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136.143.190.97
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URL:
https://forms.zohopublic.com/smartnetwork/form/GemSurvey/formperma/DuuRtVL5Myw0ZxF3HhjsvHIQNlwSjFNC2WwrLc8HiO4?cox10
Submission: On January 28 via manual from US — Scanned from DE
Submission: On January 28 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMName: test —
<form name="test" id="test"><input type="hidden" name="formName" value="GemSurvey" id="formName"><input type="hidden" name="verifyPerma" value="" id="verifyPerma"><!-- Form Perma will be sent only for PermaUrls -->
<input type="hidden" name="formPerma" value="DuuRtVL5Myw0ZxF3HhjsvHIQNlwSjFNC2WwrLc8HiO4" id="formPerma"><input type="hidden" name="referrerName" id="referrerName" value="null"><input type="hidden" name="isPaymentForm" value="false"
id="isPaymentForm"><input type="hidden" name="formType" value="0" id="formType">
<input type="hidden" id="zf_date_format" datelocale="en-GB" name="date_format" value="dd-MMM-yyyy"><input type="hidden" name="isDocsPublicForm" value="false" id="isDocsPublicForm">
<input type="hidden" name="formrid" value="" id="formrid">
<input type="hidden" name="resizeform" value="0" id="resizeform">
<div id="zf_utmTrack" style="display: none;"></div>
<div class="templateWrapper" id="formRedirectURL">
<ul class="tempHeadBdr formRelative">
<li class="tempHeadContBdr"><span id="logo-formheader" class="formLogo" style="display: none"><img id="logo-formheader-img" src=""></span>
<h2 class="frmTitle"><em>Exclusive INC Application</em></h2>
<p class="frmDesc"></p>
<div class="clearBoth"></div>
</li>
</ul>
<!-- 'FieldElement' class is imported in order to get the key for display name of the component of 'Address' field.
'FormField' class is used to get field type of Zoho CRM field.-->
<div id="formBodyDiv" class="formRelative subContWrap topAlign"><!-- <button elname="openPopUpSubForm" onclick="openPopUp();event.preventDefault()"> Open subform pop up </button> -->
<!-- formFieldWrapper class is used to differantiate form fields and subform fields in themes. Direct children (li) are considered as form fields. Dont change the order of class used. -->
<ul elname="formBodyULName" class="ulNoStyle formFieldWrapper" page_no="1" needpagedata="true">
<!-- i) Private form, ii) Perma, iii) Shared form, iv) Theme preview, v) Current Theme -->
<!-- "isVisible"="false": This 'Admin Only' field must not be shown to user. -->
<!-- "isVisible"="true": Case 1: This is not an 'Admin Only' field. Case 2: This 'Admin Only' field must be shown to user. -->
<!-- Theme Preview, Current Theme - Admin Only fields will be shown. Formula won't be calculated. Field Rules won't be executed. -->
<!-- formMetaData.key=Field link name -->
<!-- Zoho CRM field : "FIELD_LIST" key won't be present. -->
<!--To exclude Html field in rules we are setting comptype as 0 for Html field. That is Html field will not be included in any condition. -->
<li tabindex="1" id="HtmlText-li" class="tempFrmWrapper note" elname="livefield-elem" compname="HtmlText" comptype="0" page_no="1" page_link_name="Page"><label class="descFld">
<div><span class="highlight" style="background-color: rgb(255, 255, 255)"><span class="colour" style="color: rgb(65, 70, 88)"><span class="font" style="font-family: "Patua One""><span class="size"
style="font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; float: none"><span
class="font"
style="font-family: "arial black", sans-serif, sans-serif"><b>We get hired to go to other peoples companies and act like customers in order to know how the staffs are handling their services in relation to their customers. Once we have a contract to do so, you would be directed to the company or outlet, and you would be given the funds you need to do the job(either purchase products or required services), after which you would write a comment on the staffs activities and give a detailed record of your experience.</b></span></span></span></span></span><span
class="font" style="font-family: "arial black", sans-serif, sans-serif"><b><br></b></span></div>
