{"id":10053,"date":"2025-07-21T03:18:51","date_gmt":"2025-07-21T03:18:51","guid":{"rendered":"https:\/\/uat.tzuchi.org.sg\/charity-assistance-enquiry-form\/"},"modified":"2026-05-27T07:21:43","modified_gmt":"2026-05-27T07:21:43","slug":"charity-assistance-enquiry-form","status":"publish","type":"page","link":"https:\/\/uat.tzuchi.org.sg\/zh-hans\/charity-assistance-enquiry-form\/","title":{"rendered":"Charity Assistance &#8211; Enquiry Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10053\" class=\"elementor elementor-10053 elementor-1936\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a8e9d8f e-flex e-con-boxed e-con e-parent\" data-id=\"a8e9d8f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-66076e7 elementor-widget elementor-widget-heading\" data-id=\"66076e7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Charity Assistance - Enquiry Form<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-318ff3f elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"318ff3f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Nam lacinia dignissim tellus, vitae laoreet ex feugiat quis. In hac habitasse platea dictumst. Mauris vel gravida eros. Mauris euismod finibus neque, id condimentum erat rutrum id.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7eff2d9 steps-form e-flex e-con-boxed e-con e-parent\" data-id=\"7eff2d9\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3d1dc26 e-con-full e-flex e-con e-child\" data-id=\"3d1dc26\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f26c303 elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"f26c303\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t<template id=\"cfef_logic_data_f26c303\" class=\"cfef_logic_data_js\" data-form-id=\"f26c303\">{&quot;field_de97f50&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_781f136&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;On behalf&quot;,&quot;_id&quot;:&quot;6542d23&quot;}]},&quot;field_a462668&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_de97f50&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;No&quot;,&quot;_id&quot;:&quot;6542d23&quot;}]},&quot;name&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_de97f50&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Yes&quot;,&quot;_id&quot;:&quot;8a4e8c1&quot;}]},&quot;field_a62e9e8&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_de97f50&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Yes&quot;,&quot;_id&quot;:&quot;359f215&quot;}]},&quot;email&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_de97f50&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Yes&quot;,&quot;_id&quot;:&quot;b125e41&quot;}]},&quot;field_97f7974&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_de97f50&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Yes&quot;,&quot;_id&quot;:&quot;5f23c1b&quot;}]},&quot;field_a7279ad&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_781f136&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Self&quot;,&quot;_id&quot;:&quot;77e7d53&quot;}]},&quot;field_1f1f68e&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_3a09ced&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Household Living Assistance &quot;,&quot;_id&quot;:&quot;2d87f04&quot;}]},&quot;field_95871a9&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_3a09ced&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Medical Consumables Assistance&quot;,&quot;_id&quot;:&quot;2d87f04&quot;}]},&quot;field_6679341&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_3a09ced&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Medical Consumables Assistance&quot;,&quot;_id&quot;:&quot;2d87f04&quot;}]},&quot;field_08a0f82&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_3a09ced&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Education Fees Assistance&quot;,&quot;_id&quot;:&quot;2d87f04&quot;}]},&quot;field_c768d26&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_3a09ced&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Education Fees Assistance&quot;,&quot;_id&quot;:&quot;2d87f04&quot;}]}}<\/template>\t\t<form class=\"elementor-form\" method=\"post\" name=\"New Form\" aria-label=\"New Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"10053\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"f26c303\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Charity Assistance &#8211; Enquiry Form\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"10053\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_781f136 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_781f136\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tApplying for yourself or on behalf of someone else\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_781f136]\" id=\"form-field-field_781f136\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Self\">Self<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"On behalf\">On behalf<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_de97f50 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_de97f50\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you obtain the applicant\u2019s consent to share their personal information for this referral?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_de97f50-0\" name=\"form_fields[field_de97f50]\" required=\"required\"> <label for=\"form-field-field_de97f50-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_de97f50-1\" name=\"form_fields[field_de97f50]\" required=\"required\"> <label for=\"form-field-field_de97f50-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a462668 elementor-col-100\">\n\t\t\t\t\t<p><strong>Note :<\/strong> Kindly note that before sharing any personal data with us, it is important to obtain the consent of the person you wish to refer. This is to ensure that we comply with data protection guidelines and respect their privacy.