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        {"id":226,"date":"2021-01-21T16:11:21","date_gmt":"2021-01-21T16:11:21","guid":{"rendered":"https:\/\/bizfin.ie\/northeastcu\/?page_id=226"},"modified":"2021-01-22T21:53:11","modified_gmt":"2021-01-22T21:53:11","slug":"sole-trader-loan-application-step-1","status":"publish","type":"page","link":"https:\/\/bizfin.ie\/northeastcu\/sole-trader-loan-application-step-1\/","title":{"rendered":"Sole Trader Loan Application Step 1"},"content":{"rendered":"[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;]<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework gf_stylespro_wrapper sp_flat_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_24' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_24' class=' gf_stylespro sp_flat' action='\/northeastcu\/wp-json\/wp\/v2\/pages\/226' data-formid='24' novalidate><input type=\"hidden\" name=\"gpuid_existing_value_304\" id=\"gpuid_existing_value_304\" value=\"3372b68d9206dc266aa42de3abbeeb32\" \/><input id=\"gpnf_session_hash_24\" type=\"hidden\" name=\"gpnf_session_hash\" value=\"74f30fec009c\">\n        <div id='gf_progressbar_wrapper_24' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>7<\/span><span class='gf_step_label'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_14' style='width:14%; color:#fff; background-color:#0B3C60;'><span>14%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_24_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_24' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_24_309\" class=\"gfield gfield--type-number field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_309'>Journey type<\/label><div class='ginput_container ginput_container_number'><input name='input_309' id='input_24_309' type='number' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_24_309\" \/><\/div><div class='gfield_description' id='gfield_description_24_309'>0 is regular bizfin\n1 is SBCI<\/div><\/li><li id=\"field_24_304\" class=\"gfield gfield--type-uid field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><label class='gfield_label gform-field-label' for='input_24_304'>Unique ID (from Lead)<\/label><div class='ginput_container ginput_container_hidden'><input name='input_304' id='input_24_304' type='hidden' value=''  \/><\/div><\/li><li id=\"field_24_25\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_25'>Status<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_24_25' type='text' value='New' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_26\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_26'>Topic<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_24_26' type='text' value='Business Loan' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_41\" class=\"gfield gfield--type-number gfield--input-type-adminonly_hidden field_admin_only loan_rate field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_administrative\"  ><input name='input_41' id='input_24_41' class='gform_hidden' type='hidden' value=''\/><\/li><li id=\"field_24_22\" class=\"gfield gfield--type-number gfield--input-type-adminonly_hidden field_admin_only field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_administrative\"  ><input name='input_22' id='input_24_22' class='gform_hidden' type='hidden' value=''\/><\/li><li id=\"field_24_124\" class=\"gfield gfield--type-number result_fortnightly field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_124'>fortnightly repayment<\/label><div class='ginput_container ginput_container_number'><input name='input_124' id='input_24_124' type='number' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_123\" class=\"gfield gfield--type-number result_weekly field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_123'>weekly repayment<\/label><div class='ginput_container ginput_container_number'><input name='input_123' id='input_24_123' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_148\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Contact Details<\/h2><\/li><li id=\"field_24_8\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_24_8'>\n                            <span id='input_24_8_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_8.2' id='input_24_8_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Mr.' >Mr.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Ms.' >Ms.<\/option><option value='Miss' >Miss<\/option>\n                      <\/select>\n                                                    <label for='input_24_8_2' class='gform-field-label gform-field-label--type-sub '>Prefix<\/label>\n                                                  <\/span>\n                            <span id='input_24_8_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_8.3' id='input_24_8_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_24_8_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_24_8_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_8.6' id='input_24_8_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_24_8_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_24_9\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_9'>Business Email<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_9' id='input_24_9' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_24_23\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_23'>Business Contact Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_24_23' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_306\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please enter your business address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_country ginput_container_address gform-grid-row' id='input_24_306' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_24_306_1_container' >\n                                        <input type='text' name='input_306.1' id='input_24_306_1' value=''    aria-required='true'    \/>\n                                        <label for='input_24_306_1' id='input_24_306_1_label' class='gform-field-label gform-field-label--type-sub '>Address Line 1<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_24_306_2_container' >\n                                        <input type='text' name='input_306.2' id='input_24_306_2' value=''     aria-required='false'   \/>\n                                        <label for='input_24_306_2' id='input_24_306_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_24_306_3_container' >\n                                    <input type='text' name='input_306.3' id='input_24_306_3' value=''    aria-required='true'    \/>\n                                    <label for='input_24_306_3' id='input_24_306_3_label' class='gform-field-label gform-field-label--type-sub '>Town<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_24_306_4_container' >\n                                        <input type='text' name='input_306.4' id='input_24_306_4' value=''      aria-required='true'    \/>\n                                        <label for='input_24_306_4' id='input_24_306_4_label' class='gform-field-label gform-field-label--type-sub '>County<\/label>\n                                      <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_24_306_6_container' >\n                                        <select name='input_306.6' id='input_24_306_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_24_306_6' id='input_24_306_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_24_206\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Are you personally a credit union member?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_206'>\n\t\t\t<li class='gchoice gchoice_24_206_0'>\n\t\t\t\t<input name='input_206' type='radio' value='Yes'  id='choice_24_206_0'    \/>\n\t\t\t\t<label for='choice_24_206_0' id='label_24_206_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_206_1'>\n\t\t\t\t<input name='input_206' type='radio' value='No'  id='choice_24_206_1'    \/>\n\t\t\t\t<label for='choice_24_206_1' id='label_24_206_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_207\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_207'>Please enter your membership number:<\/label><div class='ginput_container ginput_container_text'><input name='input_207' id='input_24_207' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_325\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Membership Required<\/h3>\n<p>You will need to be a credit union member to apply. <\/p>\n<p>Joining is easy and we'll include the additional questions for your membership form after you complete this loan application<\/p><\/li><li id=\"field_24_310\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_24_310'><li class='gchoice gchoice_24_310_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_310.1' type='checkbox'  value='By ticking the box I consent to the &lt;a href=&quot;\/legal-notices\/&quot; target=&quot;\u201d_blank&quot;&gt;Processing&lt;\/a&gt; of my data, which may include sensitive data, for the purposes of reviewing this application in accordance with the &lt;a href=&quot;https:\/\/www.northeastcu.ie\/privacy-policy\/&quot; target=&quot;\u201d_blank\u201d&quot;&gt; Privacy Notice &lt;\/a&gt;'  id='choice_24_310_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_310_1' id='label_24_310_1' class='gform-field-label gform-field-label--type-inline'>By ticking the box I consent to the <a href=\"\/legal-notices\/\" target=\"\u201d_blank\">Processing<\/a> of my data, which may include sensitive data, for the purposes of reviewing this application in accordance with the <a href=\"https:\/\/www.northeastcu.ie\/privacy-policy\/\" target=\"\u201d_blank\u201d\"> Privacy Notice <\/a><\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_260\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Business Details<\/h2><\/li><li id=\"field_24_270\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_270'>Business Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_270' id='input_24_270' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_261\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_261'>Business Activity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_261' id='input_24_261' class='textarea medium'  aria-describedby=\"gfield_description_24_261\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_24_261'>Please detail the nature of the business including the background, your ambitions and the product and services it trades.<\/div><\/li><li id=\"field_24_271\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_271'>Length of time in business (in years)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_271' id='input_24_271' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_262\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Does the business trade internationally?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_262'>\n\t\t\t<li class='gchoice gchoice_24_262_0'>\n\t\t\t\t<input name='input_262' type='radio' value='Yes'  id='choice_24_262_0'    \/>\n\t\t\t\t<label for='choice_24_262_0' id='label_24_262_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_262_1'>\n\t\t\t\t<input name='input_262' type='radio' value='No'  id='choice_24_262_1'    \/>\n\t\t\t\t<label for='choice_24_262_1' id='label_24_262_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_263\" class=\"gfield gfield--type-multiselect field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_263'>Please select countries traded with:<\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple' data-placeholder='Click to select...' size='7' name='input_263[]' id='input_24_263' class='large gfield_select'   aria-invalid=\"false\"  ><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Korea' >North Korea<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena' >Saint Helena<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Korea' >South Korea<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select><\/div><\/li><li id=\"field_24_307\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_307'>NACE Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_307' id='input_24_307' class='large gfield_select'  aria-describedby=\"gfield_description_24_307\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='11300' >Growing of vegetables and melons, roots and tubers<\/option><option value='11600' >Growing of fibre crops<\/option><option value='12100' >Growing of grapes<\/option><option value='12200' >Growing of tropical and subtropical fruits<\/option><option value='12300' >Growing of citrus fruits<\/option><option value='12400' >Growing of pome fruits and stone fruits<\/option><option value='12500' >Growing of other tree and bush fruits and nuts<\/option><option value='12600' >Growing of oleaginous fruits<\/option><option value='12700' >Growing of beverage crops<\/option><option value='12800' >Growing of spices, aromatic, drug and pharmaceutical crops<\/option><option value='12900' >Growing of other perennial crops<\/option><option value='13000' >Plant propagation<\/option><option value='14100' >Raising of dairy cattle<\/option><option value='14200' >Raising of other cattle and buffaloes<\/option><option value='14300' >Raising of horses and other equines<\/option><option value='14400' >Raising of camels and camelids<\/option><option value='14500' >Raising of sheep and goats<\/option><option value='14600' >Raising of swine\/pigs<\/option><option value='14700' >Raising of poultry<\/option><option value='14900' >Raising of other animals<\/option><option value='15000' >Mixed farming<\/option><option value='16000' >Support activities to agriculture and post-harvest crop activities<\/option><option value='16100' >Support activities for crop production<\/option><option value='16110' >Irrigation<\/option><option value='16120' >Land development or improvement<\/option><option value='16130' >Crop rationalisation or diversification<\/option><option value='16140' >Land drainage<\/option><option value='16150' >Other agricultural development<\/option><option value='16200' >Support activities for animal production<\/option><option value='16300' >Post-harvest crop activities<\/option><option value='16400' >Seed processing for propagation<\/option><option value='17000' >Hunting, trapping and related service activities<\/option><option value='21000' >Silviculture and other forestry activities<\/option><option value='22000' >Logging<\/option><option value='23000' >Gathering of wild growing non-wood products<\/option><option value='24000' >Support services to forestry<\/option><option value='31100' >Marine fishing<\/option><option value='31200' >Freshwater fishing<\/option><option value='32100' >Marine aquaculture<\/option><option value='32200' >Freshwater aquaculture<\/option><option value='51000' >Mining of hard coal<\/option><option value='52000' >Mining of lignite<\/option><option value='62010' >Natural gas liquefaction<\/option><option value='62030' >Regasification of natural gas<\/option><option value='63000' >Compound derivatives from waste recycling (for energy use)<\/option><option value='72100' >Mining of uranium and thorium ores<\/option><option value='72900' >Mining of other non-ferrous metal ores<\/option><option value='81100' >Quarrying of ornamental and building stone, limestone, gypsum, chalk and<\/option><option value='81200' >Operation of gravel and sand pits; mining of clays and kaolin<\/option><option value='89100' >Mining of chemical and fertiliser minerals<\/option><option value='89200' >Extraction of peat<\/option><option value='89300' >Extraction of salt<\/option><option value='89900' >Other mining and quarrying n.e.c.