survey.exiger.com
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Submitted URL: https://survey.exiger.com/Auth/Login?returnUrl=%2FQuestionnaires%2FIndex%3FquestionnaireInstanceId%3D394102&alt=1e71456e-8...
Effective URL: https://survey.exiger.com/Questionnaires/Index?questionnaireInstanceId=394102
Submission: On May 21 via manual from JP — Scanned from GB
Effective URL: https://survey.exiger.com/Questionnaires/Index?questionnaireInstanceId=394102
Submission: On May 21 via manual from JP — Scanned from GB
Form analysis 13 forms found in the DOM
POST /Auth/LogOff
<form action="/Auth/LogOff" id="logout-form" method="post"> <a href="javascript:document.getElementById('logout-form').submit()" class="logout" style="">
<i class="glyphicon glyphicon-log-out" aria-hidden="true"></i> <span class="dashboard-link">Log Off</span>
</a>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64778" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Legal Entity Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Trade Name (if known by another name)</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Business Form</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="928n2dl34-sc6adfhdg" value="7038486">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Sole Proprieter</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="928n2dl34-sc6adfhdg" value="7038485">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Corporation</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="928n2dl34-sc6adfhdg" value="7038484">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Partnership</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="928n2dl34-sc6adfhdg" value="7038483">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Limited Liability Company</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="928n2dl34-sc6adfhdg" value="7038482">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Limited Liability Partnership</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="928n2dl34-sc6adfhdg" value="7038481">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Other</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Tax Identification | VAT Number</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Corporate Registration Number</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Date of Incorporation if Company or Date of Birth if Individual</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime -->
<div class="date-question-answer-area input-group" data-bind="attr: { 'answer-format': AnswerFormat },
css: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted() }" answer-format="DD/MM/YYYY">
<input class="form-control question-input-field" type="text" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted() },
event: { blur: $root.SaveQuestionnaireEventually }">
<span class="input-group-addon clickable">
<span class="fa fa-calendar-o"></span>
</span>
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<div>How many years have you been in business?</div>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="b10e2t2k8-zd7w74kze" value="7038667">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Less than 1 year</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="b10e2t2k8-zd7w74kze" value="7038668">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">1 to 5 years</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="b10e2t2k8-zd7w74kze" value="7038669">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">6 to 10 years</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="b10e2t2k8-zd7w74kze" value="7038670">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Over 10 years</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Registered Address</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData -->
<div class="form-data-question" data-bind="css: { multiple: MaxRepeat() > 1 }">
<div class="form-data-responses" data-bind="foreach: FormResponses">
<div class="form-data-response">
<div class="form-data-children" data-bind="foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Address 1</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Address 2</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>City</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>State | Province | District</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Country</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown -->
<select class="form-control question-input-field dropdown-question-select-box" data-bind="options: MultipleChoices,
optionsText: 'Answer',
optionsValue: 'Id',
value: Answer,
valueAllowUnset: true,
optionsCaption: IsOptional() ? '' : null,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted },
event: { blur: $root.SaveQuestionnaireEventually }">
<option value="7038537">Afghanistan</option>
<option value="7038536">Albania</option>
<option value="7038535">Algeria</option>
<option value="7038534">Angola</option>
<option value="7038533">Argentina</option>
<option value="7038532">Armenia</option>
<option value="7038531">Australia</option>
<option value="7038530">Austria</option>
<option value="7038529">Azerbaijan</option>
<option value="7038528">Bahamas</option>
<option value="7038527">Bahrain</option>
<option value="7038526">Bangladesh</option>
<option value="7038525">Barbados</option>
<option value="7038524">Belarus</option>
<option value="7038523">Belgium</option>
<option value="7038522">Benin</option>
<option value="7038521">Bhutan</option>
<option value="7038520">Bolivia</option>
<option value="7038487">Bosnia and Herzegovina</option>
<option value="7038488">Botswana</option>
<option value="7038489">Brazil</option>
<option value="7038490">Brunei Darussalam</option>
<option value="7038491">Bulgaria</option>
<option value="7038492">Burkina Faso</option>
<option value="7038493">Burundi</option>
<option value="7038494">Cabo Verde</option>
<option value="7038495">Cambodia</option>
<option value="7038496">Cameroon</option>
<option value="7038497">Canada</option>
<option value="7038498">Central African Republic</option>
<option value="7038499">Chad</option>
<option value="7038500">Chile</option>
<option value="7038501">China</option>
<option value="7038502">Colombia</option>
<option value="7038503">Comoros</option>
<option value="7038504">Congo</option>
<option value="7038505">Costa Rica</option>
<option value="7038506">Cote d'Ivoire</option>
<option value="7038507">Croatia</option>
<option value="7038508">Cuba</option>
<option value="7038509">Cyprus</option>
<option value="7038510">Czech Republic</option>
<option value="7038511">Democratic Republic of the Congo</option>
<option value="7038512">Denmark</option>
<option value="7038513">Djibouti</option>
<option value="7038514">Dominica</option>
<option value="7038515">Dominican Republic</option>
<option value="7038516">Ecuador</option>
<option value="7038517">Egypt</option>
<option value="7038518">El Salvador</option>
<option value="7038519">Equatorial Guinea</option>
<option value="7038538">Eritrea</option>
<option value="7038539">Estonia</option>
<option value="7038540">Ethiopia</option>
<option value="7038541">Finland</option>
<option value="7038542">France</option>
<option value="7038543">Gabon</option>
<option value="7038544">Gambia</option>
<option value="7038545">Georgia</option>
<option value="7038546">Germany</option>
<option value="7038547">Ghana</option>
<option value="7038548">Greece</option>
<option value="7038549">Grenada</option>
<option value="7038550">Guatemala</option>
<option value="7038551">Guinea</option>
<option value="7038552">Guinea Bissau</option>
<option value="7038553">Guyana</option>
<option value="7038554">Haiti</option>
<option value="7038555">Honduras</option>
<option value="7038556">Hong Kong</option>
<option value="7038557">Hungary</option>
<option value="7038558">Iceland</option>
<option value="7038559">India</option>
<option value="7038560">Indonesia</option>
<option value="7038561">Iran</option>
<option value="7038562">Iraq</option>
<option value="7038563">Ireland</option>
<option value="7038564">Israel</option>
<option value="7038565">Italy</option>
<option value="7038566">Jamaica</option>
<option value="7038567">Japan</option>
<option value="7038568">Jordan</option>
<option value="7038569">Kazakhstan</option>
<option value="7038570">Kenya</option>
<option value="7038571">Korea, North</option>
<option value="7038572">Korea, South</option>
<option value="7038573">Kosovo</option>
<option value="7038574">Kuwait</option>
<option value="7038575">Kyrgyzstan</option>
<option value="7038576">Laos</option>
<option value="7038577">Latvia</option>
<option value="7038578">Lebanon</option>
<option value="7038579">Lesotho</option>
<option value="7038580">Liberia</option>
<option value="7038581">Libya</option>
<option value="7038582">Lithuania</option>
<option value="7038583">Luxembourg</option>
<option value="7038584">Macedonia</option>
<option value="7038585">Madagascar</option>
<option value="7038586">Malawi</option>
<option value="7038587">Malaysia</option>
<option value="7038588">Maldives</option>
<option value="7038589">Mali</option>
<option value="7038590">Malta</option>
<option value="7038591">Mauritania</option>
<option value="7038592">Mauritius</option>
<option value="7038593">Mexico</option>
<option value="7038594">Moldova</option>
<option value="7038595">Mongolia</option>
<option value="7038596">Montenegro</option>
<option value="7038597">Morocco</option>
<option value="7038598">Mozambique</option>
<option value="7038599">Myanmar</option>
<option value="7038600">Namibia</option>
<option value="7038601">Nepal</option>
<option value="7038602">Netherlands</option>
<option value="7038603">New Zealand</option>
<option value="7038604">Nicaragua</option>
<option value="7038605">Niger</option>
<option value="7038606">Nigeria</option>
<option value="7038607">Norway</option>
<option value="7038608">Oman</option>
<option value="7038609">Pakistan</option>
<option value="7038610">Panama</option>
<option value="7038611">Papua New Guinea</option>
<option value="7038612">Paraguay</option>
<option value="7038613">Peru</option>
<option value="7038614">Philippines</option>
<option value="7038615">Poland</option>
<option value="7038616">Portugal</option>
<option value="7038617">Qatar</option>
<option value="7038618">Romania</option>
<option value="7038619">Russia</option>
<option value="7038620">Rwanda</option>
<option value="7038621">Saint Lucia</option>
<option value="7038622">Saint Vincent and the Grenadines</option>
<option value="7038623">Sao Tome and Principe</option>
<option value="7038624">Saudi Arabia</option>
<option value="7038625">Senegal</option>
<option value="7038626">Serbia</option>
<option value="7038627">Seychelles</option>
<option value="7038628">Sierra Leone</option>
<option value="7038629">Singapore</option>
<option value="7038630">Slovakia</option>
<option value="7038631">Slovenia</option>
<option value="7038632">Solomon Islands</option>
<option value="7038633">Somalia</option>
<option value="7038634">South Africa</option>
<option value="7038635">South Sudan</option>
<option value="7038636">Spain</option>
<option value="7038637">Sri Lanka</option>
<option value="7038638">Sudan</option>
<option value="7038639">Suriname</option>
<option value="7038640">Swaziland</option>
<option value="7038641">Sweden</option>
<option value="7038642">Switzerland</option>
<option value="7038643">Syria</option>
<option value="7038644">Taiwan</option>
<option value="7038645">Tajikistan</option>
<option value="7038646">Tanzania</option>
<option value="7038647">Thailand</option>
<option value="7038648">Timor-Leste</option>
<option value="7038649">Togo</option>
<option value="7038650">Trinidad and Tobago</option>
<option value="7038651">Tunisia</option>
<option value="7038652">Turkey</option>
<option value="7038653">Turkmenistan</option>
<option value="7038654">Uganda</option>
<option value="7038655">Ukraine</option>
<option value="7038656">United Arab Emirates</option>
<option value="7038657">United Kingdom</option>
<option value="7038658">United States</option>
<option value="7038659">Uruguay</option>
<option value="7038660">Uzbekistan</option>
<option value="7038661">Vanuatu</option>
<option value="7038662">Venezuela</option>
<option value="7038663">Vietnam</option>
<option value="7038664">Yemen</option>
<option value="7038665">Zambia</option>
<option value="7038666">Zimbabwe</option>
</select>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
</div>
<div class="form-data-response-actions noselect" data-bind="visible: $parent.CanRemoveFormResponse" style="display: none;">
