{"id":8906,"date":"2020-08-31T12:01:30","date_gmt":"2020-08-31T12:01:30","guid":{"rendered":"https:\/\/263host.co.zw\/projects\/firstmutual\/?page_id=8906"},"modified":"2025-08-29T13:50:04","modified_gmt":"2025-08-29T13:50:04","slug":"notification-of-death","status":"publish","type":"page","link":"https:\/\/263host.co.zw\/projects\/firstmutual\/notification-of-death\/","title":{"rendered":"Notification Of Death"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8906\" class=\"elementor elementor-8906\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;,&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e5c4d50 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e5c4d50\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-38de1be\" data-id=\"38de1be\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d5e179d elementor-widget elementor-widget-spacer\" data-id=\"d5e179d\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\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<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1358368 elementor-widget elementor-widget-heading\" data-id=\"1358368\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Notification Of Death<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a327b7 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2a327b7\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-abeead2\" data-id=\"abeead2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6a280f4 elementor-section-stretched elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"6a280f4\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7c123f1\" data-id=\"7c123f1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-144c97f elementor-widget elementor-widget-text-editor\" data-id=\"144c97f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-2185\"><form id=\"wpforms-form-2185\" class=\"wpforms-validate wpforms-form\" data-formid=\"2185\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/projects\/firstmutual\/wp-json\/wp\/v2\/pages\/8906?wpforms_form_id=2185\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#ed1c24\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> &#8211; <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 4<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:25%;background-color:#ed1c24;\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \"><div id=\"wpforms-2185-field_22-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"22\"><\/div><div id=\"wpforms-2185-field_1-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"1\"><div id=\"wpforms-2185-field_1\"><h1 style=\"text-align:center;font-size:20px; margin-top:30px\">THIS FORM MUST BE COMPLETED BY THE PRINCIPAL OFFICER &#038; MEMBER\u2019S DEPENDENT<\/h1><\/div><\/div><div id=\"wpforms-2185-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_2\">Name of Fund\/Scheme<\/label><input type=\"text\" id=\"wpforms-2185-field_2\" class=\"wpforms-field-large\" name=\"wpforms[fields][2]\" ><\/div><div id=\"wpforms-2185-field_6-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"6\"><div id=\"wpforms-2185-field_6\"><h1 style=\"text-align:center;font-size:20px; margin-top:30px\">A) MEMBER DETAILS\r\n<\/h1><\/div><\/div><div id=\"wpforms-2185-field_10-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_10\">Full Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2185-field_10\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-2185-field_8-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-third\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_8\">Date Of Birth <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-2185-field_8\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-input=\"true\" name=\"wpforms[fields][8][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-2185-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_9\">Marital Status: <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2185-field_9\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][9]\" required=\"required\"><option value=\"Married\" >Married<\/option><option value=\"Single\" >Single<\/option><option value=\"Divorced\" >Divorced<\/option><option value=\"Widowed \" >Widowed <\/option><\/select><\/div><div id=\"wpforms-2185-field_11-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_11\">National identity number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2185-field_11\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-2185-field_12-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_12\">Employee Ref No :<\/label><input type=\"text\" id=\"wpforms-2185-field_12\" class=\"wpforms-field-large\" name=\"wpforms[fields][12]\" ><\/div><div id=\"wpforms-2185-field_13-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-third\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_13\">Date of joining Fund:  <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-2185-field_13\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-input=\"true\" name=\"wpforms[fields][13][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-2185-field_14-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-third wpforms-first\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_14\">Date of death: <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-2185-field_14\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-input=\"true\" name=\"wpforms[fields][14][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-2185-field_15-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-third\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_15\">Date last actively at work:  <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-2185-field_15\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-input=\"true\" name=\"wpforms[fields][15][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-2185-field_16-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_16\">Month of last contribution: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2185-field_16\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-2185-field_21-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"21\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"2185\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" style=\"display:none;\"><div