{"id":11806,"date":"2023-09-28T16:28:56","date_gmt":"2023-09-28T11:28:56","guid":{"rendered":"https:\/\/atlas.com.pk\/atlasfdn\/dev.ail.atlas.pk\/digisure\/?page_id=11806"},"modified":"2025-04-22T15:19:30","modified_gmt":"2025-04-22T10:19:30","slug":"travel-insurance-buy-online","status":"publish","type":"page","link":"https:\/\/ail.atlas.pk\/digisure\/travel-insurance-buy-online\/","title":{"rendered":"Travel Insurance Buy Online"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"11806\" class=\"elementor elementor-11806\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bfa1694 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bfa1694\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-934468d\" data-id=\"934468d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fb17d5a elementor-widget elementor-widget-shortcode\" data-id=\"fb17d5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-12054 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-12054\" data-uid=\"6a5fb0ae2d17b\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-12054\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-12054 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"12054\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a5fb0ae2d17b\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a5fb0ae2d17b\" id=\"forminator-field-name-1_6a5fb0ae2d17b-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Full name\" id=\"forminator-field-name-1_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6  email-field\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a5fb0ae2d17b\" id=\"forminator-field-email-1_6a5fb0ae2d17b-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Enter Email Address\" id=\"forminator-field-email-1_6a5fb0ae2d17b\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6  phone_mask\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a5fb0ae2d17b\" id=\"forminator-field-phone-1_6a5fb0ae2d17b-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Enter Phone Number\" id=\"forminator-field-phone-1_6a5fb0ae2d17b\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a5fb0ae2d17b\" id=\"forminator-field-date-1-picker_6a5fb0ae2d17b-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Date of Birth\" id=\"forminator-field-date-1-picker_6a5fb0ae2d17b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2026\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"2026-07-21\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-33\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-33_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-33_6a5fb0ae2d17b-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-33_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-33\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Select City\" data-search=\"false\" data-search-placeholder=\"Select City\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-33_6a5fb0ae2d17b-label\"><option value=\"\"  >Select City<\/option><option value=\"Lahore\"  data-calculation=\"0\">Lahore<\/option><option value=\"Karachi\"  data-calculation=\"0\">Karachi<\/option><option value=\"Siakkot\"  data-calculation=\"0\">Siakkot<\/option><option value=\"Hyderabad\"  data-calculation=\"0\">Hyderabad<\/option><option value=\"Sukkur\"  data-calculation=\"0\">Sukkur<\/option><option value=\"Sahiwal\"  data-calculation=\"0\">Sahiwal<\/option><option value=\"Rawalpindi\"  data-calculation=\"0\">Rawalpindi<\/option><option value=\"Faisalabad\"  data-calculation=\"0\">Faisalabad<\/option><option value=\"Islamabad\"  data-calculation=\"0\">Islamabad<\/option><option value=\"Multan\"  data-calculation=\"0\">Multan<\/option><option value=\"Peshawar\"  data-calculation=\"0\">Peshawar<\/option><\/select><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_6a5fb0ae2d17b\" id=\"forminator-field-address-1-street_address_6a5fb0ae2d17b-label\" class=\"forminator-label\">Insured Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"E.g. 42 Wallaby Way\" id=\"forminator-field-address-1-street_address_6a5fb0ae2d17b\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a5fb0ae2d17b\" id=\"forminator-field-text-2_6a5fb0ae2d17b-label\" class=\"forminator-label\">Passport # <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-2_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"upload-3\" class=\"forminator-field-upload forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-3_6a5fb0ae2d17b\" id=\"forminator-field-upload-3_6a5fb0ae2d17b-label\" class=\"forminator-label\">Upload Passport Front image <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-3_6a5fb0ae2d17b\" aria-describedby=\"forminator-field-upload-3_6a5fb0ae2d17b-description\"><input type=\"file\" name=\"upload-3\" id=\"forminator-field-upload-3_6a5fb0ae2d17b\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.png,.webp,.json,.pdf,image\/jpeg,image\/png,image\/webp,application\/pdf\" tabindex=\"-1\"><button id=\"forminator-field-upload-3_6a5fb0ae2d17b_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-3_6a5fb0ae2d17b\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><span id=\"forminator-field-upload-3_6a5fb0ae2d17b-description\" class=\"forminator-description\">Upload only jpg, jpeg, png, pdf<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a5fb0ae2d17b\" id=\"forminator-field-text-3_6a5fb0ae2d17b-label\" class=\"forminator-label\">Insured CNIC # <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-3_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-picker_6a5fb0ae2d17b\" id=\"forminator-field-date-4-picker_6a5fb0ae2d17b-label\" class=\"forminator-label\">CNIC Issue Date <span class=\"forminator-required\">*<\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-4\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-4-picker_6a5fb0ae2d17b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6a5fb0ae2d17b\" id=\"forminator-field-upload-1_6a5fb0ae2d17b-label\" class=\"forminator-label\">Upload CNIC Front image <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6a5fb0ae2d17b\" aria-describedby=\"forminator-field-upload-1_6a5fb0ae2d17b-description\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6a5fb0ae2d17b\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.png,.webp,.json,.pdf,image\/jpeg,image\/png,image\/webp,application\/pdf\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6a5fb0ae2d17b_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6a5fb0ae2d17b\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><span id=\"forminator-field-upload-1_6a5fb0ae2d17b-description\" class=\"forminator-description\">Upload only jpg, jpeg, png, pdf<\/span><\/div><\/div><div id=\"upload-2\" class=\"forminator-field-upload forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-2_6a5fb0ae2d17b\" id=\"forminator-field-upload-2_6a5fb0ae2d17b-label\" class=\"forminator-label\">Upload CNIC Back image <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-2_6a5fb0ae2d17b\" aria-describedby=\"forminator-field-upload-2_6a5fb0ae2d17b-description\"><input type=\"file\" name=\"upload-2\" id=\"forminator-field-upload-2_6a5fb0ae2d17b\" class=\"forminator-input-file-required do-validate\" accept=\".webp,.json,.jpg,.jpeg,.jpe,.png,.pdf,image\/webp,image\/jpeg,image\/png,application\/pdf\" tabindex=\"-1\"><button id=\"forminator-field-upload-2_6a5fb0ae2d17b_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-2_6a5fb0ae2d17b\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><span id=\"forminator-field-upload-2_6a5fb0ae2d17b-description\" class=\"forminator-description\">Upload only jpg, jpeg, png, pdf<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-4  