{"id":3300,"date":"2026-03-14T22:23:55","date_gmt":"2026-03-14T14:23:55","guid":{"rendered":"https:\/\/dev.yayasanbankrakyat.com\/sir\/?page_id=3300"},"modified":"2026-03-14T22:23:55","modified_gmt":"2026-03-14T14:23:55","slug":"membership-registration","status":"publish","type":"page","link":"https:\/\/sir.yayasanbankrakyat.com.my\/index.php\/membership-registration\/","title":{"rendered":"Membership Registration"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_6' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Membership Registration<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/index.php\/wp-json\/wp\/v2\/pages\/3300' data-formid='6' novalidate><div id=\"payments-sdk__contingency-lightbox\"><\/div><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_6\" \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_35\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_35'>Company<\/label><div class='gfield_description' id='gfield_description_6_35'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_35' id='input_6_35' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_6_34\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_6_34'>Corporate Registration<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_6_34' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_5\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">New User ? Please Register , Existing User? Please Renew<\/h3><div class='gsection_description' id='gfield_description_6_5'>Account Information<\/div><\/div><div id=\"field_6_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_29'>Membership Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select disabled=\"true\" name='input_29' id='input_6_29' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option disabled=\"true\" selected value='' selected='selected' class='gf_placeholder'>Sila Pilih<\/option><option disabled=\"true\" selected value='' selected='selected'>&ndash; Fill Out Other Fields &ndash;<\/option><\/select><\/div><\/div><div id=\"field_6_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_6_18'>Membership Type (Original 5, DON&#039;T DELETE)<\/label><div class='ginput_container ginput_container_select'><select disabled='disabled' name='input_18' id='input_6_18' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Sila Pilih<\/option><option value='Bank Rakyat' >Bank Rakyat<\/option><option value='Customers' >Customers<\/option><option value='IPTA Student' >IPTA Student<\/option><option value='Senior' >Senior<\/option><option value='Non Members' >Non Members<\/option><option value='Companies' >Companies<\/option><option value='CORPORATE' >CORPORATE<\/option><option value='PRIMARY SCHOOL' >PRIMARY SCHOOL<\/option><\/select><input type=\"hidden\" id=\"gwro_hidden_capture_6_18\" name=\"gwro_hidden_capture_6_18\" value=\"\" class=\"gf-default-disabled\" \/><\/div><\/div><div id=\"field_6_30\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_30'>Registration Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_6_30' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='New' >New<\/option><option value='Renewal' >Renewal<\/option><\/select><\/div><\/div><div data-fieldId=\"30\" class=\"spacer gfield\" style=\"grid-column: span 9;\" data-groupId=\"41738488\"><\/div><div id=\"field_6_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_31'>Registered Email<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_6_31' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_1'>\n                            \n                            <span id='input_6_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_6_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_6_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_6_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_6_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_6_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_6_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_6_2_container'>\n                                <span id='input_6_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_6_2' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                    <input class='' type='email' name='input_2' id='input_6_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_6_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_6_2_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_6_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_6_4\" class=\"gfield gfield--type-password gfield--input-type-password gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Password<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_password gform-grid-row' id='input_6_4_container'>\n\t\t\t\t\t\t<span id='input_6_4_1_container' class='ginput_password ginput_left gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<label for='input_6_4' class='gform-field-label gform-field-label--type-sub '>Enter Password<\/label>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_4' id='input_6_4' onkeyup='gformShowPasswordStrength(\"input_6_4\");' onchange='gformShowPasswordStrength(\"input_6_4\");' aria-describedby=\"input_6_4_strength_indicator\" value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t<button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple' onclick='javascript:gformToggleShowPassword(\"input_6_4\");' aria-live='polite' aria-label='Show Password' data-label-show='Show Password' data-label-hide='Hide Password'><span class='dashicons dashicons-hidden' aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span id='input_6_4_2_container' class='ginput_password ginput_right gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<label for='input_6_4_2' class='gform-field-label gform-field-label--type-sub '>Confirm Password<\/label>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_4_2' id='input_6_4_2' onkeyup='gformShowPasswordStrength(\"input_6_4\");' onchange='gformShowPasswordStrength(\"input_6_4\");' value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t<button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple' onclick='javascript:gformToggleShowPassword(\"input_6_4_2\");' aria-live='polite' aria-label='Show Password' data-label-show='Show Password' data-label-hide='Hide Password'><span class='dashicons dashicons-hidden' aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><div id='input_6_4_strength_indicator' class='gfield_password_strength'  