careers.clicksgroup.co.za Open in urlscan Pro
3.64.104.73  Public Scan

Submitted URL: http://careers.clicksgroup.co.za/applicant?controller=Employees&method=get
Effective URL: https://careers.clicksgroup.co.za/applicant/index.php?controller=Employees&method=get
Submission: On January 12 via manual from ZA — Scanned from DE

Form analysis 4 forms found in the DOM

POST

<form class="employee-validate-form" method="POST">
  <input type="text" id="continue-to" hidden="true" value="">
  <div class="form-group">
    <label for="employee-identifier"><b>
                                                    ID / Passport Number
                         <span class="required">*</span>
                    </b></label>
    <input class="form-control" type="text" name="employee-identifier" id="employee-identifier" required="true">
  </div>
  <div>
    <div class="inline-error" style="display:none">
      <div class="message"></div>
    </div>
  </div>
  <div style="margin-bottom: 8px;">
    <button class="button-large btn-primary validate-btn" name="submit" style="width:100%;">Validate</button>
  </div>
  <div style="text-align: right;">Already have a profile? <a class="link link-primary show-login" href="#">Login</a></div>
</form>

POST

<form class="login-form" method="POST">
  <div class="section">
    <div class="form-group">
      <label class="control-label" for="username"><b>Username</b></label>
      <input class="form-control" type="text" name="username" id="username" required="">
    </div>
    <div class="form-group">
      <label class="control-label" for="password"><b>Password</b></label>
      <div class="password-container d-flex">
        <div class="password-input-container" style="width:100%;">
          <input type="password" class="form-control form-field" name="password" id="password" required="true">
        </div>
        <div class="password-controls-container">
          <button class="btn btn-outline-secondary password-show flex-shrink-1" type="button"><svg class="svg-inline--fa fa-eye" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="eye" role="img" xmlns="http://www.w3.org/2000/svg"
              viewBox="0 0 576 512" data-fa-i2svg="">
              <path fill="currentColor"
                d="M288 32c-80.8 0-145.5 36.8-192.6 80.6C48.6 156 17.3 208 2.5 243.7c-3.3 7.9-3.3 16.7 0 24.6C17.3 304 48.6 356 95.4 399.4C142.5 443.2 207.2 480 288 480s145.5-36.8 192.6-80.6c46.8-43.5 78.1-95.4 93-131.1c3.3-7.9 3.3-16.7 0-24.6c-14.9-35.7-46.2-87.7-93-131.1C433.5 68.8 368.8 32 288 32zM432 256c0 79.5-64.5 144-144 144s-144-64.5-144-144s64.5-144 144-144s144 64.5 144 144zM288 192c0 35.3-28.7 64-64 64c-11.5 0-22.3-3-31.6-8.4c-.2 2.8-.4 5.5-.4 8.4c0 53 43 96 96 96s96-43 96-96s-43-96-96-96c-2.8 0-5.6 .1-8.4 .4c5.3 9.3 8.4 20.1 8.4 31.6z">
              </path>
            </svg><!-- <i class="fas fa-eye"></i> Font Awesome fontawesome.com --></button>
        </div>
      </div>
    </div>
  </div>
  <div class="section">
    <div class="error error-occurred" id="login-error" style="display:none"></div>
  </div>
  <div class="section">
    <a href="?controller=ProfileRecovery">Forgot password?</a>
  </div>
  <div class="section">
    <button type="submit" id="btn-login" class="button-large btn-primary login-button">Login</button>
  </div>
  <div class="section small text-muted tandcs"> By clicking on the above you are agreeing to this site's <a href="https://www.pnet.co.za/About-Us/general-terms-and-conditions.cfm">Terms of Use</a>.<br> Read our full Data Protection Policy
    <a href="https://pnet-marketing.s3.eu-central-1.amazonaws.com/Privacy/Privacy_Policy_Pnet.pdf">here</a>. </div>
  <div class="section" style="text-align:right;">
    <a href="/admin" style="float:right">I'm a recruiter</a>
  </div>
</form>

