Personal Details

parent.activateValidation({"message":"Your name is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />
parent.handleCheckbox(el, 'onLoad')} class="mf-checkbox multi-option-input-type" id="mf-input-checkbox-540c86a">
<${validation.ErrorMessage} errors=${validation.errors} name="mf-checkbox" as=${html``} />
parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-email" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-number" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />

Address

parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />

Socio Economic Conditions

parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />
parent.handleCheckbox(el, 'onLoad')} class="mf-checkbox multi-option-input-type" id="mf-input-checkbox-7482b9e">
<${validation.ErrorMessage} errors=${validation.errors} name="mf-checkbox" as=${html``} />
parent.handleCheckbox(el, 'onLoad')} class="mf-checkbox multi-option-input-type" id="mf-input-checkbox-5f77338">
<${validation.ErrorMessage} errors=${validation.errors} name="mf-checkbox" as=${html``} />
parent.handleCheckbox(el, 'onLoad')} class="mf-checkbox multi-option-input-type" id="mf-input-checkbox-ab835c5">
<${validation.ErrorMessage} errors=${validation.errors} name="mf-checkbox" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />

Representative

parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />

Reason for the Complain

parent.handleCheckbox(el, 'onLoad')} class="mf-checkbox multi-option-input-type" id="mf-input-checkbox-2f7b44e">
<${validation.ErrorMessage} errors=${validation.errors} name="mf-checkbox" as=${html``} />
parent.handleCheckbox(el, 'onLoad')} class="mf-checkbox multi-option-input-type" id="mf-input-checkbox-6915a3c">
<${validation.ErrorMessage} errors=${validation.errors} name="mf-checkbox" as=${html``} />

Additional Comments

<${validation.ErrorMessage} errors=${validation.errors} name="mf-textarea" as=${html``} />