{"id":9226,"date":"2025-09-18T12:05:49","date_gmt":"2025-09-18T15:05:49","guid":{"rendered":"https:\/\/scombank.sr\/?page_id=9226"},"modified":"2025-12-16T13:55:34","modified_gmt":"2025-12-16T16:55:34","slug":"digital-intake-unionpay-euro","status":"publish","type":"page","link":"https:\/\/scombank.sr\/en\/digital-intake-unionpay-euro","title":{"rendered":"Digital Intake &#8211; UnionPay Euro"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"9226\" class=\"elementor elementor-9226\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5ba090d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5ba090d\" data-element_type=\"section\">\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-5e97793\" data-id=\"5e97793\" 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-14ebdb6 eael-wpforms-labels-yes eael-wpforms-form-button-custom elementor-widget elementor-widget-eael-wpforms\" data-id=\"14ebdb6\" data-element_type=\"widget\" data-widget_type=\"eael-wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t            <div class=\"eael-contact-form eael-wpforms eael-wpforms-align-default\">\n                                <div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-9217\"><form id=\"wpforms-form-9217\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"9217\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/9226?wpforms_form_id=9217\" data-token=\"c6a2aaf0b8a2e739cc72d2d3b69396a7\" data-token-time=\"1778058463\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/9226?wpforms_form_id=9217\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Digital Intake - UnionPay Euro (NL)<\/div><\/div><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=\"#72b239\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> - <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 7<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:14.285714285714%;background-color:#72b239\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1\" data-page=\"1\"><div id=\"wpforms-9217-field_7-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"7\"><\/div><div id=\"wpforms-9217-field_98-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"98\"><div id=\"wpforms-9217-field_98\"><!doctype html>\r\n<html lang=\"nl\">\r\n<head>\r\n  <meta charset=\"utf-8\" \/>\r\n  <meta name=\"viewport\" content=\"width=device-width, initial-scale=1\" \/>\r\n  <title>SCOM \u2022 Kaart aanvragen<\/title>\r\n  <link rel=\"stylesheet\" href=\"scom-apply.css\" \/>\r\n<\/head>\r\n<body>\r\n\r\n<main id=\"scom-apply\" aria-labelledby=\"apply-title\">\r\n  <div class=\"wrap\">\r\n\r\n    <!-- Header -->\r\n    <div class=\"titleband\">\r\n      <h2 id=\"apply-title\">Hoe vraag ik een kaart aan?<\/h2>\r\n      <div class=\"brandmarks\">\r\n        <span class=\"pill\">\r\n          <img decoding=\"async\" src=\"https:\/\/scombank.sr\/wp-content\/uploads\/2025\/01\/unionpay-1.png\" alt=\"Mastercard logo\"\/>\r\n          UnionPay\r\n        <\/span>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <!-- Benodigdheden -->\r\n    <article class=\"req-card\">\r\n      <h3>Voor de aanvraag heeft u het volgende nodig:<\/h3>\r\n      <ul class=\"req-list\">\r\n        <li>\r\n          Een foto van uw geldige Surinaamse ID-kaart of rijbewijs.\r\n          <p class=\"subnote\">\r\n            <strong>Note:<\/strong> voor buitenlanders is een foto van uw paspoort \u00e9n uw verblijfsvergunning (&gt; 6 maanden) vereist.\r\n          <\/p>\r\n        <\/li>\r\n        <li>Een actief e-mailadres.<\/li>\r\n        <li>Een Telesur- of Digicel-mobielnummer.<\/li>\r\n      <\/ul>\r\n    <\/article>\r\n\r\n    <div class=\"divider\" aria-hidden=\"true\"><\/div>\r\n\r\n    <!