{"id":236,"date":"2016-07-11T10:23:59","date_gmt":"2016-07-11T09:23:59","guid":{"rendered":"http:\/\/jeib2.local\/travel-insurance\/%e8%a6%8b%e7%a9%8d%e3%82%8a%e3%81%94%e4%be%9d%e9%a0%bc%e3%82%aa%e3%83%b3%e3%83%a9%e3%82%a4%e3%83%b3%e3%83%95%e3%82%a9%e3%83%bc%e3%83%a0\/"},"modified":"2016-10-18T00:18:31","modified_gmt":"2016-10-17T23:18:31","slug":"quote-request","status":"publish","type":"page","link":"https:\/\/jeib.co.uk\/personal\/travel-insurance\/quote-request\/","title":{"rendered":"\u898b\u7a4d\u308a\u3054\u4f9d\u983c\u30d5\u30a9\u30fc\u30e0"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f243-o1\" lang=\"en-GB\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/personal\/wp-json\/wp\/v2\/pages\/236#wpcf7-f243-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"243\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_GB\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f243-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:243,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;regex_numeric&quot;:&quot;^[0-9]+$&quot;,&quot;regex_alphabetic&quot;:&quot;^[a-zA-Z]+$&quot;,&quot;regex_alphanumeric&quot;:&quot;^[a-zA-Z0-9]+$&quot;,&quot;regex_date&quot;:&quot;^(0?[1-9]|1[012])[- .](0?[1-9]|[12][0-9]|3[01])[- \\\/.](19|20)?[0-9]{2}$&quot;,&quot;regex_email&quot;:&quot;^[a-zA-Z0-9._%-]+@[a-zA-Z0-9.-]+.[a-zA-Z]{2,4}$&quot;,&quot;regex_numeric_label&quot;:&quot;numeric&quot;,&quot;regex_alphabetic_label&quot;:&quot;alphabetic&quot;,&quot;regex_alphanumeric_label&quot;:&quot;alphanumeric&quot;,&quot;regex_date_label&quot;:&quot;date&quot;,&quot;regex_email_label&quot;:&quot;email&quot;,&quot;regex_custom_1&quot;:&quot;&quot;,&quot;regex_custom_2&quot;:&quot;&quot;,&quot;regex_custom_3&quot;:&quot;&quot;,&quot;regex_custom_4&quot;:&quot;&quot;,&quot;regex_custom_5&quot;:&quot;&quot;,&quot;regex_custom_1_label&quot;:&quot;custom 1&quot;,&quot;regex_custom_2_label&quot;:&quot;custom 2&quot;,&quot;regex_custom_3_label&quot;:&quot;custom 3&quot;,&quot;regex_custom_4_label&quot;:&quot;custom 4&quot;,&quot;regex_custom_5_label&quot;:&quot;custom 5&quot;,&quot;notice_dismissed_rollback-cf7-5.8&quot;:true}}\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"enquiry\">\n\t<p>\u304a\u898b\u7a4d\u3082\u308a\u3092\u3054\u9001\u4ed8\u9802\u304f\u524d\u306b\u5fc5\u305a<a href=\"http:\/\/jeib.co.uk\/personal\/about\/privacy-policy\/\">\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30dd\u30ea\u30b7\u30fc<\/a>\u3092\u304a\u8aad\u307f\u4e0b\u3055\u3044\u3002\n\t<\/p>\n\t<div class=\"uk-alert uk-alert-warning\">\n\t\t<p>\u5fc5\u305a\u5168\u3066\u306e\u8cea\u554f\u306b\u304a\u7b54\u3048\u4e0b\u3055\u3044\n\t\t<\/p>\n\t<\/div>\n\t<h3>1. \u3054\u5951\u7d04\u8005\u306e\u8a73\u7d30\n\t<\/h3>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-1-3 uk-width-small-1-1\">\n\t\t\t<p>\u30bf\u30a4\u30c8\u30eb\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-2-3 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"title\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"title\"><option value=\"Mr\">Mr<\/option><option value=\"Mrs\">Mrs<\/option><option value=\"Miss\">Miss<\/option><option value=\"Ms\">Ms<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-1-3 uk-width-small-1-1\">\n\t\t\t<p>\u304a\u540d\u524d\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-2-3 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"person-name\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"person-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-1-3 uk-width-small-1-1\">\n\t\t\t<p>\u4fdd\u967a\u958b\u59cb\u5f8c\u5e0c\u671b\u65e5\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-2-3 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"start-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"start-date\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-1-3 uk-width-small-1-1\">\n\t\t\t<p>\u3054\u4f4f\u6240\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-2-3 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-1-3 uk-width-small-1-1\">\n\t\t\t<p>\u30dd\u30b9\u30c8\u30b3\u30fc\u30c9\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-2-3 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"postcode\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postcode\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-1-3 uk-width-small-1-1\">\n\t\t\t<p>Tel\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-2-3 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-1-3 uk-width-small-1-1\">\n\t\t\t<p>E-mail\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-2-3 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-1-3 uk-width-small-1-1\">\n\t\t\t<p>E-mail\uff08\u78ba\u8a8d\uff09*\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-2-3 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email_confirm\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email_confirm\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<h3>2. Area Visited \uff08\u65c5\u884c\u5148\uff09\n\t<\/h3>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"destination\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"destination\" value=\"Europe\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Europe<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"destination\" value=\"Worldwide excluding USA, Canada and all Caribbean Islands\" \/><span class=\"wpcf7-list-item-label\">Worldwide excluding USA, Canada and all Caribbean Islands<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"destination\" value=\"Worldwide including USA, Canada and all Caribbean Islands\" \/><span class=\"wpcf7-list-item-label\">Worldwide including USA, Canada and all Caribbean Islands<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<h3>3. Details of Travellers \uff08\u65c5\u884c\u8005\u306e\u8a73\u7d30\uff09\n\t<\/h3>\n\t<p style=\"margin:0 0 5px;\">\u540d\u524d\u30fb\u6027\u5225\u30fb\u751f\u5e74\u6708\u65e5\n\t<\/p>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-6-10 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller1-name\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u540d\u524d\uff08\u30ed\u30fc\u30de\u5b57\uff09\" value=\"\" type=\"text\" name=\"traveller1-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-1-10 uk-width-1-5\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller1-sex\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"traveller1-sex\"><option value=\"\u7537\u6027\">\u7537\u6027<\/option><option value=\"\u5973\u6027\">\u5973\u6027<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-3-10 uk-width-4-5\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller1-DOB\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u751f\u5e74\u6708\u65e5\" value=\"\" type=\"date\" name=\"traveller1-DOB\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-6-10 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller2-name\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u540d\u524d\uff08\u30ed\u30fc\u30de\u5b57\uff09\" value=\"\" type=\"text\" name=\"traveller2-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-1-10 uk-width-1-5\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller2-sex\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"traveller2-sex\"><option value=\"\u7537\u6027\">\u7537\u6027<\/option><option value=\"\u5973\u6027\">\u5973\u6027<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-3-10 uk-width-4-5\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller2-DOB\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"\u751f\u5e74\u6708\u65e5\" value=\"\" type=\"date\" name=\"traveller2-DOB\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-6-10 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller3-name\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u540d\u524d\uff08\u30ed\u30fc\u30de\u5b57\uff09\" value=\"\" type=\"text\" name=\"traveller3-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-1-10 uk-width-1-5\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller3-sex\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"traveller3-sex\"><option value=\"\u7537\u6027\">\u7537\u6027<\/option><option value=\"\u5973\u6027\">\u5973\u6027<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-3-10 uk-width-4-5\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller3-DOB\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"\u751f\u5e74\u6708\u65e5\" value=\"\" type=\"date\" name=\"traveller3-DOB\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-medium-6-10 uk-width-small-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller4-name\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u540d\u524d\uff08\u30ed\u30fc\u30de\u5b57\uff09\" value=\"\" type=\"text\" name=\"traveller4-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-1-10 uk-width-1-5\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller4-sex\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"traveller4-sex\"><option value=\"\u7537\u6027\">\u7537\u6027<\/option><option value=\"\u5973\u6027\">\u5973\u6027<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-medium-3-10 uk-width-4-5\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"traveller4-DOB\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"\u751f\u5e74\u6708\u65e5\" value=\"\" type=\"date\" name=\"traveller4-DOB\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<h3>4. Additional Cover \uff08\u8ffd\u52a0\u30ab\u30d0\u30fc\uff09\n\t<\/h3>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>a) Is baggage cover required?\uff08\u643a\u884c\u54c1\u30ab\u30d0\u30fc\uff09\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"baggage-cover\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"baggage-cover\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>b) Is winter sports cover required? \uff08\u30a6\u30a4\u30f3\u30bf\u30fc\u30b9\u30dd\u30fc\u30c4\u30ab\u30d0\u30fc\uff09\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"wintersports-cover\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"wintersports-cover\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>c) Is extended golfing cover required?