<\/option><option value='99000' >Support activities for other mining and quarrying<\/option><option value='101100' >Processing and preserving of meat<\/option><option value='101200' >Processing and preserving of poultry meat<\/option><option value='101300' >Production of meat and poultry meat products<\/option><option value='102000' >Processing and preserving of fish, crustaceans and molluscs<\/option><option value='103100' >Processing and preserving of potatoes<\/option><option value='103200' >Manufacture of fruit and vegetable juice<\/option><option value='103900' >Other processing and preserving of fruit and vegetables<\/option><option value='104100' >Manufacture of oils and fats<\/option><option value='104200' >Manufacture of margarine and similar edible fats<\/option><option value='105100' >Operation of dairies and cheese making<\/option><option value='105200' >Manufacture of ice cream<\/option><option value='106100' >Manufacture of grain mill products<\/option><option value='106200' >Manufacture of starches and starch products<\/option><option value='107100' >Manufacture of bread; manufacture of fresh pastry goods and cakes<\/option><option value='107200' >Manufacture of rusks and biscuits; manufacture of preserved pastry goods<\/option><option value='107300' >Manufacture of macaroni, noodles, couscous and similar farinaceous produYects<\/option><option value='108100' >Manufacture of sugar<\/option><option value='108200' >Manufacture of cocoa, chocolate and sugar confectionery<\/option><option value='108300' >Processing of tea and coffee<\/option><option value='108400' >Manufacture of condiments and seasonings<\/option><option value='108500' >Manufacture of prepared meals and dishes<\/option><option value='108600' >Manufacture of homogenised food preparations and dietetic food<\/option><option value='108900' >Manufacture of other food products n.e.c.<\/option><option value='109100' >Manufacture of prepared feeds for farm animals<\/option><option value='109200' >Manufacture of prepared pet foods<\/option><option value='110100' >Distilling, rectifying and blending of spirits<\/option><option value='110200' >Manufacture of wine from grape<\/option><option value='110300' >Manufacture of cider and other fruit wines<\/option><option value='110400' >Manufacture of other non-distilled fermented beverages<\/option><option value='110500' >Manufacture of beer<\/option><option value='110600' >Manufacture of malt<\/option><option value='110700' >Manufacture of soft drinks; production of mineral waters and other bottled<\/option><option value='131000' >Preparation and spinning of textile fibres<\/option><option value='132000' >Weaving of textiles<\/option><option value='133000' >Finishing of textiles<\/option><option value='139000' >Manufacture of other textiles<\/option><option value='139100' >Manufacture of knitted and crocheted fabrics<\/option><option value='139200' >Manufacture of made-up textile articles, except apparel<\/option><option value='139300' >Manufacture of carpets and rugs<\/option><option value='139400' >Manufacture of cordage, rope, twine and netting<\/option><option value='139500' >Manufacture of non-wovens and articles made from non-wovens, except apYespa<\/option><option value='139600' >Manufacture of other technical and industrial textiles<\/option><option value='139900' >Manufacture of other textiles n.e.c.<\/option><option value='141100' >Manufacture of leather clothes<\/option><option value='141200' >Manufacture of workwear<\/option><option value='141300' >Manufacture of other outerwear<\/option><option value='141400' >Manufacture of underwear<\/option><option value='141900' >Manufacture of other wearing apparel and accessories<\/option><option value='142000' >Manufacture of articles of fur<\/option><option value='143100' >Manufacture of knitted and crocheted hosiery<\/option><option value='143900' >Manufacture of other knitted and crocheted apparel<\/option><option value='151100' >Tanning and dressing of leather; dressing and dyeing of fur<\/option><option value='151200' >Manufacture of luggage, handbags and the like, saddlery and harness<\/option><option value='152000' >Manufacture of footwear<\/option><option value='161000' >Sawmilling and planing of wood<\/option><option value='162100' >Manufacture of veneer sheets and wood-based panels<\/option><option value='162200' >Manufacture of assembled parquet floors<\/option><option value='162300' >Manufacture of other builders&#039; carpentry and joinery<\/option><option value='162400' >Manufacture of wooden containers<\/option><option value='162900' >Manufacture of other products of wood; manufacture of articles of cork, stYesraw<\/option><option value='171100' >Manufacture of pulp<\/option><option value='171200' >Manufacture of paper and paperboard<\/option><option value='172100' >Manufacture of corrugated paper and paperboard and of containers of paperYes<\/option><option value='172200' >Manufacture of household and sanitary goods and of toilet requisites<\/option><option value='172300' >Manufacture of paper stationery<\/option><option value='172400' >Manufacture of wallpaper<\/option><option value='172900' >Manufacture of other articles of paper and paperboard<\/option><option value='181100' >Printing of newspapers<\/option><option value='181200' >Other printing<\/option><option value='181300' >Pre-press and pre-media services<\/option><option value='181400' >Binding and related services<\/option><option value='182000' >Reproduction of recorded media<\/option><option value='191000' >Manufacture of coke oven products<\/option><option value='192000' >Manufacture of refined petroleum products<\/option><option value='201100' >Manufacture of industrial gases<\/option><option value='201200' >Manufacture of dyes and pigments<\/option><option value='201300' >Manufacture of other inorganic basic chemicals<\/option><option value='201400' >Manufacture of other organic basic chemicals<\/option><option value='201500' >Manufacture of fertilisers and nitrogen compounds<\/option><option value='201600' >Manufacture of plastics in primary forms<\/option><option value='201700' >Manufacture of synthetic rubber in primary forms<\/option><option value='202000' >Manufacture of pesticides and other agrochemical products<\/option><option value='203000' >Manufacture of paints, varnishes and similar coatings, printing ink and masticYes<\/option><option value='204100' >Manufacture of soap and detergents, cleaning and polishing preparations<\/option><option value='204200' >Manufacture of perfumes and toilet preparations<\/option><option value='205200' >Manufacture of glues<\/option><option value='205300' >Manufacture of essential oils<\/option><option value='205900' >Manufacture of other chemical products n.e.c.<\/option><option value='206000' >Manufacture of man-made fibres<\/option><option value='211000' >Manufacture of basic pharmaceutical products<\/option><option value='212000' >Manufacture of pharmaceutical preparations<\/option><option value='221000' >Manufacture of rubber products<\/option><option value='221100' >Manufacture of rubber tyres and tubes; retreading and rebuilding of rubber<\/option><option value='221900' >Manufacture of other rubber products<\/option><option value='222100' >Manufacture of plastic plates, sheets, tubes and profiles<\/option><option value='222200' >Manufacture of plastic packing goods<\/option><option value='222300' >Manufacture of builders&#039; ware of plastic<\/option><option value='222900' >Manufacture of other plastic products<\/option><option value='231100' >Manufacture of flat glass<\/option><option value='231200' >Shaping and processing of flat glass<\/option><option value='231300' >Manufacture of hollow glass<\/option><option value='231400' >Manufacture of glass fibres<\/option><option value='231900' >Manufacture and processing of other glass, including technical glassware<\/option><option value='232000' >Manufacture of refractory products<\/option><option value='233100' >Manufacture of ceramic tiles and flags<\/option><option value='233200' >Manufacture of bricks, tiles and construction products, in baked clay<\/option><option value='234000' >Manufacture of other porcelain and ceramic products<\/option><option value='234100' >Manufacture of ceramic household and ornamental articles<\/option><option value='234200' >Manufacture of ceramic sanitary fixtures<\/option><option value='234300' >Manufacture of ceramic insulators and insulating fittings<\/option><option value='234400' >Manufacture of other technical ceramic products<\/option><option value='234900' >Manufacture of other ceramic products<\/option><option value='235100' >Manufacture of cement<\/option><option value='235200' >Manufacture of lime and plaster<\/option><option value='236100' >Manufacture of concrete products for construction purposes<\/option><option value='236200' >Manufacture of plaster products for construction purposes<\/option><option value='236300' >Manufacture of ready-mixed concrete<\/option><option value='236400' >Manufacture of mortars<\/option><option value='236500' >Manufacture of fibre cement<\/option><option value='236900' >Manufacture of other articles of concrete, plaster and cement<\/option><option value='239100' >Production of abrasive products<\/option><option value='239900' >Manufacture of other non-metallic mineral products n.e.c.<\/option><option value='241000' >Manufacture of basic iron and steel and of ferro-alloys<\/option><option value='242000' >Manufacture of tubes, pipes, hollow profiles and related fittings, of steel<\/option><option value='243100' >Cold drawing of bars<\/option><option value='243200' >Cold rolling of narrow strip<\/option><option value='243300' >Cold forming or folding<\/option><option value='243400' >Cold drawing of wire<\/option><option value='244100' >Precious metals production<\/option><option value='244200' >Aluminium production<\/option><option value='244300' >Lead, zinc and tin production<\/option><option value='244400' >Copper production<\/option><option value='244500' >Other non-ferrous metal production<\/option><option value='245100' >Casting of iron<\/option><option value='245200' >Casting of steel<\/option><option value='245300' >Casting of light metals<\/option><option value='245400' >Casting of other non-ferrous metals<\/option><option value='251100' >Manufacture of metal structures and parts of structures<\/option><option value='251200' >Manufacture of doors and windows of metal<\/option><option value='252100' >Manufacture of central heating radiators and boilers<\/option><option value='252900' >Manufacture of other tanks, reservoirs and containers of metal<\/option><option value='253000' >Manufacture of steam generators, except central heating hot water boilersYes<\/option><option value='255000' >Forging, pressing, stamping and roll-forming of metal; powder metallurgy<\/option><option value='256100' >Treatment and coating of metals<\/option><option value='256200' >Machining<\/option><option value='257100' >Manufacture of cutlery<\/option><option value='257200' >Manufacture of locks and hinges<\/option><option value='257300' >Manufacture of tools<\/option><option value='259100' >Manufacture of steel drums and similar containers<\/option><option value='259200' >Manufacture of light metal packaging<\/option><option value='259300' >Manufacture of wire products, chain and springs<\/option><option value='259400' >Manufacture of fasteners and screw machine products<\/option><option value='259900' >Manufacture of other fabricated metal products n.e.c.