POST #

<form class="form-horizontal form-definition" id="form-definition-applicant_logins" method="POST" action="#" novalidate="">
  <input type="text" class="form-field" name="id" id="id" value="" hidden="">
  <div class="form-group form-section">
    <div class="header">
    </div>
    <div class="body">
      <div class="row">
        <div class="col-md-12">
          <div id="53ae71f7-359f-4ea5-8005-3b71fb8b0efb" class="form-part field-container">
            <div class="control-label">
              <span class="label"> Email address </span><span class="field-required">*</span>
            </div>
            <div class="component">
              <input type="text" class="form-control form-field" name="emailaddress" id="emailaddress" value="" required="" maxlength="200">
            </div>
            <div class="validate-message" style="display:none;"></div>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-md-12">
          <div id="4a51f4a2-c99d-4bc3-b4fd-2347daa3ce46" class="form-part field-container">
            <div class="control-label">
              <span class="label"> Password </span><span class="field-required">*</span>
            </div>
            <div class="component">
              <div class="password-container d-flex">
                <div class="password-input-container" style="width:100%;">
                  <input type="password" class="form-control form-field" name="password" id="password" required="true">
                </div>
                <div class="password-controls-container">
                  <button class="btn btn-outline-secondary password-show flex-shrink-1" type="button"><svg class="svg-inline--fa fa-eye" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="eye" role="img"
                      xmlns="http://www.w3.org/2000/svg" viewBox="0 0 576 512" data-fa-i2svg="">
                      <path fill="currentColor"
                        d="M288 32c-80.8 0-145.5 36.8-192.6 80.6C48.6 156 17.3 208 2.5 243.7c-3.3 7.9-3.3 16.7 0 24.6C17.3 304 48.6 356 95.4 399.4C142.5 443.2 207.2 480 288 480s145.5-36.8 192.6-80.6c46.8-43.5 78.1-95.4 93-131.1c3.3-7.9 3.3-16.7 0-24.6c-14.9-35.7-46.2-87.7-93-131.1C433.5 68.8 368.8 32 288 32zM432 256c0 79.5-64.5 144-144 144s-144-64.5-144-144s64.5-144 144-144s144 64.5 144 144zM288 192c0 35.3-28.7 64-64 64c-11.5 0-22.3-3-31.6-8.4c-.2 2.8-.4 5.5-.4 8.4c0 53 43 96 96 96s96-43 96-96s-43-96-96-96c-2.8 0-5.6 .1-8.4 .4c5.3 9.3 8.4 20.1 8.4 31.6z">
                      </path>
                    </svg><!-- <i class="fas fa-eye"></i> Font Awesome fontawesome.com --></button>
                </div>
              </div>
            </div>
            <div class="validate-message" style="display:none;"></div>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-md-12">
          <div id="" class="form-part field-container">
            <div class="control-label">
              <span class="label"> Confirm password </span><span class="field-required">*</span>
            </div>
            <div class="component">
              <div class="password-container d-flex">
                <div class="password-input-container" style="width:100%;">
                  <input type="password" class="form-control form-field" name="confirm-password" id="confirm-password" required="true">
                </div>
                <div class="password-controls-container">
                  <button class="btn btn-outline-secondary password-show flex-shrink-1" type="button"><svg class="svg-inline--fa fa-eye" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="eye" role="img"
                      xmlns="http://www.w3.org/2000/svg" viewBox="0 0 576 512" data-fa-i2svg="">
                      <path fill="currentColor"
                        d="M288 32c-80.8 0-145.5 36.8-192.6 80.6C48.6 156 17.3 208 2.5 243.7c-3.3 7.9-3.3 16.7 0 24.6C17.3 304 48.6 356 95.4 399.4C142.5 443.2 207.2 480 288 480s145.5-36.8 192.6-80.6c46.8-43.5 78.1-95.4 93-131.1c3.3-7.9 3.3-16.7 0-24.6c-14.9-35.7-46.2-87.7-93-131.1C433.5 68.8 368.8 32 288 32zM432 256c0 79.5-64.5 144-144 144s-144-64.5-144-144s64.5-144 144-144s144 64.5 144 144zM288 192c0 35.3-28.7 64-64 64c-11.5 0-22.3-3-31.6-8.4c-.2 2.8-.4 5.5-.4 8.4c0 53 43 96 96 96s96-43 96-96s-43-96-96-96c-2.8 0-5.6 .1-8.4 .4c5.3 9.3 8.4 20.1 8.4 31.6z">
                      </path>
                    </svg><!-- <i class="fas fa-eye"></i> Font Awesome fontawesome.com --></button>
                </div>
              </div>
            </div>
            <div class="validate-message" style="display:none;"></div>
            <div class="posttext">
              <div class="help-container">
                <div class="help-toggle-container">
                  <a class="help-toggle" href="#"><svg class="svg-inline--fa fa-circle-question" aria-hidden="true" focusable="false" data-prefix="far" data-icon="circle-question" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" data-fa-i2svg=""><path fill="currentColor" d="M256 0C114.6 0 0 114.6 0 256s114.6 256 256 256s256-114.6 256-256S397.4 0 256 0zM256 464c-114.7 0-208-93.31-208-208S141.3 48 256 48s208 93.31 208 208S370.7 464 256 464zM256 336c-18 0-32 14-32 32s13.1 32 32 32c17.1 0 32-14 32-32S273.1 336 256 336zM289.1 128h-51.1C199 128 168 159 168 198c0 13 11 24 24 24s24-11 24-24C216 186 225.1 176 237.1 176h51.1C301.1 176 312 186 312 198c0 8-4 14.1-11 18.1L244 251C236 256 232 264 232 272V288c0 13 11 24 24 24S280 301 280 288V286l45.1-28c21-13 34-36 34-60C360 159 329 128 289.1 128z"></path></svg><!-- <i class="far fa-question-circle"></i> Font Awesome fontawesome.com --> Help</a>
                </div>
                <div class="help-content text-muted" style="display:none;"> To ensure safe access to your data, your password needs to meet the below minimum requirements: <ul>
                    <li>Minimum of 6 characters long</li>
                    <li>Minimum of 1 numeric character [0 - 9]</li>
                    <li>Minimum of 1 lowercase character [a - z]</li>
                    <li>Minimum of 1 uppercase character [A - Z]</li>
                    <li>Minimum of 1 special character, for example @!?#$%...</li>
                  </ul>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-md-12">
          <div id="9e1b13ca-b627-473c-8df1-c79aa38d44c1" class="form-part field-container">
            <div class="control-label">
              <span class="label"> Mobile phone </span><span class="field-required">*</span>
            </div>
            <div class="description">Will be used for account recovery in the case that you no longer have access to the supplied email address.</div>
            <div class="component">
              <input type="text" class="form-control form-field" name="telephonemobile" id="telephonemobile" value="" required="" maxlength="100">
            </div>
            <div class="validate-message" style="display:none;"></div>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-md-12">
          <div id="" class="form-part field-container">
            <div class="control-label">
              <span class="label"> CV file </span> <span class="field-required">*</span>
            </div>
            <div class="description">We will parse your CV to make creating a profile as easy as possible</div>
            <div class="component">
              <style type="text/css">
                .attachment-container .attachment-icon,
                .attachment-container .attachment-text-empty,
                .attachment-container .selected-file,
                .attachment-container .controls {
                  margin: auto;
                  padding: 8px;
                }