\uff08\u30b4\u30eb\u30d5\u30ab\u30d0\u30fc\uff09\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"golf-cover\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"golf-cover\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>d) Length of stay\uff081\u56de\u306e\u65c5\u884c\u671f\u9593\uff09\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"length\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"length\"><option value=\"31\u65e5\">31\u65e5<\/option><option value=\"45\u65e5\">45\u65e5<\/option><option value=\"60\u65e5\">60\u65e5<\/option><option value=\"90\u65e5\">90\u65e5<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>e) Is hazardous activities cover required?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"hazardous\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"hazardous\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-1-3\">\n\t\t\t<p>\u2192Yes\u3068\u304a\u7b54\u3048\u306e\u65b9\uff1a\u30a2\u30af\u30c6\u30a3\u30d3\u30c6\u30a3\u5185\u5bb9\u3092\u3054\u8a18\u5165\u4e0b\u3055\u3044\uff08\u203bHazardous activities\uff08\u5371\u967a\u30b9\u30dd\u30fc\u30c4\u30fb\u30a2\u30af\u30c6\u30a3\u30d3\u30c6\u30a3\uff09\u3068\u306f\u3001\u30b9\u30ad\u30e5\u30fc\u30d0\u30c0\u30a4\u30d3\u30f3\u30b0\u3001\u30c8\u30ec\u30c3\u30ad\u30f3\u30b0\u3001\u30cf\u30a4\u30ad\u30f3\u30b0\u7b49\u3092\u6307\u3057\u307e\u3059\u3002\u8a73\u7d30\u306f\u304a\u554f\u3044\u5408\u308f\u305b\u4e0b\u3055\u3044\uff09\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-2-3\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"activity-details\"><textarea cols=\"40\" rows=\"10\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"activity-details\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<h3>5. General Questions\uff08\u8cea\u554f\u4e8b\u9805\uff09\n\t<\/h3>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>a) UK\u5c45\u4f4f\u8005\u3067\u3001GP(UK Doctor)\u306e\u767b\u9332\u306f\u6e08\u307e\u305b\u3066\u3044\u307e\u3059\u304b?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gp-registration\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"gp-registration\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>b) \u904e\u53bb12\u30f6\u6708\u4ee5\u5185\u306b\u75c5\u6c17\u3084\u30b1\u30ac\u3067\u533b\u5e2b\u306e\u6cbb\u7642\u3092\u53d7\u3051\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304b?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"medical-treatment\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"medical-treatment\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-1-3\">\n\t\t\t<p>\u2192Yes\u3068\u304a\u7b54\u3048\u306e\u65b9\uff1a\u8a73\u7d30\u3092\u3054\u8a18\u5165\u4e0b\u3055\u3044\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-2-3\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"medical-treatment-details\"><textarea cols=\"40\" rows=\"10\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-textarea details\" aria-invalid=\"false\" name=\"medical-treatment-details\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>c) \u3054\u65c5\u884c\u306e\u53d6\u6d88\u30fb\u77ed\u7e2e\u304c\u4e88\u60f3\u3055\u308c\u308b\u4e8b\u9805\uff08\u4f8b\u3048\u3070\u3001\u89aa\u65cf\u3084\u65c5\u884c\u540c\u4f34\u8005\u306a\u3069\u306e\u5065\u5eb7\u72b6\u614b\u60aa\u5316\u30fb\u5165\u9662\u306a\u3069\uff09\u306f\u3042\u308a\u307e\u3059\u304b?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cancel\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"cancel\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-1-3\">\n\t\t\t<p>\u2192Yes\u3068\u304a\u7b54\u3048\u306e\u65b9\uff1a\u8a73\u7d30\u3092\u3054\u8a18\u5165\u4e0b\u3055\u3044\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-2-3\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cancel-details\"><textarea cols=\"40\" rows=\"10\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-textarea details\" aria-invalid=\"false\" name=\"cancel-details\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>d) \u904e\u53bb3\u5e74\u4ee5\u5185\u306b\u65c5\u884c\u4fdd\u967a\u306e\u4fdd\u967a\u91d1\u8acb\u6c42\u3092\u3057\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304b?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"claim\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"claim\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-1-3\">\n\t\t\t<p>\u2192Yes\u3068\u304a\u7b54\u3048\u306e\u65b9\uff1a\u8a73\u7d30\u3092\u3054\u8a18\u5165\u4e0b\u3055\u3044\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-2-3\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"claim-details\"><textarea cols=\"40\" rows=\"10\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-textarea details\" aria-invalid=\"false\" name=\"claim-details\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>e) \u65c5\u884c\u4fdd\u967a\u306e\u5f15\u53d7\u3092\u62d2\u5426\u30fb\u53d6\u6d88\u3055\u308c\u305f\u308a\u3001\u7279\u5225\u6761\u4ef6\u3092\u8ab2\u305b\u3089\u308c\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304b?