<\/option><option value='261100' >Manufacture of electronic components<\/option><option value='261200' >Manufacture of loaded electronic boards<\/option><option value='262000' >Manufacture of computers and peripheral equipment<\/option><option value='263000' >Manufacture of communication equipment<\/option><option value='264000' >Manufacture of consumer electronics<\/option><option value='265100' >Manufacture of instruments and appliances for measuring, testing and navigaYest<\/option><option value='265200' >Manufacture of watches and clocks<\/option><option value='266000' >Manufacture of irradiation, electromedical and electrotherapeutic equipmentYes<\/option><option value='267000' >Manufacture of optical instruments and photographic equipment<\/option><option value='268000' >Manufacture of magnetic and optical media<\/option><option value='271100' >Manufacture of electric motors, generators and transformers<\/option><option value='271200' >Manufacture of electricity distribution and control apparatus<\/option><option value='272000' >Manufacture of batteries and accumulators<\/option><option value='273100' >Manufacture of fibre optic cables<\/option><option value='273200' >Manufacture of other electronic and electric wires and cables<\/option><option value='273300' >Manufacture of wiring devices<\/option><option value='274000' >Manufacture of electric lighting equipment<\/option><option value='275100' >Manufacture of electric domestic appliances<\/option><option value='275200' >Manufacture of non-electric domestic appliances<\/option><option value='279000' >Manufacture of other electrical equipment<\/option><option value='281100' >Manufacture of engines and turbines, except aircraft, vehicle and cycle enginYeses<\/option><option value='281200' >Manufacture of fluid power equipment<\/option><option value='281300' >Manufacture of other pumps and compressors<\/option><option value='281400' >Manufacture of other taps and valves<\/option><option value='281500' >Manufacture of bearings, gears, gearing and driving elements<\/option><option value='282100' >Manufacture of ovens, furnaces and furnace burners<\/option><option value='282200' >Manufacture of lifting and handling equipment<\/option><option value='282300' >Manufacture of office machinery and equipment (except computers and peripYes<\/option><option value='282400' >Manufacture of power-driven hand tools<\/option><option value='282500' >Manufacture of non-domestic cooling and ventilation equipment<\/option><option value='282900' >Manufacture of other general-purpose machinery n.e.c.<\/option><option value='283000' >Manufacture of agricultural and forestry machinery<\/option><option value='284100' >Manufacture of metal forming machinery<\/option><option value='284900' >Manufacture of other machine tools<\/option><option value='289100' >Manufacture of machinery for metallurgy<\/option><option value='289200' >Manufacture of machinery for mining, quarrying and construction<\/option><option value='289300' >Manufacture of machinery for food, beverage and tobacco processing<\/option><option value='289400' >Manufacture of machinery for textile, apparel and leather production<\/option><option value='289500' >Manufacture of machinery for paper and paperboard production<\/option><option value='289600' >Manufacture of plastic and rubber machinery<\/option><option value='289900' >Manufacture of other special-purpose machinery n.e.c.<\/option><option value='291000' >Manufacture of motor vehicles<\/option><option value='292000' >Manufacture of bodies (coachwork) for motor vehicles; manufacture of traiYslers<\/option><option value='293100' >Manufacture of electrical and electronic equipment for motor vehicles<\/option><option value='293200' >Manufacture of other parts and accessories for motor vehicles<\/option><option value='301100' >Building of ships and floating structures<\/option><option value='301200' >Building of pleasure and sporting boats<\/option><option value='302000' >Manufacture of railway locomotives and rolling stock<\/option><option value='303100' >Manufacture of aircraft and related machinery<\/option><option value='303200' >Manufacture of spacecraft and related machinery<\/option><option value='309100' >Manufacture of motorcycles<\/option><option value='309200' >Manufacture of bicycles and invalid carriages<\/option><option value='309900' >Manufacture of other transport equipment n.e.c.<\/option><option value='310100' >Manufacture of office and shop furniture<\/option><option value='310200' >Manufacture of kitchen furniture<\/option><option value='310300' >Manufacture of mattresses<\/option><option value='310900' >Manufacture of other furniture<\/option><option value='321100' >Striking of coins<\/option><option value='321200' >Manufacture of jewellery and related articles<\/option><option value='321300' >Manufacture of imitation jewellery and related articles<\/option><option value='322000' >Manufacture of musical instruments<\/option><option value='323000' >Manufacture of sports goods<\/option><option value='324000' >Manufacture of games and toys<\/option><option value='325000' >Manufacture of medical and dental instruments and supplies<\/option><option value='329100' >Manufacture of brooms and brushes<\/option><option value='329900' >Other manufacturing n.e.c.<\/option><option value='331100' >Repair of fabricated metal products<\/option><option value='331200' >Repair of machinery<\/option><option value='331300' >Repair of electronic and optical equipment<\/option><option value='331400' >Repair of electrical equipment<\/option><option value='331500' >Repair and maintenance of ships and boats<\/option><option value='331600' >Repair and maintenance of aircraft and spacecraft<\/option><option value='331700' >Repair and maintenance of other transport equipment<\/option><option value='331900' >Repair of other equipment<\/option><option value='332000' >Installation of industrial machinery and equipment<\/option><option value='351111' >Thermal power stations: coal, lignite<\/option><option value='351112' >Thermal power stations: fuel oil<\/option><option value='351113' >Thermal power stations: natural gas<\/option><option value='351114' >Thermal power stations: coal + fuel oil or natural gas or both<\/option><option value='351115' >Thermal power stations: fuel oil + natural gas<\/option><option value='351116' >Other thermal power stations<\/option><option value='351121' >Hydroelectric power stations: conventional (with storage)<\/option><option value='351122' >Centrales hydro\u00e9lectriques : fil de l&#039;eau<\/option><option value='351123' >Hydroelectric power stations: tidal<\/option><option value='351124' >Other hydroelectric power stations<\/option><option value='351125' >Pumped power stations<\/option><option value='351131' >Alternative and renewable sources of energy: biomass<\/option><option value='351132' >alternative and renewable sources of energy: biofuel<\/option><option value='351133' >Alternative and renewable sources of energy: solar<\/option><option value='351134' >Alternative and renewable sources of energy: wind - onshore<\/option><option value='351135' >Alternative and renewable sources of energy: wind - offshore<\/option><option value='351136' >Alternative and renewable sources of energy: geothermal<\/option><option value='351137' >Other alternative and renewable sources of energy<\/option><option value='351141' >Nuclear energy pilot plants<\/option><option value='351142' >Nuclear energy demonstration plants<\/option><option value='351143' >Nuclear energy commercially-rated power stations<\/option><option value='351150' >Other plants n.e.c<\/option><option value='351210' >high-voltage transmission<\/option><option value='351211' >power grid management<\/option><option value='351300' >Distribution of electricity<\/option><option value='351400' >Trade of electricity<\/option><option value='352100' >Manufacture of gas<\/option><option value='352200' >Distribution of gaseous fuels through mains<\/option><option value='352300' >Trade of gas through mains<\/option><option value='353010' >Heat production plants<\/option><option value='353011' >Heat supply<\/option><option value='353012' >Combined heat and power production<\/option><option value='361001' >development of groundwater resources<\/option><option value='361002' >drinking water treatment<\/option><option value='361002' >Desalination<\/option><option value='361003' >water supply<\/option><option value='361004' >water distribution<\/option><option value='361005' >supply and sewerage<\/option><option value='361006' >flow control, dykes, protection against erosion, etc.<\/option><option value='361007' >conservation of groundwater resources<\/option><option value='361008' >flow control, erosion control<\/option><option value='361009' >coastal protection works<\/option><option value='361010' >other water sector activities<\/option><option value='371001' >Wastewater collection<\/option><option value='371002' >Stormwater collection, drainage<\/option><option value='371003' >Wastewater treatment and storage<\/option><option value='371004' >Other wastewater related activities<\/option><option value='381100' >Collection of non-hazardous waste<\/option><option value='381200' >Collection of hazardous waste<\/option><option value='382111' >Waste sorting plants<\/option><option value='382112' >Composting and biological processing<\/option><option value='382113' >Landfills<\/option><option value='382114' >Incineration<\/option><option value='382115' >Other municipal waste facilities<\/option><option value='382120' >Industrial waste<\/option><option value='382130' >Wastewater and solid waste<\/option><option value='382140' >Special waste processing<\/option><option value='382141' >Psysico-chemical processing installations<\/option><option value='382142' >Landfills<\/option><option value='382143' >Incineration<\/option><option value='382144' >Other special waste facilities<\/option><option value='382190' >Other solid waste<\/option><option value='382200' >Treatment and disposal of hazardous waste<\/option><option value='383100' >Dismantling of wrecks<\/option><option value='383200' >Recovery of sorted materials<\/option><option value='390000' >Remediation activities and other waste management services<\/option><option value='411000' >Development of building projects<\/option><option value='412010' >urban infrastructure<\/option><option value='412011' >urban renewal<\/option><option value='412012' >public buildings<\/option><option value='412013' >exhibitions, trade fairs and conferences<\/option><option value='412014' >housing<\/option><option value='412020' >urban development schemes<\/option><option value='412021' >sundry infrastructure<\/option><option value='412022' >development of industrial estates<\/option><option value='412023' >composite infrastructure<\/option><option value='421100' >Construction of roads and motorways<\/option><option value='421200' >Construction of railways and underground railways<\/option><option value='421300' >Construction of bridges and tunnels<\/option><option value='422100' >Construction of utility projects for fluids<\/option><option value='422200' >Construction of utility projects for electricity and telecommunications<\/option><option value='429010' >industrial estates and buildings (turnkey factories)<\/option><option value='429100' >Construction of water projects<\/option><option value='429900' >Construction of other civil engineering projects n.e.c.<\/option><option value='431100' >Demolition<\/option><option value='431200' >Site preparation<\/option><option value='431300' >Test drilling and boring<\/option><option value='432100' >Electrical installation<\/option><option value='432200' >Plumbing, heat and air-conditioning installation<\/option><option value='432900' >Other construction installation<\/option><option value='433100' >Plastering<\/option><option value='433200' >Joinery installation<\/option><option value='433300' >Floor and wall covering<\/option><option value='433400' >Painting and glazing<\/option><option value='433900' >Other building completion and finishing<\/option><option value='439100' >Roofing activities<\/option><option value='439900' >Other specialised construction activities n.e.c.<\/option><option value='451100' >Sale of cars and light motor vehicles<\/option><option value='451900' >Sale of other motor vehicles<\/option><option value='452000' >Maintenance and repair of motor vehicles<\/option><option value='453100' >Wholesale trade of motor vehicle parts and accessories<\/option><option value='453200' >Retail trade of motor vehicle parts and accessories<\/option><option value='454000' >Sale, maintenance and repair of motorcycles and related parts and accessoYries<\/option><option value='461100' >Agents involved in the sale of agricultural raw materials, live animals, textile<\/option><option value='461200' >Agents involved in the sale of fuels, ores, metals and industrial chemicals<\/option><option value='461300' >Agents involved in the sale of timber and building materials<\/option><option value='461400' >Agents involved in the sale of machinery, industrial equipment, ships and aircraYes<\/option><option value='461500' >Agents involved in the sale of furniture, household goods, hardware and ironYes<\/option><option value='461600' >Agents involved in the sale of textiles, clothing, fur, footwear and leather gooYesd<\/option><option value='461700' >Agents involved in the sale of food, beverages and tobacco<\/option><option value='461800' >Agents specialised in the sale of other particular products<\/option><option value='461900' >Agents involved in the sale of a variety of goods<\/option><option value='462100' >Wholesale of grain, unmanufactured tobacco, seeds and animal feeds<\/option><option value='462200' >Wholesale of flowers and plants<\/option><option value='462300' >Wholesale of live animals<\/option><option value='462400' >Wholesale of hides, skins and leather<\/option><option value='463100' >Wholesale of fruit and vegetables<\/option><option value='463200' >Wholesale of meat and meat products<\/option><option value='463300' >Wholesale of dairy products, eggs and edible oils and fats<\/option><option value='463400' >Wholesale of beverages<\/option><option value='463600' >Wholesale of sugar and chocolate and sugar confectionery<\/option><option value='463700' >Wholesale of coffee, tea, cocoa and spices<\/option><option value='463800' >Wholesale of other food, including fish, crustaceans and molluscs<\/option><option value='463900' >Non-specialised wholesale of food, beverages and tobacco<\/option><option value='464100' >Wholesale of textiles<\/option><option value='464200' >Wholesale of clothing and footwear<\/option><option value='464300' >Wholesale of electrical household appliances<\/option><option value='464400' >Wholesale of china and glassware and cleaning materials<\/option><option value='464500' >Wholesale of perfume and cosmetics<\/option><option value='464600' >Wholesale of pharmaceutical goods<\/option><option value='464700' >Wholesale of furniture, carpets and lighting equipment<\/option><option value='464800' >Wholesale of watches and jewellery<\/option><option value='464900' >Wholesale of other household goods<\/option><option value='465100' >Wholesale