<div><span class="font" style="font-family: "arial black", sans-serif, sans-serif"><b><br></b></span></div>
<div><span class="font" style="font-family: "arial black", sans-serif, sans-serif"><b><br></b></span></div>
<div><span class="font" style="font-family: "arial black", sans-serif, sans-serif"><b><br></b></span></div>
<div><span class="highlight" style="background-color: rgb(255, 255, 255)"><span class="colour" style="color: rgb(65, 70, 88)"><span class="font" style="font-family: "Patua One""><span class="size"
style="font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; float: none"><span
class="font"
style="font-family: "arial black", sans-serif, sans-serif"><b>Most companies employ our assistance when people give complains about their services, or when they feel there are needs for them to improve their customer service.</b></span></span></span></span></span><span
class="font" style="font-family: "arial black", sans-serif, sans-serif"><b><br></b></span></div>
<div><span class="font" style="font-family: "arial black", sans-serif, sans-serif"><b><br></b></span></div>
<div><span class="font" style="font-family: "arial black", sans-serif, sans-serif"><b><br></b></span></div>
<div><span class="font" style="font-family: "Patua One""><span class="size"
style="font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; float: none"><span
class="font"
style="font-family: "arial black", sans-serif, sans-serif"><b><span class="colour" style="color: rgb(65, 70, 88)"><span class="highlight" style="background-color: rgb(255, 255, 255)">Your identity would be kept confidential as the job states (secret/mystery shopper) you would be paid </span></span><span class="highlight" style="background-color: rgb(255, 255, 255)"><span class="colour" style="color: rgb(255, 51, 51)">$400</span></span><span class="colour" style="color: rgb(65, 70, 88)"><span class="highlight" style="background-color: rgb(255, 255, 255)"> for every duty you carry out, and bonus on your transportation allowance, and funds would be given to you if you have to dine as part of the duty. Your job will be to evaluate and comment on customer service in a wide variety of shops, stores, restaurant and services in your area.</span></span></b></span></span></span><span
class="font" style="font-family: "arial black", sans-serif, sans-serif"><b><br></b></span></div>
<div><span class="font" style="font-family: "arial black", sans-serif, sans-serif"><b><br></b></span></div>
<div><span class="font" style="font-family: "arial black", sans-serif, sans-serif"><b><br></b></span></div>
<div><span class="highlight" style="background-color: rgb(255, 255, 255)"><span class="colour" style="color: rgb(65, 70, 88)"><span class="font" style="font-family: "Patua One""><span class="size"
style="font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; float: none"><span
class="font" style="font-family: "arial black", sans-serif, sans-serif"><b>No commitment is made on this job, and you would have flexible hours as it suits you. Apply below</b></span></span></span></span></span><br>
</div>
</label>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper name namemedium" elname="livefield-elem" comptype="7" needdata="true" id="Name-li" compname="Name" linkname="Name" isvisible="true" mandatory="true" page_no="1" page_link_name="Page" regex_type="0" showlabel="true">
<label class="labelName">
<span>FULL NAME</span>
<em class="important">*</em>
</label>
<div class="tempContDiv twoType">
<div class="nameWrapper">
<span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="First" name="Name" complink="Name_First" value="" mandatory="true">
<label class="formSubInfoText">FIRST</label> </span>
<span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Last" name="Name" complink="Name_Last" value="" mandatory="true">
<label class="formSubInfoText">LAST</label> </span>
<div class="clearBoth"></div>
</div>
<p class="errorMessage" elname="error" id="error-Name"></p>
</div>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper address addrlarge" elname="livefield-elem" comptype="8" needdata="true" id="Address-li" compname="Address" linkname="Address" isvisible="true" mandatory="true" page_no="1" page_link_name="Page" showlabel="true">
