{"id":308,"date":"2025-11-20T07:12:01","date_gmt":"2025-11-20T07:12:53","guid":{"rendered":"https:\/\/www.eskom.co.za\/esdef\/?page_id=308"},"modified":"2026-03-29T20:51:00","modified_gmt":"2026-03-29T20:51:00","slug":"application-form","status":"publish","type":"page","link":"https:\/\/www.eskom.co.za\/esdef\/application-form\/","title":{"rendered":"Application Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"308\" class=\"elementor elementor-308\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5f1cfc5 e-flex e-con-boxed e-con e-parent\" data-id=\"5f1cfc5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6fb7917 e-con-full e-flex e-con e-child\" data-id=\"6fb7917\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a60cb3d elementor-widget elementor-widget-image\" data-id=\"a60cb3d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"240\" src=\"https:\/\/www.eskom.co.za\/esdef\/wp-content\/uploads\/2025\/11\/Esdef-banner-1024x240.png\" class=\"attachment-large size-large wp-image-108\" alt=\"\" srcset=\"https:\/\/www.eskom.co.za\/esdef\/wp-content\/uploads\/2025\/11\/Esdef-banner-1024x240.png 1024w, https:\/\/www.eskom.co.za\/esdef\/wp-content\/uploads\/2025\/11\/Esdef-banner-300x70.png 300w, https:\/\/www.eskom.co.za\/esdef\/wp-content\/uploads\/2025\/11\/Esdef-banner-768x180.png 768w, https:\/\/www.eskom.co.za\/esdef\/wp-content\/uploads\/2025\/11\/Esdef-banner.png 1379w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0466d99 elementor-widget elementor-widget-spacer\" data-id=\"0466d99\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-16b55a2 e-flex e-con-boxed e-con e-parent\" data-id=\"16b55a2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0349644 elementor-widget elementor-widget-html\" data-id=\"0349644\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t\r\n<h2 color: #003087>Please Complete the Application Form<\/h2>\r\n    <p>Provide accurate and complete information in all required fields before submitting your application.<\/p>\r\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cbee259 elementor-widget elementor-widget-formidable\" data-id=\"cbee259\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"formidable.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_6_container\" data-token=\"50d9f6580eda08b9cf25471206dad2d2\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_new-application-form\" data-token=\"50d9f6580eda08b9cf25471206dad2d2\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">New Application Form<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"6\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_6\" id=\"frm_hide_fields_6\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"new-application-form\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_6\" name=\"frm_submit_entry_6\" value=\"15c579022f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/esdef\/wp-json\/wp\/v2\/pages\/308\" \/><div id=\"frm_field_121_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Organisation Details<\/h3>\r\n\r\n\r\n<div id=\"frm_field_134_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm6 frm_first\">\r\n\t<label for=\"field_fhz1o\" id=\"field_fhz1o_label\" class=\"frm_primary_label\">Applicant First name: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_fhz1o\" name=\"item_meta[134]\" value=\"\"  data-sectionid=\"121\"  data-reqmsg=\"Applicant First name:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Applicant First name:  is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_fhz1o\" \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_fhz1o\">Contact person<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_132_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm6\">\r\n\t<label for=\"field_l8xrt\" id=\"field_l8xrt_label\" class=\"frm_primary_label\">Applicant Surname: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_l8xrt\" name=\"item_meta[132]\" value=\"\"  data-sectionid=\"121\"  data-reqmsg=\"Applicant Surname:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Applicant Surname:  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_141_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm6 frm_first\">\r\n\t<label for=\"field_ex7kf\" id=\"field_ex7kf_label\" class=\"frm_primary_label\">Organisation registration number: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_ex7kf\" name=\"item_meta[141]\" value=\"\"  data-sectionid=\"121\"  data-frmmask=\"0000\/000000\/00\" maxlength=\"14\" placeholder=\"2026\/123456\/05\" data-reqmsg=\"Organisation registration number:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Organisation registration number:  is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d\\d\\d\\\/\\d\\d\\d\\d\\d\\d\\\/\\d\\d$\"   aria-describedby=\"frm_desc_field_ex7kf\" \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_ex7kf\">CIPC registration number<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_142_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm6\">\r\n\t<label for=\"field_f1216\" id=\"field_f1216_label\" class=\"frm_primary_label\">Name of