of computers, computer peripheral equipment and software<\/option><option value='465200' >Wholesale of electronic and telecommunications equipment and parts<\/option><option value='466100' >Wholesale of agricultural machinery, equipment and supplies<\/option><option value='466200' >Wholesale of machine tools<\/option><option value='466300' >Wholesale of mining, construction and civil engineering machinery<\/option><option value='466400' >Wholesale of machinery for the textile industry and of sewing and knitting<\/option><option value='466500' >Wholesale of office furniture<\/option><option value='466600' >Wholesale of other office machinery and equipment<\/option><option value='466900' >Wholesale of other machinery and equipment<\/option><option value='467100' >Wholesale of solid, liquid and gaseous fuels and related products<\/option><option value='467200' >Wholesale of metals and metal ores<\/option><option value='467300' >Wholesale of wood, construction materials and sanitary equipment<\/option><option value='467400' >Wholesale of hardware, plumbing and heating equipment and supplies<\/option><option value='467500' >Wholesale of chemical products<\/option><option value='467600' >Wholesale of other intermediate products<\/option><option value='467700' >Wholesale of waste and scrap<\/option><option value='469000' >Non-specialised wholesale trade<\/option><option value='471100' >Retail sale in non-specialised stores with food, beverages or tobacco predomYes<\/option><option value='471900' >Other retail sale in non-specialised stores<\/option><option value='472100' >Retail sale of fruit and vegetables in specialised stores<\/option><option value='472200' >Retail sale of meat and meat products in specialised stores<\/option><option value='472300' >Retail sale of fish, crustaceans and molluscs in specialised stores<\/option><option value='472400' >Retail sale of bread, cakes, flour confectionery and sugar confectionery in spYsec<\/option><option value='472500' >Retail sale of beverages in specialised stores<\/option><option value='472900' >Other retail sale of food in specialised stores<\/option><option value='473000' >Retail sale of automotive fuel in specialised stores<\/option><option value='474100' >Retail sale of computers, peripheral units and software in specialised storesYes<\/option><option value='474200' >Retail sale of telecommunications equipment in specialised stores<\/option><option value='474300' >Retail sale of audio and video equipment in specialised stores<\/option><option value='475100' >Retail sale of textiles in specialised stores<\/option><option value='475200' >Retail sale of hardware, paints and glass in specialised stores<\/option><option value='475300' >Retail sale of carpets, rugs, wall and floor coverings in specialised stores<\/option><option value='475400' >Retail sale of electrical household appliances in specialised stores<\/option><option value='475900' >Retail sale of furniture, lighting equipment and other household articles in<\/option><option value='476100' >Retail sale of books in specialised stores<\/option><option value='476200' >Retail sale of newspapers and stationery in specialised stores<\/option><option value='476300' >Retail sale of music and video recordings in specialised stores<\/option><option value='476400' >Retail sale of sporting equipment in specialised stores<\/option><option value='476500' >Retail sale of games and toys in specialised stores<\/option><option value='477100' >Retail sale of clothing in specialised stores<\/option><option value='477200' >Retail sale of footwear and leather goods in specialised stores<\/option><option value='477300' >Dispensing chemist in specialised stores<\/option><option value='477400' >Retail sale of medical and orthopaedic goods in specialised stores<\/option><option value='477500' >Retail sale of cosmetic and toilet articles in specialised stores<\/option><option value='477600' >Retail sale of flowers, plants, seeds, fertilisers, pet animals and pet food in<\/option><option value='477700' >Retail sale of watches and jewellery in specialised stores<\/option><option value='477800' >Other retail sale of new goods in specialised stores<\/option><option value='477900' >Retail sale of second-hand goods in stores<\/option><option value='478100' >Retail sale via stalls and markets of food, beverages and tobacco products<\/option><option value='478200' >Retail sale via stalls and markets of textiles, clothing and footwear<\/option><option value='478900' >Retail sale via stalls and markets of other goods<\/option><option value='479100' >Retail sale via mail order houses or via Internet<\/option><option value='479900' >Other retail sale not in stores, stalls or markets<\/option><option value='491000' >Passenger rail transport, interurban<\/option><option value='492000' >Freight rail transport<\/option><option value='493100' >Urban and suburban passenger land transport<\/option><option value='493200' >Taxi operation<\/option><option value='493900' >Other passenger land transport n.e.c.<\/option><option value='494100' >Freight transport by road<\/option><option value='494200' >Removal services<\/option><option value='495010' >oil pipelines<\/option><option value='495011' >gaslines<\/option><option value='495012' >oil and natural gas storage and related equipment<\/option><option value='495013' >pipelines transporting ethylene and other chemicals<\/option><option value='495014' >saline water pipelines<\/option><option value='501000' >Sea and coastal passenger water transport<\/option><option value='502000' >Sea and coastal freight water transport<\/option><option value='503000' >Inland passenger water transport<\/option><option value='504000' >Inland freight water transport<\/option><option value='511000' >Passenger air transport<\/option><option value='512100' >Freight air transport<\/option><option value='512200' >Space transport<\/option><option value='521000' >Warehousing and storage<\/option><option value='522111' >conventional railways: track, signalling, buildings<\/option><option value='' ><\/option><option value='' ><\/option><option value='522112' >conventional railways: rolling stock and locomotives<\/option><option value='522113' >conventional railways: combined railway infrastructure and rolling stock<\/option><option value='522121' >high-speed railways: track, signalling, buildings<\/option><option value='522122' >high-speed railways: rolling stock and locomotives<\/option><option value='522123' >high-speed railways: combined railway infrastructure and rolling stock<\/option><option value='522131' >urbain railways<\/option><option value='522132' >conventional underground lines<\/option><option value='522133' >light rail systems<\/option><option value='522134' >tramways<\/option><option value='522135' >rolling stock (buses)<\/option><option value='522136' >urban road networks<\/option><option value='522137' >intermodal stations : passengers<\/option><option value='522141' >motorways<\/option><option value='522142' >roads<\/option><option value='522143' >other road sector projects<\/option><option value='522144' >bridges and tunnels<\/option><option value='522151' >intermodal centres<\/option><option value='522152' >unimodal distribution centres<\/option><option value='522161' >exceptional structures: railways<\/option><option value='522162' >exceptional structures: roads and motorways<\/option><option value='522163' >exceptional structures: composite and sundry<\/option><option value='522170' >car parks<\/option><option value='522180' >other forms of transport<\/option><option value='522190' >sundry transport infrastructure (not sub-divisible)<\/option><option value='522230' >acquisition of river fleets, barges<\/option><option value='522310' >airports and airport installations<\/option><option value='522320' >acquisition of aircraft<\/option><option value='522321' >acquisition of civil defence aircraft<\/option><option value='522330' >flight simulators<\/option><option value='522400' >Cargo handling<\/option><option value='522900' >Other transportation support activities<\/option><option value='531000' >Postal activities under universal service obligation<\/option><option value='532000' >Other postal and courier activities<\/option><option value='551000' >Hotels and similar accommodation<\/option><option value='552000' >Holiday and other short-stay accommodation<\/option><option value='553000' >Camping grounds, recreational vehicle parks and trailer parks<\/option><option value='559000' >Other accommodation<\/option><option value='561000' >Restaurants and mobile food service activities<\/option><option value='562100' >Event catering activities<\/option><option value='562900' >Other food service activities<\/option><option value='563000' >Beverage serving activities<\/option><option value='581100' >Book publishing<\/option><option value='581200' >Publishing of directories and mailing lists<\/option><option value='581300' >Publishing of newspapers<\/option><option value='581400' >Publishing of journals and periodicals<\/option><option value='581900' >Other publishing activities<\/option><option value='582100' >Publishing of computer games<\/option><option value='582900' >Other software publishing<\/option><option value='591100' >Motion picture, video and television programme production activities<\/option><option value='591200' >Motion picture, video and television programme post-production activities<\/option><option value='591300' >Motion picture, video and television programme distribution activities<\/option><option value='591400' >Motion picture projection activities<\/option><option value='592000' >Sound recording and music publishing activities<\/option><option value='601000' >Radio broadcasting<\/option><option value='602000' >Television programming and broadcasting activities<\/option><option value='611010' >Basic fixed circuit switched networks (PSTN)<\/option><option value='611011' >Transmission networks (incl. submarine cables)<\/option><option value='611012' >Cable access networks (DOCSIS)<\/option><option value='611013' >Copper (xDSL) access networks<\/option><option value='611014' >Fibre access networks<\/option><option value='612010' >Mobile networks<\/option><option value='612011' >Mobile broadband networks<\/option><option value='612012' >Special wireless networks (TETRA,...)<\/option><option value='613000' >Satellite telecommunications activities<\/option><option value='619000' >Other telecommunications activities<\/option><option value='620100' >Computer programming activities<\/option><option value='620200' >Computer consultancy activities<\/option><option value='620300' >Computer facilities management activities<\/option><option value='620900' >Other information technology and computer service activities<\/option><option value='631100' >Data processing, hosting and related activities<\/option><option value='631200' >Web portals<\/option><option value='639100' >News agency activities<\/option><option value='639900' >Other information service activities n.e.c.<\/option><option value='641100' >Central banking<\/option><option value='641900' >Other monetary intermediation<\/option><option value='641910' >banks<\/option><option value='641920' >mutual banks or credit cooperatives<\/option><option value='641930' >savings banks<\/option><option value='641940' >Development Banks and Financing Institutions<\/option><option value='641941' >Development Banks and Financing Institutions Multilateral<\/option><option value='641941' >Development Banks and Financing Institutions Multilateral - International<\/option><option value='641941' >Development Banks and Financing Institutions Multilateral - Regional<\/option><option value='641942' >Development Banks and Financing Institutions Bilateral<\/option><option value='641943' >Development Banks and Financing Institutions Regional<\/option><option value='641944' >Development Banks and Financing Institutions Local<\/option><option value='642000' >Activities of holding companies<\/option><option value='643000' >Trusts, funds and similar financial entities<\/option><option value='649011' >Venture Dundalk Fund Global<\/option><option value='649012' >Venture Dundalk Fund Continental<\/option><option value='649013' >Venture Dundalk Fund Regional<\/option><option value='649014' >Venture Dundalk Fund National<\/option><option value='649021' >Development Funds Global<\/option><option value='649022' >Development Funds Continental<\/option><option value='649023' >Development Funds Regional<\/option><option value='649024' >Development Funds National<\/option><option value='649100' >Financial leasing<\/option><option value='649210' >mortgage banks and companies<\/option><option value='649220' >specialist financial institutions (SDR, etc.)<\/option><option value='649910' >guarantee funds (EIF, foreign trade financing organisations etc.)<\/option><option value='649920' >special purpose vehicles<\/option><option value='651100' >Life insurance<\/option><option value='651200' >Non-life insurance<\/option><option value='652000' >Reinsurance<\/option><option value='653000' >Pension funding<\/option><option value='661100' >Administration of financial markets<\/option><option value='661200' >Security and commodity contracts brokerage<\/option><option value='661900' >Other activities auxiliary to financial services, except insurance and pension<\/option><option value='662100' >Risk and damage evaluation<\/option><option value='662200' >Activities of insurance agents and brokers<\/option><option value='662900' >Other activities auxiliary to insurance and pension funding<\/option><option value='663000' >Fund management activities<\/option><option value='682000' >Renting and operating of own or leased real estate<\/option><option value='683100' >Real estate agencies<\/option><option value='683200' >Management of real estate on a fee or contract basis<\/option><option value='691000' >Legal activities<\/option><option value='692000' >Accounting, bookkeeping and auditing activities; tax consultancy<\/option><option value='701000' >Activities of head offices<\/option><option value='702100' >Public relations and communication activities<\/option><option value='702200' >Business and other management consultancy activities<\/option><option value='711100' >Architectural activities<\/option><option value='711200' >Engineering activities and related technical consultancy<\/option><option value='712000' >Technical testing and analysis<\/option><option value='721100' >Research and experimental development on biotechnology<\/option><option value='721900' >Other research and experimental development on natural sciences and enginYese<\/option><option value='722000' >Research and experimental development on social sciences and humanitiesYes<\/option><option value='731100' >Advertising agencies<\/option><option value='731200' >Media representation<\/option><option value='732000' >Market research and public opinion polling<\/option><option value='741000' >Specialised design activities<\/option><option value='742000' >Photographic activities<\/option><option value='743000' >Translation and interpretation activities<\/option><option value='749000' >Other professional, scientific and technical activities n.e.c.