                .attachment-icon {
                  font-size: 24px;
                }
              </style>
              <div id="x0v1l" class="attachment-container">
                <div class="d-md-flex flex-wrap form-control">
                  <div class="attachment-icon">
                    <svg class="svg-inline--fa fa-arrow-up-from-bracket" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="arrow-up-from-bracket" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
                      <path fill="currentColor"
                        d="M246.6 9.4c-12.5-12.5-32.8-12.5-45.3 0l-128 128c-12.5 12.5-12.5 32.8 0 45.3s32.8 12.5 45.3 0L192 109.3V320c0 17.7 14.3 32 32 32s32-14.3 32-32V109.3l73.4 73.4c12.5 12.5 32.8 12.5 45.3 0s12.5-32.8 0-45.3l-128-128zM64 352c0-17.7-14.3-32-32-32s-32 14.3-32 32v64c0 53 43 96 96 96H352c53 0 96-43 96-96V352c0-17.7-14.3-32-32-32s-32 14.3-32 32v64c0 17.7-14.3 32-32 32H96c-17.7 0-32-14.3-32-32V352z">
                      </path>
                    </svg><!-- <i class="fa-solid fa-arrow-up-from-bracket"></i> Font Awesome fontawesome.com -->
                  </div>
                  <div class="d-md-flex flex-grow-1">
                    <div class="selected-file-container flex-grow-1" style="display:none;">
                      <div class="selected-file d-flex">
                        <span class="selected-file-name flex-grow-1" style="margin: auto;"></span><button class="btn btn-danger remove-selected"><svg class="svg-inline--fa fa-trash" aria-hidden="true" focusable="false" data-prefix="fas"
                            data-icon="trash" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
                            <path fill="currentColor"
                              d="M135.2 17.7L128 32H32C14.3 32 0 46.3 0 64S14.3 96 32 96H416c17.7 0 32-14.3 32-32s-14.3-32-32-32H320l-7.2-14.3C307.4 6.8 296.3 0 284.2 0H163.8c-12.1 0-23.2 6.8-28.6 17.7zM416 128H32L53.2 467c1.6 25.3 22.6 45 47.9 45H346.9c25.3 0 46.3-19.7 47.9-45L416 128z">
                            </path>
                          </svg><!-- <i class="fa-solid fa-trash"></i> Font Awesome fontawesome.com --></button>
                      </div>
                    </div>
                    <small class="attachment-text-empty flex-grow-1">
                      <div>Drag &amp; drop your file</div>
                      <small class="text-muted attachment-properties"></small>
                    </small>
                    <div class="controls">
                      <button class="btn btn-primary attachment-selector" type="button"> Choose file </button>
                    </div>
                  </div>
                </div>
                <input type="file" name="file-input-x0v1l" hidden="true"><input type="text" class="form-field" name="cv" hidden="true"><input type="text" class="form-field" name="cv" id="cv" value="" hidden="">
              </div>
              <script type="text/javascript">
                $(document).ready(function() {
                  app.add("x0v1l", new Attachment({
                    id: "x0v1l",
                    field: "cv",
                    type: "blob",
                    maxSize: "",
                    types: "",
                    value: "",
                    required: true,
                    disabled: false,
                    additionalData: {
                      isapplicantdocument: true
                    }
                  }));
                });
              </script>
            </div>
            <div class="validate-message" style="display:none;"></div>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-md-12">
          <div>
            <div class="consents-widget-container" id="93h2r">
              <style>
                .consent-selector-container {
                  padding: 5px;
                }