<\/p>\n\n<p>Please confirm that you have obtained their consent before we proceed with the referral. Thank you for your understanding and cooperation.<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tReferring Person\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Referring Person\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_a62e9e8 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a62e9e8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tReferring Person's Contact Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_a62e9e8]\" id=\"form-field-field_a62e9e8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"+65 1234 5678\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tReferring Person's Email\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"e.g. johndoe@gmail.com\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_97f7974 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_97f7974\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRelationship with Applicant\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_97f7974]\" id=\"form-field-field_97f7974\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"e.g. Lorem Ipsum\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a7279ad elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a7279ad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tApplicant\u2019s Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a7279ad]\" id=\"form-field-field_a7279ad\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"e.g. Lorem Ipsum\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_98950f1 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_98950f1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tApplicant\u2019s Contact Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_98950f1]\" id=\"form-field-field_98950f1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"+65 1234 5678\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_0307649 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0307649\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tApplicant's Email\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_0307649]\" id=\"form-field-field_0307649\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_3a09ced elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3a09ced\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tType of Assistance Applied\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_3a09ced]\" id=\"form-field-field_3a09ced\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Household Living Assistance \">Household Living Assistance <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Medical Consumables Assistance \">Medical Consumables Assistance <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Education Fees Assistance\">Education Fees Assistance<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Other\">Other<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_eebbe4c elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_eebbe4c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNationality\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_eebbe4c]\" id=\"form-field-field_eebbe4c\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Singapore\">Singapore<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Other \">Other <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_5f41aa6 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5f41aa6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tID Type\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_5f41aa6]\" id=\"form-field-field_5f41aa6\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Singapore Permanent Resident\">Singapore Permanent Resident<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Long Term Visit Pass\">Long Term Visit Pass<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Short Term Visit Pass\">Short Term Visit Pass<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Work Pass\">Work Pass<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Student Pass\">Student Pass<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Special Pass\">Special Pass<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_2990ead elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2990ead\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tResidential Postal Code\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_2990ead]\" id=\"form-field-field_2990ead\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_785fbfb elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_785fbfb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNumbers of Household Members\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_785fbfb]\" id=\"form-field-field_785fbfb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_2c1336b elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2c1336b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPlease list each household member, their relationship to you, age, and whether they are working or studying\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_2c1336b]\" id=\"form-field-field_2c1336b\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2352a40 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2352a40\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTotal Monthly Income of Working Adult\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2352a40]\" id=\"form-field-field_2352a40\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_3a3c903 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3a3c903\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat are the main challenges you\/applicant are facing at the moment?