surwayusa.vrutiitsolution.com
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2a02:4780:a:1139:0:245d:f473:2
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URL:
https://surwayusa.vrutiitsolution.com/
Submission: On March 24 via api from US — Scanned from US
Submission: On March 24 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
POST
<form class="multisteps-form__form" id="wizard" method="POST" style="height: 1635px;">
<input type="hidden" name="_token" value="FlFwl4UHuVapksnNAdS95pJDaXGrk3hXi0d6eRWp">
<div class="form-area position-relative">
<!-- step 1 -->
<div class="multisteps-form__panel js-active" data-animation="scaleIn">
<div class="wizard-forms position-relative">
<div class="survey-content-area survey-content-two">
<div class="survey-top-title text-center position-relative">
<h2>Step 1 : Personal Details</h2>
</div>
<div class="survey-form-area clearfix">
<div class="survey-form-content">
<div class="survey-form-field" style="padding-top: 0px;">
<div class="container-fluid">
<div class="row">
<div class="col-xl-2 col-lg-2 col-2"></div>
<div class="col-xl-8 col-lg-8 col-8">
<div class="row">
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="position_applied_for" placeholder="Position Applied For">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="payroll_no" placeholder="Staff Number Roll">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="start_date" placeholder="Start Date">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="f_name" placeholder="First name">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="m_name" placeholder="Middle name">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="l_name" placeholder="Surname">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="mi_name" placeholder="Maiden name">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative" style="display:flex;">
<span class="exp-label" style="margin-right:10px;line-height:30px;">Title </span>
<input type="radio" name="title" value="Mr" class="exp-option-box" checked="checked" style="height: 30px;">
<span class="checkmark-border position-relative"></span>
<span class="exp-label" style="margin-right:10px;line-height:30px;">Mr</span>
<input type="radio" name="title" value="Miss" class="exp-option-box" style="height: 30px;">
<span class="checkmark-border position-relative"></span>
<span class="exp-label" style="margin-right:10px;line-height:30px;">Miss</span>
<input type="radio" name="title" value="Mrs" class="exp-option-box" style="height: 30px;">
<span class="checkmark-border position-relative"></span>
<span class="exp-label style=" margin-right:10px;line-height:30px;""="">Mrs</span>
<input type="radio" name="title" value="Ms" class="exp-option-box" style="height: 30px;">
<span class="checkmark-border position-relative"></span>
<span class="exp-label" style="margin-right:10px;line-height:30px;">Ms</span>
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="date_of_birth" placeholder="Birth Date">
</div>
<script>
$('#date_of_birth').datepicker({
format: 'dd-mm-yyyy'
});
</script>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="phone" placeholder="Telephone Number">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="mobile" placeholder="Mobile Number">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="Nationality" placeholder="Nationality">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="place_of_birth" placeholder="Place of Birth">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="ni_number" placeholder="NI Number">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="ni_ref_no" placeholder="NI Reference Number">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="ni_ref_no" placeholder="NI Reference Number">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<textarea class="textareeaa" name="address" placeholder="Full Address"></textarea>
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<textarea class="textareeaa" name="prev_add" placeholder="Previous Address"></textarea>