travel-period-validityfrom\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6a5fb0ae2d17b\" id=\"forminator-field-date-2-picker_6a5fb0ae2d17b-label\" class=\"forminator-label\">Period Of Validity From Date <span class=\"forminator-required\">*<\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-2-picker_6a5fb0ae2d17b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"2026\" data-end-year=\"2026\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"2026-07-21\" data-end-date=\"2026-10-21\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-4  travel-period-validityto\"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_6a5fb0ae2d17b\" id=\"forminator-field-date-3-picker_6a5fb0ae2d17b-label\" class=\"forminator-label\">Period Of Validity To Date <span class=\"forminator-required\">*<\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-3-picker_6a5fb0ae2d17b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"date-2\" data-end-field=\"date-2\" data-start-offset=\"+_0_days\" data-end-offset=\"+_1_years\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-4  travel-noofdays read-only-custom-field\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a5fb0ae2d17b\" id=\"forminator-field-text-1_6a5fb0ae2d17b-label\" class=\"forminator-label\">No of Days<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a5fb0ae2d17b\" id=\"forminator-field-name-2_6a5fb0ae2d17b-label\" class=\"forminator-label\">Beneficiary Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-6  cnic_mask\"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6a5fb0ae2d17b\" id=\"forminator-field-name-3_6a5fb0ae2d17b-label\" class=\"forminator-label\">Beneficiary CNIC <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_6a5fb0ae2d17b\" id=\"forminator-field-name-4_6a5fb0ae2d17b-label\" class=\"forminator-label\">Beneficiary relationship <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-6  phone_mask\"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_6a5fb0ae2d17b\" id=\"forminator-field-name-5_6a5fb0ae2d17b-label\" class=\"forminator-label\">Beneficiary Contact No <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-1_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-1_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Purpose of Visit <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-1_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"Select Purpose of Visit\" data-search=\"false\" data-search-placeholder=\"Select Purpose of Visit\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-1_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Purpose of Visit<\/option><option value=\"Business\"  data-calculation=\"0\">Business<\/option><option value=\"Visit\"  data-calculation=\"0\">Visit<\/option><option value=\"Student\"  data-calculation=\"0\">Student<\/option><option value=\"Immigration\"  data-calculation=\"0\">Immigration<\/option><\/select><\/div><\/div><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-6  buydestination\"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-2_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-2_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Destination <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-2_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-placeholder=\"Select Destination\" data-search=\"false\" data-search-placeholder=\"Select Destination\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-2_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Destination<\/option><option value=\"worldwide-including-usa-canada-australia-japan\"  data-calculation=\"0\">Worldwide Including USA, Canada, Australia &amp; Japan<\/option><option value=\"Worldwide-Excluding-USA,-Canada,-Australia-&amp;-Japan\"  data-calculation=\"0\">Worldwide Excluding USA, Canada, Australia &amp; Japan<\/option><option value=\"Schengen-Country\"  data-calculation=\"0\">Schengen Country<\/option><option value=\"Saudi-Arabia\"  data-calculation=\"0\">Saudi Arabia<\/option><option value=\"Student-Including-USA,-Canada,-Japan-&amp;-Australia\"  data-calculation=\"0\">Student-Including USA, Canada, Japan &amp; Australia<\/option><option value=\"Student-Excluding-USA,-Canada,-Japan-&amp;-Australia\"  data-calculation=\"0\">Student-Excluding USA, Canada, Japan &amp; Australia<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12  newproduct\"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-3_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-3_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Product <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-3_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-placeholder=\"Select Product\" data-search=\"false\" data-search-placeholder=\"Select Product\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-3_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Product<\/option><option value=\"Silver-Individual-(USD-10,000)\"  data-calculation=\"0\">Silver - Individual (USD 10,000)<\/option><option value=\"Silver-Family-(USD-10,000)\"  data-calculation=\"0\">Silver - Family (USD 10,000)<\/option><option value=\"Gold-Individual-(USD-25,000)\"  data-calculation=\"0\">Gold - Individual (USD 25,000)<\/option><option value=\"Gold-Family-(USD-25,000)\"  data-calculation=\"0\">Gold - Family (USD 25,000)<\/option><option value=\"Elite-Individual-(USD-50,000)\"  data-calculation=\"0\">Elite - Individual (USD 50,000)<\/option><option value=\"Elite-Family-(USD-50,000)\"  data-calculation=\"0\">Elite - Family (USD 50,000)<\/option><option value=\"Platinum-Individual-(USD-100,000)\"  data-calculation=\"0\">Platinum - Individual (USD 100,000)<\/option><option value=\"Platinum-Family-(USD-100,000)\"  data-calculation=\"0\">Platinum - Family (USD 100,000)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-4_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-4_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-4_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-4_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"1920\">5 days<\/option><option value=\"07-days\"  data-calculation=\"2531\">07 days<\/option><option value=\"14-days\"  data-calculation=\"3359\">14 days<\/option><option value=\"21-days\"  data-calculation=\"4553\">21 days<\/option><option value=\"31-days\"  data-calculation=\"5402\">31 days<\/option><option value=\"60-days\"  data-calculation=\"7610\">60 days<\/option><option value=\"92-days\"  data-calculation=\"12110\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"17550\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"25553\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---92-days)\"  data-calculation=\"20846\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"36459\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"63727\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"127359\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-5_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-5_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-5_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-5_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"3746\">5 days<\/option><option value=\"07-days\"  data-calculation=\"4961\">07 days<\/option><option value=\"14-days\"  data-calculation=\"6612\">14 days<\/option><option value=\"21-days\"  data-calculation=\"9011\">21 days<\/option><option value=\"31-days\"  data-calculation=\"10709\">31 days<\/option><option value=\"60-days\"  data-calculation=\"15124\">60 days<\/option><option value=\"92-days\"  