aria-live='assertive' aria-atomic='true'>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tStrength indicator\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input type='hidden' class='gform_hidden' id='input_6_4_strength' name='input_4_strength' \/><\/fieldset><div id=\"field_6_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Personal Information<\/h3><\/div><div id=\"field_6_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_33'>Fullname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_6_33' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_6'>Staff ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_6_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_8'>Company<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_6_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_9'>IC Number \/ Passport<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_6_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_10\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_6_10' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_10_1_container' >\n                                        <label for='input_6_10_1' id='input_6_10_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_10.1' id='input_6_10_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_10_3_container' >\n                                    <label for='input_6_10_3' id='input_6_10_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_10.3' id='input_6_10_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_10_4_container' >\n                                        <label for='input_6_10_4' id='input_6_10_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_10.4' id='input_6_10_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='JOHOR' >JOHOR<\/option><option value='KEDAH' >KEDAH<\/option><option value='KELANTAN' >KELANTAN<\/option><option value='MELAKA' >MELAKA<\/option><option value='NEGERI SEMBILAN' >NEGERI SEMBILAN<\/option><option value='PAHANG' >PAHANG<\/option><option value='PULAU PINANG' >PULAU PINANG<\/option><option value='PERAK' >PERAK<\/option><option value='PERLIS' >PERLIS<\/option><option value='SABAH' >SABAH<\/option><option value='SARAWAK' >SARAWAK<\/option><option value='SELANGOR' >SELANGOR<\/option><option value='TERENGGANU' >TERENGGANU<\/option><option value='W.P. KUALA LUMPUR' >W.P. KUALA LUMPUR<\/option><option value='W.P. LABUAN' >W.P. LABUAN<\/option><option value='W.P. PUTRAJAYA' >W.P. PUTRAJAYA<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_6_10_5_container' >\n                                    <label for='input_6_10_5' id='input_6_10_5_label' class='gform-field-label gform-field-label--type-sub '>Poscode<\/label>\n                                    <input type='text' name='input_10.5' id='input_6_10_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_10.6' id='input_6_10_6' value='Malaysia' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_6_27\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_27'>Year(s) to subscribe<\/label><div class='ginput_container ginput_container_number'><input name='input_27' id='input_6_27' type='number' step='any' min='1'  value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_6_27\" \/><div class='gfield_description instruction ' id='gfield_instruction_6_27'>Please enter a number greater than or equal to <strong>1<\/strong>.<\/div><\/div><\/div><div id=\"field_6_20\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gw-field-type-date gw-field-dateType-datepicker gw-field-dateFormat-dmy field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_20'>Subscription starts<\/label><div class='ginput_container ginput_container_date'>\n                            <input readonly='readonly' name='input_20' id='input_6_20' type='text' value='26\/05\/2026' class='gpro-disabled-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_6_20_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_20_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <input type=\"hidden\" id=\"gwro_hidden_capture_6_20\" name=\"gwro_hidden_capture_6_20\" value=\"26\/05\/2026\" class=\"gf-default-disabled\" \/><\/div>\n                        <input readonly='readonly' type='hidden' id='gforms_calendar_icon_input_6_20' class='gform_hidden' value='https:\/\/sir.yayasanbankrakyat.com.my\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_6_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_24'>Subscription ends<\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_24' id='input_6_24' type='text' value='{subscription_end}' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_32\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gw-field-type-date gw-field-dateType-datepicker gw-field-dateFormat-dmy field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_6_32'>Hidden date ends<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_32' id='input_6_32' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_6_32_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_32_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_32' class='gform_hidden' value='https:\/\/sir.yayasanbankrakyat.com.my\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_6_11\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_11'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_6_11' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_12\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_6_12 gfield_product_6_12 gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_6_12_1'>Member\/Staff Membership Fee<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_12.1' value='Member\/Staff Membership Fee' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_6_12' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_6_12'>&#082;&#077; 10.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_12.2' id='ginput_base_price_6_12' class='gform_hidden ginput_calculated_price' value='RM 10.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_12.3' value='1' class='ginput_quantity_6_12 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_6_15\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_6_15 gfield_product_6_15 gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_6_15_1'>Senior Membership Fee<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_15.1' value='Senior Membership Fee' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_6_15' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_6_15'>&#082;&#077; 6.