label' for='input_16_135' >Remaining Tenor (in month) \u5269\u9918\u671f\u6578 (\u6708) - (1)<\/label><div class='ginput_container ginput_container_number'><input name='input_135' id='input_16_135' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_136\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_136\"><label class='gfield_label gform-field-label' for='input_16_136' >Total Tenor (in month) \u7e3d\u4f9b\u6b3e\u671f\u6578 (\u6708) - (1)<\/label><div class='ginput_container ginput_container_number'><input name='input_136' id='input_16_136' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_137\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_137\"><label class='gfield_label gform-field-label' for='input_16_137' >Outstanding Amount (in HK$) \u672a\u511f\u9084\u7e3d\u984d(\u6e2f\u5e63) - (1)<\/label><div class='ginput_container ginput_container_number'><input name='input_137' id='input_16_137' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_138\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_138\"><label class='gfield_label gform-field-label' for='input_16_138' >Full Payment Amount (in HK$) \u5168\u6578\u6e05\u9084\u91d1\u984d(\u6e2f\u5e63) - (1)<\/label><div class='ginput_container ginput_container_number'><input name='input_138' id='input_16_138' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_16_139\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_139\"><legend class='gfield_label gform-field-label'  >Consolidation? \u50b5\u52d9\u91cd\u7d44? - (1)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_16_139'>\n\t\t\t<div class='gchoice gchoice_16_139_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='Yes \u662f'  id='choice_16_139_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_139_0' id='label_16_139_0' class='gform-field-label gform-field-label--type-inline'>Yes \u662f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_139_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='No \u5426'  id='choice_16_139_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_139_1' id='label_16_139_1' class='gform-field-label gform-field-label--type-inline'>No \u5426<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_16_143\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_143\"><h3 class=\"gsection_title\">Existing Credit Facilities Detail - 2 \u73fe\u6709\u4fe1\u8cb8\u8cc7\u6599 - 2<\/h3><\/div><div id=\"field_16_147\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_147\"><label class='gfield_label gform-field-label' for='input_16_147' >Name of Bank \/ Finance Company \u9280\u884c\u6216\u8ca1\u52d9\u6a5f\u69cb\u540d\u7a31 - (2)<\/label><div class='ginput_container ginput_container_text'><input name='input_147' id='input_16_147' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_148\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_148\"><label class='gfield_label gform-field-label' for='input_16_148' >Borrowed Amount (in HK$) \u8cb8\u6b3e\u91d1\u984d(\u6e2f\u5e63) - (2)<\/label><div class='ginput_container ginput_container_number'><input name='input_148' id='input_16_148' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_197\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_197\"><label class='gfield_label gform-field-label' for='input_16_197' >Monthly Installment Amount (in HK$) \u6bcf\u6708\u4f9b\u6b3e (\u6e2f\u5e63) - (2)<\/label><div class='ginput_container ginput_container_number'><input name='input_197' id='input_16_197' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_150\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_150\"><label class='gfield_label gform-field-label' for='input_16_150' >Remaining Tenor (in month) \u5269\u9918\u671f\u6578 (\u6708) - (2)<\/label><div class='ginput_container ginput_container_number'><input name='input_150' id='input_16_150' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_151\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_151\"><label class='gfield_label gform-field-label' for='input_16_151' >Total Tenor (in month) \u7e3d\u4f9b\u6b3e\u671f\u6578 (\u6708) - (2)<\/label><div class='ginput_container ginput_container_number'><input name='input_151' id='input_16_151' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_152\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_152\"><label class='gfield_label gform-field-label' for='input_16_152' >Outstanding Amount (in HK$) \u672a\u511f\u9084\u7e3d\u984d(\u6e2f\u5e63) - (2)<\/label><div class='ginput_container ginput_container_number'><input name='input_152' id='input_16_152' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_153\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_153\"><label class='gfield_label gform-field-label' for='input_16_153' >Full Payment Amount (in HK$) \u5168\u6578\u6e05\u9084\u91d1\u984d(\u6e2f\u5e63) - (2)<\/label><div class='ginput_container ginput_container_number'><input name='input_153' id='input_16_153' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_16_154\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_154\"><legend class='gfield_label gform-field-label'  >Consolidation? \u50b5\u52d9\u91cd\u7d44? - (2)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_16_154'>\n\t\t\t<div class='gchoice gchoice_16_154_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='Yes \u662f'  id='choice_16_154_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_154_0' id='label_16_154_0' class='gform-field-label gform-field-label--type-inline'>Yes \u662f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_154_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='No \u5426'  id='choice_16_154_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_154_1' id='label_16_154_1' class='gform-field-label gform-field-label--type-inline'>No \u5426<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_16_144\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_144\"><h3 class=\"gsection_title\">Existing Credit Facilities Detail - 3 \u73fe\u6709\u4fe1\u8cb8\u8cc7\u6599 - 3<\/h3><\/div><div id=\"field_16_155\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_155\"><label class='gfield_label gform-field-label' for='input_16_155' >Name of Bank \/ Finance Company \u9280\u884c\u6216\u8ca1\u52d9\u6a5f\u69cb\u540d\u7a31 - (3)<\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_16_155' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_156\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_156\"><label class='gfield_label gform-field-label' for='input_16_156' >Borrowed Amount (in HK$) \u8cb8\u6b3e\u91d1\u984d(\u6e2f\u5e63) - (3)<\/label><div class='ginput_container ginput_container_number'><input name='input_156' id='input_16_156' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_149\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_149\"><label class='gfield_label gform-field-label' for='input_16_149' >Monthly Installment Amount (in HK$) \u6bcf\u6708\u4f9b\u6b3e (\u6e2f\u5e63) - (3)<\/label><div class='ginput_container ginput_container_number'><input name='input_149' id='input_16_149' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_157\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_157\"><label class='gfield_label gform-field-label' for='input_16_157' >Remaining Tenor (in month) \u5269\u9918\u671f\u6578 (\u6708) - (3)<\/label><div class='ginput_container ginput_container_number'><input name='input_157' id='input_16_157' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_158\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_158\"><label class='gfield_label gform-field-label' for='input_16_158' >Total Tenor (in month) \u7e3d\u4f9b\u6b3e\u671f\u6578 (\u6708) - (3)<\/label><div class='ginput_container ginput_container_number'><input name='input_158' id='input_16_158' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_159\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_159\"><label class='gfield_label gform-field-label' for='input_16_159' >Outstanding Amount (in HK$) \u672a\u511f\u9084\u7e3d\u984d(\u6e2f\u5e63) - (3)<\/label><div class='ginput_container ginput_container_number'><input name='input_159' id='input_16_159' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_160\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_160\"><label class='gfield_label gform-field-label' for='input_16_160' >Full Payment Amount (in HK$) \u5168\u6578\u6e05\u9084\u91d1\u984d(\u6e2f\u5e63) - (3)<\/label><div class='ginput_container ginput_container_number'><input name='input_160' id='input_16_160' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_16_161\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_161\"><legend class='gfield_label gform-field-label'  >Consolidation? \u50b5\u52d9\u91cd\u7d44? - (3)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_16_161'>\n\t\t\t<div class='gchoice gchoice_16_161_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_161' type='radio' value='Yes \u662f'  id='choice_16_161_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_161_0' id='label_16_161_0' class='gform-field-label gform-field-label--type-inline'>Yes \u662f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_161_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_161' type='radio' value='No \u5426'  id='choice_16_161_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_161_1' id='label_16_161_1' class='gform-field-label gform-field-label--type-inline'>No \u5426<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_16_170\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_170\"><h3 class=\"gsection_title\">Existing Credit Facilities Detail - 4 \u73fe\u6709\u4fe1\u8cb8\u8cc7\u6599 - 4<\/h3><\/div><div id=\"field_16_162\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_162\"><label class='gfield_label gform-field-label' for='input_16_162' >Name of Bank \/ Finance Company \u9280\u884c\u6216\u8ca1\u52d9\u6a5f\u69cb\u540d\u7a31 - (4)<\/label><div class='ginput_container ginput_container_text'><input name='input_162' id='input_16_162' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_163\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_163\"><label class='gfield_label gform-field-label' for='input_16_163' >Borrowed Amount (in HK$) \u8cb8\u6b3e\u91d1\u984d(\u6e2f\u5e63) - (4)<\/label><div class='ginput_container ginput_container_number'><input