<\/option><option value='750000' >Veterinary activities<\/option><option value='771100' >Renting and leasing of cars and light motor vehicles<\/option><option value='771200' >Renting and leasing of trucks<\/option><option value='772100' >Renting and leasing of recreational and sports goods<\/option><option value='772200' >Renting of video tapes and disks<\/option><option value='772900' >Renting and leasing of other personal and household goods<\/option><option value='773100' >Renting and leasing of agricultural machinery and equipment<\/option><option value='773200' >Renting and leasing of construction and civil engineering machinery and equYesipm<\/option><option value='773300' >Renting and leasing of office machinery and equipment (including computers)Yes<\/option><option value='773400' >Renting and leasing of water transport equipment<\/option><option value='773500' >Renting and leasing of air transport equipment<\/option><option value='773900' >Renting and leasing of other machinery, equipment and tangible goods n.e<\/option><option value='774000' >Leasing of intellectual property and similar products, except copyrighted woYesrks<\/option><option value='781000' >Activities of employment placement agencies<\/option><option value='782000' >Temporary employment agency activities<\/option><option value='783000' >Other human resources provision<\/option><option value='791100' >Travel agency activities<\/option><option value='791200' >Tour operator activities<\/option><option value='799000' >Other reservation service and related activities<\/option><option value='801000' >Private security activities<\/option><option value='802000' >Security systems service activities<\/option><option value='803000' >Investigation activities<\/option><option value='811000' >Combined facilities support activities<\/option><option value='812100' >General cleaning of buildings<\/option><option value='812200' >Other building and industrial cleaning activities<\/option><option value='812900' >Other cleaning activities<\/option><option value='813000' >Landscape service activities<\/option><option value='821100' >Combined office administrative service activities<\/option><option value='821900' >Photocopying, document preparation and other specialised office support<\/option><option value='822000' >Activities of call centres<\/option><option value='823000' >Organisation of conventions and trade shows<\/option><option value='829100' >Activities of collection agencies and credit bureaus<\/option><option value='829200' >Packaging activities<\/option><option value='829900' >Other business support service activities n.e.c.<\/option><option value='841100' >General public administration activities<\/option><option value='841200' >Regulation of the activities of providing health care, education, cultural serviceYes<\/option><option value='841300' >Regulation of and contribution to more efficient operation of businesses<\/option><option value='842100' >Foreign affairs<\/option><option value='842200' >Defence activities<\/option><option value='842300' >Justice and judicial activities<\/option><option value='842400' >Public order and safety activities<\/option><option value='842500' >Fire service activities<\/option><option value='843000' >Compulsory social security activities<\/option><option value='851000' >Pre-primary education<\/option><option value='852000' >Primary education<\/option><option value='853000' >Secondary education<\/option><option value='853100' >General secondary education<\/option><option value='853200' >Technical and vocational secondary education<\/option><option value='854100' >Post-secondary non-tertiary education<\/option><option value='854200' >Tertiary education<\/option><option value='855100' >Sports and recreation education<\/option><option value='855200' >Cultural education<\/option><option value='855300' >Driving school activities<\/option><option value='855900' >Other education n.e.c.<\/option><option value='856000' >Educational support activities<\/option><option value='Q' >HUMAN HEALTH AND SOCIAL WORK ACTIVITIES<\/option><option value='861000' >Hospital activities<\/option><option value='862000' >Medical and dental practice activities<\/option><option value='862100' >General medical practice activities<\/option><option value='862200' >Specialist medical practice activities<\/option><option value='862300' >Dental practice activities<\/option><option value='869000' >Other human health activities<\/option><option value='871000' >Residential nursing care activities<\/option><option value='872000' >Residential care activities for mental retardation, mental health and substanceYes<\/option><option value='873000' >Residential care activities for the elderly and disabled<\/option><option value='879000' >Other residential care activities<\/option><option value='881000' >Social work activities without accommodation for the elderly and disabled<\/option><option value='889100' >Child day-care activities<\/option><option value='889900' >Other social work activities without accommodation n.e.c.<\/option><option value='900100' >Performing arts<\/option><option value='900200' >Support activities to performing arts<\/option><option value='900300' >Artistic creation<\/option><option value='900400' >Operation of arts facilities<\/option><option value='910100' >Library and archives activities<\/option><option value='910200' >Museums activities<\/option><option value='910300' >Operation of historical sites and buildings and similar visitor attractions<\/option><option value='910400' >Botanical and zoological gardens and nature reserves activities<\/option><option value='931100' >Operation of sports facilities<\/option><option value='931200' >Activities of sport clubs<\/option><option value='931300' >Fitness facilities<\/option><option value='931900' >Other sports activities<\/option><option value='932100' >Activities of amusement parks and theme parks<\/option><option value='932900' >Other amusement and recreation activities<\/option><option value='941100' >Activities of business and employers membership organisations<\/option><option value='941200' >Activities of professional membership organisations<\/option><option value='942000' >Activities of trade unions<\/option><option value='949100' >Activities of religious organisations<\/option><option value='949200' >Activities of political organisations<\/option><option value='949900' >Activities of other membership organisations n.e.c.<\/option><option value='951100' >Repair of computers and peripheral equipment<\/option><option value='951200' >Repair of communication equipment<\/option><option value='952100' >Repair of consumer electronics<\/option><option value='952200' >Repair of household appliances and home and garden equipment<\/option><option value='952300' >Repair of footwear and leather goods<\/option><option value='952400' >Repair of furniture and home furnishings<\/option><option value='952500' >Repair of watches, clocks and jewellery<\/option><option value='952900' >Repair of other personal and household goods<\/option><option value='960100' >Washing and (dry-)cleaning of textile and fur products<\/option><option value='960200' >Hairdressing and other beauty treatment<\/option><option value='960300' >Funeral and related activities<\/option><option value='960400' >Physical well-being activities<\/option><option value='960900' >Other personal service activities n.e.c.<\/option><option value='970000' >Activities of households as employers of domestic personnel<\/option><option value='981000' >Undifferentiated goods-producing activities of private households for own<\/option><option value='982000' >Undifferentiated service-producing activities of private households for own<\/option><option value='990000' >Activities of extraterritorial organisations and bodies<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_24_307'>NACE codes are commonly used within the EU to classify business activities for statistical purposes. \n\nPlease select the NACE code that best reflects the primary activity of the business. <\/div><\/li><li id=\"field_24_308\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_308'>Sector Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_308' id='input_24_308' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='A' >AGRICULTURE, FORESTRY AND FISHING<\/option><option value='B' >MINING AND QUARRYING<\/option><option value='C' >MANUFACTURING<\/option><option value='D' >ELECTRICITY, GAS, STEAM AND AIR CONDITIONING SUPPLY<\/option><option value='E' >WATER SUPPLY; SEWERAGE, WASTE MANAGEMENT AND REMEDIATION ACTIVITIES<\/option><option value='F' >CONSTRUCTION<\/option><option value='G' >WHOLESALE AND RETAIL TRADE; REPAIR OF MOTOR VEHICLES AND MOTORCYCLES<\/option><option value='H' >TRANSPORTATION AND STORAGE<\/option><option value='I' >ACCOMMODATION AND FOOD SERVICE ACTIVITIES<\/option><option value='J' >INFORMATION AND COMMUNICATION<\/option><option value='K' >FINANCIAL AND INSURANCE ACTIVITIES<\/option><option value='L' >REAL ESTATE ACTIVITIES<\/option><option value='M' >PROFESSIONAL, SCIENTIFIC AND TECHNICAL ACTIVITIES<\/option><option value='N' >ADMINISTRATIVE AND SUPPORT SERVICE ACTIVITIES<\/option><option value='O' >PUBLIC ADMINISTRATION AND DEFENCE; COMPULSORY SOCIAL SECURITY<\/option><option value='P' >EDUCATION<\/option><option value='Q' >HUMAN HEALTH AND SOCIAL WORK ACTIVITIES<\/option><option value='R' >ARTS, ENTERTAINMENT AND RECREATION<\/option><option value='S' >OTHER SERVICE ACTIVITIES<\/option><option value='T' >ACTIVITIES OF HOUSEHOLDS AS EMPLOYERS; UNDIFFERENTIATED GOODS- AND SERVICES-PRODUCING ACTIVITIES OF HOUSEHOLDS FOR OWN USE<\/option><option value='U' >ACTIVITIES OF EXTRATERRITORIAL ORGANISATIONS AND BODIES<\/option><\/select><\/div><\/li><li id=\"field_24_293\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Are you registered for VAT?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_293'>\n\t\t\t<li class='gchoice gchoice_24_293_0'>\n\t\t\t\t<input name='input_293' type='radio' value='Yes'  id='choice_24_293_0'    \/>\n\t\t\t\t<label for='choice_24_293_0' id='label_24_293_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_293_1'>\n\t\t\t\t<input name='input_293' type='radio' value='No'  id='choice_24_293_1'    \/>\n\t\t\t\t<label for='choice_24_293_1' id='label_24_293_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_294\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_294'>What is your VAT number?<\/label><div class='ginput_container ginput_container_text'><input name='input_294' id='input_24_294' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_264\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_264'>Number of Employees<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_264' id='input_24_264' type='number' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_265\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Is your business premises:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_265'>\n\t\t\t<li class='gchoice gchoice_24_265_0'>\n\t\t\t\t<input name='input_265' type='radio' value='Owned'  id='choice_24_265_0'    \/>\n\t\t\t\t<label for='choice_24_265_0' id='label_24_265_0' class='gform-field-label gform-field-label--type-inline'>Owned<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_265_1'>\n\t\t\t\t<input name='input_265' type='radio' value='Leased'  id='choice_24_265_1'    \/>\n\t\t\t\t<label for='choice_24_265_1' id='label_24_265_1' class='gform-field-label gform-field-label--type-inline'>Leased<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_265_2'>\n\t\t\t\t<input name='input_265' type='radio' value='Rented'  id='choice_24_265_2'    \/>\n\t\t\t\t<label for='choice_24_265_2' id='label_24_265_2' class='gform-field-label gform-field-label--type-inline'>Rented<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_273\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_273'>What is the monthly rent paid for the premises?