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="postcode" placeholder="Post Code">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="prev_post" placeholder="Previous Post Code">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="add_year" placeholder="Year">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="add_month" placeholder="Month">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="pre_address_year" placeholder="Lived at this address from">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="email" placeholder="Email">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="date_arr_uk_stamp" placeholder="Date of Arrival">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="language_know" placeholder="Languages Written / Spoken">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emg_contact_name" placeholder="Emergency Contact Name">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emg_contact_phone" placeholder="Emergency Contact Phone">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emg_contact_mobile" placeholder="Emergency Contact Mobile">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emg_contact_rel" placeholder="Emergency Contact Relationship">
</div>
</div>
</div>
<div class="col-xl-12 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<textarea class="textareeaa" name="emg_contact_address" placeholder="Emergency Contact Address"></textarea>
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="passport_country" placeholder="Passport Country">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="passport_no" placeholder="Passport No.">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="over_pcc" placeholder="Overseas PCC">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="expiry_date" placeholder="Expiry Date">
</div>
</div>
</div>
<div class="col-xl-3 col-lg-3 col-12">
<span class="exp-label" style="margin-right:10px;line-height:30px;">Have you previously applied with us? </span>
</div>
<div class="col-xl-3 col-lg-3 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative" style="display:flex;">
<input type="radio" name="prev_applied_yes" value="Yes" class="exp-option-box" checked="checked" style="height: 30px;">
<span class="checkmark-border position-relative"></span>
<span class="exp-label" style="margin-right:10px;line-height:30px;">Yes</span>
<input type="radio" name="prev_applied_yes" value="No" class="exp-option-box" style="height: 30px;">
<span class="checkmark-border position-relative"></span>
<span class="exp-label" style="margin-right:10px;line-height:30px;">No</span>
</div>
</div>
</div>
<div class="col-xl-3 col-lg-3 col-12">
<span class="exp-label" style="margin-right:10px;line-height:30px;">Overseas Passport / Visa? </span>
</div>
<div class="col-xl-3 col-lg-3 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative" style="display:flex;">
<input type="radio" name="overse_pass_visa" value="Yes" class="exp-option-box" checked="checked" style="height: 30px;">
<span class="checkmark-border position-relative"></span>
<span class="exp-label" style="margin-right:10px;line-height:30px;">Yes</span>
<input type="radio" name="overse_pass_visa" value="No" class="exp-option-box" style="height: 30px;">
<span class="checkmark-border position-relative"></span>
<span class="exp-label" style="margin-right:10px;line-height:30px;">No</span>
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="prev_applied" placeholder="If Yes, When?">
</div>
</div>
</div>
<div class="col-xl-6 col-lg-6 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="driving_lic_no" placeholder="Driving Licence No.">
</div>
</div>
</div>
</div>
</div>
<div class="col-xl-2 col-lg-2 col-2"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="wizard-progress">
<span>1 of 4 Completed</span>
<div class="progress">
<div class="progress-bar"></div>
</div>
</div>
<div class="actions">
<ul>
<li><span class="js-btn-next" title="NEXT">NEXT Question</span></li>
</ul>
</div>
</div>
</div>
<!-- step 2 -->
<div class="multisteps-form__panel" data-animation="scaleIn">
<div class="wizard-forms">
<div class="survey-content-area survey-content-two">
<div class="survey-top-title text-center position-relative">
<h2>Step 2 : Employment Details</h2>
</div>
<div class="survey-form-area clearfix">
<div class="survey-form-content">
<div class="survey-form-field" style="padding-top: 0px;">
<div class="container-fluid">
<div class="row">
<div class="col-xl-2 col-lg-2 col-2"></div>
<div class="col-xl-8 col-lg-8 col-8">
<table id="employee_tablesize" style="width: 100%;">
<tbody>
<tr id="row1">
<td style="width: 100%;">
<div class="row" style="margin: 7px 6px;background: whitesmoke; padding: 20px;border-radius: 5px;">
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_start_date[]" placeholder="From Date">
</div>
<script>
$('#emp_start_date').datepicker({
format: 'dd-mm-yyyy'
});
</script>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_end_date[]" placeholder="To Date">
</div>
<script>