<a class="form-data-action" data-bind="click: RemoveFormResponse">
<img draggable="false" src="/Content/Images/trash.png"> <span class="btn-label" data-bind="text: localize('Remove', $root.DotNetCultureCode())">Remove</span>
</a>
</div>
</div>
</div>
<div class="form-data-actions noselect" data-bind="visible: CanAddFormResponse" style="display: none;">
<a class="form-data-action" data-bind="click: AddFormResponse">
<img draggable="false" src="/Content/Images/add.png"> <span class="btn-label" data-bind="text: localize('Add', $root.DotNetCultureCode())">Add</span>
</a>
</div>
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Physical Address (if different)</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData -->
<div class="form-data-question" data-bind="css: { multiple: MaxRepeat() > 1 }">
<div class="form-data-responses" data-bind="foreach: FormResponses">
<div class="form-data-response">
<div class="form-data-children" data-bind="foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Address 1</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Address 2</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>City</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>State | Province | District</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Country</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown -->
<select class="form-control question-input-field dropdown-question-select-box" data-bind="options: MultipleChoices,
optionsText: 'Answer',
optionsValue: 'Id',
value: Answer,
valueAllowUnset: true,
optionsCaption: IsOptional() ? '' : null,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted },
event: { blur: $root.SaveQuestionnaireEventually }">
<option value=""></option>
<option value="7038671">Afghanistan</option>
<option value="7038672">Albania</option>
<option value="7038673">Algeria</option>
<option value="7038674">Angola</option>
<option value="7038675">Argentina</option>
<option value="7038676">Armenia</option>
<option value="7038677">Australia</option>
<option value="7038678">Austria</option>
<option value="7038679">Azerbaijan</option>
<option value="7038680">Bahamas</option>
<option value="7038681">Bahrain</option>
<option value="7038682">Bangladesh</option>
<option value="7038683">Barbados</option>
<option value="7038684">Belarus</option>
<option value="7038685">Belgium</option>
<option value="7038686">Benin</option>
<option value="7038687">Bhutan</option>
<option value="7038688">Bolivia</option>
<option value="7038689">Bosnia and Herzegovina</option>
<option value="7038690">Botswana</option>
<option value="7038691">Brazil</option>
<option value="7038692">Brunei Darussalam</option>
<option value="7038693">Bulgaria</option>
<option value="7038694">Burkina Faso</option>
<option value="7038695">Burundi</option>
<option value="7038696">Cabo Verde</option>
<option value="7038697">Cambodia</option>
<option value="7038698">Cameroon</option>
<option value="7038699">Canada</option>
<option value="7038700">Central African Republic</option>
<option value="7038701">Chad</option>
<option value="7038702">Chile</option>
<option value="7038703">China</option>
<option value="7038704">Colombia</option>
<option value="7038705">Comoros</option>
<option value="7038706">Congo</option>
<option value="7038707">Costa Rica</option>
<option value="7038708">Cote d'Ivoire</option>
<option value="7038709">Croatia</option>
<option value="7038710">Cuba</option>
<option value="7038711">Cyprus</option>
<option value="7038712">Czech Republic</option>
<option value="7038713">Democratic Republic of the Congo</option>
<option value="7038714">Denmark</option>
<option value="7038715">Djibouti</option>
<option value="7038716">Dominica</option>
<option value="7038717">Dominican Republic</option>
<option value="7038718">Ecuador</option>
<option value="7038719">Egypt</option>
<option value="7038720">El Salvador</option>
<option value="7038721">Equatorial Guinea</option>
<option value="7038722">Eritrea</option>
<option value="7038723">Estonia</option>
<option value="7038724">Ethiopia</option>
<option value="7038725">Finland</option>
<option value="7038726">France</option>
<option value="7038727">Gabon</option>
<option value="7038728">Gambia</option>
<option value="7038729">Georgia</option>
<option value="7038730">Germany</option>
<option value="7038731">Ghana</option>
<option value="7038732">Greece</option>
<option value="7038733">Grenada</option>
<option value="7038734">Guatemala</option>
<option value="7038735">Guinea</option>
<option value="7038736">Guinea Bissau</option>
<option value="7038737">Guyana</option>
<option value="7038738">Haiti</option>
<option value="7038739">Honduras</option>
<option value="7038740">Hong Kong</option>
<option value="7038741">Hungary</option>
<option value="7038742">Iceland</option>
<option value="7038743">India</option>
<option value="7038744">Indonesia</option>
<option value="7038745">Iran</option>
<option value="7038746">Iraq</option>
<option value="7038747">Ireland</option>
<option value="7038748">Israel</option>
<option value="7038749">Italy</option>
<option value="7038750">Jamaica</option>
<option value="7038751">Japan</option>
<option value="7038752">Jordan</option>
<option value="7038753">Kazakhstan</option>
<option value="7038754">Kenya</option>
<option value="7038755">Korea, North</option>
<option value="7038756">Korea, South</option>
<option value="7038757">Kosovo</option>
<option value="7038758">Kuwait</option>
<option value="7038759">Kyrgyzstan</option>
<option value="7038760">Laos</option>
<option value="7038761">Latvia</option>
<option value="7038762">Lebanon</option>
<option value="7038763">Lesotho</option>
<option value="7038764">Liberia</option>
<option value="7038765">Libya</option>
<option value="7038766">Lithuania</option>
<option value="7038767">Luxembourg</option>
<option value="7038768">Macedonia</option>
<option value="7038769">Madagascar</option>
<option value="7038770">Malawi</option>
<option value="7038771">Malaysia</option>
<option value="7038772">Maldives</option>
<option value="7038773">Mali</option>
<option value="7038774">Malta</option>
<option value="7038775">Mauritania</option>
<option value="7038776">Mauritius</option>
<option value="7038777">Mexico</option>
<option value="7038778">Moldova</option>
<option value="7038779">Mongolia</option>
<option value="7038780">Montenegro</option>
<option value="7038781">Morocco</option>
<option value="7038782">Mozambique</option>
<option value="7038783">Myanmar</option>
<option value="7038784">Namibia</option>
<option value="7038785">Nepal</option>
<option value="7038786">Netherlands</option>
<option value="7038787">New Zealand</option>
<option value="7038788">Nicaragua</option>
<option value="7038789">Niger</option>
<option value="7038790">Nigeria</option>
<option value="7038791">Norway</option>
<option value="7038792">Oman</option>
<option value="7038793">Pakistan</option>
<option value="7038794">Panama</option>
<option value="7038795">Papua New Guinea</option>
<option value="7038796">Paraguay</option>
<option value="7038797">Peru</option>
<option value="7038798">Philippines</option>
<option value="7038799">Poland</option>
<option value="7038800">Portugal</option>
<option value="7038801">Qatar</option>
<option value="7038802">Romania</option>
<option value="7038803">Russia</option>
<option value="7038804">Rwanda</option>
<option value="7038805">Saint Lucia</option>
<option value="7038806">Saint Vincent and the Grenadines</option>
<option value="7038807">Sao Tome and Principe</option>
<option value="7038808">Saudi Arabia</option>
<option value="7038809">Senegal</option>
<option value="7038810">Serbia</option>
<option value="7038811">Seychelles</option>
<option value="7038812">Sierra Leone</option>
<option value="7038813">Singapore</option>
<option value="7038814">Slovakia</option>
<option value="7038815">Slovenia</option>
<option value="7038816">Solomon Islands</option>
<option value="7038817">Somalia</option>
<option value="7038818">South Africa</option>
<option value="7038819">South Sudan</option>
<option value="7038820">Spain</option>
<option value="7038821">Sri Lanka</option>
<option value="7038822">Sudan</option>
<option value="7038823">Suriname</option>
<option value="7038824">Swaziland</option>
<option value="7038825">Sweden</option>
<option value="7038826">Switzerland</option>
<option value="7038827">Syria</option>
<option value="7038828">Taiwan</option>
<option value="7038829">Tajikistan</option>
<option value="7038830">Tanzania</option>
<option value="7038831">Thailand</option>
<option value="7038832">Timor-Leste</option>
<option value="7038833">Togo</option>
<option value="7038834">Trinidad and Tobago</option>
<option value="7038835">Tunisia</option>
<option value="7038836">Turkey</option>
<option value="7038837">Turkmenistan</option>
<option value="7038838">Uganda</option>
<option value="7038839">Ukraine</option>
<option value="7038840">United Arab Emirates</option>
<option value="7038841">United Kingdom</option>
<option value="7038842">United States</option>
<option value="7038843">Uruguay</option>
<option value="7038844">Uzbekistan</option>
<option value="7038845">Vanuatu</option>
<option value="7038846">Venezuela</option>
<option value="7038847">Vietnam</option>
<option value="7038848">Yemen</option>
<option value="7038849">Zambia</option>
<option value="7038850">Zimbabwe</option>
</select>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
</div>
<div class="form-data-response-actions noselect" data-bind="visible: $parent.CanRemoveFormResponse">
<a class="form-data-action" data-bind="click: RemoveFormResponse">
<img draggable="false" src="/Content/Images/trash.png"> <span class="btn-label" data-bind="text: localize('Remove', $root.DotNetCultureCode())">Remove</span>
</a>
</div>
</div>
</div>
<div class="form-data-actions noselect" data-bind="visible: CanAddFormResponse" style="display: none;">
<a class="form-data-action" data-bind="click: AddFormResponse">
<img draggable="false" src="/Content/Images/add.png"> <span class="btn-label" data-bind="text: localize('Add', $root.DotNetCultureCode())">Add</span>
</a>
</div>
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Phone Number</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Company Website</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Total number of locations</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Estimate total number of employees</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64779" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>First Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Middle Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Last Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Title</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Email Address</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Phone Number</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64780" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row label-question" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>The following information is sought solely for the purposes of conducting Compliance checks and will be kept strictly confidential.</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label --><!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Are you publicly traded?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="zu2xlvbyf-dvhst16ho" value="7038851">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="zu2xlvbyf-dvhst16ho" value="7038852">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes", identify the stock exchange and ticker symbol</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If privately owned, list all ultimate beneficial owners:</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData -->
<div class="form-data-question multiple" data-bind="css: { multiple: MaxRepeat() > 1 }">
<div class="form-data-responses" data-bind="foreach: FormResponses">
<div class="form-data-response">
<div class="form-data-children" data-bind="foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed" style="display: none;">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Middle Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed" style="display: none;">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>First Name or Company Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed" style="display: none;">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Percentage of Ownership</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed" style="display: none;">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Date of Birth of Owner if Individual, or Date of Incorporation of Owner Company (DD / MM / YYYY)</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime -->