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_3a3c903]\" id=\"form-field-field_3a3c903\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_1f1f68e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1f1f68e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCurrently receiving any form of social welfare assistance\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"No\" id=\"form-field-field_1f1f68e-0\" name=\"form_fields[field_1f1f68e][]\"> <label for=\"form-field-field_1f1f68e-0\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Comcare\" id=\"form-field-field_1f1f68e-1\" name=\"form_fields[field_1f1f68e][]\"> <label for=\"form-field-field_1f1f68e-1\">Comcare<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"CDAC\" id=\"form-field-field_1f1f68e-2\" name=\"form_fields[field_1f1f68e][]\"> <label for=\"form-field-field_1f1f68e-2\">CDAC<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"MUIS\" id=\"form-field-field_1f1f68e-3\" name=\"form_fields[field_1f1f68e][]\"> <label for=\"form-field-field_1f1f68e-3\">MUIS<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"SINDA\" id=\"form-field-field_1f1f68e-4\" name=\"form_fields[field_1f1f68e][]\"> <label for=\"form-field-field_1f1f68e-4\">SINDA<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Lee Foundation\" id=\"form-field-field_1f1f68e-5\" name=\"form_fields[field_1f1f68e][]\"> <label for=\"form-field-field_1f1f68e-5\">Lee Foundation<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-field_1f1f68e-6\" name=\"form_fields[field_1f1f68e][]\"> <label for=\"form-field-field_1f1f68e-6\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_95871a9 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_95871a9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat kind of medical consumables required?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Milk Feeds\" id=\"form-field-field_95871a9-0\" name=\"form_fields[field_95871a9][]\"> <label for=\"form-field-field_95871a9-0\">Milk Feeds<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Diapers\" id=\"form-field-field_95871a9-1\" name=\"form_fields[field_95871a9][]\"> <label for=\"form-field-field_95871a9-1\">Diapers<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Stoma Bags\" id=\"form-field-field_95871a9-2\" name=\"form_fields[field_95871a9][]\"> <label for=\"form-field-field_95871a9-2\">Stoma Bags<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Wound Dressing Items\" id=\"form-field-field_95871a9-3\" name=\"form_fields[field_95871a9][]\"> <label for=\"form-field-field_95871a9-3\">Wound Dressing Items<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Diabetic consumables Items\" id=\"form-field-field_95871a9-4\" name=\"form_fields[field_95871a9][]\"> <label for=\"form-field-field_95871a9-4\">Diabetic consumables Items<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-field_95871a9-5\" name=\"form_fields[field_95871a9][]\"> <label for=\"form-field-field_95871a9-5\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6679341 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6679341\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tQuantity Required\/Day\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6679341]\" id=\"form-field-field_6679341\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_08a0f82 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_08a0f82\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool\/Institution\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_08a0f82]\" id=\"form-field-field_08a0f82\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c768d26 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c768d26\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCharges of fees\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c768d26]\" id=\"form-field-field_c768d26\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_6b4391e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6b4391e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPreferred Contact Time\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Mon-Fri\" id=\"form-field-field_6b4391e-0\" name=\"form_fields[field_6b4391e][]\"> <label for=\"form-field-field_6b4391e-0\">Mon-Fri<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"10am-12pm\" id=\"form-field-field_6b4391e-1\" name=\"form_fields[field_6b4391e][]\"> <label for=\"form-field-field_6b4391e-1\">10am-12pm<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"2pm-4pm\" id=\"form-field-field_6b4391e-2\" name=\"form_fields[field_6b4391e][]\"> <label for=\"form-field-field_6b4391e-2\">2pm-4pm<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"4pm-6pm\" id=\"form-field-field_6b4391e-3\" name=\"form_fields[field_6b4391e][]\"> <label for=\"form-field-field_6b4391e-3\">4pm-6pm<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-md\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"hm hm-arrow-right\"><\/i>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit Enquiry<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Charity Assistance &#8211; Enq [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-10053","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/uat.tzuchi.org.sg\/zh-hans\/wp-json\/wp\/v2\/pages\/10053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uat.tzuchi.org.sg\/zh-hans\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/uat.tzuchi.org.sg\/zh-hans\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/uat.tzuchi.org.sg\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/uat.tzuchi.org.sg\/zh-hans\/wp-json\/wp\/v2\/comments?post=10053"}],"version-history":[{"count":9,"href":"https:\/\/uat.tzuchi.org.sg\/zh-hans\/wp-json\/wp\/v2\/pages\/10053\/revisions"}],"predecessor-version":[{"id":35812,"href":"https:\/\/uat.tzuchi.org.sg\/zh-hans\/wp-json\/wp\/v2\/pages\/10053\/revisions\/35812"}],"wp:attachment":[{"href":"https:\/\/uat.tzuchi.org.sg\/zh-hans\/wp-json\/wp\/v2\/media?parent=10053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}