<\/label><div class='ginput_container ginput_container_text'><input name='input_273' id='input_24_273' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_24_258' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_2' class='gform_page' data-js='page-field-id-258' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_24_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_24_149\" class=\"gfield gfield--type-section gsection title pagebreak field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Personal Details<\/h2><\/li><li id=\"field_24_51\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf_third_two o_medium\"  data-field-class=\"gf_third_two o_medium\" ><label class='gfield_label gform-field-label' for='input_24_51'>Please fill in your Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_51' id='input_24_51' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='DD\/MM\/YYYY' aria-describedby=\"input_24_51_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_24_51_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_24_51' class='gform_hidden' value='https:\/\/bizfin.ie\/northeastcu\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_24_54\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_54'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_54' id='input_24_54' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='single' >Single<\/option><option value='maried' >Married<\/option><option value='divorced' >Divorced<\/option><option value='separated' >Separated<\/option><option value='sidowed' >Widowed<\/option><option value='cohabiting' >Cohabiting<\/option><option value='civilpartnership' >Civil Partnership<\/option><\/select><\/div><\/li><li id=\"field_24_55\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please enter your home address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_country ginput_container_address gform-grid-row' id='input_24_55' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_24_55_1_container' >\n                                        <input type='text' name='input_55.1' id='input_24_55_1' value=''    aria-required='true'    \/>\n                                        <label for='input_24_55_1' id='input_24_55_1_label' class='gform-field-label gform-field-label--type-sub '>Address Line 1<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_24_55_2_container' >\n                                        <input type='text' name='input_55.2' id='input_24_55_2' value=''     aria-required='false'   \/>\n                                        <label for='input_24_55_2' id='input_24_55_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_24_55_3_container' >\n                                    <input type='text' name='input_55.3' id='input_24_55_3' value=''    aria-required='true'    \/>\n                                    <label for='input_24_55_3' id='input_24_55_3_label' class='gform-field-label gform-field-label--type-sub '>Town<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_24_55_4_container' >\n                                        <input type='text' name='input_55.4' id='input_24_55_4' value=''      aria-required='true'    \/>\n                                        <label for='input_24_55_4' id='input_24_55_4_label' class='gform-field-label gform-field-label--type-sub '>County<\/label>\n                                      <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_24_55_6_container' >\n                                        <select name='input_55.6' id='input_24_55_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_24_55_6' id='input_24_55_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_24_121\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Living Situation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_121'>\n\t\t\t<li class='gchoice gchoice_24_121_0'>\n\t\t\t\t<input name='input_121' type='radio' value='Home Owner'  id='choice_24_121_0'    \/>\n\t\t\t\t<label for='choice_24_121_0' id='label_24_121_0' class='gform-field-label gform-field-label--type-inline'>Home Owner<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_121_1'>\n\t\t\t\t<input name='input_121' type='radio' value='Tenant'  id='choice_24_121_1'    \/>\n\t\t\t\t<label for='choice_24_121_1' id='label_24_121_1' class='gform-field-label gform-field-label--type-inline'>Tenant<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_121_2'>\n\t\t\t\t<input name='input_121' type='radio' value='Living with Parents'  id='choice_24_121_2'    \/>\n\t\t\t\t<label for='choice_24_121_2' id='label_24_121_2' class='gform-field-label gform-field-label--type-inline'>Living with Parents<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_121_3'>\n\t\t\t\t<input name='input_121' type='radio' value='gf_other_choice'  id='choice_24_121_3'   onfocus=\"jQuery(this).next().next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_24_121_other' name='input_121_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev().prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_57\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_57'>Years living at this address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_57' id='input_24_57' type='number' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_24_57\" \/><\/div><div class='gfield_description' id='gfield_description_24_57'>If resident for less than 3 years please supply previous address<\/div><\/li><li id=\"field_24_58\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Previous Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_country ginput_container_address gform-grid-row' id='input_24_58' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_24_58_1_container' >\n                                        <input type='text' name='input_58.1' id='input_24_58_1' value=''    aria-required='false'    \/>\n                                        <label for='input_24_58_1' id='input_24_58_1_label' class='gform-field-label gform-field-label--type-sub '>Address Line 1<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_24_58_2_container' >\n                                        <input type='text' name='input_58.2' id='input_24_58_2' value=''     aria-required='false'   \/>\n                                        <label for='input_24_58_2' id='input_24_58_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_24_58_3_container' >\n                                    <input type='text' name='input_58.3' id='input_24_58_3' value=''    aria-required='false'    \/>\n                                    <label for='input_24_58_3' id='input_24_58_3_label' class='gform-field-label gform-field-label--type-sub '>Town<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_24_58_4_container' >\n                                        <input type='text' name='input_58.4' id='input_24_58_4' value=''      aria-required='false'    \/>\n                                        <label for='input_24_58_4' id='input_24_58_4_label' class='gform-field-label gform-field-label--type-sub '>County<\/label>\n                                      <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_24_58_6_container' >\n                                        <select name='input_58.6' id='input_24_58_6'   aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_24_58_6' id='input_24_58_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_24_295\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Do you have any dependents?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_295'>\n\t\t\t<li class='gchoice gchoice_24_295_0'>\n\t\t\t\t<input name='input_295' type='radio' value='Yes'  id='choice_24_295_0'    \/>\n\t\t\t\t<label for='choice_24_295_0' id='label_24_295_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_295_1'>\n\t\t\t\t<input name='input_295' type='radio' value='No'  id='choice_24_295_1'    \/>\n\t\t\t\t<label for='choice_24_295_1' id='label_24_295_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_274\" class=\"gfield gfield--type-form gform-theme__no-reset--children field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_274'>Please add the ages for each dependent<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-1\">\n\t\t\t\t\tDependent's age\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f1.label, attr: { 'data-value': f1.label }\"\n\t\t\t\t\tdata-heading=\"Dependent's age\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit Dependent {0} where Dependent\\'s age is {1}.'.gformFormat( $index() + 1, f1.label ) }\">Edit<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete Dependent {0} where Dependent\\'s age is {1}.'.gformFormat( $index() + 1, f1.label ) }\">Delete<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"2\">\n\t\t\t\tThere are no <span>Dependents.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"24\"\n\t\t        data-nestedformid=\"6\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd Dependent\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of dependents reached.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_274\"\n                id=\"input_24_274\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/li><li id=\"field_24_298\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_298'>Relevant Qualifications<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_298' id='input_24_298' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_234' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_24_234' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_3' class='gform_page' data-js='page-field-id-234' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_24_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_24_151\" class=\"gfield gfield--type-section gsection title pagebreak field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Work and Income<\/h2><\/li><li id=\"field_24_323\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_323'>Occupation<\/label><div class='ginput_container ginput_container_text'><input name='input_323' id='input_24_323' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_91\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_91'>What is your annual salary?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_91' id='input_24_91' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_24_91\" \/><\/div><div class='gfield_description' id='gfield_description_24_91'>After Tax & Deductions<\/div><\/li><li id=\"field_24_182\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Do you have other monthly income?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_182'>\n\t\t\t<li class='gchoice gchoice_24_182_0'>\n\t\t\t\t<input name='input_182' type='radio' value='Yes'  id='choice_24_182_0'    \/>\n\t\t\t\t<label for='choice_24_182_0' id='label_24_182_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_182_1'>\n\t\t\t\t<input name='input_182' type='radio' value='No'  id='choice_24_182_1'    \/>\n\t\t\t\t<label for='choice_24_182_1' id='label_24_182_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_93\" class=\"gfield gfield--type-number field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_93'>Other Monthly Income<\/label><div class='ginput_container ginput_container_number'><input name='input_93' id='input_24_93' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_24_93\" \/><\/div><div class='gfield_description' id='gfield_description_24_93'>After Tax & Deductions<\/div><\/li><li id=\"field_24_312\" class=\"gfield gfield--type-form gform-theme__no-reset--children field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_312'>Personal Assets<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-1\">\n\t\t\t\t\tAsset type\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tAsset Value\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f1.label, attr: { 'data-value': f1.label }\"\n\t\t\t\t\tdata-heading=\"Asset type\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Asset Value\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit Entry {0} where Asset type is {1}.'.gformFormat( $index() + 1, f1.label ) }\">Edit<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete Entry {0} where Asset type is {1}.'.gformFormat( $index() + 1, f1.label ) }\">Delete<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"3\">\n\t\t\t\tThere are no <span>Entries.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"24\"\n\t\t        data-nestedformid=\"26\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd Entry\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of entries reached.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_312\"\n                id=\"input_24_312\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><div class='gfield_description' id='gfield_description_24_312'>This refers to your personal assets such as your family home.<\/div><\/li><li id=\"field_24_313\" class=\"gfield gfield--type-form gform-theme__no-reset--children field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_313'>Liabilities<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-8\">\n\t\t\t\t\tLiability Type\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-3\">\n\t\t\t\t\tInstitution\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-5\">\n\t\t\t\t\tRepayment Frequency\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-4\">\n\t\t\t\t\tRepayment Amount\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-6\">\n\t\t\t\t\tTerm remaining\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tOutstanding Balance\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f8.label, attr: { 'data-value': f8.label }\"\n\t\t\t\t\tdata-heading=\"Liability Type\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f3.label, attr: { 'data-value': f3.label }\"\n\t\t\t\t\tdata-heading=\"Institution\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Repayment Frequency\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f4.label, attr: { 'data-value': f4.label }\"\n\t\t\t\t\tdata-heading=\"Repayment Amount\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f6.label, attr: { 'data-value': f6.label }\"\n\t\t\t\t\tdata-heading=\"Term remaining\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Outstanding Balance\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit Entry {0} where Liability Type is {1}.'.gformFormat( $index() + 1, f8.label ) }\">Edit<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete Entry {0} where Liability Type is {1}.'.gformFormat( $index() + 1, f8.label ) }\">Delete<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"7\">\n\t\t\t\tThere are no <span>Entries.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"24\"\n\t\t        data-nestedformid=\"27\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd Entry\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of entries reached.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_313\"\n                id=\"input_24_313\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><div class='gfield_description' id='gfield_description_24_313'>This refers to your personal liabilities such as any loans, credit cards or mortgages you may be repaying.