name='input_163' id='input_16_163' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_164\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_164\"><label class='gfield_label gform-field-label' for='input_16_164' >Monthly Installment Amount (in HK$) \u6bcf\u6708\u4f9b\u6b3e (\u6e2f\u5e63) - (4)<\/label><div class='ginput_container ginput_container_number'><input name='input_164' id='input_16_164' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_165\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_165\"><label class='gfield_label gform-field-label' for='input_16_165' >Remaining Tenor (in month) \u5269\u9918\u671f\u6578 (\u6708) - (4)<\/label><div class='ginput_container ginput_container_number'><input name='input_165' id='input_16_165' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_167\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_167\"><label class='gfield_label gform-field-label' for='input_16_167' >Total Tenor (in month) \u7e3d\u4f9b\u6b3e\u671f\u6578 (\u6708) - (4)<\/label><div class='ginput_container ginput_container_number'><input name='input_167' id='input_16_167' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_166\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_166\"><label class='gfield_label gform-field-label' for='input_16_166' >Outstanding Amount (in HK$) \u672a\u511f\u9084\u7e3d\u984d(\u6e2f\u5e63) - (4)<\/label><div class='ginput_container ginput_container_number'><input name='input_166' id='input_16_166' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_168\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_168\"><label class='gfield_label gform-field-label' for='input_16_168' >Full Payment Amount (in HK$) \u5168\u6578\u6e05\u9084\u91d1\u984d(\u6e2f\u5e63) - (4)<\/label><div class='ginput_container ginput_container_number'><input name='input_168' id='input_16_168' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_16_169\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_169\"><legend class='gfield_label gform-field-label'  >Consolidation? \u50b5\u52d9\u91cd\u7d44? - (4)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_16_169'>\n\t\t\t<div class='gchoice gchoice_16_169_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_169' type='radio' value='Yes \u662f'  id='choice_16_169_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_169_0' id='label_16_169_0' class='gform-field-label gform-field-label--type-inline'>Yes \u662f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_169_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_169' type='radio' value='No \u5426'  id='choice_16_169_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_169_1' id='label_16_169_1' class='gform-field-label gform-field-label--type-inline'>No \u5426<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_16_146\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_146\"><h3 class=\"gsection_title\">Existing Credit Facilities Detail - 5 \u73fe\u6709\u4fe1\u8cb8\u8cc7\u6599 - 5<\/h3><\/div><div id=\"field_16_171\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_171\"><label class='gfield_label gform-field-label' for='input_16_171' >Name of Bank \/ Finance Company \u9280\u884c\u6216\u8ca1\u52d9\u6a5f\u69cb\u540d\u7a31 - (5)<\/label><div class='ginput_container ginput_container_text'><input name='input_171' id='input_16_171' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_172\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_172\"><label class='gfield_label gform-field-label' for='input_16_172' >Borrowed Amount (in HK$) \u8cb8\u6b3e\u91d1\u984d(\u6e2f\u5e63) - (5)<\/label><div class='ginput_container ginput_container_number'><input name='input_172' id='input_16_172' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_173\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_173\"><label class='gfield_label gform-field-label' for='input_16_173' >Monthly Installment Amount (in HK$) \u6bcf\u6708\u4f9b\u6b3e (\u6e2f\u5e63) - (5)<\/label><div class='ginput_container ginput_container_number'><input name='input_173' id='input_16_173' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_174\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_174\"><label class='gfield_label gform-field-label' for='input_16_174' >Remaining Tenor (in month) \u5269\u9918\u671f\u6578 (\u6708) - (5)<\/label><div class='ginput_container ginput_container_number'><input name='input_174' id='input_16_174' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_178\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_178\"><label class='gfield_label gform-field-label' for='input_16_178' >Total Tenor (in month) \u7e3d\u4f9b\u6b3e\u671f\u6578 (\u6708) - (5)<\/label><div class='ginput_container ginput_container_number'><input name='input_178' id='input_16_178' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_175\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_175\"><label class='gfield_label gform-field-label' for='input_16_175' >Outstanding Amount (in HK$) \u672a\u511f\u9084\u7e3d\u984d(\u6e2f\u5e63) - (5)<\/label><div class='ginput_container ginput_container_number'><input