Organisation: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_f1216\" name=\"item_meta[142]\" value=\"\"  data-sectionid=\"121\"  data-reqmsg=\"Name of Organisation:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name of Organisation:  is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_f1216\" \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_f1216\">CIPC registration name<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_136_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm6 frm_first\">\r\n\t<label for=\"field_mp2a4\" id=\"field_mp2a4_label\" class=\"frm_primary_label\">Organisation Telephone number: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_mp2a4\" name=\"item_meta[136]\" value=\"\"  data-sectionid=\"121\"  data-frmmask=\"(000) 000 0000\" data-reqmsg=\"Organisation Telephone number:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Organisation Telephone number:  is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d \\d\\d\\d\\d$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_137_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm6\">\r\n\t<label for=\"field_s13fa\" id=\"field_s13fa_label\" class=\"frm_primary_label\">Alternative Cell number: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_s13fa\" name=\"item_meta[137]\" value=\"\"  data-sectionid=\"121\"  data-frmmask=\"000 000 0000\" data-reqmsg=\"Alternative Cell number:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Alternative Cell number:  is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d\\d \\d\\d\\d \\d\\d\\d\\d$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_138_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm_half\">\r\n\t<label for=\"field_dqfcy\" id=\"field_dqfcy_label\" class=\"frm_primary_label\">Email\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_dqfcy\" name=\"item_meta[138]\" value=\"\"  data-sectionid=\"121\"  autocomplete=\"email\"  placeholder=\"example@domain.co.za\" data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_123_container\" class=\"frm_form_field frm_section_heading form-field  frm6 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Physical Adress: <\/h3>\r\n\r\n\r\n<div id=\"frm_field_143_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n\t<label for=\"field_kjrjs\" id=\"field_kjrjs_label\" class=\"frm_primary_label\">Address line 1: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_kjrjs\" name=\"item_meta[143]\" value=\"\"  data-sectionid=\"123\"  data-reqmsg=\"Address line 1:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address line 1:  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_144_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n\t<label for=\"field_tdiu1\" id=\"field_tdiu1_label\" class=\"frm_primary_label\">Address line 2: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_tdiu1\" name=\"item_meta[144]\" value=\"\"  data-sectionid=\"123\"  data-reqmsg=\"Address line 2:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address line 2:  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_145_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm10\">\r\n\t<label for=\"field_2uudi\" id=\"field_2uudi_label\" class=\"frm_primary_label\">Town \/ City: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_2uudi\" name=\"item_meta[145]\" value=\"\"  data-sectionid=\"123\"  data-reqmsg=\"Town \/ City:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Town \/ City:  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_170_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm10\">\r\n\t<label for=\"field_2jz7j\" id=\"field_2jz7j_label\" class=\"frm_primary_label\">Province: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[170]\" id=\"field_2jz7j\"  data-sectionid=\"123\"  data-placeholder=\"Select Province\"  placeholder=\"Select Province\" data-reqmsg=\"Province:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Province:  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">Select Province<\/option><option  value=\"Eastern Cape\">Eastern Cape<\/option><option  value=\"Free State\">Free State<\/option><option  value=\"Gauteng\">Gauteng<\/option><option  value=\"KwaZulu-Natal\">KwaZulu-Natal<\/option><option  value=\"Limpopo\">Limpopo<\/option><option  value=\"Mpumalanga\">Mpumalanga<\/option><option  value=\"Northern Cape\">Northern Cape<\/option><option  value=\"North West\">North West<\/option><option  value=\"Western Cape\">Western Cape<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_171_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm10\">\r\n\t<label for=\"field_dbj8i\" id=\"field_dbj8i_label\" class=\"frm_primary_label\">Local Municipality: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[171]\" id=\"field_dbj8i\"  data-sectionid=\"123\"  data-placeholder=\"Select Local Municipality\"  placeholder=\"Select Local Municipality\" data-reqmsg=\"Local Municipality:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Local Municipality:  is invalid\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">Select Local Municipality<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_173_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm_first