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"reject\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"reject\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-1-3\">\n\t\t\t<p>\u2192Yes\u3068\u304a\u7b54\u3048\u306e\u65b9\uff1a\u8a73\u7d30\u3092\u3054\u8a18\u5165\u4e0b\u3055\u3044\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-2-3\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"reject-details\"><textarea cols=\"40\" rows=\"10\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-textarea details\" aria-invalid=\"false\" name=\"reject-details\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>f) \u904e\u53bb5\u5e74\u4ee5\u5185\u306b\u8a50\u6b3a\u30fb\u4e0d\u6b63\u884c\u70ba\u306a\u3069\u306e\u72af\u7f6a\u3067\u6709\u7f6a\u5224\u6c7a\u3092\u53d7\u3051\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304b?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fraud\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"fraud\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-1-3\">\n\t\t\t<p>\u2192Yes\u3068\u304a\u7b54\u3048\u306e\u65b9\uff1a\u8a73\u7d30\u3092\u3054\u8a18\u5165\u4e0b\u3055\u3044\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-2-3\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fraud-details\"><textarea cols=\"40\" rows=\"10\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-textarea details\" aria-invalid=\"false\" name=\"fraud-details\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-small-4-5\">\n\t\t\t<p>g) \u3054\u65c5\u884c\u306e\u76ee\u7684\u306f\u89b3\u5149\u3067\u3059\u304b?\u3000\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"uk-width-small-1-5 last\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sightseeing\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"sightseeing\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<h3>6. \u305d\u306e\u4ed6\uff08\u3054\u8cea\u554f\u3001\u304a\u554f\u5408\u305b\u7b49\u304c\u3054\u3056\u3044\u307e\u3057\u305f\u3089\u4e0b\u8a18\u306e\u6b04\u306b\u3054\u8a18\u5165\u4e0b\u3055\u3044\uff09\n\t<\/h3>\n\t<div class=\"uk-grid\">\n\t\t<div class=\"uk-width-1-1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"message\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-1-1\">\n\t\t<span class=\"wpcf7-form-control-wrap recaptcha\" data-name=\"recaptcha\"><span data-sitekey=\"6LcsDQwUAAAAAMMqH0G-I5QEk23bJ9QQbp3Xtacz\" class=\"wpcf7-form-control wpcf7-recaptcha g-recaptcha\"><\/span>\r\n<noscript>\r\n\t<div class=\"grecaptcha-noscript\">\r\n\t\t<iframe loading=\"lazy\" src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6LcsDQwUAAAAAMMqH0G-I5QEk23bJ9QQbp3Xtacz\" frameborder=\"0\" scrolling=\"no\" width=\"310\" height=\"430\">\r\n\t\t<\/iframe>\r\n\t\t<textarea name=\"g-recaptcha-response\" rows=\"3\" cols=\"40\" placeholder=\"reCaptcha Response Here\">\r\n\t\t<\/textarea>\r\n\t<\/div>\r\n<\/noscript>\r\n<\/span>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-1-1\">\n\t\t\t<p class=\"caution-acceptance\">\u304a\u898b\u7a4d\u3082\u308a\u3092\u3054\u9001\u4ed8\u9802\u304f\u524d\u306b\u5fc5\u305a<a href=\"http:\/\/jeib.co.uk\/personal\/about\/privacy-policy\/\" target=\"_blank\">\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30dd\u30ea\u30b7\u30fc<\/a>\u3092\u3054\u78ba\u8a8d\u3044\u305f\u3060\u304d\u3001\u4e0b\u306e\u30c6\u30a3\u30c3\u30af\u30dc\u30c3\u30af\u30b9\u3092\u30c1\u30a7\u30c3\u30af\u4e0b\u3055\u3044\u3002\n\t\t\t<\/p>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> Yes, I read the <a href=\"http:\/\/jeib.co.uk\/personal\/about\/privacy-policy\/\" target=\"_blank\">privacy policy \/ \u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30dd\u30ea\u30b7\u30fc<\/a>\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\u3002\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"uk-grid uk-grid-small\">\n\t\t<div class=\"uk-width-1-1\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u9001\u4fe1\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":7,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"acf":[],"_links":{"self":[{"href":"https:\/\/jeib.co.uk\/personal\/wp-json\/wp\/v2\/pages\/236"}],"collection":[{"href":"https:\/\/jeib.co.uk\/personal\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jeib.co.uk\/personal\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jeib.co.uk\/personal\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/jeib.co.uk\/personal\/wp-json\/wp\/v2\/comments?post=236"}],"version-history":[{"count":7,"href":"https:\/\/jeib.co.uk\/personal\/wp-json\/wp\/v2\/pages\/236\/revisions"}],"predecessor-version":[{"id":393,"href":"https:\/\/jeib.co.uk\/personal\/wp-json\/wp\/v2\/pages\/236\/revisions\/393"}],"up":[{"embeddable":true,"href":"https:\/\/jeib.co.uk\/personal\/wp-json\/wp\/v2\/pages\/7"}],"wp:attachment":[{"href":"https:\/\/jeib.co.uk\/personal\/wp-json\/wp\/v2\/media?parent=236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}