name='input_175' id='input_16_175' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_16_176\"  class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_176\"><label class='gfield_label gform-field-label' for='input_16_176' >Full Payment Amount (in HK$) \u5168\u6578\u6e05\u9084\u91d1\u984d(\u6e2f\u5e63) - (5)<\/label><div class='ginput_container ginput_container_number'><input name='input_176' id='input_16_176' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_16_177\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_177\"><legend class='gfield_label gform-field-label'  >Consolidation? \u50b5\u52d9\u91cd\u7d44? - (5)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_16_177'>\n\t\t\t<div class='gchoice gchoice_16_177_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_177' type='radio' value='Yes \u662f'  id='choice_16_177_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_177_0' id='label_16_177_0' class='gform-field-label gform-field-label--type-inline'>Yes \u662f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_177_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_177' type='radio' value='No \u5426'  id='choice_16_177_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_177_1' id='label_16_177_1' class='gform-field-label gform-field-label--type-inline'>No \u5426<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_16_89\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_89\"><br><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_16_212' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_16\").val(\"2\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_16\").val(\"2\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_16_212' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_16\").val(\"4\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_16\").val(\"4\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_16_4_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_16\"]){return false;}  window[\"gf_submitting_16\"]=true; jQuery(\"#gform_save_16\").val(1); jQuery(\"#gform_16\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_16\"]){return false;} window[\"gf_submitting_16\"]=true; jQuery(\"#gform_save_16\").val(1); jQuery(\"#gform_16\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later \u5132\u5b58\u4e26\u7a0d\u5f8c\u7e7c\u7e8c<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_16_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_16_4' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_16_213\"  class=\"gfield gfield--type-section gsection gf_scroll_text field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_213\"><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_16_213'>I\/ We declare that all data and information stated in this application is true, accurate and complete. I\/ We also declare that I\/We have no intention to submit bankruptcy petition in the coming 12 months. I\/We understand that I\/We may contact Pan Asian Mortgage Company Limited (the \u201cCompany\u201d) to obtain the address of the credit reference agency so as to access for a credit report if I\/We shall consider it necessary. I\/We further agree and authorize the Company to:<\/br>\n\u672c\u4eba\/\u543e\u7b49\u8072\u660e\u672c\u7533\u8acb\u8868\u5167\u6240\u8f09\u4e00\u5207\u8cc7\u6599\u5747\u5c6c\u771f\u5be6\u3001\u6b63\u78ba\u53ca\u5b8c\u6574\u3002\u672c\u4eba\/\u543e\u7b49\u4ea6\u8072\u660e\u672c\u4eba\/\u543e\u7b49\u4e26\u7121\u610f\u5716\u65bc\u672a\u4f8612\u500b\u6708\u5167\u7533\u8acb\u7834\u7522\u3002\u672c\u4eba\/\u543e\u7b49\u4ea6\u660e\u767d\u65bc\u6709\u9700\u8981\u6642\u53ef\u8981\u6c42\u5b8f\u4e9e\u6309\u63ed\u8b49\u5238\u6709\u9650\u516c\u53f8(\"\u8cb4\u516c\u53f8\")\u7d66\u4e88\u6709\u95dc\u4fe1\u8cb8\u8cc7\u6599\u6a5f\u69cb\u4e4b\u5730\u5740\u4ee5\u7d22\u53d6\u672c\u4eba\/\u543e\u7b49\u4e4b\u4fe1\u8cb8\u8a18\u9304\u5831\u544a\u3002\u672c\u4eba\/\u543e\u7b49\u540c\u610f\u53ca\u6388\u6b0a\u8cb4\u516c\u53f8\u53ef:-\n<\/br><\/br>\n1. Disclose, exchange all data and information contained herein together with particulars of my\/our account(s) with the Company to any credit bureaus or agencies, banks, financial institutions, debt collection agencies or any other information sources for consideration of this application;<\/br>\n\u5411\u4efb\u4f55\u4fe1\u8cb8\u8cc7\u6599\u6a5f\u69cb\u3001\u9280\u884c\u3001\u8ca1\u52d9\u6a5f\u69cb\u3001\u6536\u6578\u516c\u53f8\u6216\u5176\u4ed6\u8cc7\u6599\u4f86\u6e90\u900f\u9732\u3001\u4ea4\u63db\u672c\u7533\u8acb\u8868\u5167\u4e00\u5207\u6709\u95dc\u672c\u4eba\/\u543e\u7b49\u4e4b\u8cc7\u6599\u53ca\u672c\u4eba\/\u543e\u7b49\u65bc\u8cb4\u516c\u53f8\u5176\u4ed6\u6236\u53e3\u4e4b\u8cc7\u6599;<\/br><\/br>\n2. Access my\/our credit data held by the credit reference agency and to obtain a credit report for consideration of this application and\/or for further account review which include but not limited to my\/our further loan application with the Company through telephone, Internet, fax or whatever channels acceptable to the Company. I\/We understand and agree that the Company may conduct such reviews to determine if my\/our existing credit\/loan amount\nshould