<div class="date-question-answer-area input-group" data-bind="attr: { 'answer-format': AnswerFormat },
css: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted() }" answer-format="DD/MM/YYYY">
<input class="form-control question-input-field" type="text" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted() },
event: { blur: $root.SaveQuestionnaireEventually }">
<span class="input-group-addon clickable">
<span class="fa fa-calendar-o"></span>
</span>
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed" style="display: none;">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Nationality or Country of Registration</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown -->
<select class="form-control question-input-field dropdown-question-select-box" data-bind="options: MultipleChoices,
optionsText: 'Answer',
optionsValue: 'Id',
value: Answer,
valueAllowUnset: true,
optionsCaption: IsOptional() ? '' : null,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted },
event: { blur: $root.SaveQuestionnaireEventually }">
<option value="7038853">Afghanistan</option>
<option value="7038854">Albania</option>
<option value="7038855">Algeria</option>
<option value="7038856">Angola</option>
<option value="7038857">Argentina</option>
<option value="7038858">Armenia</option>
<option value="7038859">Australia</option>
<option value="7038860">Austria</option>
<option value="7038861">Azerbaijan</option>
<option value="7038862">Bahamas</option>
<option value="7038863">Bahrain</option>
<option value="7038864">Bangladesh</option>
<option value="7038865">Barbados</option>
<option value="7038866">Belarus</option>
<option value="7038867">Belgium</option>
<option value="7038868">Benin</option>
<option value="7038869">Bhutan</option>
<option value="7038870">Bolivia</option>
<option value="7038871">Bosnia and Herzegovina</option>
<option value="7038872">Botswana</option>
<option value="7038873">Brazil</option>
<option value="7038874">Brunei Darussalam</option>
<option value="7038875">Bulgaria</option>
<option value="7038876">Burkina Faso</option>
<option value="7038877">Burundi</option>
<option value="7038878">Cabo Verde</option>
<option value="7038879">Cambodia</option>
<option value="7038880">Cameroon</option>
<option value="7038881">Canada</option>
<option value="7038882">Central African Republic</option>
<option value="7038883">Chad</option>
<option value="7038884">Chile</option>
<option value="7038885">China</option>
<option value="7038886">Colombia</option>
<option value="7038887">Comoros</option>
<option value="7038888">Congo</option>
<option value="7038889">Costa Rica</option>
<option value="7038890">Cote d'Ivoire</option>
<option value="7038891">Croatia</option>
<option value="7038892">Cuba</option>
<option value="7038893">Cyprus</option>
<option value="7038894">Czech Republic</option>
<option value="7038895">Democratic Republic of the Congo</option>
<option value="7038896">Denmark</option>
<option value="7038897">Djibouti</option>
<option value="7038898">Dominica</option>
<option value="7038899">Dominican Republic</option>
<option value="7038900">Ecuador</option>
<option value="7038901">Egypt</option>
<option value="7038902">El Salvador</option>
<option value="7038903">Equatorial Guinea</option>
<option value="7038904">Eritrea</option>
<option value="7038905">Estonia</option>
<option value="7038906">Ethiopia</option>
<option value="7038907">Finland</option>
<option value="7038908">France</option>
<option value="7038909">Gabon</option>
<option value="7038910">Gambia</option>
<option value="7038911">Georgia</option>
<option value="7038912">Germany</option>
<option value="7038913">Ghana</option>
<option value="7038914">Greece</option>
<option value="7038915">Grenada</option>
<option value="7038916">Guatemala</option>
<option value="7038917">Guinea</option>
<option value="7038918">Guinea Bissau</option>
<option value="7038919">Guyana</option>
<option value="7038920">Haiti</option>
<option value="7038921">Honduras</option>
<option value="7038922">Hong Kong</option>
<option value="7038923">Hungary</option>
<option value="7038924">Iceland</option>
<option value="7038925">India</option>
<option value="7038926">Indonesia</option>
<option value="7038927">Iran</option>
<option value="7038928">Iraq</option>
<option value="7038929">Ireland</option>
<option value="7038930">Israel</option>
<option value="7038931">Italy</option>
<option value="7038932">Jamaica</option>
<option value="7038933">Japan</option>
<option value="7038934">Jordan</option>
<option value="7038935">Kazakhstan</option>
<option value="7038936">Kenya</option>
<option value="7038937">Korea, North</option>
<option value="7038938">Korea, South</option>
<option value="7038939">Kosovo</option>
<option value="7038940">Kuwait</option>
<option value="7038941">Kyrgyzstan</option>
<option value="7038942">Laos</option>
<option value="7038943">Latvia</option>
<option value="7038944">Lebanon</option>
<option value="7038945">Lesotho</option>
<option value="7038946">Liberia</option>
<option value="7038947">Libya</option>
<option value="7038948">Lithuania</option>
<option value="7038949">Luxembourg</option>
<option value="7038950">Macedonia</option>
<option value="7038951">Madagascar</option>
<option value="7038952">Malawi</option>
<option value="7038953">Malaysia</option>
<option value="7038954">Maldives</option>
<option value="7038955">Mali</option>
<option value="7038956">Malta</option>
<option value="7038957">Mauritania</option>
<option value="7038958">Mauritius</option>
<option value="7038959">Mexico</option>
<option value="7038960">Moldova</option>
<option value="7038961">Mongolia</option>
<option value="7038962">Montenegro</option>
<option value="7038963">Morocco</option>
<option value="7038964">Mozambique</option>
<option value="7038965">Myanmar</option>
<option value="7038966">Namibia</option>
<option value="7038967">Nepal</option>
<option value="7038968">Netherlands</option>
<option value="7038969">New Zealand</option>
<option value="7038970">Nicaragua</option>
<option value="7038971">Niger</option>
<option value="7038972">Nigeria</option>
<option value="7038973">Norway</option>
<option value="7038974">Oman</option>
<option value="7038975">Pakistan</option>
<option value="7038976">Panama</option>
<option value="7038977">Papua New Guinea</option>
<option value="7038978">Paraguay</option>
<option value="7038979">Peru</option>
<option value="7038980">Philippines</option>
<option value="7038981">Poland</option>
<option value="7038982">Portugal</option>
<option value="7038983">Qatar</option>
<option value="7038984">Romania</option>
<option value="7038985">Russia</option>
<option value="7038986">Rwanda</option>
<option value="7038987">Saint Lucia</option>
<option value="7038988">Saint Vincent and the Grenadines</option>
<option value="7038989">Sao Tome and Principe</option>
<option value="7038990">Saudi Arabia</option>
<option value="7038991">Senegal</option>
<option value="7038992">Serbia</option>
<option value="7038993">Seychelles</option>
<option value="7038994">Sierra Leone</option>
<option value="7038995">Singapore</option>
<option value="7038996">Slovakia</option>
<option value="7038997">Slovenia</option>
<option value="7038998">Solomon Islands</option>
<option value="7038999">Somalia</option>
<option value="7039000">South Africa</option>
<option value="7039001">South Sudan</option>
<option value="7039002">Spain</option>
<option value="7039003">Sri Lanka</option>
<option value="7039004">Sudan</option>
<option value="7039005">Suriname</option>
<option value="7039006">Swaziland</option>
<option value="7039007">Sweden</option>
<option value="7039008">Switzerland</option>
<option value="7039009">Syria</option>
<option value="7039010">Taiwan</option>
<option value="7039011">Tajikistan</option>
<option value="7039012">Tanzania</option>
<option value="7039013">Thailand</option>
<option value="7039014">Timor-Leste</option>
<option value="7039015">Togo</option>
<option value="7039016">Trinidad and Tobago</option>
<option value="7039017">Tunisia</option>
<option value="7039018">Turkey</option>
<option value="7039019">Turkmenistan</option>
<option value="7039020">Uganda</option>
<option value="7039021">Ukraine</option>
<option value="7039022">United Arab Emirates</option>
<option value="7039023">United Kingdom</option>
<option value="7039024">United States</option>
<option value="7039025">Uruguay</option>
<option value="7039026">Uzbekistan</option>
<option value="7039027">Vanuatu</option>
<option value="7039028">Venezuela</option>
<option value="7039029">Vietnam</option>
<option value="7039030">Yemen</option>
<option value="7039031">Zambia</option>
<option value="7039032">Zimbabwe</option>
</select>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed" style="display: none;">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Last Name or Business Form</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
</div>
<div class="form-data-response-actions noselect" data-bind="visible: $parent.CanRemoveFormResponse" style="display: none;">
<a class="form-data-action" data-bind="click: RemoveFormResponse">
<img draggable="false" src="/Content/Images/trash.png"> <span class="btn-label" data-bind="text: localize('Remove', $root.DotNetCultureCode())">Remove</span>
</a>
</div>
</div>
</div>
<div class="form-data-actions noselect" data-bind="visible: CanAddFormResponse">
<a class="form-data-action" data-bind="click: AddFormResponse">
<img draggable="false" src="/Content/Images/add.png"> <span class="btn-label" data-bind="text: localize('Add', $root.DotNetCultureCode())">Add</span>
</a>
</div>
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64781" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row label-question" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>The following information is sought solely for the purposes of conducting Compliance checks and will be kept strictly confidential.</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label --><!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Identify the members of your board of directors</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData -->
<div class="form-data-question multiple" data-bind="css: { multiple: MaxRepeat() > 1 }">
<div class="form-data-responses" data-bind="foreach: FormResponses"></div>
<div class="form-data-actions noselect" data-bind="visible: CanAddFormResponse">
<a class="form-data-action" data-bind="click: AddFormResponse">
<img draggable="false" src="/Content/Images/add.png"> <span class="btn-label" data-bind="text: localize('Add', $root.DotNetCultureCode())">Add</span>
</a>
</div>
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64782" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row label-question" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>The following information is sought solely for the purposes of conducting Compliance checks and will be kept strictly confidential.</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label --><!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Identify the three highest-ranking officers of your company</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData -->
<div class="form-data-question multiple" data-bind="css: { multiple: MaxRepeat() > 1 }">
<div class="form-data-responses" data-bind="foreach: FormResponses">
<div class="form-data-response">
<div class="form-data-children" data-bind="foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Nationality</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown -->
<select class="form-control question-input-field dropdown-question-select-box" data-bind="options: MultipleChoices,
optionsText: 'Answer',
optionsValue: 'Id',
value: Answer,
valueAllowUnset: true,
optionsCaption: IsOptional() ? '' : null,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted },
event: { blur: $root.SaveQuestionnaireEventually }">
<option value="7039213">Afghanistan</option>
<option value="7039214">Albania</option>
<option value="7039215">Algeria</option>
<option value="7039216">Angola</option>
<option value="7039217">Argentina</option>
<option value="7039218">Armenia</option>
<option value="7039219">Australia</option>
<option value="7039220">Austria</option>
<option value="7039221">Azerbaijan</option>
<option value="7039222">Bahamas</option>
<option value="7039223">Bahrain</option>
<option value="7039224">Bangladesh</option>
<option value="7039225">Barbados</option>
<option value="7039226">Belarus</option>
<option value="7039227">Belgium</option>