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_15.2' id='ginput_base_price_6_15' class='gform_hidden ginput_calculated_price' value='RM 6.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_15.3' value='1' class='ginput_quantity_6_15 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_6_17\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_6_17 gfield_product_6_17 gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_6_17_1'>Product Name<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_17.1' value='Product Name' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_6_17' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_6_17'>&#082;&#077; 20.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_17.2' id='ginput_base_price_6_17' class='gform_hidden ginput_calculated_price' value='RM 20.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_17.3' value='1' class='ginput_quantity_6_17 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><fieldset id=\"field_6_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Payment Method<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_25'>\n\t\t\t<div class='gchoice gchoice_6_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='IPAY88'  id='choice_6_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_25_0' id='label_6_25_0' class='gform-field-label gform-field-label--type-inline'>IPAY88 (FPX\/Credit Card\/eWallet)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Paypal'  id='choice_6_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_25_1' id='label_6_25_1' class='gform-field-label gform-field-label--type-inline'>Paypal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='JomPay'  id='choice_6_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_25_2' id='label_6_25_2' class='gform-field-label gform-field-label--type-inline'>JomPay<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_25_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Walk In Payment'  id='choice_6_25_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_25_3' id='label_6_25_3' class='gform-field-label gform-field-label--type-inline'>Walk In Payment<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_26\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >For JomPay please make payment with the details below : <br \/>\n<img decoding=\"async\" src=\"https:\/\/sir.yayasanbankrakyat.com.my\/wp-content\/uploads\/2024\/06\/jompay.png\"><\/div><fieldset id=\"field_6_19\" class=\"gfield gfield--type-paypal gfield--input-type-paypal gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gform_ppcp_custom_card_fields\"  data-field-class=\"gform_ppcp_custom_card_fields\" ><legend class='gfield_label gfield_label_before_complex gform-field-label' for='input_6_19_1' ><label class='gfield_label gform-field-label'>Payment Method<\/label><\/legend><div class='ginput_container ginput_container_select gform_ppcp_payment_method' style=\"display:none;\"><select name='input_19.6' id='input_19_6' class='medium gfield_select' ><option value='PayPal Checkout' selected='selected'>PayPal Checkout<\/option><\/select><\/div><div class='ginput_complex ginput_container ginput_container_custom_card_fields gform-grid-row' id='input_6_19' style=\"display:none;\"><span class='ginput_full gform-grid-col' id='input_6_19_1_container' >\n                                    <div class='gform_card_icon_container gform_card_icon_style1'><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_6_19_supported_creditcards'>Supported Credit Cards: MasterCard, Visa<\/span><\/div>\n                                    <label for='input_6_19_1' id='input_6_19_1_label'  class='gform-field-label gform-field-label--type-sub'>Card Number<\/label>\n                                    <span id='input_6_19_1' class='ginput_card_field ginput_card_number gform-theme-field-control'><\/span>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_6_19_2_container'>\n                                            <span class='ginput_cardinfo_left gform-grid-col' id='input_6_19_2_cardinfo_left'>\n                                                <label for='input_6_19_2'  class='gform-field-label gform-field-label--type-sub'>Expiration Date<\/label>\n                                                <span id='input_6_19_2' class='ginput_card_field ginput_card_expiration gform-theme-field-control'><\/span>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_6_19_2_cardinfo_right'>\n                                                <label for='input_6_19_3'  class='gform-field-label gform-field-label--type-sub'>Security Code<\/label>\n                                                <span id='input_6_19_3' class='ginput_card_field ginput_card_security_code gform-theme-field-control'><\/span>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_6_19_5_container'>\n                                            <label for='input_6_19_5' id='input_6_19_5_label'  class='gform-field-label gform-field-label--type-sub'>Cardholder Name<\/label>\n                                            <input type='text' name='input_19.5' id='input_6_19_5' value=''  \/>\n                                        <\/span> <\/div><\/fieldset><div id=\"field_6_13\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_6_ gfield_total gfield_total_6_ field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_6_13'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_13' id='input_6_13' value='&#82;&#77; 0.00' class='gform-text-input-reset ginput_total ginput_total_6' \/>\n\t\t\t\t\t\t<\/div><\/div><fieldset id=\"field_6_16\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_6_16' tabindex='0'>By signing up to this subscription, you agree to the Privacy Policy to this web site storing your information.<\/div><div class='ginput_container ginput_container_consent'><input name='input_16.1' id='input_6_16_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_6_16\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_6_16_1' >I agree to the privacy policy.<\/label><input type='hidden' name='input_16.2' value='I agree to the privacy policy.' class='gform_hidden' \/><input type='hidden' name='input_16.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_6' class='gform_button 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