-- \u2705 INSERT: Double conversion block -->\r\n    <section class=\"ps-conversion ps-conversion--xs\">\r\n      <header class=\"ps-head\">\r\n        <p class=\"ps-sub\">\r\n          <strong class=\"ps-keep\">Belangrijk:<\/strong>\r\n          Wanneer je geld ontvangt via Paysend op je UnionPay EUR-kaart, verloopt de verwerking als volgt:\r\n        <\/p>\r\n      <\/header>\r\n\r\n      <div class=\"ps-flow\" role=\"group\" aria-label=\"Conversie flow: EUR naar USD naar EUR\">\r\n        <!-- Step 1 -->\r\n        <div class=\"ps-step ps-step--from\">\r\n          <span class=\"ps-chip\">Verzender<\/span>\r\n\r\n          <div class=\"ps-row\">\r\n            <strong class=\"ps-cur\">EUR<\/strong>\r\n            <span class=\"ps-lbl\">Verzonden bedrag<\/span>\r\n          <\/div>\r\n\r\n          <span class=\"ps-meta\">Start<\/span>\r\n        <\/div>\r\n\r\n        <div class=\"ps-arrow\" aria-hidden=\"true\"><\/div>\r\n\r\n        <!-- Step 2 -->\r\n        <div class=\"ps-step ps-step--mid\">\r\n          <span class=\"ps-chip ps-chip--purple\">Paysend<\/span>\r\n\r\n          <div class=\"ps-row\">\r\n            <strong class=\"ps-cur\">USD<\/strong>\r\n            <span class=\"ps-lbl\">Verwerking<\/span>\r\n          <\/div>\r\n\r\n          <span class=\"ps-meta ps-dot--purple\">1e wisselkoers<\/span>\r\n        <\/div>\r\n\r\n        <div class=\"ps-arrow\" aria-hidden=\"true\"><\/div>\r\n\r\n        <!-- Step 3 -->\r\n        <div class=\"ps-step ps-step--to\">\r\n          <span class=\"ps-chip ps-chip--red\">UPI<\/span>\r\n\r\n          <div class=\"ps-row\">\r\n            <strong class=\"ps-cur\">EUR<\/strong>\r\n            <span class=\"ps-lbl\">Ontvangen bedrag op je kaart<\/span>\r\n          <\/div>\r\n\r\n          <span class=\"ps-meta ps-dot--red\">2e wisselkoers<\/span>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <div class=\"ps-note\" role=\"note\" aria-label=\"Uitleg dubbele conversie\">\r\n        <div class=\"ps-noteIcon\" aria-hidden=\"true\">!<\/div>\r\n        <div class=\"ps-noteBody\">\r\n          <p class=\"ps-noteText\">\r\n            Omdat het bedrag eerst naar <strong>USD<\/strong> wordt omgezet en daarna weer naar <strong>EUR<\/strong>, wordt er <strong>tweemaal<\/strong> een wisselkoers toegepast (dubbele conversie). Dit kan ertoe leiden dat het <strong>uiteindelijke bedrag in EUR lager<\/strong> is dan het oorspronkelijke verzonden bedrag. Wij vragen je om hiermee rekening te houden. \r\n          <\/p>\r\n        <\/div>\r\n      <\/div>\r\n    <\/section>\r\n\r\n    <div class=\"divider\" aria-hidden=\"true\"><\/div>\r\n\r\n    <!-- Proces -->\r\n    <h3 class=\"process-title\">Het aanvraagproces<\/h3>\r\n\r\n    <div class=\"steps\">\r\n      <article class=\"step\">\r\n        <div class=\"headrow\">\r\n          <div class=\"badge\">1<\/div>\r\n          <div class=\"icon\">\r\n            <svg viewbox=\"0 0 24 24\" fill=\"none\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\">\r\n              <path d=\"M3 12h18\"><\/path>\r\n              <path d=\"M14 5l7 7-7 7\"><\/path>\r\n            <\/svg>\r\n          <\/div>\r\n        <\/div>\r\n        <h4>Aanvraag online indienen<\/h4>\r\n        <p>Vul het aanvraagformulier in en dien uw aanvraag in.<\/p>\r\n      <\/article>\r\n\r\n      <article class=\"step\">\r\n        <div class=\"headrow\"><div class=\"badge\">2<\/div><div class=\"icon\"><svg viewbox=\"0 0 24 24\" fill=\"none\" stroke-width=\"2\"><path d=\"M3 20h18\"><\/path><path d=\"M17 3l4 4-9 9H8v-4l9-9z\"><\/path><\/svg><\/div><\/div>\r\n        <h4>Digitaal overeenkomst tekenen<\/h4>\r\n        <p>U ontvangt binnen 2 werkdagen een digitale overeenkomst per e-mail (via Adobe Acrobat Sign). Onderteken deze digitaal.<\/p>\r\n        <p class=\"meta\">De aanvraag gaat pas in behandeling na ondertekening.