$('#emp_end_date').datepicker({
format: 'dd-mm-yyyy'
});
</script>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_name[]" placeholder="Employee Name">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_email[]" placeholder="E-Mail">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_tel[]" placeholder="Telephone No.">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_postcode[]" placeholder="Post Code">
</div>
</div>
</div>
<div class="col-xl-12 col-lg-12 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<textarea class="textareeaa" name="emp_add[]" placeholder="Address"></textarea>
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_contcat_person_name[]" placeholder="Contact Name for reference">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_contact_person_no[]" placeholder="Mobile Tele No">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_job_title[]" placeholder="Job Title">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_reason_leave[]" placeholder="Reason for Leaving">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="emp_eoll_use" placeholder="For EOLL interviewer use">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<button type="button" name="add" id="add" class="btn btn-success" onclick="add_rowsize1()" style="padding: 12px 33px; width: 100%;">Add More</button>
</div>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
<div class="col-xl-2 col-lg-2 col-2"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="wizard-progress">
<span>2 of 4 Completed</span>
<div class="progress">
<div class="progress-bar" style="width: 50%">
</div>
</div>
</div>
<div class="actions">
<ul>
<li><span class="js-btn-prev" title="prev">Previous Question</span></li>
<li><span class="js-btn-next" title="NEXT">NEXT Question</span></li>
</ul>
</div>
</div>
</div>
<!-- step 3 -->
<div class="multisteps-form__panel" data-animation="scaleIn">
<div class="wizard-forms">
<div class="survey-content-area survey-content-two">
<div class="survey-top-title text-center position-relative">
<h2>Step 3 : Years Address History </h2>
</div>
<div class="survey-form-area clearfix">
<div class="survey-form-content">
<div class="survey-form-field" style="padding-top: 0px;">
<div class="container-fluid">
<div class="row">
<div class="col-xl-2 col-lg-2 col-2"></div>
<div class="col-xl-8 col-lg-8 col-8">
<table id="employee_tablesize11" style="width: 100%;">
<tbody>
<tr id="row1">
<td style="width: 100%;">
<div class="row" style="margin: 7px 6px;background: whitesmoke; padding: 20px;border-radius: 5px;">
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="add_from[]" placeholder="From Date">
</div>
<script>
$('#add_from').datepicker({
format: 'dd-mm-yyyy'
});
</script>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="add_to[]" placeholder="To Date">
</div>
<script>
$('#add_to').datepicker({
format: 'dd-mm-yyyy'
});
</script>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="workpostcode[]" placeholder="Post Code">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<textarea class="textareeaa" name="work_add[]" placeholder="Address"></textarea>
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="work_eoll_use" placeholder="For EOLL interviewer use">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<button type="button" name="add2" id="add2" class="btn btn-success" onclick="add_rowsize2()" style="padding: 12px 33px; width: 100%;">Add More</button>
</div>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
<div class="col-xl-2 col-lg-2 col-2"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="wizard-progress">
<span>3 of 4 Completed</span>
<div class="progress">
<div class="progress-bar" style="width: 50%">
</div>
</div>
</div>
<div class="actions">
<ul>
<li><span class="js-btn-prev" title="prev">Previous Question</span></li>
<li><span class="js-btn-next" title="NEXT">NEXT Question</span></li>
</ul>
</div>
</div>
</div>
<!-- step 4 -->
<div class="multisteps-form__panel" data-animation="scaleIn">
<div class="wizard-forms">
<div class="survey-content-area survey-content-two">
<div class="survey-top-title text-center position-relative">
<h2>Step 4 : About your education </h2>
</div>
<div class="survey-form-area clearfix">
<div class="survey-form-content">
<div class="survey-form-field" style="padding-top: 0px;">
<div class="container-fluid">
<div class="row">
<div class="col-xl-2 col-lg-2 col-2"></div>
<div class="col-xl-8 col-lg-8 col-8">
<table id="employee_tablesize13" style="width: 100%;">
<tbody>
<tr id="row1">