<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_235' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_24_235' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_4' class='gform_page' data-js='page-field-id-235' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_24_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_24_152\" class=\"gfield gfield--type-section gsection pagebreak field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Loan Application Details<\/h2><\/li><li id=\"field_24_80\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_80'>Loan Application Amount<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_80' id='input_24_80' type='text' step='any'   value='' class='large'    placeholder='Amount in Euro' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_253\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_253'>Term of Loan<\/label><div class='ginput_container ginput_container_select'><select name='input_253' id='input_24_253' class='medium gfield_select'     aria-invalid=\"false\" ><option value='1' >1 Year<\/option><option value='2' >2 Years<\/option><option value='3' >3 Years<\/option><option value='4' >4 Years<\/option><option value='5' >5 Years<\/option><option value='6' >6 Years<\/option><option value='7' >7 Years<\/option><option value='8' >8 Years<\/option><option value='9' >9 Years<\/option><option value='10' >10 Years<\/option><option value='11' >11 Years<\/option><option value='12' >12 Years<\/option><option value='13' >13 Years<\/option><option value='14' >14 Years<\/option><option value='15' >15 Years<\/option><option value='16' >16 Years<\/option><option value='17' >17 Years<\/option><option value='18' >18 Years<\/option><option value='19' >19 Years<\/option><option value='20' >20 Years<\/option><\/select><\/div><\/li><li id=\"field_24_327\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_327'>Term of Loan<\/label><div class='ginput_container ginput_container_select'><select name='input_327' id='input_24_327' class='medium gfield_select'     aria-invalid=\"false\" ><option value='1' >1 Year<\/option><option value='2' >2 Years<\/option><option value='3' >3 Years<\/option><option value='4' >4 Years<\/option><option value='5' >5 Years<\/option><option value='5.5' >5.5 Years<\/option><\/select><\/div><\/li><li id=\"field_24_326\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Security will be required for all loans over 10 years, talk to us to find out more.<\/p><\/li><li id=\"field_24_85\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_85'>I would like to repay my loan:<\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_24_85' class='large gfield_select'     aria-invalid=\"false\" ><option value='Monthly' >Monthly<\/option><option value='Fortnightly' >Fortnightly<\/option><option value='Weekly' >Weekly<\/option><option value='Biannually' >Biannually<\/option><option value='Quarterly' >Quarterly<\/option><option value='Seasonly' >Seasonly<\/option><option value='' ><\/option><option value='' ><\/option><\/select><\/div><\/li><li id=\"field_24_275\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_275'>Please fully describe the purpose of the loan here:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_275' id='input_24_275' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_24_277\" class=\"gfield gfield--type-number field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gf_quarter o_medium\"  data-field-class=\"gf_quarter o_medium\" ><label class='gfield_label gform-field-label' for='input_24_277'>Members own financial input<\/label><div class='ginput_container ginput_container_number'><input name='input_277' id='input_24_277' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_24_277\" \/><\/div><div class='gfield_description' id='gfield_description_24_277'>The amount of your own funds that you will be contributing to the lending purpose<\/div><\/li><li id=\"field_24_324\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Have you security or shares to pledge?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_324'>\n\t\t\t<li class='gchoice gchoice_24_324_0'>\n\t\t\t\t<input name='input_324' type='radio' value='Yes'  id='choice_24_324_0'    \/>\n\t\t\t\t<label for='choice_24_324_0' id='label_24_324_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_324_1'>\n\t\t\t\t<input name='input_324' type='radio' value='No'  id='choice_24_324_1'    \/>\n\t\t\t\t<label for='choice_24_324_1' id='label_24_324_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_297\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf_quarter o_medium\"  data-field-class=\"gf_quarter o_medium\" ><label class='gfield_label gform-field-label' for='input_24_297'>How much Security \/ Shares to pledge?<\/label><div class='ginput_container ginput_container_number'><input name='input_297' id='input_24_297' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_280' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_24_280' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_5' class='gform_page' data-js='page-field-id-280' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_24_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_24_281\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Tax Residency for the purposes of the Common Reporting Standard*<\/h2><\/li><li id=\"field_24_282\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Are you tax resident in the Republic of Ireland?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_282'>\n\t\t\t<li class='gchoice gchoice_24_282_0'>\n\t\t\t\t<input name='input_282' type='radio' value='Yes'  id='choice_24_282_0'    \/>\n\t\t\t\t<label for='choice_24_282_0' id='label_24_282_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_282_1'>\n\t\t\t\t<input name='input_282' type='radio' value='No'  id='choice_24_282_1'    \/>\n\t\t\t\t<label for='choice_24_282_1' id='label_24_282_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_246\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><style type=\"text\/css\">\n\tdiv.valid\n\t{\n\t\tcolor: Green;\n\t\tpadding: 5px;\n\t}\n\t\n\tdiv.notValid\n\t{\n\t\tcolor: Red;\n\t\tpadding: 5px;\n\t}\n<\/style>\n<script type=\"text\/javascript\">\n\tfunction ValidatePPS(value) {\n\t\tvar validationRegex = \/^(\\d{7})([A-Z]{1,2})$\/i;\n\n\t\tif (!validationRegex.test(value))\n\t\t\treturn {code: 0, message: \"The format of the provided PPSN is invalid\"};\n\n\t\tvar numericPart = RegExp.$1;\n\t\tvar checksumCharacter = RegExp.$2;\n\n\t\tvar multiplyingFactor = 8;\n\t\tvar sum = 0;\n\n\t\tfor (var i = 0; i < numericPart.length; i++) {\n\t\t\tsum += numericPart[i] * multiplyingFactor--;\n\t\t}\n\n\t\tif (RegExp.$2[1]) {\n\t\t\tsum += (RegExp.$2[1].toUpperCase().charCodeAt(0) - 64) * 9;\n\t\t}\n\n\t\tvar checksum = sum % 23;\n\n\t\tif (checksum + 64 === checksumCharacter.charCodeAt(0))\n\t\t\treturn {code: 1, message: \"The provided PPSN is valid!\"};\n\t\telse\n\t\t\treturn {code: 0, message: \"The provided PPSN is invalid! The check character should be \" + String.fromCharCode(checksum + 64)};\n\t}\n\n\tjQuery(function () {\n\t\tvar name = 'input_283';\n\t\tvar inputPPSElement = jQuery(\"input[name=\"+name+\"]\");\n\t\tinputPPSElement.on('change',function () {\n\t\t\tjQuery('#resultDisplay').remove();\n\t\t\tvar result = ValidatePPS(inputPPSElement.val());\n\t\t\tif (result.code === 0) {\n\t\t\t\tjQuery(this).after('<div id=\"resultDisplay\" class=\"notValid\">'+result.message+'<\/div>');\n\t\t\t}\n\t\t\telse {\n\t\t\t\tjQuery(this).after('<div id=\"resultDisplay\" class=\"valid\">'+result.message+'<\/div>');\n\t\t\t}\n\t\t});\n\t});\n<\/script>\n<\/li><li id=\"field_24_283\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_283'>Please enter your PPS number<\/label><div class='ginput_container ginput_container_text'><input name='input_283' id='input_24_283' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_284\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>If you are NOT tax resident in the Republic of Ireland please provide your Tax Identification Number (\u201cTIN\u201d) and Country of Tax Residence\n<\/p><\/li><li id=\"field_24_285\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_285'>1 TIN*<\/label><div class='ginput_container ginput_container_number'><input name='input_285' id='input_24_285' type='number' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_286\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_286'>Country of  Tax Residence<\/label><div class='ginput_container ginput_container_select'><select name='input_286' id='input_24_286' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Afghanistan' >Afghanistan<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darrussalam' >Brunei Darrussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Korea' >North Korea<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena' >Saint Helena<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Korea' >South Korea<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' selected='selected'>United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select><\/div><\/li><li id=\"field_24_287\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_24_287'><li class='gchoice gchoice_24_287_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_287.1' type='checkbox'  value='I confirm that the information provided is true and correct to the best of my knowledge, and that if my circumstances change, I will notify the credit union.'  id='choice_24_287_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_287_1' id='label_24_287_1' class='gform-field-label gform-field-label--type-inline'>I confirm that the information provided is true and correct to the best of my knowledge, and that if my circumstances change, I will notify the credit union.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_288\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>\nThis information is being sought for the purposes of reporting obligations under the Common Reporting Standard (CRS), as provided for by Section 891F of the Taxes Consolidation Act 1997.  The information required to be reported under the CRS, including name, address TIN, account number, account balance and payments on the account will be provided to the Revenue Commissioners and may be exchanged securely with another Competent Tax Authority in you jurisdiction of tax residence, but such information will at all times be treated with the strictest confidentiality in accordance with applicable data protection laws.   Only data that is legally required to be reported will be provided to the Revenue Commissioners.  For more information on this, please speak to your credit union, contact Revenue at aeoi@revenue.ie or see http:\/\/www.oecd.org\/tax\/transparency\/automaticexchangeofinformation.htm\n<\/p><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_238' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_24_238' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_6' class='gform_page' data-js='page-field-id-238' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_24_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_24_163\" class=\"gfield gfield--type-section gsection pagebreak field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Declarations and Consents - please read carefully before submitting<\/h2><div class='gsection_description' id='gfield_description_24_163'>Below, the terms \u2018we\u2019 or \u2018us\u2019 refer to the Credit Union.<br>\n<\/div><\/li><li id=\"field_24_164\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf_hide_label o_medium\"  data-field-class=\"gf_hide_label o_medium\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Below is important information relating to your application. Please do not submit an application before reading all the information carefully.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_24_164'><li class='gchoice gchoice_24_164_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_164.1' type='checkbox'  value='l hereby apply to the Credit Union for a Business Loan subject to the  &lt;a href=&quot;https:\/\/bizfin.ie\/standard-terms\/&quot; target=&quot;\u201d_blank\u201d&quot;&gt;Loan Terms and Conditions &lt;\/a&gt; of the Credit Union. By ticking the box I confirm that I have read and understood the Terms and Conditions.'  id='choice_24_164_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_164_1' id='label_24_164_1' class='gform-field-label gform-field-label--type-inline'>l hereby apply to the Credit Union for a Business Loan subject to the  <a href=\"https:\/\/bizfin.ie\/standard-terms\/\" target=\"\u201d_blank\u201d\">Loan Terms and Conditions <\/a> of the Credit Union. By ticking the box I confirm that I have read and understood the Terms and Conditions.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_311\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf_hide_label o_medium\"  data-field-class=\"gf_hide_label o_medium\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Below is important information relating to your application. Please do not submit an application before reading all the information carefully.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_24_311'><li class='gchoice gchoice_24_311_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_311.1' type='checkbox'  value='l hereby apply to the Credit Union for a Business Loan subject to the  &lt;a href=&quot;https:\/\/bizfin.ie\/covid-19-terms\/&quot; target=&quot;\u201d_blank\u201d&quot;&gt;Loan Terms and Conditions &lt;\/a&gt; of the Credit Union. By ticking the box I confirm that I have read and understood the Terms and Conditions.'  id='choice_24_311_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_311_1' id='label_24_311_1' class='gform-field-label gform-field-label--type-inline'>l hereby apply to the Credit Union for a Business Loan subject to the  <a href=\"https:\/\/bizfin.ie\/covid-19-terms\/\" target=\"\u201d_blank\u201d\">Loan Terms and Conditions <\/a> of the Credit Union. By ticking the box I confirm that I have read and understood the Terms and Conditions.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_315\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Are you aware of any known future changes to your circumstances which may affect your ability to repay the proposed loan?