                .consent-content {
                  padding: 5px;
                }
              </style>
              <div class="consents-widget">
              </div>
            </div>
          </div>
          <script>
            $(document).ready(function() {
              let fid = $("#93h2r").parents(".form-definition").attr("id");
              app.add("93h2r", new Consents({
                id: "93h2r",
                formId: fid
              }));
              console.log("cw", app.get("93h2r"));
            });
          </script>
        </div>
      </div>
    </div>
  </div>
  <div class="form-error inline-error sticky-bottom pb-3" style="display:none;">
    <div class="dynamic-card fill-danger m-0" style="border-color: var(--danger-color);">
      <div class="d-flex">
        <div class="message flex-grow-1 m-auto">
          <div class="error"></div>
        </div>
        <div class="m-auto">
          <a class="error-dismiss"><svg class="svg-inline--fa fa-xmark" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="xmark" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" data-fa-i2svg=""><path fill="currentColor" d="M310.6 150.6c12.5-12.5 12.5-32.8 0-45.3s-32.8-12.5-45.3 0L160 210.7 54.6 105.4c-12.5-12.5-32.8-12.5-45.3 0s-12.5 32.8 0 45.3L114.7 256 9.4 361.4c-12.5 12.5-12.5 32.8 0 45.3s32.8 12.5 45.3 0L160 301.3 265.4 406.6c12.5 12.5 32.8 12.5 45.3 0s12.5-32.8 0-45.3L205.3 256 310.6 150.6z"></path></svg><!-- <i class="fa-solid fa-xmark"></i> Font Awesome fontawesome.com --></a>
        </div>
      </div>
    </div>
  </div>
  <div id="form-actions" style="display: none;">
    <div class="row">
      <div class="col-12">
        <div class="d-flex justify-content-end">
          <button type="submit" class="button btn-success form-btn-submit"> Submit </button>
        </div>
      </div>
    </div>
  </div>
</form>