be increased or decreased or remained unchanged;<\/br>\n\u63a5\u89f8\u6709\u95dc\u4fe1\u8cb8\u8cc7\u6599\u6a5f\u69cb\u67e5\u95b1\u672c\u4eba\/\u543e\u7b49\u4e4b\u4fe1\u8cb8\u8a18\u9304\u53ca\u7d22\u53d6\u6709\u95dc\u5831\u544a\u4ee5\u4f5c\u6b64\u9805\u8cb8\u6b3e\u7533\u8acb\u53ca\u5176\u5f8c\u8cb4\u516c\u53f8\u4f5c\u6236\u53e3\u5be9\u67e5\u4e4b\u7528\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\u672c\u4eba\/\u543e\u7b49\u5176\u5f8c\u5411\u8cb4\u516c\u53f8\u4ee5\u96fb\u8a71\u3001\u7db2\u4e0a\u3001\u50b3\u771f\u6216\u5176\u4ed6\u8cb4\u516c\u53f8\u8a8d\u53ef\u4e4b\u9014\u5f91\u518d\u6b21\u7533\u8acb\u8cb8\u6b3e\u3002\u672c\u4eba\/\u543e\u7b49\u660e\u767d\u53ca\u540c\u610f\u8cb4\u516c\u53f8\u53ef\u9032\u884c\u8a72\u7b49\u6236\u53e3\u5be9\u67e5\uff0c\u4ee5\u5224\u65b7\u672c\u4eba\/\u543e\u7b49\u4e4b\u4fe1\u8cb8\u984d\u61c9\u5426\u589e\u52a0\u3001\u6e1b\u5c11\u6216\u7dad\u6301\u4e0d\u8b8a;<\/br><\/br>\n\n3. Approve or decline my\/our application at its absolute discretion without stating any reasons and without returning to me\/us the copies of supportive documents for this application;<\/br>\n\u6709\u7d55\u5c0d\u6b0a\u5229\u6279\u6838\u6216\u62d2\u7d55\u672c\u4eba\/\u543e\u7b49\u4e4b\u8cb8\u6b3e\u7533\u8acb\u800c\u6bcb\u9700\u63d0\u51fa\u4efb\u4f55\u7406\u7531\u53ca\u6bcb\u9700\u9000\u56de\u6709\u95dc\u7533\u8acb\u6587\u4ef6\u4e4b\u526f\u672c\u4e88\u672c\u4eba\/\u543e\u7b49;<\/br><\/br>\n\n4. Collect all data that are required to support this application and I\/We have been advised of my\/our right to access, update or amend such data and information held by the Company or credit reference agency;<\/br>\n\u6536\u96c6\u6709\u95dc\u672c\u4eba\/\u543e\u7b49\u4e4b\u8cc7\u6599\u4ee5\u4f5c\u672c\u8cb8\u6b3e\u7533\u8acb\u4e4b\u7528\u53ca\u672c\u4eba\/\u543e\u7b49\u5df2\u7372\u8cb4\u516c\u53f8\u901a\u77e5\u672c\u4eba\/\u543e\u7b49\u53ef\u67e5\u95b1\u53ca\u66f4\u6b63\u5b58\u65bc\u8cb4\u516c\u53f8\u6216\u4fe1\u8cb8\u8cc7\u6599\u6a5f\u69cb\u4e4b\u500b\u4eba\u8cc7\u6599;<\/br><\/br>\n\n5. Provide me from time to time with the marketing and product information from the Company through direct contact with me and\/or access through any electronic means including but not limited to use of telephone calls, email, fax, SMS\/MMS, pre-recorded voice\/video messages; and<\/br>\n\u4e0d\u6642\u5411\u672c\u4eba\u2215\u543e\u7b49\u63d0\u4f9b\u6709\u95dc\u8cb4\u516c\u53f8\u7522\u54c1\u63a8\u5ee3\u4e4b\u8cc7\u6599\uff0c\u5305\u62ec\u4f46\u4e0d\u9650\u65bc\u53ef\u76f4\u63a5\u806f\u7d61\u672c\u4eba\u2215\u543e\u7b49\u53ca\u2215\u6216\u900f\u904e\u96fb\u5b50\u8a0a\u606f\u5305\u62ec\u4ee5\u96fb\u8a71\u3001\u96fb\u90f5\u3001\u50b3\u771f\u3001\u77ed\u8a0a\u2215\u591a\u5a92\u9ad4\u77ed\u8a0a\u3001\u9810\u5148 \u9304\u88fd\u8a9e\u97f3 \/\u8996\u50cf\u8a0a\u606f\u7b49\u65b9\u5f0f\u5c07\u6709\u95dc\u8a0a\u606f\u50b3\u9001\u81f3\u672c\u4eba\u2215\u543e\u7b49; \u53ca<\/br><\/br>\n\n6. To deposit the loan proceeds to my\/our designated bank account previously identified to you at time of application (if any) for loan disbursement.<\/br>\n\u6839\u64da\u672c\u4eba\/\u543e\u7b49\u65bc\u8cb8\u6b3e\u7533\u8acb\u6642\u6307\u5b9a\u4e4b\u9280\u884c\u6236\u53e3\uff08\u5982\u9069\u7528\u8005\uff09\uff0c\u5c07\u8cb8\u6b3e\u984d\u8f49\u5e33\u6216\u5b58\u5165\u8a72\u5e33\u6236\u5167\u3002<\/div><\/div><fieldset id=\"field_16_220\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_16_220\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Please confirm you have read and agreed all Declarations and Terms &amp; Conditions<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_16_220'>\u8acb\u95a3\u4e0b\u7d30\u95b1\u53ca\u540c\u610f\u6240\u6709\u8072\u660e\u3001\u689d\u6b3e\u53ca\u7d30\u5247: *<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_16_220'><div class='gchoice gchoice_16_220_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_220.1' type='checkbox'  value='I\/We have agree the above Declarations, Term and Conditions. Click here to read the &lt;a href=&quot;https:\/\/www.panasian.biz\/privacy-statement\/&quot; target=&quot;_blank&quot;&gt;Privacy Policy&lt;\/a&gt;&lt;\/br&gt; \u672c\u4eba\/\u543e\u7b49\u540c\u610f\u4e0a\u8ff0\u8072\u660e\u3001\u63a8\u5ee3\u689d\u6b3e\u53ca\u7d30\u5247\u3002\u9ede\u64ca\u67e5\u95b1&lt;a href=&quot;https:\/\/www.panasian.biz\/privacy-statement\/&quot; target=&quot;_blank&quot;&gt;\u79c1\u96b1\u653f\u7b56&lt;\/a&gt;\u3002'  id='choice_16_220_1'   aria-describedby=\"gfield_description_16_220\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_220_1' id='label_16_220_1' class='gform-field-label gform-field-label--type-inline'>I\/We have agree the above Declarations, Term and Conditions. Click here to read the <a href=\"https:\/\/www.panasian.biz\/privacy-statement\/\" target=\"_blank\">Privacy Policy<\/a><\/br> \u672c\u4eba\/\u543e\u7b49\u540c\u610f\u4e0a\u8ff0\u8072\u660e\u3001\u63a8\u5ee3\u689d\u6b3e\u53ca\u7d30\u5247\u3002\u9ede\u64ca\u67e5\u95b1<a href=\"https:\/\/www.panasian.biz\/privacy-statement\/\" target=\"_blank\">\u79c1\u96b1\u653f\u7b56<\/a>\u3002<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_16_219\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_16_219\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Thank you for agreeing to our use of your personal data in direct marketing.