<option value="7039228">Benin</option>
<option value="7039229">Bhutan</option>
<option value="7039230">Bolivia</option>
<option value="7039231">Bosnia and Herzegovina</option>
<option value="7039232">Botswana</option>
<option value="7039233">Brazil</option>
<option value="7039234">Brunei Darussalam</option>
<option value="7039235">Bulgaria</option>
<option value="7039236">Burkina Faso</option>
<option value="7039237">Burundi</option>
<option value="7039238">Cabo Verde</option>
<option value="7039239">Cambodia</option>
<option value="7039240">Cameroon</option>
<option value="7039241">Canada</option>
<option value="7039242">Central African Republic</option>
<option value="7039243">Chad</option>
<option value="7039244">Chile</option>
<option value="7039245">China</option>
<option value="7039246">Colombia</option>
<option value="7039247">Comoros</option>
<option value="7039248">Congo</option>
<option value="7039249">Costa Rica</option>
<option value="7039250">Cote d'Ivoire</option>
<option value="7039251">Croatia</option>
<option value="7039252">Cuba</option>
<option value="7039253">Cyprus</option>
<option value="7039254">Czech Republic</option>
<option value="7039255">Democratic Republic of the Congo</option>
<option value="7039256">Denmark</option>
<option value="7039257">Djibouti</option>
<option value="7039258">Dominica</option>
<option value="7039259">Dominican Republic</option>
<option value="7039260">Ecuador</option>
<option value="7039261">Egypt</option>
<option value="7039262">El Salvador</option>
<option value="7039263">Equatorial Guinea</option>
<option value="7039264">Eritrea</option>
<option value="7039265">Estonia</option>
<option value="7039266">Ethiopia</option>
<option value="7039267">Finland</option>
<option value="7039268">France</option>
<option value="7039269">Gabon</option>
<option value="7039270">Gambia</option>
<option value="7039271">Georgia</option>
<option value="7039272">Germany</option>
<option value="7039273">Ghana</option>
<option value="7039274">Greece</option>
<option value="7039275">Grenada</option>
<option value="7039276">Guatemala</option>
<option value="7039277">Guinea</option>
<option value="7039278">Guinea Bissau</option>
<option value="7039279">Guyana</option>
<option value="7039280">Haiti</option>
<option value="7039281">Honduras</option>
<option value="7039282">Hong Kong</option>
<option value="7039283">Hungary</option>
<option value="7039284">Iceland</option>
<option value="7039285">India</option>
<option value="7039286">Indonesia</option>
<option value="7039287">Iran</option>
<option value="7039288">Iraq</option>
<option value="7039289">Ireland</option>
<option value="7039290">Israel</option>
<option value="7039291">Italy</option>
<option value="7039292">Jamaica</option>
<option value="7039293">Japan</option>
<option value="7039294">Jordan</option>
<option value="7039295">Kazakhstan</option>
<option value="7039296">Kenya</option>
<option value="7039297">Korea, North</option>
<option value="7039298">Korea, South</option>
<option value="7039299">Kosovo</option>
<option value="7039300">Kuwait</option>
<option value="7039301">Kyrgyzstan</option>
<option value="7039302">Laos</option>
<option value="7039303">Latvia</option>
<option value="7039304">Lebanon</option>
<option value="7039305">Lesotho</option>
<option value="7039306">Liberia</option>
<option value="7039307">Libya</option>
<option value="7039308">Lithuania</option>
<option value="7039309">Luxembourg</option>
<option value="7039310">Macedonia</option>
<option value="7039311">Madagascar</option>
<option value="7039312">Malawi</option>
<option value="7039313">Malaysia</option>
<option value="7039314">Maldives</option>
<option value="7039315">Mali</option>
<option value="7039316">Malta</option>
<option value="7039317">Mauritania</option>
<option value="7039318">Mauritius</option>
<option value="7039319">Mexico</option>
<option value="7039320">Moldova</option>
<option value="7039321">Mongolia</option>
<option value="7039322">Montenegro</option>
<option value="7039323">Morocco</option>
<option value="7039324">Mozambique</option>
<option value="7039325">Myanmar</option>
<option value="7039326">Namibia</option>
<option value="7039327">Nepal</option>
<option value="7039328">Netherlands</option>
<option value="7039329">New Zealand</option>
<option value="7039330">Nicaragua</option>
<option value="7039331">Niger</option>
<option value="7039332">Nigeria</option>
<option value="7039333">Norway</option>
<option value="7039334">Oman</option>
<option value="7039335">Pakistan</option>
<option value="7039336">Panama</option>
<option value="7039337">Papua New Guinea</option>
<option value="7039338">Paraguay</option>
<option value="7039339">Peru</option>
<option value="7039340">Philippines</option>
<option value="7039341">Poland</option>
<option value="7039342">Portugal</option>
<option value="7039343">Qatar</option>
<option value="7039344">Romania</option>
<option value="7039345">Russia</option>
<option value="7039346">Rwanda</option>
<option value="7039347">Saint Lucia</option>
<option value="7039348">Saint Vincent and the Grenadines</option>
<option value="7039349">Sao Tome and Principe</option>
<option value="7039350">Saudi Arabia</option>
<option value="7039351">Senegal</option>
<option value="7039352">Serbia</option>
<option value="7039353">Seychelles</option>
<option value="7039354">Sierra Leone</option>
<option value="7039355">Singapore</option>
<option value="7039356">Slovakia</option>
<option value="7039357">Slovenia</option>
<option value="7039358">Solomon Islands</option>
<option value="7039359">Somalia</option>
<option value="7039360">South Africa</option>
<option value="7039361">South Sudan</option>
<option value="7039362">Spain</option>
<option value="7039363">Sri Lanka</option>
<option value="7039364">Sudan</option>
<option value="7039365">Suriname</option>
<option value="7039366">Swaziland</option>
<option value="7039367">Sweden</option>
<option value="7039368">Switzerland</option>
<option value="7039369">Syria</option>
<option value="7039370">Taiwan</option>
<option value="7039371">Tajikistan</option>
<option value="7039372">Tanzania</option>
<option value="7039373">Thailand</option>
<option value="7039374">Timor-Leste</option>
<option value="7039375">Togo</option>
<option value="7039376">Trinidad and Tobago</option>
<option value="7039377">Tunisia</option>
<option value="7039378">Turkey</option>
<option value="7039379">Turkmenistan</option>
<option value="7039380">Uganda</option>
<option value="7039381">Ukraine</option>
<option value="7039382">United Arab Emirates</option>
<option value="7039383">United Kingdom</option>
<option value="7039384">United States</option>
<option value="7039385">Uruguay</option>
<option value="7039386">Uzbekistan</option>
<option value="7039387">Vanuatu</option>
<option value="7039388">Venezuela</option>
<option value="7039389">Vietnam</option>
<option value="7039390">Yemen</option>
<option value="7039391">Zambia</option>
<option value="7039392">Zimbabwe</option>
</select>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Title</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Last Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Middle Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>First Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
</div>
<div class="form-data-response-actions noselect" data-bind="visible: $parent.CanRemoveFormResponse" style="display: none;">
<a class="form-data-action" data-bind="click: RemoveFormResponse">
<img draggable="false" src="/Content/Images/trash.png"> <span class="btn-label" data-bind="text: localize('Remove', $root.DotNetCultureCode())">Remove</span>
</a>
</div>
</div>
</div>
<div class="form-data-actions noselect" data-bind="visible: CanAddFormResponse">
<a class="form-data-action" data-bind="click: AddFormResponse">
<img draggable="false" src="/Content/Images/add.png"> <span class="btn-label" data-bind="text: localize('Add', $root.DotNetCultureCode())">Add</span>
</a>
</div>
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64783" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Provide a brief description of your principal business activities</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If you have previously or are currently working with Prysmian Group or any of its affiliates, please describe the nature of the business relationship, location, and period in time.</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Describe the proposed services to be provided to Prysmian Group.</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If available at this time, please upload any supporting documentation describing the proposed services (such as quotation, draft contracts, statement of work, order form, price lists, term sheets, etc.)</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document -->
<div class="document-question-answer-area" data-bind="css: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted() }">
<div class="input-group">
<input type="text" class="form-control" readonly="" data-bind="value: DocumentTitle">
<span class="input-group-addon">
<label data-bind="visible: !DocumentTitle() && !$root.IsQuestionnaireSubmitted() && !IsProcessing()">
<img class="add-file" draggable="false" src="/Content/Images/ellipsis.png" style="pointer-events: none;">
<input class="form-control" type="file" name="File" data-bind="event: {
change: function() { CQM.Questionnaire.UploadQuestionDocument($element.files[0], this); },
blur: $root.SaveQuestionnaireEventually
},
attr: {
disabled: $root.IsQuestionnaireSubmitted() || IsProcessing(),
'question-id': QuestionId, group: Group
}" question-id="673144">
</label>
<span aria-hidden="true" data-bind="visible: DocumentTitle() && !IsProcessing() && !$root.IsQuestionnaireSubmitted(), click: RemoveDocument" style="display: none;">
<img class="remove-file" draggable="false" src="/Content/Images/trash.png">
</span>
</span>
</div>
</div>
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>In which countries will you be providing services to Prysmian Group? </p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox -->
<select class="multiselect-box" multiple="" data-bind="options: MultipleChoices,
optionsText: 'Answer',
optionsValue: $data,
selectedOptions: SelectedMultipleChoices,
attr: {
disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted
},
event: { blur: $root.SaveQuestionnaireEventually }">
<option value="">Afghanistan</option>
<option value="">Albania</option>
<option value="">Algeria</option>
<option value="">Angola</option>
<option value="">Argentina</option>
<option value="">Armenia</option>
<option value="">Australia</option>
<option value="">Austria</option>
<option value="">Azerbaijan</option>
<option value="">Bahamas</option>
<option value="">Bahrain</option>
<option value="">Bangladesh</option>
<option value="">Barbados</option>
<option value="">Belarus</option>
<option value="">Belgium</option>
<option value="">Benin</option>
<option value="">Bhutan</option>
<option value="">Bolivia</option>
<option value="">Bosnia and Herzegovina</option>
<option value="">Botswana</option>
<option value="">Brazil</option>
<option value="">Brunei Darussalam</option>
<option value="">Bulgaria</option>
<option value="">Burkina Faso</option>
<option value="">Burundi</option>
<option value="">Cabo Verde</option>
<option value="">Cambodia</option>
<option value="">Cameroon</option>
<option value="">Canada</option>
<option value="">Central African Republic</option>
<option value="">Chad</option>
<option value="">Chile</option>
<option value="">China</option>
<option value="">Colombia</option>
<option value="">Comoros</option>
<option value="">Congo</option>
<option value="">Costa Rica</option>
<option value="">Cote d'Ivoire</option>
<option value="">Croatia</option>
<option value="">Cuba</option>
<option value="">Cyprus</option>
<option value="">Czech Republic</option>
<option value="">Democratic Republic of the Congo</option>
<option value="">Denmark</option>
<option value="">Djibouti</option>
<option value="">Dominica</option>
<option value="">Dominican Republic</option>
<option value="">Ecuador</option>
<option value="">Egypt</option>
<option value="">El Salvador</option>
<option value="">Equatorial Guinea</option>
<option value="">Eritrea</option>
<option value="">Estonia</option>
<option value="">Ethiopia</option>
<option value="">Finland</option>
<option value="">France</option>
<option value="">Gabon</option>
<option value="">Gambia</option>
<option value="">Georgia</option>
<option value="">Germany</option>
<option value="">Ghana</option>
<option value="">Greece</option>