<td style="width: 100%;">
<div class="row" style="margin: 7px 6px;background: whitesmoke; padding: 20px;border-radius: 5px;">
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="edu_start_date[]" placeholder="From Date">
</div>
<script>
$('#edu_start_date').datepicker({
format: 'dd-mm-yyyy'
});
</script>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="edu_to_date[]" placeholder="To Date">
</div>
<script>
$('#edu_to_date').datepicker({
format: 'dd-mm-yyyy'
});
</script>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="edu_school_name[]" placeholder="School Name">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="edu_postcode" placeholder="Post Code">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="edu_email" placeholder="Email">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="edu_telno" placeholder="Telephone No.">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="edu_faxno " placeholder="tax No.">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="edu_qualification" placeholder="Qualification">
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<input type="text" name="edu_result" placeholder="Result">
</div>
</div>
</div>
<div class="col-xl-8 col-lg-8 col-12">
<div class="q-depth-input-area">
<div class="input-depth position-relative">
<textarea class="textareeaa" name="edu_add[]" placeholder="Address"></textarea>
</div>
</div>
</div>
<div class="col-xl-4 col-lg-4 col-12">
<div class="q-depth-input-area">
<button type="button" name="add3" id="add3" class="btn btn-success" onclick="add_rowsize3()" style="padding: 12px 33px; width: 100%;">Add More</button>
</div>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
<div class="col-xl-2 col-lg-2 col-2"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="wizard-progress">
<span>3 of 4 Completed</span>
<div class="progress">
<div class="progress-bar" style="width: 50%">
</div>
</div>
</div>
<div class="actions">
<ul>
<li><span class="js-btn-prev" title="prev">Previous Question</span></li>
<li><span class="js-btn-next" title="NEXT">NEXT Question</span></li>
</ul>
</div>
</div>
</div>
<!-- step -->
<div class="multisteps-form__panel" data-animation="scaleIn">
<div class="wizard-forms">
<div class="survey-content-area survey-content-two">
<div class="survey-top-title text-center position-relative">
<h2>What is your First reactiong To the product</h2>
</div>
<div class="survey-form-area clearfix">
<div class="survey-form-content">
<div class="survey-form-img">
<img src="assets/img/sbg3.png" alt="">
</div>
<div class="survey-form-field survey-rate-content">
<h3>How to Be conversational?</h3>
<p>What you think Your Company Rating Deserve</p>
<div class="survey-ratting clearfix position-relative">
<div id="stars" class="starrr"><span class="rate-value full-block-empty"></span><span class="rate-value full-block-empty"></span><span class="rate-value full-block-empty"></span><span class="rate-value full-block-empty"></span><span
class="rate-value full-block-empty"></span></div>
<span class="survey-rate-text">You selects <span id="count">0</span> star(s)</span>
</div>
<p>How you Contact to our Company</p>
<div class="survey-connect-option position-relative">
<select name="share_option">
<option value=""> Twitter</option>
<option value=""> Facebook</option>
<option value=""> Instagram</option>
<option value=""> Youtube</option>
</select>
</div>
</div>
</div>
</div>
</div>
<div class="wizard-progress">
<span>3 of 4 Completed</span>
<div class="progress">
<div class="progress-bar" style="width: 75%">
</div>
</div>
</div>
<div class="actions">
<ul>
<li><span class="js-btn-prev" title="Previous">Previous Question</span></li>
<li><button type="submit" class="js-btn-next" title="NEXT">Submit Question</button></li>
</ul>
</div>
</div>
</div>
</div>
</form>Text Content
* * * STEP 1 : PERSONAL DETAILS Title Mr Miss Mrs Ms Have you previously applied with us? Yes No Overseas Passport / Visa? Yes No 1 of 4 Completed * NEXT Question STEP 2 : EMPLOYMENT DETAILS Add More 2 of 4 Completed * Previous Question * NEXT Question STEP 3 : YEARS ADDRESS HISTORY Add More 3 of 4 Completed * Previous Question * NEXT Question STEP 4 : ABOUT YOUR EDUCATION Add More 3 of 4 Completed * Previous Question * NEXT Question WHAT IS YOUR FIRST REACTIONG TO THE PRODUCT HOW TO BE CONVERSATIONAL? What you think Your Company Rating Deserve You selects 0 star(s) How you Contact to our Company Twitter Facebook Instagram Youtube 3 of 4 Completed * Previous Question * Submit Question