\u00a0 If you change your mind, you can opt-out at any time.\u00a0<\/legend><div class='gfield_description' id='gfield_description_16_219'>\u611f\u8b1d\u60a8\u540c\u610f\u6211\u5011\u4f7f\u7528\u4f60\u7684\u500b\u4eba\u8cc7\u6599\u4f5c\u76f4\u92b7\u63a8\u5ee3\u3002 \u5982\u679c\u60a8\u6539\u8b8a\u4e3b\u610f\uff0c\u60a8\u53ef\u4ee5\u96a8\u6642\u91cd\u65b0\u9078\u64c7\u3002<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_16_219'><div class='gchoice gchoice_16_219_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_219.1' type='checkbox'  value='If you do not wish Pan Asian Mortgage Company Limited to use your personal data in direct marketing, please click\u00a0here.&lt;\/br&gt;\u82e5\u4f60\u4e0d\u6b32\u5b8f\u4e9e\u6309\u63ed\u8b49\u5238\u6709\u9650\u516c\u53f8\u4f7f\u7528\u4f60\u7684\u500b\u4eba\u8cc7\u6599\u4f5c\u76f4\u92b7\u63a8\u5ee3\uff0c\u8acb\u6309\u6b64\u8655\u3002'  id='choice_16_219_1'   aria-describedby=\"gfield_description_16_219\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_219_1' id='label_16_219_1' class='gform-field-label gform-field-label--type-inline'>If you do not wish Pan Asian Mortgage Company Limited to use your personal data in direct marketing, please click\u00a0here.<\/br>\u82e5\u4f60\u4e0d\u6b32\u5b8f\u4e9e\u6309\u63ed\u8b49\u5238\u6709\u9650\u516c\u53f8\u4f7f\u7528\u4f60\u7684\u500b\u4eba\u8cc7\u6599\u4f5c\u76f4\u92b7\u63a8\u5ee3\uff0c\u8acb\u6309\u6b64\u8655\u3002<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_16_216\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_16_216\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >I \/We do not wish the Lender to use my\/our personal data in direct marketing through any of the following channels:<\/legend><div class='gfield_description' id='gfield_description_16_216'>\u672c\u4eba(\u7b49)\u4e0d\u6b32\u8cb4\u516c\u53f8\u4f7f\u7528\u672c\u4eba(\u7b49)\u7684\u500b\u4eba\u8cc7\u6599\u4f5c\u76f4\u92b7\u63a8\u5ee3\u901a\u904e\u4ee5\u4e0b\u4efb\u4f55\u6e20\u9053 :<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_16_216'><div class='gchoice gchoice_16_216_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_216.1' type='checkbox'  value='Email \u96fb\u90f5'  id='choice_16_216_1'   aria-describedby=\"gfield_description_16_216\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_216_1' id='label_16_216_1' class='gform-field-label gform-field-label--type-inline'>Email \u96fb\u90f5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_16_216_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_216.2' type='checkbox'  value='Text messages \u6587\u5b57\u8a0a\u606f'  id='choice_16_216_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_216_2' id='label_16_216_2' class='gform-field-label gform-field-label--type-inline'>Text messages \u6587\u5b57\u8a0a\u606f<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_16_216_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_216.3' type='checkbox'  value='Phone calls\u96fb\u8a71'  id='choice_16_216_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_16_216_3' id='label_16_216_3' class='gform-field-label gform-field-label--type-inline'>Phone calls\u96fb\u8a71<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_16_105' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous \u4e0a\u4e00\u9801'  onclick='jQuery(\"#gform_target_page_number_16\").val(\"3\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_16\").val(\"3\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_16_105' class='gform_next_button gform-theme-button button' value='Next \u4e0b\u4e00\u9801'  onclick='jQuery(\"#gform_target_page_number_16\").val(\"5\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_16\").val(\"5\");  jQuery(\"#gform_16\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_16_5_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_16\"]){return false;}  window[\"gf_submitting_16\"]=true; jQuery(\"#gform_save_16\").val(1); jQuery(\"#gform_16\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_16\"]){return false;} window[\"gf_submitting_16\"]=true; jQuery(\"#gform_save_16\").val(1); jQuery(\"#gform_16\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later \u5132\u5b58\u4e26\u7a0d\u5f8c\u7e7c\u7e8c<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_16_5' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_16_5' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_16_203\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_16_203\"><legend class='gfield_label gform-field-label'  >By signing this Form , I<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_16_203'>\u672c\u4eba\u901a\u904e\u7c3d\u7f72\u672c\u540c\u610f\u66f8\uff1a*\n\n<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_16_203'>\n\t\t\t<div class='gchoice gchoice_16_203_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_203' type='radio' value='Agree \u540c\u610f'  id='choice_16_203_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_16_203\"   \/>\n\t\t\t\t\t<label for='choice_16_203_0' id='label_16_203_0' class='gform-field-label gform-field-label--type-inline'>Agree \u540c\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_16_203_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_203' type='radio' value='Do Not Agree \u4e0d\u540c\u610f'  id='choice_16_203_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_16_203_1' id='label_16_203_1' class='gform-field-label gform-field-label--type-inline'>Do Not Agree \u4e0d\u540c\u610f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_16_109\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_109\"><b><span style=\"color:#e74c3c\">The approval will be effected if you disagree to giving consent.