<option value="">Grenada</option>
<option value="">Guatemala</option>
<option value="">Guinea</option>
<option value="">Guinea Bissau</option>
<option value="">Guyana</option>
<option value="">Haiti</option>
<option value="">Honduras</option>
<option value="">Hong Kong</option>
<option value="">Hungary</option>
<option value="">Iceland</option>
<option value="">India</option>
<option value="">Indonesia</option>
<option value="">Iran</option>
<option value="">Iraq</option>
<option value="">Ireland</option>
<option value="">Israel</option>
<option value="">Italy</option>
<option value="">Jamaica</option>
<option value="">Japan</option>
<option value="">Jordan</option>
<option value="">Kazakhstan</option>
<option value="">Kenya</option>
<option value="">Korea, North</option>
<option value="">Korea, South</option>
<option value="">Kosovo</option>
<option value="">Kuwait</option>
<option value="">Kyrgyzstan</option>
<option value="">Laos</option>
<option value="">Latvia</option>
<option value="">Lebanon</option>
<option value="">Lesotho</option>
<option value="">Liberia</option>
<option value="">Libya</option>
<option value="">Lithuania</option>
<option value="">Luxembourg</option>
<option value="">Macedonia</option>
<option value="">Madagascar</option>
<option value="">Malawi</option>
<option value="">Malaysia</option>
<option value="">Maldives</option>
<option value="">Mali</option>
<option value="">Malta</option>
<option value="">Mauritania</option>
<option value="">Mauritius</option>
<option value="">Mexico</option>
<option value="">Moldova</option>
<option value="">Mongolia</option>
<option value="">Montenegro</option>
<option value="">Morocco</option>
<option value="">Mozambique</option>
<option value="">Myanmar</option>
<option value="">Namibia</option>
<option value="">Nepal</option>
<option value="">Netherlands</option>
<option value="">New Zealand</option>
<option value="">Nicaragua</option>
<option value="">Niger</option>
<option value="">Nigeria</option>
<option value="">Norway</option>
<option value="">Oman</option>
<option value="">Pakistan</option>
<option value="">Panama</option>
<option value="">Papua New Guinea</option>
<option value="">Paraguay</option>
<option value="">Peru</option>
<option value="">Philippines</option>
<option value="">Poland</option>
<option value="">Portugal</option>
<option value="">Qatar</option>
<option value="">Romania</option>
<option value="">Russia</option>
<option value="">Rwanda</option>
<option value="">Saint Lucia</option>
<option value="">Saint Vincent and the Grenadines</option>
<option value="">Sao Tome and Principe</option>
<option value="">Saudi Arabia</option>
<option value="">Senegal</option>
<option value="">Serbia</option>
<option value="">Seychelles</option>
<option value="">Sierra Leone</option>
<option value="">Singapore</option>
<option value="">Slovakia</option>
<option value="">Slovenia</option>
<option value="">Solomon Islands</option>
<option value="">Somalia</option>
<option value="">South Africa</option>
<option value="">South Sudan</option>
<option value="">Spain</option>
<option value="">Sri Lanka</option>
<option value="">Sudan</option>
<option value="">Suriname</option>
<option value="">Swaziland</option>
<option value="">Sweden</option>
<option value="">Switzerland</option>
<option value="">Syria</option>
<option value="">Taiwan</option>
<option value="">Tajikistan</option>
<option value="">Tanzania</option>
<option value="">Thailand</option>
<option value="">Timor-Leste</option>
<option value="">Togo</option>
<option value="">Trinidad and Tobago</option>
<option value="">Tunisia</option>
<option value="">Turkey</option>
<option value="">Turkmenistan</option>
<option value="">Uganda</option>
<option value="">Ukraine</option>
<option value="">United Arab Emirates</option>
<option value="">United Kingdom</option>
<option value="">United States</option>
<option value="">Uruguay</option>
<option value="">Uzbekistan</option>
<option value="">Vanuatu</option>
<option value="">Venezuela</option>
<option value="">Vietnam</option>
<option value="">Yemen</option>
<option value="">Zambia</option>
<option value="">Zimbabwe</option>
</select>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Specify the duration of the proposed business relationship.</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>To the best of your knowledge, is there a personal, familiar or business relationship between any owners, directors or senior executives of your organization (collectively "Key Individuals") and any Prysmian Group employee?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="spv0ac6rt-twg5658rd" value="7039575">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="spv0ac6rt-twg5658rd" value="7039576">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," please explain</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<div>
<p>How did Prysmian Group come to know you?</p>
<p>(If you were recommended, please provide the name of the individual who made the recommendation, as well as his/her organization's name)</p>
</div>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Do you plan to use sub-contractors to provide services to Prysmian Group?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="ztwoh3acq-nb2lt3jsi" value="7039573">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="ztwoh3acq-nb2lt3jsi" value="7039574">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," name the sub-contractors and explain the type of services that will be provided to Prysmian Group.</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64784" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>To the best of your knowledge, are any owners, directors or senior executives of your organization (collectively "Key Individuals"), or close family members of those individuals, current or former government officials, political
officials, or candidate for political office?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="mapnpanmc-t1w5eixzb" value="7039577">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="mapnpanmc-t1w5eixzb" value="7039578">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," please explain</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>To the best of your knowledge, does your organization or any Key Individuals of the company give frequent and/or large donations to charitable organizations, political parties and/or politicians?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="qevwbkg0b-zve0d9bxi" value="7039579">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="qevwbkg0b-zve0d9bxi" value="7039580">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," please explain</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>As part of the services provided to Prysmian Group, will you interact with government or administrative entities, state-owned enterprises, and/or government officials on behalf of Prysmian Group?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="un8lyimfk-zppvcbx1n" value="7039581">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="un8lyimfk-zppvcbx1n" value="7039582">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," please explain</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64785" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<div>
<p>Do you conduct any business in any of the following countries, either directly or indirectly, that are included in the U.S. Office of Foreign Assets Control’s (OFAC) list of sanctions programs?</p>
<p></p>
<p> Cuba</p>
<p> Iran </p>
<p> North Korea</p>
<p> Crimea (region of Ukraine)</p>
<p> Sudan</p>
<p> Syria</p>
<p> Venezuela</p>
<p></p>For further information, visit the OFAC website at:
<a href="http://www.treasury.gov/resource-center/sanctions/Programs/Pages/Programs.aspx" target="_blank">www.treasury.gov/resource-center/sanctions/Programs/Pages/Programs.aspx </a>
</div>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="lr8lfix8j-sft0gmcfg" value="7039583">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="lr8lfix8j-sft0gmcfg" value="7039584">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," please describe your business activities in these jurisdictions</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64786" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row label-question" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If any question in this section is answered in the affirmative, please explain the nature of the case and identify the relevant parties, dates, jurisdiction, and final outcome.</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label --><!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Has your organization or any of its Key Individuals ever been criminally charged by any law enforcement, administrative, regulatory or judicial body? </p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="kdtgzs6od-j5g6r3tzu" value="7039585">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="kdtgzs6od-j5g6r3tzu" value="7039586">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," please explain</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Has your organization or any of its Key Individuals ever been accused or been the subject of any law enforcement or regulatory investigation for matters related to bribery, corruption, fraud, tax evasion, anti-competition practices or
any other forms of economic crimes?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="d6i1g21zp-jb9w6bgca" value="7039587">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="d6i1g21zp-jb9w6bgca" value="7039588">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," please explain</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Has your organization or any of its Key Individuals ever been terminated for cause, debarred, suspended or prohibited from conducting business or participating in any public tender process in any country, state, or municipality, or by
any specific company, government entity or multi-lateral organization (including, but not limited to, state-owned enterprises, development authorities, and development banks)?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="qk92v1jo7-oldcw5tcc" value="7039589">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="qk92v1jo7-oldcw5tcc" value="7039590">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," please explain</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Has your organization ever filed for bankruptcy?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="wlwuxm34o-dvq6p716j" value="7039591">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="wlwuxm34o-dvq6p716j" value="7039592">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," please explain</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64787" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Are you required by law or regulation to be licensed to perform the services to Prysmian Group? </p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="xnd8689tw-9rdul33dk" value="7039593">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="xnd8689tw-9rdul33dk" value="7039594">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>If "Yes," are you properly licensed?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="krjbc91zg-39lafrxk5" value="7039595">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="krjbc91zg-39lafrxk5" value="7039596">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Please upload a copy of your license</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document -->
<div class="document-question-answer-area" data-bind="css: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted() }">
<div class="input-group">
<input type="text" class="form-control" readonly="" data-bind="value: DocumentTitle">
<span class="input-group-addon">
<label data-bind="visible: !DocumentTitle() && !$root.IsQuestionnaireSubmitted() && !IsProcessing()">
<img class="add-file" draggable="false" src="/Content/Images/ellipsis.png" style="pointer-events: none;">
<input class="form-control" type="file" name="File" data-bind="event: {
change: function() { CQM.Questionnaire.UploadQuestionDocument($element.files[0], this); },
blur: $root.SaveQuestionnaireEventually
},
attr: {
disabled: $root.IsQuestionnaireSubmitted() || IsProcessing(),
'question-id': QuestionId, group: Group
}" question-id="673171">
</label>
<span aria-hidden="true" data-bind="visible: DocumentTitle() && !IsProcessing() && !$root.IsQuestionnaireSubmitted(), click: RemoveDocument" style="display: none;">
<img class="remove-file" draggable="false" src="/Content/Images/trash.png">