<div class="arrowNav"></div>
<label class="labelName">
<span>USPS MAILING ADDRESS</span>
<em class="important">*</em>
</label>
<div class="tempContDiv address">
<div class="addrCont">
<!-- <input value=>-->
<span class="addOne">
<input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_AddressLine1" value="" mandatory="true">
<!-- Display name of 'AddressLine1' component of 'Address' field. -->
<label class="formSubInfoText">STREET ADDRESS ( INCLUDE APT # or Business Suite # )</label> </span>
<!-- <input value=>-->
<!-- <input value=>-->
<span class="flLeft addtwo">
<input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_City" value="" mandatory="true">
<!-- Display name of 'City' component of 'Address' field. -->
<label class="formSubInfoText">CITY</label> </span>
<!-- <input value=>-->
<span class="flLeft addtwo">
<input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_Region" value="" mandatory="true">
<!-- Display name of 'Region' component of 'Address' field. -->
<label class="formSubInfoText">STATE</label> </span>
<!-- <input value=>-->
<span class="flLeft addtwo">
<input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_ZipCode" value="" mandatory="true">
<!-- Display name of 'ZipCode' component of 'Address' field. -->
<label class="formSubInfoText">ZIP CODE</label> </span>
<!-- <input value=>-->
<div class="clearBoth"></div>
<p class="errorMessage" elname="error" id="error-Address"></p>
</div>
</div>
<div class="clearBoth"></div>
<script type="module">
$(function() {
var mode = "live"; // No I18N
if (mode == "edit") { // No I18N
var selectedCountry = ""; // No I18N
var selectedCountryNonEncoded = ""; // No I18N
var countryDropdown = $("#Address-li").find('select');
if (selectedCountry.length > 0 && ($(countryDropdown).find('option:selected').val() != selectedCountryNonEncoded)) {
$(countryDropdown).append($("<option></option>").attr("value", selectedCountryNonEncoded).html(selectedCountry).hide()); // No I18N
$(countryDropdown).val(selectedCountryNonEncoded).change();
}
}
});
</script>
</li>
<li class="tempFrmWrapper email small" elname="livefield-elem" comptype="9" id="Email-li" needdata="true" compname="Email" linkname="Email" isvisible="true" mandatory="true" page_no="1" page_link_name="Page" showlabel="true" domain_option="0"
need_reconf="false">
<label class="labelName">
<span>EMAIL</span>
<em class="important">*</em>
</label>
<div class="tempContDiv">
<span elname="livefield-email-elem"><input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="Email" value="">
<p class="errorMessage" elname="error" id="error-Email"></p>
</span>
</div>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper phone" elname="livefield-elem" comptype="11" id="PhoneNumber-li" needdata="true" compname="PhoneNumber" linkname="PhoneNumber" isvisible="true" mandatory="true" page_no="1" page_link_name="Page" showlabel="true"
need_reconf="false">
<label class="labelName">
<span>MOBILE PHONE</span>
<em class="important">*</em>
</label>
<div class="tempContDiv" elname="phoneFormatElem" phoneformat="USA-FORMAT">
<div elname="phoneFld" name="phone-elements">
<span class="sfPhoneformat phoneFormatUSA">
<input name="PhoneNumber" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" onkeyup="ZFUtil.focusNext(this,event)" elname="countrycode" maxlength="3" size="3" value=""><label
class="formSubInfoText formSubInfoAlign">###</label>
</span><span class="symbols">-</span> <span class="sfPhoneformat phoneFormatUSA">
<input name="PhoneNumber" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" onkeyup="ZFUtil.focusNext(this,event)" elname="first" maxlength="3" size="3" value="">
<label class="formSubInfoText formSubInfoAlign">###</label>
</span><span class="symbols">-</span> <span class="sfPhoneformat phoneFormatUSA">
<input name="PhoneNumber" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" onkeyup="ZFUtil.focusNext(this,event)" elname="second" maxlength="4" size="4" value=""><label
class="formSubInfoText formSubInfoAlign">####</label>
</span>
<div class="clearBoth"></div>
