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class='gform-field-label gform-field-label--type-inline'>\u662f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_165_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='\u5426'  id='choice_165_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_165_9_1' id='label_165_9_1' class='gform-field-label gform-field-label--type-inline'>\u5426<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_165_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_165_12'>\u8f93\u5165\u60a8\u7684\u4fdd\u5355\u53f7\u7801<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_165_12' type='text' value='' class='large'    placeholder='\u8f93\u5165\u60a8\u7684\u4fdd\u5355\u53f7\u7801'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_165_13\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<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_165_13'>\n                            \n                            <span id='input_165_13_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.3' id='input_165_13_3' value=''   aria-required='true'   placeholder='\u540d\u5b57 *'  \/>\n                                                    <label for='input_165_13_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_165_13_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.6' id='input_165_13_6' value=''   aria-required='true'   placeholder='\u59d3\u6c0f *'  \/>\n                                                    <label for='input_165_13_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_165_14\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half talk-text gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >\u60a8\u7684\u8054\u7edc\u65b9\u5f0f *<\/div><fieldset id=\"field_165_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u60a8\u7684\u8054\u7edc\u65b9\u5f0f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_165_15'>\n\t\t\t<div class='gchoice gchoice_165_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u7535\u5b50\u90ae\u4ef6'  id='choice_165_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_165_15_0' id='label_165_15_0' class='gform-field-label gform-field-label--type-inline'>\u7535\u5b50\u90ae\u4ef6<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_165_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u7535\u8bdd\u53f7\u7801'  id='choice_165_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_165_15_1' id='label_165_15_1' class='gform-field-label gform-field-label--type-inline'>\u7535\u8bdd\u53f7\u7801<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_165_16\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_165_16'>\u7535\u5b50\u90ae\u4ef6<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_16' id='input_165_16' type='email' value='' class='large'   placeholder='\u7535\u5b50\u90ae\u4ef6 *' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_165_17\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_165_17'>\u7535\u8bdd\u53f7\u7801<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_17' id='input_165_17' type='tel' value='' class='large'  placeholder='+65 12345678*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_165_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_165_18'>\u4fdd\u9669\u7c7b\u578b<\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_165_18' class='large gfield_select'     aria-invalid=\"false\" ><option value='\u4fdd\u9669\u7c7b\u578b' >\u4fdd\u9669\u7c7b\u578b<\/option><option value='\u4eba\u5bff\u4fdd\u9669' >\u4eba\u5bff\u4fdd\u9669<\/option><option value='\u8d22\u4ea7\u4fdd\u9669' >\u8d22\u4ea7\u4fdd\u9669<\/option><option value='\u5546\u4e1a\u4fdd\u9669' >\u5546\u4e1a\u4fdd\u9669<\/option><\/select><\/div><\/div><div id=\"field_165_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_165_19'>\u8be2\u95ee\u7c7b\u522b<\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_165_19' class='large gfield_select'     aria-invalid=\"false\" ><option value='\u8be2\u95ee\u7c7b\u522b' >\u8be2\u95ee\u7c7b\u522b<\/option><option value='\u7406\u8d54' >\u7406\u8d54<\/option><option value='\u4e00\u822c\u54a8\u8be2' >\u4e00\u822c\u54a8\u8be2<\/option><option value='\u4fdd\u5355\u670d\u52a1' >\u4fdd\u5355\u670d\u52a1<\/option><\/select><\/div><\/div><div id=\"field_165_28\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half talk-blank gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/div><div id=\"field_165_20\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gip-form field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_165_20'>\u8be2\u95ee\u7c7b\u522b<\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_165_20' class='large gfield_select'     aria-invalid=\"false\" ><option value='\u8be2\u95ee\u7c7b\u522b' >\u8be2\u95ee\u7c7b\u522b<\/option><option value='\u7406\u8d54' >\u7406\u8d54<\/option><option value='\u5bb6\u5ead\u5973\u4f63\u4fdd\u9669' >\u5bb6\u5ead\u5973\u4f63\u4fdd\u9669<\/option><option value='\u4f4f\u9662\u5b89\u5fc3\u4fdd\u9669' >\u4f4f\u9662\u5b89\u5fc3\u4fdd\u9669<\/option><option value='\u6c7d\u8f66\u4fdd\u9669' >\u6c7d\u8f66\u4fdd\u9669<\/option><option value='\u5c11\u5e74\u513f\u7ae5\u4fdd\u9669' >\u5c11\u5e74\u513f\u7ae5\u4fdd\u9669<\/option><option value='\u4eba\u8eab\u610f\u5916\u4fdd\u9669' >\u4eba\u8eab\u610f\u5916\u4fdd\u9669<\/option><option value='\u7559\u5b66\u751f\u533b\u7597\u4fdd\u9669' >\u7559\u5b66\u751f\u533b\u7597\u4fdd\u9669<\/option><option value='\u65c5\u6e38\u4fdd\u9669' >\u65c5\u6e38\u4fdd\u9669<\/option><option value='\u4f18\u5229\u5bb6' >\u4f18\u5229\u5bb6<\/option><\/select><\/div><\/div><div id=\"field_165_29\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half talk-blank gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/div><div id=\"field_165_21\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gip-form field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_165_21'>\u8be2\u95ee\u7c7b\u522b<\/label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_165_21' class='large gfield_select'     aria-invalid=\"false\" ><option value='\u8be2\u95ee\u7c7b\u522b' >\u8be2\u95ee\u7c7b\u522b<\/option><option value='BizTrenZ \u96c7\u5458\u798f\u5229\u914d\u5957' >BizTrenZ \u96c7\u5458\u798f\u5229\u914d\u5957<\/option><option value='\u7406\u8d54' >\u7406\u8d54<\/option><option value='\u5efa\u7b51\u5de5\u7a0b\u4e00\u5207\u9669' >\u5efa\u7b51\u5de5\u7a0b\u4e00\u5207\u9669<\/option><option value='\u4fe1\u7528\u4fdd\u9669' >\u4fe1\u7528\u4fdd\u9669<\/option><option value='\u706b\u707e\/\u8d22\u4ea7\u4e00\u5207\u9669' >\u706b\u707e\/\u8d22\u4ea7\u4e00\u5207\u9669<\/option><option value='\u5916\u7c4d\u5de5\u4eba\u533b\u7597\u4fdd\u9669' >\u5916\u7c4d\u5de5\u4eba\u533b\u7597\u4fdd\u9669<\/option><option value='\u6c7d\u8f66\u4fdd\u9669' >\u6c7d\u8f66\u4fdd\u9669<\/option><option value='\u5de5\u4f24\u4fdd\u9669' >\u5de5\u4f24\u4fdd\u9669<\/option><option value='\u5176\u4ed6' >\u5176\u4ed6<\/option><\/select><\/div><\/div><div id=\"field_165_24\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_165_24'>\u7559\u8a00<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_165_24' class='textarea large'    placeholder='\u656c\u8bf7\u7559\u8a00'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_165' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='\u63d0\u4ea4'  \/> \n            <input 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