</span>
</span>
</div>
</div>
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Does your organization have a code of ethics and business conduct?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="us1airh7o-i6rh594dd" value="7039597">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="us1airh7o-i6rh594dd" value="7039598">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Please upload a copy of your code of ethics and business conduct</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document -->
<div class="document-question-answer-area" data-bind="css: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted() }">
<div class="input-group">
<input type="text" class="form-control" readonly="" data-bind="value: DocumentTitle">
<span class="input-group-addon">
<label data-bind="visible: !DocumentTitle() && !$root.IsQuestionnaireSubmitted() && !IsProcessing()">
<img class="add-file" draggable="false" src="/Content/Images/ellipsis.png" style="pointer-events: none;">
<input class="form-control" type="file" name="File" data-bind="event: {
change: function() { CQM.Questionnaire.UploadQuestionDocument($element.files[0], this); },
blur: $root.SaveQuestionnaireEventually
},
attr: {
disabled: $root.IsQuestionnaireSubmitted() || IsProcessing(),
'question-id': QuestionId, group: Group
}" question-id="673173">
</label>
<span aria-hidden="true" data-bind="visible: DocumentTitle() && !IsProcessing() && !$root.IsQuestionnaireSubmitted(), click: RemoveDocument" style="display: none;">
<img class="remove-file" draggable="false" src="/Content/Images/trash.png">
</span>
</span>
</div>
</div>
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Does your organization have anti-corruption policies?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="n6wseuf3r-pdkvipbm5" value="7039599">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="n6wseuf3r-pdkvipbm5" value="7039600">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches -->
<div data-bind="visible: IsTriggered, foreach: ChildQuestions" style="display: none;">
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Please upload a copy of your anti-corruption policies</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document -->
<div class="document-question-answer-area" data-bind="css: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted() }">
<div class="input-group">
<input type="text" class="form-control" readonly="" data-bind="value: DocumentTitle">
<span class="input-group-addon">
<label data-bind="visible: !DocumentTitle() && !$root.IsQuestionnaireSubmitted() && !IsProcessing()">
<img class="add-file" draggable="false" src="/Content/Images/ellipsis.png" style="pointer-events: none;">
<input class="form-control" type="file" name="File" data-bind="event: {
change: function() { CQM.Questionnaire.UploadQuestionDocument($element.files[0], this); },
blur: $root.SaveQuestionnaireEventually
},
attr: {
disabled: $root.IsQuestionnaireSubmitted() || IsProcessing(),
'question-id': QuestionId, group: Group
}" question-id="673175">
</label>
<span aria-hidden="true" data-bind="visible: DocumentTitle() && !IsProcessing() && !$root.IsQuestionnaireSubmitted(), click: RemoveDocument" style="display: none;">
<img class="remove-file" draggable="false" src="/Content/Images/trash.png">
</span>
</span>
</div>
</div>
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Does your organization conduct regular compliance training activities?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="yioi8os86-2x8tpg1zv" value="7039601">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="yioi8os86-2x8tpg1zv" value="7039602">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Does your organization have a conflicts of interest policy?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="wcea1ctf4-6u7ffskb2" value="7039603">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="wcea1ctf4-6u7ffskb2" value="7039604">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Do you have any other Agency contracts or relationships - including those of Agents owners, employees and sub-contractors - that could be considered or appear to be a conflict of interest with Prysmian Group?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="n70f8zna0-oihbzrncc" value="7039967">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="n70f8zna0-oihbzrncc" value="7039968">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Does your organization have an ethics hotline or other whistle-blowing channels?</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton -->
<div class="multiple-choice-options">
<!-- ko foreach: MultipleChoices -->
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="to1pkbfxu-6eowo7brz" value="7039605">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">Yes</span>
</label>
<label class="multiple-choice-option">
<span class="multiple-choice-input">
<span class="image-select-button-control">
<input type="radio" data-bind="checked: $parent.Answer,
checkedValue: '' + Id(),
attr: {
name: $parent.UniqueId,
disabled: $parent.IsReadOnly() || $root.IsQuestionnaireSubmitted,
hidden: $parent.IsHidden()
}" name="to1pkbfxu-6eowo7brz" value="7039606">
<img class="default" draggable="false" src="/Content/Images/radio-btn.png">
<img class="selected" draggable="false" src="/Content/Images/radio-btn-clicked.png">
</span>
</span>
<span class="multiple-choice-label" data-bind="text: Answer">No</span>
</label>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed" style="display: none;">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Yes "Yes", please explain</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64788" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row label-question" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>To the extent permitted by law, please provide two business references, of which one should be a bank reference:</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label --><!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Business Reference #1</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData -->
<div class="form-data-question" data-bind="css: { multiple: MaxRepeat() > 1 }">
<div class="form-data-responses" data-bind="foreach: FormResponses">
<div class="form-data-response">
<div class="form-data-children" data-bind="foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Title</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Contact Person</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Phone</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Email Address</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Country</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown -->
<select class="form-control question-input-field dropdown-question-select-box" data-bind="options: MultipleChoices,
optionsText: 'Answer',
optionsValue: 'Id',
value: Answer,
valueAllowUnset: true,
optionsCaption: IsOptional() ? '' : null,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted },
event: { blur: $root.SaveQuestionnaireEventually }">
<option value=""></option>
<option value="7039607">Afghanistan</option>
<option value="7039608">Albania</option>
<option value="7039609">Algeria</option>
<option value="7039610">Angola</option>
<option value="7039611">Argentina</option>
<option value="7039612">Armenia</option>
<option value="7039613">Australia</option>
<option value="7039614">Austria</option>
<option value="7039615">Azerbaijan</option>
<option value="7039616">Bahamas</option>
<option value="7039617">Bahrain</option>
<option value="7039618">Bangladesh</option>
<option value="7039619">Barbados</option>
<option value="7039620">Belarus</option>
<option value="7039621">Belgium</option>
<option value="7039622">Benin</option>
<option value="7039623">Bhutan</option>
<option value="7039624">Bolivia</option>
<option value="7039625">Bosnia and Herzegovina</option>
<option value="7039626">Botswana</option>
<option value="7039627">Brazil</option>
<option value="7039628">Brunei Darussalam</option>
<option value="7039629">Bulgaria</option>
<option value="7039630">Burkina Faso</option>
<option value="7039631">Burundi</option>
<option value="7039632">Cabo Verde</option>
<option value="7039633">Cambodia</option>
<option value="7039634">Cameroon</option>
<option value="7039635">Canada</option>
<option value="7039636">Central African Republic</option>
<option value="7039637">Chad</option>
<option value="7039638">Chile</option>
<option value="7039639">China</option>
<option value="7039640">Colombia</option>
<option value="7039641">Comoros</option>
<option value="7039642">Congo</option>
<option value="7039643">Costa Rica</option>
<option value="7039644">Cote d'Ivoire</option>
<option value="7039645">Croatia</option>
<option value="7039646">Cuba</option>
<option value="7039647">Cyprus</option>
<option value="7039648">Czech Republic</option>
<option value="7039649">Democratic Republic of the Congo</option>
<option value="7039650">Denmark</option>
<option value="7039651">Djibouti</option>
<option value="7039652">Dominica</option>
<option value="7039653">Dominican Republic</option>
<option value="7039654">Ecuador</option>
<option value="7039655">Egypt</option>
<option value="7039656">El Salvador</option>
<option value="7039657">Equatorial Guinea</option>
<option value="7039658">Eritrea</option>
<option value="7039659">Estonia</option>
<option value="7039660">Ethiopia</option>
<option value="7039661">Finland</option>
<option value="7039662">France</option>
<option value="7039663">Gabon</option>
<option value="7039664">Gambia</option>
<option value="7039665">Georgia</option>
<option value="7039666">Germany</option>
<option value="7039667">Ghana</option>
<option value="7039668">Greece</option>
<option value="7039669">Grenada</option>
<option value="7039670">Guatemala</option>
<option value="7039671">Guinea</option>
<option value="7039672">Guinea Bissau</option>
<option value="7039673">Guyana</option>
<option value="7039674">Haiti</option>
<option value="7039675">Honduras</option>
<option value="7039676">Hong Kong</option>
<option value="7039677">Hungary</option>
<option value="7039678">Iceland</option>
<option value="7039679">India</option>
<option value="7039680">Indonesia</option>
<option value="7039681">Iran</option>
<option value="7039682">Iraq</option>
<option value="7039683">Ireland</option>
<option value="7039684">Israel</option>
<option value="7039685">Italy</option>
<option value="7039686">Jamaica</option>
<option value="7039687">Japan</option>
<option value="7039688">Jordan</option>
<option value="7039689">Kazakhstan</option>
<option value="7039690">Kenya</option>
<option value="7039691">Korea, North</option>
<option value="7039692">Korea, South</option>
<option value="7039693">Kosovo</option>
<option value="7039694">Kuwait</option>
<option value="7039695">Kyrgyzstan</option>
<option value="7039696">Laos</option>
<option value="7039697">Latvia</option>
<option value="7039698">Lebanon</option>
<option value="7039699">Lesotho</option>
<option value="7039700">Liberia</option>
<option value="7039701">Libya</option>
<option value="7039702">Lithuania</option>
<option value="7039703">Luxembourg</option>
<option value="7039704">Macedonia</option>
<option value="7039705">Madagascar</option>
<option value="7039706">Malawi</option>
<option value="7039707">Malaysia</option>
<option value="7039708">Maldives</option>
<option value="7039709">Mali</option>
<option value="7039710">Malta</option>
<option value="7039711">Mauritania</option>
<option value="7039712">Mauritius</option>
<option value="7039713">Mexico</option>
<option value="7039714">Moldova</option>
<option value="7039715">Mongolia</option>
<option value="7039716">Montenegro</option>
<option value="7039717">Morocco</option>
<option value="7039718">Mozambique</option>
<option value="7039719">Myanmar</option>
<option value="7039720">Namibia</option>
<option value="7039721">Nepal</option>
<option value="7039722">Netherlands</option>
<option value="7039723">New Zealand</option>
<option value="7039724">Nicaragua</option>
<option value="7039725">Niger</option>
<option value="7039726">Nigeria</option>
<option value="7039727">Norway</option>
<option value="7039728">Oman</option>
<option value="7039729">Pakistan</option>
<option value="7039730">Panama</option>
<option value="7039731">Papua New Guinea</option>
<option value="7039732">Paraguay</option>
<option value="7039733">Peru</option>
<option value="7039734">Philippines</option>
<option value="7039735">Poland</option>
<option value="7039736">Portugal</option>
<option value="7039737">Qatar</option>
<option value="7039738">Romania</option>