data-calculation=\"24120\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"35016\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"45975\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"41591\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"65638\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"127359\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"254614\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-6_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-6_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-6_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-6\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-6_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"2644\">5 days<\/option><option value=\"07-days\"  data-calculation=\"3139\">07 days<\/option><option value=\"14-days\"  data-calculation=\"4752\">14 days<\/option><option value=\"21-days\"  data-calculation=\"6635\">21 days<\/option><option value=\"31-days\"  data-calculation=\"8097\">31 days<\/option><option value=\"60-days\"  data-calculation=\"11359\">60 days<\/option><option value=\"92-days\"  data-calculation=\"14278\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"22874\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"31115\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"26958\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"44404\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"82475\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two\"  data-calculation=\"164850\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-7\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-7_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-7_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-7_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-7\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-7_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"5189\">5 days<\/option><option value=\"07-days\"  data-calculation=\"6177\">07 days<\/option><option value=\"14-days\"  data-calculation=\"9403\">14 days<\/option><option value=\"21-days\"  data-calculation=\"13170\">21 days<\/option><option value=\"31-days\"  data-calculation=\"16099\">31 days<\/option><option value=\"60-days\"  data-calculation=\"22614\">60 days<\/option><option value=\"92-days\"  data-calculation=\"28451\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"45648\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"58806\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"53822\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"83963\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"164844\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"329599\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-34\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-34_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-34_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-34_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-34\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-34_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"3315\">5 days<\/option><option value=\"07-days\"  data-calculation=\"4335\">07 days<\/option><option value=\"14-days\"  data-calculation=\"5790\">14 days<\/option><option value=\"21-days\"  data-calculation=\"7448\">21 days<\/option><option value=\"31-days\"  data-calculation=\"10280\">31 days<\/option><option value=\"60-days\"  data-calculation=\"14337\">60 days<\/option><option value=\"92-days\"  data-calculation=\"17119\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"24875\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"40970\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"32729\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"58483\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"102293\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"204485\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-35\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-35_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-35_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-35_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-35\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-35_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"6530\">5 days<\/option><option value=\"07-days\"  data-calculation=\"8571\">07 days<\/option><option value=\"14-days\"  data-calculation=\"11480\">14 days<\/option><option value=\"21-days\"  data-calculation=\"14797\">21 days<\/option><option value=\"31-days\"  data-calculation=\"20512\">31 days<\/option><option value=\"60-days\"  data-calculation=\"28524\">60 days<\/option><option value=\"92-days\"  data-calculation=\"34137\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"52278\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"81835\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"65352\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"116867\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"204485\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"408871\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-8\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-8_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-8_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-8_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-8\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-8_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"3682\">5 days<\/option><option value=\"07-days\"  data-calculation=\"4968\">07 days<\/option><option value=\"14-days\"  data-calculation=\"6428\">14 days<\/option><option value=\"21-days\"  data-calculation=\"8224\">21 days<\/option><option value=\"31-days\"  data-calculation=\"11475\">31 days<\/option><option value=\"60-days\"  data-calculation=\"16557\">60 days<\/option><option value=\"92-days\"  data-calculation=\"19798\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"29243\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"52447\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"41506\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"74879\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"127318\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"240834\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-9\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-9_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-9_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-9_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-9\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-9_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"7260\">5 days<\/option><option value=\"07-days\"  data-calculation=\"9837\">07 days<\/option><option value=\"14-days\"  data-calculation=\"12766\">14 days<\/option><option value=\"21-days\"  data-calculation=\"16343\">21 days<\/option><option value=\"31-days\"  data-calculation=\"22849\">31 days<\/option><option value=\"60-days\"  data-calculation=\"33025\">60 days<\/option><option value=\"92-days\"  data-calculation=\"39490\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"58392\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"96547\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"83192\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"137881\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"261833\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"464218\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-10\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-10_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-10_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-10_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-10\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-10_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"1559\">5 