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name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$UserLoc$txtText" type="text" maxlength="200" id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_UserLoc_txtText" class="form-control" /> </div></div><label id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ContactFirstName_lb" class="EditingFormLabel" for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ContactFirstName_txtText">First name*</label><div id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ncpcontactfirstname" class="EditingFormControlNestedControl editing-form-control-nested-control"> <input name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$ContactFirstName$txtText" type="text" maxlength="200" id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ContactFirstName_txtText" class="form-control" /> </div><br /> <label id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ContactLastName_lb" class="EditingFormLabel" for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ContactLastName_txtText">Last name*</label><div id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ncpcontactlastname" class="EditingFormControlNestedControl editing-form-control-nested-control"> <input name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$ContactLastName$txtText" type="text" maxlength="200" id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ContactLastName_txtText" class="form-control" /> </div><br /> <label id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ContactEmail_lb" class="EditingFormLabel" for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ContactEmail_txtEmailInput">Email*</label><div id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ncpcontactemail" class="EditingFormControlNestedControl editing-form-control-nested-control"> <input name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$ContactEmail$txtEmailInput" type="text" maxlength="254" id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ContactEmail_txtEmailInput" class="form-control" /> </div><br /> <label id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_PostCode_lb" class="EditingFormLabel" for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_PostCode_txtText">Postcode*</label><div id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ncppostcode" class="EditingFormControlNestedControl editing-form-control-nested-control"> <input name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$PostCode$txtText" type="text" maxlength="5" id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_PostCode_txtText" class="form-control" /> </div><br /> <span id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_lb" class="EditingFormLabel">Enquiry Type*</span><div id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ncpenquirytype" class="EditingFormControlNestedControl editing-form-control-nested-control"> <span id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list" class="radio radio-list-vertical"><input id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_0" type="radio" name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$EnquiryType$list" value="I'm looking for work" /><label for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_0">I'm looking for work</label><br /><input id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_1" type="radio" name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$EnquiryType$list" value="I'm an injured worker" /><label for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_1">I'm an injured worker</label><br /><input id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_2" type="radio" name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$EnquiryType$list" value="I'm looking for support to keep my job" /><label for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_2">I'm looking for support to keep my job</label><br /><input id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_3" type="radio" name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$EnquiryType$list" value="I'm looking for disability services" /><label for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_3">I'm looking for disability services</label><br /><input id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_4" type="radio" name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$EnquiryType$list" value="I'm looking for aged care support" /><label for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_4">I'm looking for aged care support</label><br /><input id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_5" type="radio" name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$EnquiryType$list" value="I'm looking for ADF career services" /><label for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_5">I'm looking for ADF career services</label><br /><input id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_6" type="radio" name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$EnquiryType$list" value="I'm looking for a career with APM" /><label for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_6">I'm looking for a career with APM</label><br /><input id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_7" type="radio" name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$EnquiryType$list" value="Other" /><label for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_EnquiryType_list_7">Other</label></span> </div><br /> <label id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_Message_lb" class="EditingFormLabel" for="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_Message_txtText">Other</label><div id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ncpmessage" class="EditingFormControlNestedControl editing-form-control-nested-control"> <textarea name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$Message$txtText" rows="2" cols="20" id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_Message_txtText" class="form-control"> </textarea> </div> <div class="checkbox-field"><div id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_ncpprivacy" class="EditingFormControlNestedControl editing-form-control-nested-control"> <span class="CheckBoxField checkbox"><input id="p_lt_ctl02_WebPartZone_WebPartZone_zone_APM_Layouts_CTALayout6_LayoutPlaceholder_APM_Layouts_CTALayout6_Column_1_zone_APM_CTA_CTAButton9_viewBiz_Privacy_checkbox" type="checkbox" name="p$lt$ctl02$WebPartZone$WebPartZone_zone$APM_Layouts_CTALayout6$LayoutPlaceholder$APM_Layouts_CTALayout6_Column_1_zone$APM_CTA_CTAButton9$viewBiz$Privacy$checkbox" /><label 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