POST #

<form class="form-horizontal form-definition" id="form-definition-applicants" method="POST" action="#" novalidate="">
  <input type="text" class="form-field" name="id" id="id" value="" hidden="">
  <div class="form-group form-section" id="sec-general">
    <div class="header">
    </div>
    <div class="body">
      <div class="row">
        <div class="col-md-12">
          <div id="725b9d6c-5804-4f4a-8a79-6c9c702772c8" class="form-part field-container">
            <div class="control-label">
              <span class="label"> First name </span><span class="field-required">*</span>
            </div>
            <div class="component">
              <input type="text" class="form-control form-field" name="firstname" id="firstname" value="" required="" maxlength="100">
            </div>
            <div class="validate-message" style="display:none;"></div>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-md-12">
          <div id="9c191562-f7d9-4ce3-b835-11c8c7e434ca" class="form-part field-container">
            <div class="control-label">
              <span class="label"> Last name </span><span class="field-required">*</span>
            </div>
            <div class="component">
              <input type="text" class="form-control form-field" name="lastname" id="lastname" value="" required="" maxlength="100">
            </div>
            <div class="validate-message" style="display:none;"></div>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-md-12">
          <div id="5ce00a97-c5cc-4d84-b57a-91ba732c8e1b" class="form-part field-container"
            data-conditionals="{&quot;1&quot;:{&quot;rename&quot;:{&quot;idnumber&quot;:&quot;SA ID number&quot;},&quot;require&quot;:{&quot;idnumber&quot;:true}},&quot;defaults&quot;:{&quot;rename&quot;:{&quot;idnumber&quot;:&quot;Passport number&quot;},&quot;require&quot;:{&quot;idnumber&quot;:false}}}">
            <div class="control-label">
              <span class="label"> Is citizen </span> <span class="field-required">*</span>
            </div>
            <div class="component">
              <div id="ttstp" class="selector-widget selector">
                <div class="selector-controls d-flex">
                  <input class="form-control selector-input" type="text" placeholder="Type here to search the options" value="" required="">
                  <div class="selector-buttons-container">
                    <button class="btn btn-default danger selector-clear" style="">
                      <svg class="svg-inline--fa fa-xmark" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="xmark" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" data-fa-i2svg="">
                        <path fill="currentColor"
                          d="M310.6 150.6c12.5-12.5 12.5-32.8 0-45.3s-32.8-12.5-45.3 0L160 210.7 54.6 105.4c-12.5-12.5-32.8-12.5-45.3 0s-12.5 32.8 0 45.3L114.7 256 9.4 361.4c-12.5 12.5-12.5 32.8 0 45.3s32.8 12.5 45.3 0L160 301.3 265.4 406.6c12.5 12.5 32.8 12.5 45.3 0s12.5-32.8 0-45.3L205.3 256 310.6 150.6z">
                        </path>
                      </svg><!-- <i class="fa-solid fa-xmark"></i> Font Awesome fontawesome.com -->
                    </button>
                    <button class="btn btn-default selector-show-options" style="">
                      <svg class="svg-inline--fa fa-caret-down" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="caret-down" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" data-fa-i2svg="">
                        <path fill="currentColor" d="M137.4 374.6c12.5 12.5 32.8 12.5 45.3 0l128-128c9.2-9.2 11.9-22.9 6.9-34.9s-16.6-19.8-29.6-19.8L32 192c-12.9 0-24.6 7.8-29.6 19.8s-2.2 25.7 6.9 34.9l128 128z"></path>
                      </svg><!-- <i class="fas fa-caret-down"></i> Font Awesome fontawesome.com -->
                    </button>
                    <button class="btn btn-default selector-hide-options" style="display:none;">
                      <svg class="svg-inline--fa fa-caret-up" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="caret-up" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" data-fa-i2svg="">
                        <path fill="currentColor" d="M182.6 137.4c-12.5-12.5-32.8-12.5-45.3 0l-128 128c-9.2 9.2-11.9 22.9-6.9 34.9s16.6 19.8 29.6 19.8H288c12.9 0 24.6-7.8 29.6-19.8s2.2-25.7-6.9-34.9l-128-128z"></path>
                      </svg><!-- <i class="fas fa-caret-up"></i> Font Awesome fontawesome.com -->
                    </button>
                  </div>
                </div>
                <div class="selector-options-container" id="ttstp-options" style="display:none;">
                  <div class="options-container">
                    <div class="options-actions-container">
                      <div class="d-flex justify-content-end">
                        <div class="options-breadcrum flex-grow-1" id="ttstp-options-bc">
                          <div class="d-flex">
                            <div class="breadcrumbs-actions" style="display:none;">
                              <button class="button-small btn-primary breadcrumbs-action breadcrumbs-action-back">
                                <svg class="svg-inline--fa fa-angle-left" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="angle-left" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" data-fa-i2svg="">