frm_three_fourths\">\r\n\t<label for=\"field_kjyid\" id=\"field_kjyid_label\" class=\"frm_primary_label\">District Municipality: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_kjyid\" name=\"item_meta[173]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"123\"  data-reqmsg=\"District Municipality:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"District Municipality:  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_149_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm_first frm_half\">\r\n\t<label for=\"field_iuz0z\" id=\"field_iuz0z_label\" class=\"frm_primary_label\">Area code: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_iuz0z\" name=\"item_meta[149]\" value=\"\"  data-sectionid=\"123\"  data-reqmsg=\"Area code:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Area code:  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_127_container\" class=\"frm_form_field frm_section_heading form-field  frm6\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Postal Address: <\/h3>\r\n\r\n\r\n<div id=\"frm_field_150_container\" class=\"frm_form_field form-field  frm_left_container frm10\">\r\n\t<label for=\"field_fy0xf\" id=\"field_fy0xf_label\" class=\"frm_primary_label\">Address line 1: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_fy0xf\" name=\"item_meta[150]\" value=\"\"  data-sectionid=\"127\"  data-invmsg=\"Address line 1:  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_151_container\" class=\"frm_form_field form-field  frm_left_container frm10\">\r\n\t<label for=\"field_2q4hi\" id=\"field_2q4hi_label\" class=\"frm_primary_label\">Address line 2: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_2q4hi\" name=\"item_meta[151]\" value=\"\"  data-sectionid=\"127\"  data-invmsg=\"Address line 2:  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_152_container\" class=\"frm_form_field form-field  frm_left_container frm_three_fourths\">\r\n\t<label for=\"field_lpp6y\" id=\"field_lpp6y_label\" class=\"frm_primary_label\">Town \/ City: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_lpp6y\" name=\"item_meta[152]\" value=\"\"  data-sectionid=\"127\"  data-invmsg=\"Town \/ City:  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_153_container\" class=\"frm_form_field form-field  frm_left_container frm_half\">\r\n\t<label for=\"field_z7gx2\" id=\"field_z7gx2_label\" class=\"frm_primary_label\">Postal code:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_z7gx2\" name=\"item_meta[153]\" value=\"\"  data-sectionid=\"127\"  data-invmsg=\"Postal code: is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_175_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n\t<label for=\"field_1tiqh\" id=\"field_1tiqh_label\" class=\"frm_primary_label\">District Hidden\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_1tiqh\" name=\"item_meta[175]\" value=\"\"  data-invmsg=\"District Hidden is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_125_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Demographics<\/h3>\r\n\r\n\r\n<div id=\"frm_field_163_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm_first frm_half\">\r\n\t<label for=\"field_j1ou8\" id=\"field_j1ou8_label\" class=\"frm_primary_label\">Total number of Beneficiaries Impacted: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_j1ou8\" name=\"item_meta[163]\" value=\"\" data-sectionid=\"125\"  data-reqmsg=\"Total number of Beneficiaries Impacted:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Total number of Beneficiaries Impacted:  is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"100000\" step=\"any\" \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_165_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm_half\">\r\n\t<label for=\"field_zdtr7\" id=\"field_zdtr7_label\" class=\"frm_primary_label\">Total Number of People living with disabilities (PWD): \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_zdtr7\" name=\"item_meta[165]\" value=\"\" data-sectionid=\"125\"  data-reqmsg=\"Total Number of People living with disabilities (PWD):  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Total Number of People living with disabilities (PWD):  is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"100000\" step=\"any\" \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_164_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm_first frm_half\">\r\n\t<label for=\"field_ww8b2\" id=\"field_ww8b2_label\" class=\"frm_primary_label\">Total Number of Female: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_ww8b2\" name=\"item_meta[164]\" value=\"\" data-sectionid=\"125\"  data-reqmsg=\"Total Number of Female:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Total Number of Female:  is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"100000\" step=\"any\" \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_166_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container frm_half\">\r\n\t<label for=\"field_285ap\" id=\"field_285ap_label\" class=\"frm_primary_label\">Total Number of Male: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_285ap\" name=\"item_meta[166]\" value=\"\" data-sectionid=\"125\"  data-reqmsg=\"Total Number of Male:  cannot be blank.