days<\/option><option value=\"07-days\"  data-calculation=\"2042\">07 days<\/option><option value=\"14-days\"  data-calculation=\"2563\">14 days<\/option><option value=\"21-days\"  data-calculation=\"3035\">21 days<\/option><option value=\"31-days\"  data-calculation=\"4340\">31 days<\/option><option value=\"60-days\"  data-calculation=\"5672\">60 days<\/option><option value=\"92-days\"  data-calculation=\"8820\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"13697\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"20463\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"16695\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"29188\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"51006\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"101917\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-11\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-11_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-11_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-11_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-11\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-11_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"3019\">5 days<\/option><option value=\"07-days\"  data-calculation=\"3985\">07 days<\/option><option value=\"14-days\"  data-calculation=\"5025\">14 days<\/option><option value=\"21-days\"  data-calculation=\"5970\">21 days<\/option><option value=\"31-days\"  data-calculation=\"8586\">31 days<\/option><option value=\"60-days\"  data-calculation=\"10709\">60 days<\/option><option value=\"92-days\"  data-calculation=\"17534\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"27294\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"36804\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"30022\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"52534\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"101917\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"203729\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-12\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-12_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-12_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-12_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-12\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-12_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"2088\">5 days<\/option><option value=\"07-days\"  data-calculation=\"2702\">07 days<\/option><option value=\"14-days\"  data-calculation=\"4138\">14 days<\/option><option value=\"21-days\"  data-calculation=\"5043\">21 days<\/option><option value=\"31-days\"  data-calculation=\"6188\">31 days<\/option><option value=\"60-days\"  data-calculation=\"8477\">60 days<\/option><option value=\"92-days\"  data-calculation=\"10766\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"17666\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"27447\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"22390\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"39170\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"61959\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"123818\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-13\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-13_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-13_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-13_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-13\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-13_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"4070\">5 days<\/option><option value=\"07-days\"  data-calculation=\"5137\">07 days<\/option><option value=\"14-days\"  data-calculation=\"6963\">14 days<\/option><option value=\"21-days\"  data-calculation=\"9450\">21 days<\/option><option value=\"31-days\"  data-calculation=\"11932\">31 days<\/option><option value=\"60-days\"  data-calculation=\"16854\">60 days<\/option><option value=\"92-days\"  data-calculation=\"21427\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"35226\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"47078\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"40788\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"67214\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"138309\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"270727\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-36\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-36_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-36_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-36_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-36\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-36_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"2702\">5 days<\/option><option value=\"07-days\"  data-calculation=\"3621\">07 days<\/option><option value=\"14-days\"  data-calculation=\"4795\">14 days<\/option><option value=\"21-days\"  data-calculation=\"6377\">21 days<\/option><option value=\"31-days\"  data-calculation=\"8367\">31 days<\/option><option value=\"60-days\"  data-calculation=\"11276\">60 days<\/option><option value=\"92-days\"  data-calculation=\"13980\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"20384\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"28947\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"26013\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"41307\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"67439\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"134783\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-37\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-37_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-37_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-37_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-37\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-37_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"5305\">5 days<\/option><option value=\"07-days\"  data-calculation=\"7141\">07 days<\/option><option value=\"14-days\"  data-calculation=\"9490\">14 days<\/option><option value=\"21-days\"  data-calculation=\"12628\">21 days<\/option><option value=\"31-days\"  data-calculation=\"16634\">31 days<\/option><option value=\"60-days\"  data-calculation=\"22451\">60 days<\/option><option value=\"92-days\"  data-calculation=\"27809\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"39949\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"53238\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"51926\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"76007\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"162370\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"299391\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-14\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-14_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-14_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-14_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-14\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-14_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"2937\">5 days<\/option><option value=\"07-days\"  data-calculation=\"4142\">07 days<\/option><option value=\"14-days\"  data-calculation=\"5167\">14 days<\/option><option value=\"21-days\"  data-calculation=\"6713\">21 days<\/option><option value=\"31-days\"  data-calculation=\"9158\">31 days<\/option><option value=\"60-days\"  data-calculation=\"12475\">60 days<\/option><option value=\"92-days\"  