                                  <path fill="currentColor" d="M41.4 233.4c-12.5 12.5-12.5 32.8 0 45.3l160 160c12.5 12.5 32.8 12.5 45.3 0s12.5-32.8 0-45.3L109.3 256 246.6 118.6c12.5-12.5 12.5-32.8 0-45.3s-32.8-12.5-45.3 0l-160 160z"></path>
                                </svg><!-- <i class="fa-solid fa-angle-left"></i> Font Awesome fontawesome.com --></button>
                            </div>
                            <div class="breadcrumbs-items flex-grow-1 d-flex"></div>
                          </div>
                        </div>
                        <div class="options-actions">
                          <a class="options-action options-reset danger" style="display:none;" href="#">reset</a>
                        </div>
                      </div>
                    </div>
                    <div class="options">
                      <div class="options-list"></div>
                      <div class="options-message" style="display:none;"></div>
                    </div>
                  </div>
                </div>
                <div class="selector-selected-breadcumb" style="display:none;"></div><input type="text" class="form-field" name="iscitizen" id="iscitizen" value="1" hidden="">
              </div>
              <script type="text/javascript">
                $(document).ready(function() {
                  app.add("ttstp", new Selector({
                    id: "ttstp",
                    options: {
                      options: {
                        "2": {
                          "key": 2,
                          "value": "Non South African, No Work Permit",
                          "ordernumber": null,
                          "id": "3d0e2001-040e-41b4-858e-261ab7dc9251",
                          "left": null,
                          "right": null,
                          "parentid": null,
                          "fieldid": null,
                          "sharedoptionsetid": "065221bb-b3b2-4f2f-a287-5bc910690888"
                        },
                        "3": {
                          "key": 3,
                          "value": "Non South African with a Work Permit",
                          "ordernumber": null,
                          "id": "75cd74e0-b0a2-4206-9624-bfb5e2b2ed1c",
                          "left": null,
                          "right": null,
                          "parentid": null,
                          "fieldid": null,
                          "sharedoptionsetid": "065221bb-b3b2-4f2f-a287-5bc910690888"
                        },
                        "1": {
                          "key": 1,
                          "value": "South African Citizen",
                          "ordernumber": null,
                          "id": "48d5d3c9-e543-4bd6-a9b0-f1f7cc011071",
                          "left": null,
                          "right": null,
                          "parentid": null,
                          "fieldid": null,
                          "sharedoptionsetid": "065221bb-b3b2-4f2f-a287-5bc910690888"
                        }
                      }
                    },
                    value: "1",
                    valuename: "",
                    field: "iscitizen",
                    required: true,
                    disabled: false
                  }));
                });
              </script>
            </div>
            <div class="validate-message" style="display:none;"></div>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-md-12">
          <div id="ed27cfaa-a02a-410a-afa0-461822fd7df7" class="form-part field-container">
            <div class="control-label">
              <span class="label">SA ID number </span> <span class="field-required">*</span>
            </div>
            <div class="component">
              <input type="text" class="form-control form-field" name="idnumber" id="idnumber" value="" maxlength="100" required="">
            </div>
            <div class="validate-message" style="display:none;"></div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="form-error inline-error sticky-bottom pb-3" style="display:none;">
    <div class="dynamic-card fill-danger m-0" style="border-color: var(--danger-color);">
      <div class="d-flex">
        <div class="message flex-grow-1 m-auto">
          <div class="error"></div>
        </div>
        <div class="m-auto">
          <a class="error-dismiss"><svg class="svg-inline--fa fa-xmark" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="xmark" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" data-fa-i2svg=""><path fill="currentColor" d="M310.6 150.6c12.5-12.5 12.5-32.8 0-45.3s-32.8-12.5-45.3 0L160 210.7 54.6 105.4c-12.5-12.5-32.8-12.5-45.3 0s-12.5 32.8 0 45.3L114.7 256 9.4 361.4c-12.5 12.5-12.5 32.8 0 45.3s32.8 12.5 45.3 0L160 301.3 265.4 406.6c12.5 12.5 32.8 12.5 45.3 0s12.5-32.8 0-45.3L205.3 256 310.6 150.6z"></path></svg><!-- <i class="fa-solid fa-xmark"></i> Font Awesome fontawesome.com --></a>
        </div>
      </div>
    </div>
  </div>
  <div id="form-actions" style="display: none;">
    <div class="row">
      <div class="col-12">
        <div class="d-flex justify-content-end">
          <button type="submit" class="button btn-success form-btn-submit"> Submit </button>
        </div>
      </div>
    </div>
  </div>
</form>

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