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_315'>\n\t\t\t<li class='gchoice gchoice_24_315_0'>\n\t\t\t\t<input name='input_315' type='radio' value='Yes'  id='choice_24_315_0'    \/>\n\t\t\t\t<label for='choice_24_315_0' id='label_24_315_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_315_1'>\n\t\t\t\t<input name='input_315' type='radio' value='No'  id='choice_24_315_1'    \/>\n\t\t\t\t<label for='choice_24_315_1' id='label_24_315_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_316\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_316'>Please provide details:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_316' id='input_24_316' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_24_317\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Are you an employee, director or volunteer of the Credit Union?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_317'>\n\t\t\t<li class='gchoice gchoice_24_317_0'>\n\t\t\t\t<input name='input_317' type='radio' value='Yes'  id='choice_24_317_0'    \/>\n\t\t\t\t<label for='choice_24_317_0' id='label_24_317_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_317_1'>\n\t\t\t\t<input name='input_317' type='radio' value='No'  id='choice_24_317_1'    \/>\n\t\t\t\t<label for='choice_24_317_1' id='label_24_317_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_318\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_318'>Please provide details:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_318' id='input_24_318' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_24_319\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Are you connected to or related to an employee or director of the Credit Union or connected to a business where an employee or director of the Credit Union is a significant shareholder?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_319'>\n\t\t\t<li class='gchoice gchoice_24_319_0'>\n\t\t\t\t<input name='input_319' type='radio' value='Yes'  id='choice_24_319_0'    \/>\n\t\t\t\t<label for='choice_24_319_0' id='label_24_319_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_319_1'>\n\t\t\t\t<input name='input_319' type='radio' value='No'  id='choice_24_319_1'    \/>\n\t\t\t\t<label for='choice_24_319_1' id='label_24_319_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_320\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_320'>Please provide details:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_320' id='input_24_320' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_24_321\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfsp_dot o_medium\"  data-field-class=\"gfsp_dot o_medium\" ><label class='gfield_label gform-field-label' >Have you or are you, or any business associated with you; ever been declared bankrupt or insolvent, obtained a Debt Relief Notice, renegotiated your arrangements with creditors or faced court proceedings for debts in Ireland or any other jurisdiction?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_321'>\n\t\t\t<li class='gchoice gchoice_24_321_0'>\n\t\t\t\t<input name='input_321' type='radio' value='Yes'  id='choice_24_321_0'    \/>\n\t\t\t\t<label for='choice_24_321_0' id='label_24_321_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_321_1'>\n\t\t\t\t<input name='input_321' type='radio' value='No'  id='choice_24_321_1'    \/>\n\t\t\t\t<label for='choice_24_321_1' id='label_24_321_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_322\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_322'>Please provide details:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_322' id='input_24_322' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_239' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_24_239' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_7' class='gform_page' data-js='page-field-id-239' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_24_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_24_156\" class=\"gfield gfield--type-section gsection pagebreak field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Authorisation and Application<\/h2><\/li><li id=\"field_24_218\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >I confirm, acknowledge and agree;\n<ul>\n<li>That this Application Web Form together with figures quoted in repayment calculators may not be construed as an offer of credit by or on behalf of the Credit Union.<\/li>\n<li>That all statements, information and details given in this application and any documentation provided in support of it are true, accurate and complete and I understand they are subject to verification by the Credit Union.<\/li>\n<li>That loan approval is subject to the Credit Union&rsquo;s credit approval process and lending criteria and that the Credit Union reserves the right to restrict, amend, reduce or withdraw any loan offer made.<\/li>\n<li>That the loan will be subject to the rates and interest of the Credit Union and I will pay all fees and charges in connection with the loan as set out in the Credit Agreement that will issue to me on the approval of my application.<\/li>\n<li>That loan approval may be subject to conditions as specified in the Credit Agreement. This may include that my shares may be held as security against the loan.<\/li>\n<li>That upon execution of the Credit Agreement by the Credit Union and I, we will both be bound by that Credit Agreement.<\/li>\n<\/ul>\n<\/li><li id=\"field_24_217\" class=\"gfield gfield--type-checkbox gfield--type-choice 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 gfield_label_before_complex' >Consent for Authorisation and Application<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_24_217'><li class='gchoice gchoice_24_217_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_217.1' type='checkbox'  value='By ticking the box I confirm and acknowledge the above'  id='choice_24_217_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_217_1' id='label_24_217_1' class='gform-field-label gform-field-label--type-inline'>By ticking the box I confirm and acknowledge the above<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_184\" class=\"gfield gfield--type-section gsection pagebreak field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Credit Checks<\/h2><\/li><li id=\"field_24_185\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >It is a necessary condition of a credit application that satisfactory credit checks and assessments be conducted by the Credit Union. These will include checks with the Central Credit Register or other credit reference agencies.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_24_185'><li class='gchoice gchoice_24_185_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_185.1' type='checkbox'  value='By ticking the box I authorise the Credit Union to conduct additional credit verifications and assessments as necessary for the purposes of considering my application in accordance with the &lt;a href=&quot;https:\/\/bizfin.ie\/legal-notices\/#creditcheck&quot; target=&quot;\u201d_blank\u201d&quot;&gt;Credit Checks Notice&lt;\/a&gt;'  id='choice_24_185_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_185_1' id='label_24_185_1' class='gform-field-label gform-field-label--type-inline'>By ticking the box I authorise the Credit Union to conduct additional credit verifications and assessments as necessary for the purposes of considering my application in accordance with the <a href=\"https:\/\/bizfin.ie\/legal-notices\/#creditcheck\" target=\"\u201d_blank\u201d\">Credit Checks Notice<\/a><\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_211\" class=\"gfield gfield--type-html border gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>NOTICE: Under the Credit Reporting Act 2013 lenders are required to provide personal and credit information for credit applications and credit agreements of \u20ac500 and above to the Central Credit Register. This information will be held on the Central Credit Register and may be used by other lenders when making decisions on your credit applications and credit agreements.\n<\/li><li id=\"field_24_328\" class=\"gfield gfield--type-html gfield--width-full border gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>The Central Credit Register is owned and operated by the Central Bank of Ireland. For more information, including on how your data is processed, see www.centralcreditregister.ie<\/p><\/li><li id=\"field_24_201\" class=\"gfield gfield--type-html border gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>\nWarning: If you do not meet the repayments on your credit agreement, your account will go into arrears. This may affect your credit rating, which may limit your ability to access credit in the future.<\/p><\/li><li id=\"field_24_35\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_35' id='input_24_35' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='21\/09\/2026' \/><\/div><\/li><li id=\"field_24_36\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_36' id='input_24_36' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='https:\/\/bizfin.ie\/northeastcu\/wp-json\/wp\/v2\/pages\/226' \/><\/div><\/li><li id=\"field_24_190\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_190' id='input_24_190' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_24_191\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_191' id='input_24_191' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_24_192\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_192' id='input_24_192' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_24_193\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_193' id='input_24_193' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_24_194\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_194' id='input_24_194' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_24_195\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_195'>credit union id<\/label><div class='ginput_container ginput_container_text'><input name='input_195' id='input_24_195' type='text' value='dundalkcu' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_196\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_196'>Loan Type<\/label><div class='ginput_container ginput_container_text'><input name='input_196' id='input_24_196' type='text' value='Business Loan' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_330\" class=\"gfield gfield--type-number loan_principle gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_330'>Loan Amount<\/label><div class='ginput_container ginput_container_number'><input name='input_330' id='input_24_330' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_331\" class=\"gfield gfield--type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_331'>Loan Duration (in Months)<\/label><div class='ginput_container ginput_container_number'><input name='input_331' id='input_24_331' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_332\" class=\"gfield gfield--type-select gfield--width-full gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_332'>Please Select Repayment Frequency<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_332' id='input_24_332' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select Repayment Frequency<\/option><option value='Monthly' selected='selected'>Monthly<\/option><option value='Quarterly' >Quarterly<\/option><\/select><\/div><\/li><li id=\"field_24_333\" class=\"gfield gfield--type-number gfield--width-full gf_right_half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_333'>Your <span data-gppa-live-merge-tag=\"@{:22}\"><\/span> Loan Repayments Will Be:<\/label><div class='ginput_container ginput_container_number'><input name='input_333' id='input_24_333' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_334\" class=\"gfield gfield--type-number gfield--width-full loan_rate gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_334'>Calculated Rate<\/label><div class='ginput_container ginput_container_number'><input name='input_334' id='input_24_334' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_335\" class=\"gfield gfield--type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_335'>Cost of credit<\/label><div class='ginput_container ginput_container_number'><input name='input_335' id='input_24_335' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_336\" class=\"gfield gfield--type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_336'>The total the applicant pays is<\/label><div class='ginput_container ginput_container_number'><input name='input_336' id='input_24_336' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_24_337\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_337'>Please enter your SBCI Eligibility Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_337' id='input_24_337' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_24_338\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' >Is your business a:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_24_338'>\n\t\t\t<li class='gchoice gchoice_24_338_0'>\n\t\t\t\t<input name='input_338' type='radio' value='Sole Trader'  id='choice_24_338_0'    \/>\n\t\t\t\t<label for='choice_24_338_0' id='label_24_338_0' class='gform-field-label gform-field-label--type-inline'>Sole Trader<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_338_1'>\n\t\t\t\t<input name='input_338' type='radio' value='Limited Company'  id='choice_24_338_1'    \/>\n\t\t\t\t<label for='choice_24_338_1' id='label_24_338_1' class='gform-field-label gform-field-label--type-inline'>Limited Company<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_24_338_2'>\n\t\t\t\t<input name='input_338' type='radio' value='Partnership'  id='choice_24_338_2'    \/>\n\t\t\t\t<label for='choice_24_338_2' id='label_24_338_2' class='gform-field-label gform-field-label--type-inline'>Partnership<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_24_339\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_24_339'>What is the purpose of the loan?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_339' id='input_24_339' class='textarea large'      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