data-calculation=\"15843\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"23354\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"42251\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"31861\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"60315\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"91954\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"169264\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-15\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-15_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-15_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-15_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-15\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-15_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"5780\">5 days<\/option><option value=\"07-days\"  data-calculation=\"8177\">07 days<\/option><option value=\"14-days\"  data-calculation=\"10229\">14 days<\/option><option value=\"21-days\"  data-calculation=\"13332\">21 days<\/option><option value=\"31-days\"  data-calculation=\"18221\">31 days<\/option><option value=\"60-days\"  data-calculation=\"24860\">60 days<\/option><option value=\"92-days\"  data-calculation=\"31580\">92 days<\/option><option value=\"06-months-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"46599\">06 months-Multi Trip (Max Stay - 92 days)<\/option><option value=\"06-months-(Max-Stay---180-days)\"  data-calculation=\"75650\">06 months (Max Stay - 180 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"59805\">One Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"One-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"108028\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay-92-days)\"  data-calculation=\"190697\">Two Year-Multi Trip (Max Stay - 92 days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"360117\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-16\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-16_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-16_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Product <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-16_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-16\" data-default-value=\"\" data-placeholder=\"Select Product\" data-search=\"false\" data-search-placeholder=\"Select Product\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-16_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Product<\/option><option value=\"Standard-Schengen-Individual-(EUR-30,000)\"  data-calculation=\"0\">Standard Schengen Individual (EUR 30,000)<\/option><option value=\"Standard-Schengen-Family-(EUR-30,000)\"  data-calculation=\"0\">Standard Schengen Family (EUR 30,000)<\/option><option value=\"Enhanced-Schengen-Individual-(EUR-50,000)\"  data-calculation=\"0\">Enhanced Schengen Individual (EUR 50,000)<\/option><option value=\"Enhanced-Schengen-Family-(EUR-50,000)\"  data-calculation=\"0\">Enhanced Schengen Family (EUR 50,000)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-17\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-17_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-17_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-17_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-17\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-17_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"1660\">5 days<\/option><option value=\"07-days\"  data-calculation=\"2175\">07 days<\/option><option value=\"14-days\"  data-calculation=\"3173\">14 days<\/option><option value=\"21-days\"  data-calculation=\"4033\">21 days<\/option><option value=\"31-days\"  data-calculation=\"5020\">31 days<\/option><option value=\"60-days\"  data-calculation=\"6803\">60 days<\/option><option value=\"92-days\"  data-calculation=\"8931\">92 days<\/option><option value=\"06-months-Multi-Trip-(92-Days)\"  data-calculation=\"11287\">06 months-Multi Trip (92-Days)<\/option><option value=\"06-months-(180-days)\"  data-calculation=\"17513\">06 months (180 days)<\/option><option value=\"One-Year-Multi-Trip-(92-Days)\"  data-calculation=\"13920\">One Year-Multi Trip (92-Days)<\/option><option value=\"One-Year-Multi-Trip-(Mad-Stay---180-days)\"  data-calculation=\"24974\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(92-Days)\"  data-calculation=\"43629\">Two Year-Multi Trip (92-Days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"87174\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-38\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-38_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-38_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-38_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-38\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-38_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"3221\">5 days<\/option><option value=\"07-days\"  data-calculation=\"4250\">07 days<\/option><option value=\"14-days\"  data-calculation=\"6246\">14 days<\/option><option value=\"21-days\"  data-calculation=\"7965\">21 days<\/option><option value=\"31-days\"  data-calculation=\"9939\">31 days<\/option><option value=\"60-days\"  data-calculation=\"13506\">60 days<\/option><option value=\"92-days\"  data-calculation=\"17762\">92 days<\/option><option value=\"06-months-Multi-Trip-(92-Days)\"  data-calculation=\"22475\">06 months-Multi Trip (92-Days)<\/option><option value=\"06-months-(180-days)\"  data-calculation=\"34925\">06 months (180 days)<\/option><option value=\"One-Year-Multi-Trip-(92-Days)\"  data-calculation=\"27739\">One Year-Multi Trip (92-Days)<\/option><option value=\"One-Year-Multi-Trip-(Mad-Stay---180-days)\"  data-calculation=\"49849\">One Year-Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(92-Days)\"  data-calculation=\"87163\">Two Year-Multi Trip (92-Days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"174248\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-18\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-18_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-18_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-18_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-18\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-18_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"2324\">5 days<\/option><option value=\"07-days\"  data-calculation=\"3061\">07 days<\/option><option value=\"14-days\"  data-calculation=\"4484\">14 days<\/option><option value=\"21-days\"  data-calculation=\"5720\">21 days<\/option><option value=\"31-days\"  data-calculation=\"7121\">31 days<\/option><option value=\"60-days\"  data-calculation=\"9669\">60 days<\/option><option value=\"92-days\"  data-calculation=\"12715\">92 days<\/option><option value=\"06-months-Multi-Trip-(92-Days)\"  data-calculation=\"16085\">06 months-Multi Trip (92-Days)<\/option><option value=\"06-months-(180-Days)\"  data-calculation=\"24974\">06 months (180-Days)<\/option><option value=\"One-Year-Multi-Trip-(92-Days)\"  data-calculation=\"19842\">One Year-Multi Trip (92-Days)<\/option><option value=\"One-Year--Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"35636\">One Year- Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(92-Days)\"  data-calculation=\"62289\">Two Year-Multi Trip (92-Days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"124478\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-39\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-39_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-39_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-39_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-39\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-39_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"5-days\"  