<option value="7039739">Russia</option>
<option value="7039740">Rwanda</option>
<option value="7039741">Saint Lucia</option>
<option value="7039742">Saint Vincent and the Grenadines</option>
<option value="7039743">Sao Tome and Principe</option>
<option value="7039744">Saudi Arabia</option>
<option value="7039745">Senegal</option>
<option value="7039746">Serbia</option>
<option value="7039747">Seychelles</option>
<option value="7039748">Sierra Leone</option>
<option value="7039749">Singapore</option>
<option value="7039750">Slovakia</option>
<option value="7039751">Slovenia</option>
<option value="7039752">Solomon Islands</option>
<option value="7039753">Somalia</option>
<option value="7039754">South Africa</option>
<option value="7039755">South Sudan</option>
<option value="7039756">Spain</option>
<option value="7039757">Sri Lanka</option>
<option value="7039758">Sudan</option>
<option value="7039759">Suriname</option>
<option value="7039760">Swaziland</option>
<option value="7039761">Sweden</option>
<option value="7039762">Switzerland</option>
<option value="7039763">Syria</option>
<option value="7039764">Taiwan</option>
<option value="7039765">Tajikistan</option>
<option value="7039766">Tanzania</option>
<option value="7039767">Thailand</option>
<option value="7039768">Timor-Leste</option>
<option value="7039769">Togo</option>
<option value="7039770">Trinidad and Tobago</option>
<option value="7039771">Tunisia</option>
<option value="7039772">Turkey</option>
<option value="7039773">Turkmenistan</option>
<option value="7039774">Uganda</option>
<option value="7039775">Ukraine</option>
<option value="7039776">United Arab Emirates</option>
<option value="7039777">United Kingdom</option>
<option value="7039778">United States</option>
<option value="7039779">Uruguay</option>
<option value="7039780">Uzbekistan</option>
<option value="7039781">Vanuatu</option>
<option value="7039782">Venezuela</option>
<option value="7039783">Vietnam</option>
<option value="7039784">Yemen</option>
<option value="7039785">Zambia</option>
<option value="7039786">Zimbabwe</option>
</select>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>City</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Address</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
</div>
<div class="form-data-response-actions noselect" data-bind="visible: $parent.CanRemoveFormResponse">
<a class="form-data-action" data-bind="click: RemoveFormResponse">
<img draggable="false" src="/Content/Images/trash.png"> <span class="btn-label" data-bind="text: localize('Remove', $root.DotNetCultureCode())">Remove</span>
</a>
</div>
</div>
</div>
<div class="form-data-actions noselect" data-bind="visible: CanAddFormResponse" style="display: none;">
<a class="form-data-action" data-bind="click: AddFormResponse">
<img draggable="false" src="/Content/Images/add.png"> <span class="btn-label" data-bind="text: localize('Add', $root.DotNetCultureCode())">Add</span>
</a>
</div>
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Business Reference #2 (Bank Reference)</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData -->
<div class="form-data-question" data-bind="css: { multiple: MaxRepeat() > 1 }">
<div class="form-data-responses" data-bind="foreach: FormResponses">
<div class="form-data-response">
<div class="form-data-children" data-bind="foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Email Address</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Contact Person</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>City</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Address</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Phone</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Title</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="form-data-child-question" data-bind="visible: IsDisplayed">
<div class="form-label">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Country</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
</div>
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown -->
<select class="form-control question-input-field dropdown-question-select-box" data-bind="options: MultipleChoices,
optionsText: 'Answer',
optionsValue: 'Id',
value: Answer,
valueAllowUnset: true,
optionsCaption: IsOptional() ? '' : null,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted },
event: { blur: $root.SaveQuestionnaireEventually }">
<option value=""></option>
<option value="7039787">Afghanistan</option>
<option value="7039788">Albania</option>
<option value="7039789">Algeria</option>
<option value="7039790">Angola</option>
<option value="7039791">Argentina</option>
<option value="7039792">Armenia</option>
<option value="7039793">Australia</option>
<option value="7039794">Austria</option>
<option value="7039795">Azerbaijan</option>
<option value="7039796">Bahamas</option>
<option value="7039797">Bahrain</option>
<option value="7039798">Bangladesh</option>
<option value="7039799">Barbados</option>
<option value="7039800">Belarus</option>
<option value="7039801">Belgium</option>
<option value="7039802">Benin</option>
<option value="7039803">Bhutan</option>
<option value="7039804">Bolivia</option>
<option value="7039805">Bosnia and Herzegovina</option>
<option value="7039806">Botswana</option>
<option value="7039807">Brazil</option>
<option value="7039808">Brunei Darussalam</option>
<option value="7039809">Bulgaria</option>
<option value="7039810">Burkina Faso</option>
<option value="7039811">Burundi</option>
<option value="7039812">Cabo Verde</option>
<option value="7039813">Cambodia</option>
<option value="7039814">Cameroon</option>
<option value="7039815">Canada</option>
<option value="7039816">Central African Republic</option>
<option value="7039817">Chad</option>
<option value="7039818">Chile</option>
<option value="7039819">China</option>
<option value="7039820">Colombia</option>
<option value="7039821">Comoros</option>
<option value="7039822">Congo</option>
<option value="7039823">Costa Rica</option>
<option value="7039824">Cote d'Ivoire</option>
<option value="7039825">Croatia</option>
<option value="7039826">Cuba</option>
<option value="7039827">Cyprus</option>
<option value="7039828">Czech Republic</option>
<option value="7039829">Democratic Republic of the Congo</option>
<option value="7039830">Denmark</option>
<option value="7039831">Djibouti</option>
<option value="7039832">Dominica</option>
<option value="7039833">Dominican Republic</option>
<option value="7039834">Ecuador</option>
<option value="7039835">Egypt</option>
<option value="7039836">El Salvador</option>
<option value="7039837">Equatorial Guinea</option>
<option value="7039838">Eritrea</option>
<option value="7039839">Estonia</option>
<option value="7039840">Ethiopia</option>
<option value="7039841">Finland</option>
<option value="7039842">France</option>
<option value="7039843">Gabon</option>
<option value="7039844">Gambia</option>
<option value="7039845">Georgia</option>
<option value="7039846">Germany</option>
<option value="7039847">Ghana</option>
<option value="7039848">Greece</option>
<option value="7039849">Grenada</option>
<option value="7039850">Guatemala</option>
<option value="7039851">Guinea</option>
<option value="7039852">Guinea Bissau</option>
<option value="7039853">Guyana</option>
<option value="7039854">Haiti</option>
<option value="7039855">Honduras</option>
<option value="7039856">Hong Kong</option>
<option value="7039857">Hungary</option>
<option value="7039858">Iceland</option>
<option value="7039859">India</option>
<option value="7039860">Indonesia</option>
<option value="7039861">Iran</option>
<option value="7039862">Iraq</option>
<option value="7039863">Ireland</option>
<option value="7039864">Israel</option>
<option value="7039865">Italy</option>
<option value="7039866">Jamaica</option>
<option value="7039867">Japan</option>
<option value="7039868">Jordan</option>
<option value="7039869">Kazakhstan</option>
<option value="7039870">Kenya</option>
<option value="7039871">Korea, North</option>
<option value="7039872">Korea, South</option>
<option value="7039873">Kosovo</option>
<option value="7039874">Kuwait</option>
<option value="7039875">Kyrgyzstan</option>
<option value="7039876">Laos</option>
<option value="7039877">Latvia</option>
<option value="7039878">Lebanon</option>
<option value="7039879">Lesotho</option>
<option value="7039880">Liberia</option>
<option value="7039881">Libya</option>
<option value="7039882">Lithuania</option>
<option value="7039883">Luxembourg</option>
<option value="7039884">Macedonia</option>
<option value="7039885">Madagascar</option>
<option value="7039886">Malawi</option>
<option value="7039887">Malaysia</option>
<option value="7039888">Maldives</option>
<option value="7039889">Mali</option>
<option value="7039890">Malta</option>
<option value="7039891">Mauritania</option>
<option value="7039892">Mauritius</option>
<option value="7039893">Mexico</option>
<option value="7039894">Moldova</option>
<option value="7039895">Mongolia</option>
<option value="7039896">Montenegro</option>
<option value="7039897">Morocco</option>
<option value="7039898">Mozambique</option>
<option value="7039899">Myanmar</option>
<option value="7039900">Namibia</option>
<option value="7039901">Nepal</option>
<option value="7039902">Netherlands</option>
<option value="7039903">New Zealand</option>
<option value="7039904">Nicaragua</option>
<option value="7039905">Niger</option>
<option value="7039906">Nigeria</option>
<option value="7039907">Norway</option>
<option value="7039908">Oman</option>
<option value="7039909">Pakistan</option>
<option value="7039910">Panama</option>
<option value="7039911">Papua New Guinea</option>
<option value="7039912">Paraguay</option>
<option value="7039913">Peru</option>
<option value="7039914">Philippines</option>
<option value="7039915">Poland</option>
<option value="7039916">Portugal</option>
<option value="7039917">Qatar</option>
<option value="7039918">Romania</option>
<option value="7039919">Russia</option>
<option value="7039920">Rwanda</option>
<option value="7039921">Saint Lucia</option>
<option value="7039922">Saint Vincent and the Grenadines</option>
<option value="7039923">Sao Tome and Principe</option>
<option value="7039924">Saudi Arabia</option>
<option value="7039925">Senegal</option>
<option value="7039926">Serbia</option>
<option value="7039927">Seychelles</option>
<option value="7039928">Sierra Leone</option>
<option value="7039929">Singapore</option>
<option value="7039930">Slovakia</option>
<option value="7039931">Slovenia</option>
<option value="7039932">Solomon Islands</option>
<option value="7039933">Somalia</option>
<option value="7039934">South Africa</option>
<option value="7039935">South Sudan</option>
<option value="7039936">Spain</option>
<option value="7039937">Sri Lanka</option>
<option value="7039938">Sudan</option>
<option value="7039939">Suriname</option>
<option value="7039940">Swaziland</option>
<option value="7039941">Sweden</option>
<option value="7039942">Switzerland</option>
<option value="7039943">Syria</option>
<option value="7039944">Taiwan</option>
<option value="7039945">Tajikistan</option>
<option value="7039946">Tanzania</option>
<option value="7039947">Thailand</option>
<option value="7039948">Timor-Leste</option>
<option value="7039949">Togo</option>
<option value="7039950">Trinidad and Tobago</option>
<option value="7039951">Tunisia</option>
<option value="7039952">Turkey</option>
<option value="7039953">Turkmenistan</option>
<option value="7039954">Uganda</option>
<option value="7039955">Ukraine</option>
<option value="7039956">United Arab Emirates</option>
<option value="7039957">United Kingdom</option>
<option value="7039958">United States</option>
<option value="7039959">Uruguay</option>
<option value="7039960">Uzbekistan</option>
<option value="7039961">Vanuatu</option>
<option value="7039962">Venezuela</option>
<option value="7039963">Vietnam</option>
<option value="7039964">Yemen</option>
<option value="7039965">Zambia</option>
<option value="7039966">Zimbabwe</option>
</select>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
</div>
<!-- /ko -->
</div>
<div class="form-data-response-actions noselect" data-bind="visible: $parent.CanRemoveFormResponse">
<a class="form-data-action" data-bind="click: RemoveFormResponse">
<img draggable="false" src="/Content/Images/trash.png"> <span class="btn-label" data-bind="text: localize('Remove', $root.DotNetCultureCode())">Remove</span>
</a>
</div>
</div>
</div>
<div class="form-data-actions noselect" data-bind="visible: CanAddFormResponse" style="display: none;">