<\/br>\n\u5982\u679c\u4e0d\u540c\u610f\u6703\u5f71\u97ff\u6279\u6838<\/span><\/b>\n\n<\/div><div id=\"field_16_110\"  class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_110\">to Pan Asian Mortgage Company Limited ( collectively referred to as \u201cthe Lender\u201d ) providing to TU the fact that I have made a new application for credit facilities ( whether as a borrower or guarantor) with the Lender in relation to the obtaining of a credit report (which will not contain my mortgage count, being the total number of outstanding mortgage loans held by me with credit providers in Hong Kong ( whether as a borrower, mortgagor or guarantor, and whether in my sole name or in joint names with others)) and at the time of regular or special reviews which normally will take place one or more times each year.<\/br>\n\u672c\u516c\u53f8\u5c31\u67e5\u95b1\u4e0d\u5305\u62ec\u672c\u4eba\u6309\u63ed\u5b97\u6578\uff08\u5373\u672c\u4eba\uff08\u4e0d\u8ad6\u4ee5\u501f\u6b3e\u4eba\u3001\u6309\u63ed\u4eba\u6216\u64d4\u4fdd\u4eba\u8eab\u5206\uff0c\u4ee5\u53ca\u4e0d\u8ad6\u4ee5\u672c\u4eba\u55ae\u540d\u6216\u8207\u5176\u4ed6\u4eba\u58eb\u806f\u540d\u65b9\u5f0f\uff09\u5728\u9999\u6e2f\u4fe1\u8cb8\u63d0\u4f9b\u8005\u4e0d\u6642\u6301\u6709\u7684\u672a\u511f\u9084\u6309\u63ed\u8cb8\u6b3e\u5408\u8a08\u5b97\u6578\uff09\u7684\u4fe1\u8cb8\u5831\u544a\u5411\u74b0\u806f\u63d0\u4f9b\u672c\u4eba\uff08\u4e0d\u8ad6\u4ee5\u501f\u6b3e\u4eba\u6216\u64d4\u4fdd\u4eba\u8eab\u5206\uff09\u5411\u672c\u516c\u53f8\u4f5c\u51fa\u65b0\u4fe1\u8cb8\u7533\u8acb\u7684\u4e8b\u5be6\u3002 \u5728\u5ba2\u6236\u7533\u8acb\u4fe1\u8cb8\u6642\u9032\u884c\u7684\u4fe1\u8cb8\u8abf\u67e5\uff0c\u53ca\u6bcf\u5e74\u9032\u884c\u4e00\u6b21\u6216\u4ee5\u4e0a\u7684\u5b9a\u671f\u6216\u7279\u5225\u5be9\u67e5\u3002<\/div><div id=\"field_16_64\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_64\"><label class='gfield_label gform-field-label' for='input_16_64' >Staff Name \u8077\u54e1\u540d\u5b57<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_16_64' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_75\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_75\"><label class='gfield_label gform-field-label' for='input_16_75' >Staff Email \u8077\u54e1\u96fb\u90f5\u5730\u5740<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_75' id='input_16_75' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_16_112\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_112\"><label class='gfield_label gform-field-label' for='input_16_112' >Applicant Full Name \u7533\u8acb\u4eba\u5168\u540d:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_112' id='input_16_112' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_16_111\"  class=\"gfield gfield--type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_111\"><label class='gfield_label gform-field-label' for='input_16_111' >Signature by Applicant \u7533\u8acb\u4eba\u7c3d\u540d<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_16_111_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_16_111_valid' id='input_16_111_valid' \/><canvas id='input_16_111' width='500' height='180'><\/canvas><div class='gfield_signature_reset_container'><svg id=\"input_16_111_resetIcon\" class=\"gfield_signature_reset_icon\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"26\" height=\"26\" viewBox=\"0 0 26 26\">\n\t\t\t\t\t<title>Reset signature<\/title>\n\t\t\t\t\t<path fill=\"#000000\" d=\"M13 6.906v1.939c0 0.487 0.585 0.726 0.921 0.379l3.022-3.023c0.217-0.217 0.217-0.553 0-0.769l-3.022-3.022c-0.336-0.336-0.921-0.098-0.921 0.39v1.939c-4.788 0-8.667 3.878-8.667 8.667 0 1.127 0.217 2.21 0.617 3.196 0.293 0.726 1.224 0.921 1.777 0.368 0.292-0.292 0.412-0.737 0.249-1.127-0.314-0.748-0.477-1.582-0.477-2.438 0-3.586 2.914-6.5 6.5-6.5zM19.273 9.842c-0.293 0.293-0.412 0.748-0.249 1.127 0.303 0.758 0.477 1.582 0.477 2.438 0 3.586-2.914 6.5-6.5 6.5v-1.939c0-0.488-0.585-0.726-0.921-0.379l-3.023 3.023c-0.217 0.217-0.217 0.552 0 0.769l3.023 3.023c0.336 0.336 0.921 0.098 0.921-0.379v-1.95c4.788 0 8.667-3.878 8.667-8.667 0-1.127-0.217-2.21-0.618-3.196-0.292-0.726-1.224-0.921-1.777-0.368z\"><\/path>\n\t\t\t\t<\/svg><svg id=\"input_16_111_lockedReset\" class=\"gform_signature_locked_reset\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"18\" height=\"18\" viewBox=\"0 0 26 26\">\n\t\t\t\t\t<title>Signature locked. Reset to sign again<\/title>\n\t\t\t\t\t<path fill=\"#000000\" d=\"M19.5 