data-calculation=\"4547\">5 days<\/option><option value=\"07-days\"  data-calculation=\"6023\">07 days<\/option><option value=\"14-days\"  data-calculation=\"8867\">14 days<\/option><option value=\"21-days\"  data-calculation=\"11340\">21 days<\/option><option value=\"31-days\"  data-calculation=\"14143\">31 days<\/option><option value=\"60-days\"  data-calculation=\"19237\">60 days<\/option><option value=\"92-days\"  data-calculation=\"25330\">92 days<\/option><option value=\"06-months-Multi-Trip-(92-Days)\"  data-calculation=\"32070\">06 months-Multi Trip (92-Days)<\/option><option value=\"06-months-(180-Days)\"  data-calculation=\"49849\">06 months (180-Days)<\/option><option value=\"One-Year-Multi-Trip-(92-Days)\"  data-calculation=\"39585\">One Year-Multi Trip (92-Days)<\/option><option value=\"One-Year--Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"71173\">One Year- Multi Trip (Max Stay - 180 days)<\/option><option value=\"Two-Year-Multi-Trip-(92-Days)\"  data-calculation=\"124478\">Two Year-Multi Trip (92-Days)<\/option><option value=\"Two-Year-Multi-Trip-(Max-Stay---180-days)\"  data-calculation=\"248855\">Two Year-Multi Trip (Max Stay - 180 days)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-19\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-19_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-19_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Product <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-19_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-19\" data-default-value=\"\" data-placeholder=\"Select Product\" data-search=\"false\" data-search-placeholder=\"Select Product\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-19_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Product<\/option><option value=\"Plan-A-(USD-10,000)\"  data-calculation=\"0\">Plan A (USD 10,000)<\/option><option value=\"Plan-B-(USD-25,000)\"  data-calculation=\"0\">Plan B (USD 25,000)<\/option><option value=\"Plan-C-(USD-50,000)\"  data-calculation=\"0\">Plan C (USD 50,000)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-20\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-20_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-20_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-20_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-20\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-20_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"6-Months\"  data-calculation=\"23855\">6 Months<\/option><option value=\"12-Months\"  data-calculation=\"38794\">12 Months<\/option><option value=\"24-Months\"  data-calculation=\"78911\">24 Months<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-21\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-21_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-21_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-21_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-21\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-21_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"6-Months\"  data-calculation=\"32091\">6 Months<\/option><option value=\"12-Months\"  data-calculation=\"52030\">12 Months<\/option><option value=\"24-Months\"  data-calculation=\"102793\">24 Months<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-22\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-22_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-22_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-22_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-22\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-22_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"6-Months\"  data-calculation=\"39643\">6 Months<\/option><option value=\"12-Months\"  data-calculation=\"65059\">12 Months<\/option><option value=\"24-Months\"  data-calculation=\"131451\">24 Months<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-23\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-23_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-23_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-23_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-23\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-23_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"6-Months\"  data-calculation=\"19386\">6 Months<\/option><option value=\"12-Months\"  data-calculation=\"31279\">12 Months<\/option><option value=\"24-Months\"  data-calculation=\"62193\">24 Months<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-24\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-24_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-24_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-24_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-24\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-24_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"6-Months\"  data-calculation=\"25802\">6 Months<\/option><option value=\"12-Months\"  data-calculation=\"41676\">12 Months<\/option><option value=\"24-Months\"  data-calculation=\"83687\">24 Months<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-25\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-25_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-25_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-25_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-25\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-25_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"6-Months\"  data-calculation=\"32256\">6 Months<\/option><option value=\"12-Months\"  data-calculation=\"52110\">12 Months<\/option><option value=\"24-Months\"  data-calculation=\"105181\">24 Months<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-26\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-26_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-26_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Product <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-26_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-26\" data-default-value=\"\" data-placeholder=\"Select Product\" data-search=\"false\" data-search-placeholder=\"Select Product\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-26_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Product<\/option><option value=\"Basic-Individual-(USD-5,000)\"  data-calculation=\"0\">Basic - Individual (USD 5,000)<\/option><option value=\"Basic-Family-(USD-5,000)\"  data-calculation=\"0\">Basic - Family (USD 5,000)<\/option><option value=\"Plus-Individual-(USD-10,000)\"  data-calculation=\"0\">Plus - Individual (USD 10,000)<\/option><option value=\"Plus-Family-(USD-10,000)\"  data-calculation=\"0\">Plus - Family (USD 10,000)<\/option><option value=\"Extra-Individual-(USD-15,000)\"  data-calculation=\"0\">Extra - Individual (USD 15,000)<\/option><option value=\"Extra-Family-(USD-15,000)\"  data-calculation=\"0\">Extra - Family (USD 15,000)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-27\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-27_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-27_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-27_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-27\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-27_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"07-days\"  data-calculation=\"1517\">07 days<\/option><option value=\"10-days\"  data-calculation=\"1912\">10 days<\/option><option value=\"15-days\"  data-calculation=\"2951\">15 days<\/option><option value=\"21-days\"  data-calculation=\"3595\">21 days<\/option><option value=\"31-days\"  data-calculation=\"4786\">31 days<\/option><option value=\"45-days\"  data-calculation=\"6028\">45 