<a class="form-data-action" data-bind="click: AddFormResponse">
<img draggable="false" src="/Content/Images/add.png"> <span class="btn-label" data-bind="text: localize('Add', $root.DotNetCultureCode())">Add</span>
</a>
</div>
</div>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
</div>
</form><form class="questionnaire-block-form" data-bind="attr: { 'data-id': BlockId }" data-id="64789" novalidate="novalidate">
<div data-bind="visible: !IsInitialized()" style="display: none;">
<div class="loading questionnaire-instance-loading">
<img src="/Content/Images/loader.gif">
</div>
</div>
<div class="questionnaire-block" data-bind="visible: IsInitialized, foreach: Questions">
<!-- ko if: !IsHidden() -->
<div class="question row label-question" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<div>
<p>I certify, to the best of my knowledge, that the information provided is accurate and</p>
<p>complete.</p>
</div>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label --><!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Name</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Title</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText -->
<input type="text" class="form-control question-input-field plain-text" autocomplete="new-password" data-bind="textInput: Answer,
attr: { disabled: IsReadOnly() || $root.IsQuestionnaireSubmitted(), maxlength: MaxCharacter},
event: { blur: $root.SaveQuestionnaireEventually, keyup: function() { return $root.CheckMaxCharacterLimit(this); } }">
<p class="field-validation-error" data-bind="text: ErrorMessage"></p>
<!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceRadioButton --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceChecklist --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceSelectBox --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.DateTime --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.FormData --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Document --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.ESignature --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdownTypeahead --><!-- /ko -->
</div>
<!-- /ko -->
</div>
<!-- /ko -->
<!-- ko foreach: ConditionalBranches --><!-- /ko -->
<!-- ko if: !IsHidden() -->
<div class="question row" data-bind="css: { 'label-question': QuestionTypeId() === QUESTION_TYPE.Label }, visible: IsDisplayed">
<div class="question-label-area">
<div class="question-label-component questionnaire-question-text required" data-bind="html: TextHtml, css: { required: !IsOptional() }">
<p>Signature</p>
</div>
<div class="question-label-component" data-bind="if: Tooltip"></div>
</div>
<!-- ko if: QuestionTypeId() !== QUESTION_TYPE.Label -->
<div class="question-response">
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.MultipleChoiceDropdown --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.Numerical --><!-- /ko -->
<!-- ko if: QuestionTypeId() === QUESTION_TYPE.PlainText --><!-- /ko -->
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<span class="form-label" data-bind="text: localize('SignedOn', $root.DotNetCultureCode())">on</span>
<span data-bind="text: CompletedDate">May 21, 2024</span>
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<p>Phone Number</p>
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</form>Text Content
* Tasks * Raya Pontus Samosir * Log Off Third-Party Vendor Questionnaire (new) - 16 Jun 2023 Due 5/30/2024 PT. Karya Sumiden Indonesia English (US)العربية中文FrançaisDeutscheItalianoPortuguêsEspañol Save Submit Hidden Hidden Hidden Overview General Information Third Party Vendor Point of Contact Information Ownership Information Board of Directors Key Executives Scope of Relationship Government Touchpoints Trade Compliance Legal Ethics & Compliance References Acknowledgment & Certification Thank you for logging into the Prysmian Third-Party Approval Portal. To contribute the required information, please click "Start" below. A blank version for printing or emailing purposes can be downloaded by clicking on the button below. Download Blank Version Legal Entity Name Trade Name (if known by another name) Business Form Sole Proprieter Corporation Partnership Limited Liability Company Limited Liability Partnership Other Tax Identification | VAT Number Corporate Registration Number Date of Incorporation if Company or Date of Birth if Individual How many years have you been in business? Less than 1 year 1 to 5 years 6 to 10 years Over 10 years Registered Address Address 1 Address 2 City State | Province | District Country AfghanistanAlbaniaAlgeriaAngolaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMexicoMoldovaMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint LuciaSaint Vincent and the GrenadinesSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe Remove Add Physical Address (if different) Address 1 Address 2 City State | Province | District Country AfghanistanAlbaniaAlgeriaAngolaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMexicoMoldovaMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint LuciaSaint Vincent and the GrenadinesSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe Remove Add Phone Number Company Website Total number of locations Estimate total number of employees First Name Middle Name Last Name Title Email Address Phone Number The following information is sought solely for the purposes of conducting Compliance checks and will be kept strictly confidential. Are you publicly traded? Yes No If "Yes", identify the stock exchange and ticker symbol If privately owned, list all ultimate beneficial owners: Middle Name First Name or Company Name Percentage of Ownership Date of Birth of Owner if Individual, or Date of Incorporation of Owner Company (DD / MM / YYYY) Nationality or Country of Registration AfghanistanAlbaniaAlgeriaAngolaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMexicoMoldovaMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint LuciaSaint Vincent and the GrenadinesSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe Last Name or Business Form Remove Add The following information is sought solely for the purposes of conducting Compliance checks and will be kept strictly confidential. Identify the members of your board of directors Add The following information is sought solely for the purposes of conducting Compliance checks and will be kept strictly confidential. Identify the three highest-ranking officers of your company Nationality AfghanistanAlbaniaAlgeriaAngolaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMexicoMoldovaMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint LuciaSaint Vincent and the GrenadinesSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe Title Last Name Middle Name First Name Remove Add Provide a brief description of your principal business activities If you have previously or are currently working with Prysmian Group or any of its affiliates, please describe the nature of the business relationship, location, and period in time. Describe the proposed services to be provided to Prysmian Group. If available at this time, please upload any supporting documentation describing the proposed services (such as quotation, draft contracts, statement of work, order form, price lists, term sheets, etc.) In which countries will you be providing services to Prysmian Group? AfghanistanAlbaniaAlgeriaAngolaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMexicoMoldovaMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint LuciaSaint Vincent and the GrenadinesSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe Specify the duration of the proposed business relationship. To the best of your knowledge, is there a personal, familiar or business relationship between any owners, directors or senior executives of your organization (collectively "Key Individuals") and any Prysmian Group employee? Yes No If "Yes," please explain How did Prysmian Group come to know you? (If you were recommended, please provide the name of the individual who made the recommendation, as well as his/her organization's name) Do you plan to use sub-contractors to provide services to Prysmian Group? Yes No If "Yes," name the sub-contractors and explain the type of services that will be provided to Prysmian Group. To the best of your knowledge, are any owners, directors or senior executives of your organization (collectively "Key Individuals"), or close family members of those individuals, current or former government officials, political officials, or candidate for political office? Yes No If "Yes," please explain To the best of your knowledge, does your organization or any Key Individuals of the company give frequent and/or large donations to charitable organizations, political parties and/or politicians? Yes No If "Yes," please explain As part of the services provided to Prysmian Group, will you interact with government or administrative entities, state-owned enterprises, and/or government officials on behalf of Prysmian Group? Yes No If "Yes," please explain Do you conduct any business in any of the following countries, either directly or indirectly, that are included in the U.S. Office of Foreign Assets Control’s (OFAC) list of sanctions programs? Cuba Iran North Korea Crimea (region of Ukraine) Sudan Syria Venezuela For further information, visit the OFAC website at: www.treasury.gov/resource-center/sanctions/Programs/Pages/Programs.aspx Yes No If "Yes," please describe your business activities in these jurisdictions If any question in this section is answered in the affirmative, please explain the nature of the case and identify the relevant parties, dates, jurisdiction, and final outcome. Has your organization or any of its Key Individuals ever been criminally charged by any law enforcement, administrative, regulatory or judicial body? Yes No If "Yes," please explain Has your organization or any of its Key Individuals ever been accused or been the subject of any law enforcement or regulatory investigation for matters related to bribery, corruption, fraud, tax evasion, anti-competition practices or any other forms of economic crimes? Yes No If "Yes," please explain Has your organization or any of its Key Individuals ever been terminated for cause, debarred, suspended or prohibited from conducting business or participating in any public tender process in any country, state, or municipality, or by any specific company, government entity or multi-lateral organization (including, but not limited to, state-owned enterprises, development authorities, and development banks)? Yes No If "Yes," please explain Has your organization ever filed for bankruptcy? Yes No If "Yes," please explain Are you required by law or regulation to be licensed to perform the services to Prysmian Group? Yes No If "Yes," are you properly licensed? Yes No Please upload a copy of your license Does your organization have a code of ethics and business conduct? Yes No Please upload a copy of your code of ethics and business conduct Does your organization have anti-corruption policies? Yes No Please upload a copy of your anti-corruption policies Does your organization conduct regular compliance training activities? Yes No Does your organization have a conflicts of interest policy? Yes No Do you have any other Agency contracts or relationships - including those of Agents owners, employees and sub-contractors - that could be considered or appear to be a conflict of interest with Prysmian Group? Yes No Does your organization have an ethics hotline or other whistle-blowing channels? Yes No Yes "Yes", please explain To the extent permitted by law, please provide two business references, of which one should be a bank reference: Business Reference #1 Title Contact Person Phone Email Address Country AfghanistanAlbaniaAlgeriaAngolaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMexicoMoldovaMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint LuciaSaint Vincent and the GrenadinesSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe City Address Name Remove Add Business Reference #2 (Bank Reference) Email Address Name Contact Person City Address Phone Title Country AfghanistanAlbaniaAlgeriaAngolaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMexicoMoldovaMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint LuciaSaint Vincent and the GrenadinesSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe Remove Add I certify, to the best of my knowledge, that the information provided is accurate and complete. Name Title Signature Signed by on May 21, 2024 Phone Number Start Submit * Terms and Conditions × * *