\" aria-required=\"true\" data-invmsg=\"Total Number of Male:  is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"100000\" step=\"any\" \/>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_129_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Services Requested and Supporting Documents<\/h3>\r\n\r\n\r\n<div id=\"frm_field_174_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n\t<label for=\"field_6rc7a\" id=\"field_6rc7a_label\" class=\"frm_primary_label\">Service\/need requested:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[174]\" id=\"field_6rc7a\" rows=\"5\"  data-sectionid=\"129\"  data-reqmsg=\"Service\/need requested: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Service\/need requested: is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_159_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n\t<label for=\"field_t1x37\" id=\"field_t1x37_label\" class=\"frm_primary_label\">Signed and dated application letter: \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"hidden\"  data-sectionid=\"129\"  data-invmsg=\"Signed and dated application letter:  is invalid\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[159]\"  value=\"\" data-frmfile=\"159\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file159_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file159\" id=\"field_t1x37\"\n\t\t\t data-sectionid=\"129\"  data-invmsg=\"Signed and dated application letter:  is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Signed and dated application letter: . Drop a file here or click to upload. Maximum file size: 5MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Signed and dated application letter: . Choose File. Maximum file size: 5MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_160_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n\t<label for=\"field_u3spb\" id=\"field_u3spb_label\" class=\"frm_primary_label\">Latest 3 month stamped organisation bank statement:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"hidden\"  data-sectionid=\"129\"  data-invmsg=\"Latest 3 month stamped organisation bank statement: is invalid\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[160]\"  value=\"\" data-frmfile=\"160\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file160_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file160\" id=\"field_u3spb\"\n\t\t\t data-sectionid=\"129\"  data-invmsg=\"Latest 3 month stamped organisation bank statement: is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Latest 3 month stamped organisation bank statement:. Drop a file here or click to upload. Maximum file size: 5MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Latest 3 month stamped organisation bank statement:. Choose File. Maximum file size: 5MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_161_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n\t<label for=\"field_cr1rb\" id=\"field_cr1rb_label\" class=\"frm_primary_label\">Three (3) quotations (upload as a single file):\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"hidden\"  data-sectionid=\"129\"  data-invmsg=\"Three (3) quotations (upload as a single file): is invalid\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[161]\"  value=\"\" data-frmfile=\"161\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file161_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file161\" id=\"field_cr1rb\"\n\t\t\t data-sectionid=\"129\"  data-invmsg=\"Three (3) quotations (upload as a single file): is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Three (3) quotations (upload as a single file):. Drop a file here or click to upload. Maximum file size: 5MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Three (3) quotations (upload as a single file):. Choose File. Maximum file size: 5MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_162_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_pmjdo_label\" class=\"frm_primary_label\">Declaration:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_pmjdo_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_162-0\">\t\t\t<label  for=\"field_pmjdo-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[162][]\" id=\"field_pmjdo-0\" value=\"By submitting this application, I hereby confirm that all information provided is accurate, complete, and truthful to the best of my knowledge. I understand that the submission of this application does not guarantee approval or funding. The Eskom Development Foundation (ESDEF) reserves the right to verify the information provided and make decisions at its sole discretion.\"  data-reqmsg=\"Declaration: cannot be blank.\" data-invmsg=\"Declaration: is invalid\"   aria-required=\"true\"  \/> By submitting this application, I hereby confirm that all information provided is accurate, complete, and truthful to the best of my knowledge. I understand that the submission of this application does not guarantee approval or funding. 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