days<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-28\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-28_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-28_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-28_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-28\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-28_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"07-days\"  data-calculation=\"2929\">07 days<\/option><option value=\"10-days\"  data-calculation=\"3821\">10 days<\/option><option value=\"15-days\"  data-calculation=\"5684\">15 days<\/option><option value=\"21-days\"  data-calculation=\"6898\">21 days<\/option><option value=\"31-days\"  data-calculation=\"8411\">31 days<\/option><option value=\"45-days\"  data-calculation=\"10471\">45 days<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-29\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-29_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-29_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-29_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-29\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-29_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"07-days\"  data-calculation=\"1851\">07 days<\/option><option value=\"10-days\"  data-calculation=\"2371\">10 days<\/option><option value=\"15-days\"  data-calculation=\"3587\">15 days<\/option><option value=\"21-days\"  data-calculation=\"4600\">21 days<\/option><option value=\"31-days\"  data-calculation=\"5832\">31 days<\/option><option value=\"45-days\"  data-calculation=\"7912\">45 days<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-30\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-30_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-30_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-30_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-30\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-30_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"07-days\"  data-calculation=\"3597\">07 days<\/option><option value=\"10-days\"  data-calculation=\"4643\">10 days<\/option><option value=\"15-days\"  data-calculation=\"7074\">15 days<\/option><option value=\"21-days\"  data-calculation=\"9101\">21 days<\/option><option value=\"31-days\"  data-calculation=\"10831\">31 days<\/option><option value=\"45-days\"  data-calculation=\"13485\">45 days<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-31\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-31_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-31_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-31_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-31\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-31_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"07-days\"  data-calculation=\"2409\">07 days<\/option><option value=\"10-days\"  data-calculation=\"3130\">10 days<\/option><option value=\"15-days\"  data-calculation=\"4563\">15 days<\/option><option value=\"21-days\"  data-calculation=\"6166\">21 days<\/option><option value=\"31-days\"  data-calculation=\"7429\">31 days<\/option><option value=\"45-days\"  data-calculation=\"10942\">45 days<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-32\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-12054__field--select-32_6a5fb0ae2d17b\" id=\"forminator-form-12054__field--select-32_6a5fb0ae2d17b-label\" class=\"forminator-label\">Select Tenure <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12054__field--select-32_6a5fb0ae2d17b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-32\" data-default-value=\"\" data-placeholder=\"Select Tenure\" data-search=\"false\" data-search-placeholder=\"Select Tenure\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12054__field--select-32_6a5fb0ae2d17b-label\"><option value=\"\"  >Select Tenure<\/option><option value=\"07-days\"  data-calculation=\"4717\">07 days<\/option><option value=\"10-days\"  data-calculation=\"6166\">10 days<\/option><option value=\"15-days\"  data-calculation=\"9080\">15 days<\/option><option value=\"21-days\"  data-calculation=\"12227\">21 days<\/option><option value=\"31-days\"  data-calculation=\"13877\">31 days<\/option><option value=\"45-days\"  data-calculation=\"17146\">45 days<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-10\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-10_6a5fb0ae2d17b\" id=\"forminator-field-name-10_6a5fb0ae2d17b-label\" class=\"forminator-label\">Member One Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-10\" value=\"\" placeholder=\"\" id=\"forminator-field-name-10_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_6a5fb0ae2d17b\" id=\"forminator-field-name-6_6a5fb0ae2d17b-label\" class=\"forminator-label\">Member Two Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"\" id=\"forminator-field-name-6_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6a5fb0ae2d17b\" id=\"forminator-field-text-8_6a5fb0ae2d17b-label\" class=\"forminator-label\">Passport # <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-8_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a5fb0ae2d17b\" id=\"forminator-field-text-5_6a5fb0ae2d17b-label\" class=\"forminator-label\">Passport # <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-5_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-9\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-9-picker_6a5fb0ae2d17b\" id=\"forminator-field-date-9-picker_6a5fb0ae2d17b-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-9\" value=\"\" placeholder=\"Date of Birth\" id=\"forminator-field-date-9-picker_6a5fb0ae2d17b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2026\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"2026-07-21\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><div id=\"date-6\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-6-picker_6a5fb0ae2d17b\" id=\"forminator-field-date-6-picker_6a5fb0ae2d17b-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-6\" value=\"\" placeholder=\"Date of Birth\" id=\"forminator-field-date-6-picker_6a5fb0ae2d17b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2026\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"2026-07-21\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-11\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-11_6a5fb0ae2d17b\" id=\"forminator-field-name-11_6a5fb0ae2d17b-label\" class=\"forminator-label\">Member Three Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-11\" value=\"\" placeholder=\"\" id=\"forminator-field-name-11_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-12\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-12_6a5fb0ae2d17b\" id=\"forminator-field-name-12_6a5fb0ae2d17b-label\" class=\"forminator-label\">Member Four Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-12\" value=\"\" placeholder=\"\" id=\"forminator-field-name-12_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6a5fb0ae2d17b\" id=\"forminator-field-text-10_6a5fb0ae2d17b-label\" class=\"forminator-label\">Passport # <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-10_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6a5fb0ae2d17b\" id=\"forminator-field-text-9_6a5fb0ae2d17b-label\" class=\"forminator-label\">Passport # <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-9_6a5fb0ae2d17b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-11\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-11-picker_6a5fb0ae2d17b\" id=\"forminator-field-date-11-picker_6a5fb0ae2d17b-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-11\" value=\"\" placeholder=\"Date of