</div>
<p class="errorMessage" elname="error" id="error-PhoneNumber"></p>
</div>
<div class="clearBoth"></div>
</li>
<li elname="livefield-elem" comptype="1" id="SingleLine-li" needdata="true" compname="SingleLine" linkname="SingleLine" isvisible="true" class="tempFrmWrapper small" mandatory="true" page_no="1" page_link_name="Page" showlabel="true">
<label class="labelName">
<span>Occupation</span>
<em class="important">*</em>
</label>
<div class="tempContDiv">
<span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine" value=""></span>
<p class="errorMessage" elname="error" id="error-SingleLine"></p>
</div>
<div class="clearBoth"></div>
</li>
</ul>
</div>
<ul elname="footer" class="footerWrapper formRelative" page_no="1" page_count="1" page_link_name="Page">
<li style="overflow:visible; position: relative;" class="btnAllign fmFooter" id="formAccess" elname="0">
<div class="pageFotDef">
<div class="alignSubmit">
<div class="formRelative inlineBlock submitBtnCont"><button class="fmSmtButton submitColor submitWrapper fmSmtButtom" elname="submit" value="submit">
<em>APPLY</em>
</button></div>
</div>
</div>
<div class="clearBoth"></div>
</li>
</ul>
<!-- Uncomment the following Code to enable automation location based value filling for GeoLocation Fields -->
<!-- Set the mapquestURL from zohoforms.properties -->
<!-- -->
<!--Div to show error for unconfirmed users -->
<div id="errorDiv" style="display:none" class="errorMsgWrapper">
<div class="flLeft errorIcon"></div>
<div class="errorMsgCont">
<h2>Error Occurred!</h2>
<span id="errorMsgSpan">You haven't verified your email yet, click<a href="javascript:;" onclick="ZFUtil.resendMail('0');"> here </a> to receive a verification email.</span>
</div>
<div class="clearBoth"></div>
</div>
</div><!-- 'formRedirectURL' ends -->
<div id="popupdiv" class="dim-div2" style="display:none;">
<div id="imageChoiceDiv-cont" class="popUpOuter imageTypeZoom">
<div class="popUpInnerWrapper">
<div class="popupHeader removeBdr"><a class="flRight ppDeleteIcon" onclick="ZFLive.hideZoomedImage();" href="javascript:;"></a>
<div class="clearBoth"></div>
</div>
<div class="popupMainCont"><img src=""></div>
</div>
</div>
</div>
</form>
Text Content
* EXCLUSIVE INC APPLICATION * We get hired to go to other peoples companies and act like customers in order to know how the staffs are handling their services in relation to their customers. Once we have a contract to do so, you would be directed to the company or outlet, and you would be given the funds you need to do the job(either purchase products or required services), after which you would write a comment on the staffs activities and give a detailed record of your experience. Most companies employ our assistance when people give complains about their services, or when they feel there are needs for them to improve their customer service. Your identity would be kept confidential as the job states (secret/mystery shopper) you would be paid $ 400 for every duty you carry out, and bonus on your transportation allowance, and funds would be given to you if you have to dine as part of the duty. Your job will be to evaluate and comment on customer service in a wide variety of shops, stores, restaurant and services in your area. No commitment is made on this job, and you would have flexible hours as it suits you. Apply below * FULL NAME * FIRST LAST * USPS MAILING ADDRESS * STREET ADDRESS ( INCLUDE APT # or Business Suite # ) CITY STATE ZIP CODE * EMAIL * * MOBILE PHONE * ### - ### - #### * Occupation * * APPLY ERROR OCCURRED! You haven't verified your email yet, click here to receive a verification email. OK OK Retry Cancel That CAPTCHA was incorrect. Your form has been deactivated. Contact support@zohoforms.com for further information. Submitting... Please Wait... Saving... Redirecting to Merchant Website.. Verifying Credit Card Details... Please wait... Verification Code Enter the text in the box below Continue Verification mail sent. LINK TO RESUME THIS FORM LATER: Email Link to Send Please enter a valid email address to configure Zoho Sign settings. Copy Link Copied to clipboard. * * * Done