8.667h-1.083v-2.167c0-2.99-2.427-5.417-5.417-5.417s-5.417 2.427-5.417 5.417v2.167h-1.083c-1.192 0-2.167 0.975-2.167 2.167v10.833c0 1.192 0.975 2.167 2.167 2.167h13c1.192 0 2.167-0.975 2.167-2.167v-10.833c0-1.192-0.975-2.167-2.167-2.167zM13 18.417c-1.192 0-2.167-0.975-2.167-2.167s0.975-2.167 2.167-2.167c1.192 0 2.167 0.975 2.167 2.167s-0.975 2.167-2.167 2.167zM9.75 8.667v-2.167c0-1.798 1.452-3.25 3.25-3.25s3.25 1.452 3.25 3.25v2.167h-6.5z\"><\/path>\n\t\t\t\t\t<path fill=\"#000000\" d=\"M13 18.417c-1.192 0-2.167-0.975-2.167-2.167s0.975-2.167 2.167-2.167c1.192 0 2.167 0.975 2.167 2.167s-0.975 2.167-2.167 2.167z\"><\/path>\n\t\t\t\t<\/svg>\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div id=\"field_16_80\"  class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_80\"><label class='gfield_label gform-field-label' for='input_16_80' >CAPTCHA<\/label><div id='input_16_80' class='ginput_container ginput_recaptcha' data-sitekey='6LfgDyEnAAAAALXFjVEZxCWwh8GAnr9gg_N9g-s4'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><div id=\"field_16_87\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_87\"><br><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_16' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous \u4e0a\u4e00\u9801'  onclick='if(window[\"gf_submitting_16\"]){return false;}  window[\"gf_submitting_16\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_16\"]){return false;} window[\"gf_submitting_16\"]=true;  jQuery(\"#gform_16\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_16' class='gform_button button' value='Complete and Submit \u5b8c\u6210\u53ca\u63d0\u4ea4'  onclick='if(window[\"gf_submitting_16\"]){return false;}  window[\"gf_submitting_16\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_16\"]){return false;} window[\"gf_submitting_16\"]=true;  jQuery(\"#gform_16\").trigger(\"submit\",[true]); }' \/> <button type='button'  id='gform_save_16_footer_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_16\"]){return false;}  window[\"gf_submitting_16\"]=true; jQuery(\"#gform_save_16\").val(1); jQuery(\"#gform_16\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_16\"]){return false;} window[\"gf_submitting_16\"]=true; jQuery(\"#gform_save_16\").val(1); jQuery(\"#gform_16\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later \u5132\u5b58\u4e26\u7a0d\u5f8c\u7e7c\u7e8c<\/button>\n            <input type='hidden' class='gform_hidden' name='is_submit_16' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='16' \/>\n            <input type='hidden' class='gform_hidden' name='gform_save' id='gform_save_16' value='' \/>\n                             <input type='hidden' class='gform_hidden' name='gform_resume_token' id='gform_resume_token_16' value='' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_16' value='WyJbXSIsImIzOGRmYzkwOTg5ZWQ3NDU2MmI3YTY4MWExMzQwMjY1Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_16' id='gform_target_page_number_16' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_16' id='gform_source_page_number_16' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/div><\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 16, 'https:\/\/www.panasian.biz\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_16').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_16');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_16').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){jQuery('#gform_wrapper_16').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_16').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_16').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_16').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_16').val();gformInitSpinner( 16, 'https:\/\/www.panasian.biz\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [16, current_page]);window['gf_submitting_16'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_16').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_16').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [16]);window['gf_submitting_16'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_16').text());}, 50);}else{jQuery('#gform_16').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [16, current_page]);} );} );\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/empty-content.php","meta":{"inline_featured_image":false},"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.panasian.biz\/en\/wp-json\/wp\/v2\/pages\/6831"}],"collection":[{"href":"https:\/\/www.panasian.biz\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.panasian.biz\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.panasian.biz\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.panasian.biz\/en\/wp-json\/wp\/v2\/comments?post=6831"}],"version-history":[{"count":1,"href":"https:\/\/www.panasian.biz\/en\/wp-json\/wp\/v2\/pages\/6831\/revisions"}],"predecessor-version":[{"id":6832,"href":"https:\/\/www.panasian.biz\/en\/wp-json\/wp\/v2\/pages\/6831\/revisions\/6832"}],"wp:attachment":[{"href":"https:\/\/www.panasian.biz\/en\/wp-json\/wp\/v2\/media?parent=6831"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}