Birth\" id=\"forminator-field-date-11-picker_6a5fb0ae2d17b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2026\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"2026-07-21\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><div id=\"date-10\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-10-picker_6a5fb0ae2d17b\" id=\"forminator-field-date-10-picker_6a5fb0ae2d17b-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-10\" value=\"\" placeholder=\"Date of Birth\" id=\"forminator-field-date-10-picker_6a5fb0ae2d17b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2026\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"2026-07-21\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12  hide-custom-field custom-age-field\"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_6a5fb0ae2d17b\" id=\"forminator-field-number-1_6a5fb0ae2d17b-label\" class=\"forminator-label\">Age Value<\/label><input name=\"number-1\" value=\"0\" placeholder=\"\" id=\"forminator-field-number-1_6a5fb0ae2d17b\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-6\" class=\"forminator-field-calculation forminator-col forminator-col-6  hide-custom-field\"><div class=\"forminator-field\"><label for=\"calculation-6-field_6a5fb0ae2d17b\" id=\"calculation-6-field_6a5fb0ae2d17b-label\" class=\"forminator-label\">50% For Children of Schengen Plan<\/label><input type=\"text\" name=\"calculation-6\" value=\"\" id=\"calculation-6-field_6a5fb0ae2d17b\" class=\"forminator-calculation forminator-input\" data-formula=\"({select-4}+{select-5}+{select-6}+{select-7}+{select-8}+{select-9}+{select-10}+{select-11}+{select-12}+{select-13}+{select-14}+{select-15}+{select-17}+{select-18}+{select-20}+{select-21}+{select-22}+{select-23}+{select-24}+{select-25}+{select-27}+{select-28}+{select-29}+{select-30}+{select-31}+{select-32}) * 0.5\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><\/div><\/div><div id=\"calculation-2\" class=\"forminator-field-calculation forminator-col forminator-col-6  hide-custom-field\"><div class=\"forminator-field\"><label for=\"calculation-2-field_6a5fb0ae2d17b\" id=\"calculation-2-field_6a5fb0ae2d17b-label\" class=\"forminator-label\">Age Logic 18 years<\/label><input type=\"text\" name=\"calculation-2\" value=\"\" id=\"calculation-2-field_6a5fb0ae2d17b\" class=\"forminator-calculation forminator-input\" data-formula=\"({select-4}+{select-5}+{select-6}+{select-7}+{select-8}+{select-9}+{select-10}+{select-11}+{select-12}+{select-13}+{select-14}+{select-15}+{select-17}+{select-18}+{select-20}+{select-21}+{select-22}+{select-23}+{select-24}+{select-25}+{select-27}+{select-28}+{select-29}+{select-30}+{select-31}+{select-32}) * 0.5\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-3\" class=\"forminator-field-calculation forminator-col forminator-col-12  hide-custom-field\"><div class=\"forminator-field\"><label for=\"calculation-3-field_6a5fb0ae2d17b\" id=\"calculation-3-field_6a5fb0ae2d17b-label\" class=\"forminator-label\">Age Logic 66 - 70 years<\/label><input type=\"text\" name=\"calculation-3\" value=\"\" id=\"calculation-3-field_6a5fb0ae2d17b\" class=\"forminator-calculation forminator-input\" data-formula=\"({select-4}+{select-5}+{select-6}+{select-7}+{select-8}+{select-9}+{select-10}+{select-11}+{select-12}+{select-13}+{select-14}+{select-15}+{select-17}+{select-18}+{select-20}+{select-21}+{select-22}+{select-23}+{select-24}+{select-25}+{select-27}+{select-28}+{select-29}+{select-30}+{select-31}+{select-32} ) * 0.5\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-12  hide-custom-field\"><div class=\"forminator-field\"><label for=\"calculation-4-field_6a5fb0ae2d17b\" id=\"calculation-4-field_6a5fb0ae2d17b-label\" class=\"forminator-label\">Age Logic 71 - 75 years<\/label><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_6a5fb0ae2d17b\" class=\"forminator-calculation forminator-input\" data-formula=\"({select-4}+{select-5}+{select-6}+{select-7}+{select-8}+{select-9}+{select-10}+{select-11}+{select-12}+{select-13}+{select-14}+{select-15}+{select-17}+{select-18}+{select-20}+{select-21}+{select-22}+{select-23}+{select-24}+{select-25}+{select-27}+{select-28}+{select-29}+{select-30}+{select-31}+{select-32} ) * 1\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-5\" class=\"forminator-field-calculation forminator-col forminator-col-12  hide-custom-field\"><div class=\"forminator-field\"><label for=\"calculation-5-field_6a5fb0ae2d17b\" id=\"calculation-5-field_6a5fb0ae2d17b-label\" class=\"forminator-label\">Age Logic 76 - 80 years<\/label><input type=\"text\" name=\"calculation-5\" value=\"\" id=\"calculation-5-field_6a5fb0ae2d17b\" class=\"forminator-calculation forminator-input\" data-formula=\"({select-4}+{select-5}+{select-6}+{select-7}+{select-8}+{select-9}+{select-10}+{select-11}+{select-12}+{select-13}+{select-14}+{select-15}+{select-17}+{select-18}+{select-20}+{select-21}+{select-22}+{select-23}+{select-24}+{select-25}+{select-27}+{select-28}+{select-29}+{select-30}+{select-31}+{select-32} ) * 1.5\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12 \"><input type=\"hidden\" id=\"hidden-1_6a5fb0ae2d17b\" name=\"hidden-1\" value=\"11562\" \/><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-1-field_6a5fb0ae2d17b\" id=\"calculation-1-field_6a5fb0ae2d17b-label\" class=\"forminator-label\">Premium<\/label><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_6a5fb0ae2d17b\" class=\"forminator-calculation forminator-input\" data-formula=\"({select-4}+{select-5}+{select-6}+{select-7}+{select-8}+{select-9}+{select-10}+{select-11}+{select-12}+{select-13}+{select-14}+{select-15}+{select-17}+{select-18}+{select-20}+{select-21}+{select-22}+{select-23}+{select-24}+{select-25}+{select-27}+{select-28}+{select-29}+{select-30}+{select-31}+{select-32}+{select-34}+{select-35}+{select-36}+{select-37}+{select-38}+{select-39}) +{calculation-3} + {calculation-4} + {calculation-5} - {calculation-2}-{calculation-6}\" data-required=\"\" data-decimal-point=\"\" data-precision=\"0\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"0\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;,&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" readonly=\"readonly\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Buy Now<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"8696562e9c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/digisure\/wp-json\/wp\/v2\/pages\/11806\" \/><input type=\"hidden\" name=\"form_id\" value=\"12054\"><input type=\"hidden\" name=\"page_id\" value=\"11806\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/ail.atlas.pk\/digisure\/travel-insurance-buy-online\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":28,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template\/full-width-template.php","meta":{"footnotes":""},"class_list":["post-11806","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ail.atlas.pk\/digisure\/wp-json\/wp\/v2\/pages\/11806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ail.atlas.pk\/digisure\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ail.atlas.pk\/digisure\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ail.atlas.pk\/digisure\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/ail.atlas.pk\/digisure\/wp-json\/wp\/v2\/comments?post=11806"}],"version-history":[{"count":7,"href":"https:\/\/ail.atlas.pk\/digisure\/wp-json\/wp\/v2\/pages\/11806\/revisions"}],"predecessor-version":[{"id":12058,"href":"https:\/\/ail.atlas.pk\/digisure\/wp-json\/wp\/v2\/pages\/11806\/revisions\/12058"}],"wp:attachment":[{"href":"https:\/\/ail.atlas.pk\/digisure\/wp-json\/wp\/v2\/media?parent=11806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}