id=\"wpforms-2185-field_24-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"24\"><div id=\"wpforms-2185-field_24\"><h1 style=\"text-align:left;font-size:20px; margin-top:30px\"> DEPENDANTS\u2019 DETAILS<\/h1>\r\n<p>Details of Dependants\/Beneficiaries to receive benefit in terms of the Rules or Board of Trustees Resolution:<p><\/div><\/div><div id=\"wpforms-2185-field_25-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_25\">Spouse\/s name(s)<\/label><input type=\"text\" id=\"wpforms-2185-field_25\" class=\"wpforms-field-large\" name=\"wpforms[fields][25]\" ><\/div><div id=\"wpforms-2185-field_26-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_26\">Date Of Birth<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-2185-field_26\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-input=\"true\" name=\"wpforms[fields][26][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-2185-field_27-container\" class=\"wpforms-field wpforms-field-textarea wpforms-one-half wpforms-first\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_27\">Children Names &amp; Date of Birth<\/label><textarea id=\"wpforms-2185-field_27\" class=\"wpforms-field-large\" name=\"wpforms[fields][27]\" ><\/textarea><div class=\"wpforms-field-description\">1. Name Surname, Day.Month.Year <br>\r\n2. Name Surname, Day.Month.Year<\/div><\/div><div id=\"wpforms-2185-field_28-container\" class=\"wpforms-field wpforms-field-textarea wpforms-one-half\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_28\">Other dependants<\/label><textarea id=\"wpforms-2185-field_28\" class=\"wpforms-field-large\" name=\"wpforms[fields][28]\" ><\/textarea><div class=\"wpforms-field-description\">1. Name Surname, Day.Month.Year, relationship <br>\r\n2. Name Surname, Day.Month.Year, relationship<\/div><\/div><div id=\"wpforms-2185-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_29\">If no dependants exist and payment is to be made to the deceased\u2019s estate, please state name and address of Executor or Administrator of the deceased\u2019s estate: <\/label><input type=\"text\" id=\"wpforms-2185-field_29\" class=\"wpforms-field-large\" name=\"wpforms[fields][29]\" ><\/div><div id=\"wpforms-2185-field_30-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"30\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"2\" data-formid=\"2185\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" style=\"display:none;\"><div id=\"wpforms-2185-field_31-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"31\"><div id=\"wpforms-2185-field_31\"><h1 style=\"text-align:left;font-size:20px; margin-top:30px\">PAYMENT INSTRUCTION <\/h1>(attach bank details confirmation eg copy of bank statement, bank card\r\nreflecting account number, bank letter etc)\r\n<\/div><\/div><div id=\"wpforms-2185-field_32-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_32\">Name of Bank \/ Building Society<\/label><input type=\"text\" id=\"wpforms-2185-field_32\" class=\"wpforms-field-large\" name=\"wpforms[fields][32]\" ><\/div><div id=\"wpforms-2185-field_33-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_33\">Branch <\/label><input type=\"text\" id=\"wpforms-2185-field_33\" class=\"wpforms-field-large\" name=\"wpforms[fields][33]\" ><\/div><div id=\"wpforms-2185-field_34-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_34\">Account Number <\/label><input type=\"text\" id=\"wpforms-2185-field_34\" class=\"wpforms-field-large\" name=\"wpforms[fields][34]\" ><\/div><div id=\"wpforms-2185-field_35-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_35\">Contact address <\/label><input type=\"text\" id=\"wpforms-2185-field_35\" class=\"wpforms-field-large\" name=\"wpforms[fields][35]\" ><\/div><div id=\"wpforms-2185-field_36-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"36\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"3\" data-formid=\"2185\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4 last \" style=\"display:none;\"><div id=\"wpforms-2185-field_37-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"37\"><div id=\"wpforms-2185-field_37\"><p>Please attach the following documents in respect of this claim and mark with a tick to show those\r\nattached.<\/p><\/div><\/div><div id=\"wpforms-2185-field_38-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-2185-field_38\">Original Certificate of Death | Proof of age of Spouse and Dependent Children (under the age of 18 or 23 years if in full time education) | Proof of marriage (where applicable) | Letters of Administration (where applicable) |  Letters of Administration (where applicable) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-uploader\"\n\tdata-field-id=\"38\"\n\tdata-form-id=\"2185\"\n\tdata-input-name=\"wpforms_2185_38\"\n\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,json,svg\"\n\tdata-max-size=\"20971520\"\n\tdata-max-file-number=\"10\"\n\tdata-post-max-size=\"20971520\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" class=\"\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#B1B1B1\" aria-hidden=\"true\"><path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path><\/svg>\n\t\t<span class=\"modern-title\">\n\t\t\tClick or drag files to this area to upload.\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">\n\t\t\t\tYou can upload up to 10 files.\t\t\t<\/span>\n\t\t\t<\/div>\n<\/div>\n<input type=\"text\" class=\"dropzone-input\"\n\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\tid=\"wpforms-2185-field_38\"\n\tname=\"wpforms_2185_38\" required>\n<div class=\"wpforms-field-description\">NB.\r\nProof of age must be submitted in the form of Birth Certificate, National Registration Card, Drivers Licence\r\nor Passport<\/div><\/div><div id=\"wpforms-2185-field_23-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"23\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><\/div><\/div><\/div><\/div><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-2185-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-2185-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" 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