<\/p>\r\n      <\/article>\r\n\r\n      <article class=\"step\">\r\n        <div class=\"headrow\"><div class=\"badge\">3<\/div><div class=\"icon\"><svg viewbox=\"0 0 24 24\" fill=\"none\" stroke-width=\"2\"><circle cx=\"12\" cy=\"12\" r=\"9\"><\/circle><path d=\"M12 7v5l3 3\"><\/path><\/svg><\/div><\/div>\r\n        <h4>Aanvraag in behandeling &amp; betalen<\/h4>\r\n        <ul class=\"mini\">\r\n          <li>Behandeling: \u00b15 werkdagen voor naamloze kaart.<\/li>\r\n          <li>Betaling via bankovermaking of contante storting.<\/li>\r\n        <\/ul>\r\n      <\/article>\r\n\r\n      <article class=\"step\">\r\n        <div class=\"headrow\"><div class=\"badge\">4<\/div><div class=\"icon\"><svg viewbox=\"0 0 24 24\" fill=\"none\" stroke-width=\"2\"><path d=\"M3 10l9-6 9 6\"><\/path><path d=\"M21 10v8H3v-8\"><\/path><path d=\"M7 10v8\"><\/path><path d=\"M17 10v8\"><\/path><\/svg><\/div><\/div>\r\n        <h4>Kaart ophalen<\/h4>\r\n        <p>U ontvangt een e-mail zodra de kaart klaarstaat om opgehaald te worden.<\/p>\r\n      <\/article>\r\n    <\/div>\r\n\r\n    <div class=\"divider\" aria-hidden=\"true\"><\/div>\r\n\r\n    <!-- Info -->\r\n    <section class=\"apply-info\">\r\n      <header class=\"apply-info__head\">\r\n        <div class=\"apply-info__icon\"><svg viewbox=\"0 0 24 24\" fill=\"none\" stroke-width=\"2\"><circle cx=\"12\" cy=\"12\" r=\"9\"><\/circle><path d=\"M12 7v5l3 2\"><\/path><\/svg><\/div>\r\n        <div>\r\n          <h4 class=\"apply-info__title\">Betalingsopties<\/h4>\r\n          <p class=\"apply-info__subtitle\">Onderstaand treft u de betalingsopties voor het betalen van de kaart aanschafkosten<\/p>\r\n        <\/div>\r\n      <\/header>\r\n\r\n      <div class=\"apply-info__body\">\r\n        <section class=\"apply-info__block\">\r\n          <ul class=\"apply-info__list\">\r\n            <li>U ontvangt aan het eind van het proces een mail met uw <strong>aanvraagnummer.<\/strong><\/li>\r\n            <li>U kunt kiezen om de aanschafkosten te voldoen via: <strong>bankovermaking (SRD of EUR), of contante storting.<\/strong><\/li>\r\n          <\/ul>\r\n        <\/section>\r\n\r\n        <div class=\"apply-info__sep\"><\/div>\r\n\r\n        <section class=\"apply-info__block\">\r\n          <details class=\"apply-info__dropdown\">\r\n            <summary>\r\n              <span class=\"sum-title\">Betaalinstructies: bankovermaking<\/span>\r\n              <span class=\"sum-meta\">Klik om te openen<\/span>\r\n            <\/summary>\r\n\r\n            <div class=\"apply-info__dropdown-inner\">\r\n              <p class=\"apply-info__muted\">Gebruik onderstaande gegevens voor uw overmaking:<\/p>\r\n\r\n              <dl class=\"apply-info__dl\">\r\n                <div class=\"row\">\r\n                  <dt>Beneficiary bank<\/dt>\r\n                  <dd>Southern Commercial Bank NV<\/dd>\r\n                <\/div>\r\n\r\n                <div class=\"row\">\r\n                  <dt>Account number<\/dt>\r\n                  <dd>\r\n                    <div class=\"account-block\">\r\n                      <strong>EUR-rekening<\/strong><br \/>\r\n                      <span class=\"copy-value\" id=\"acc-usd\">100007<\/span>\r\n                      <button class=\"copy-btn\" data-copy-target=\"#acc-usd\">\r\n                        <svg viewbox=\"0 0 24 24\"><path d=\"M9 9h9v11H9z\"><\/path><path d=\"M6 13H5V4h9v1\"><\/path><\/svg>\r\n                        <span>Kopieer<\/span>\r\n                      <\/button>\r\n                    <\/div>\r\n\r\n                    <div class=\"account-block\" style=\"margin-top:8px;\">\r\n                      <strong>SRD-rekening<\/strong><br \/>\r\n                      <span class=\"copy-value\" id=\"acc-srd\">100008<\/span>\r\n                      <button class=\"copy-btn\" data-copy-target=\"#acc-srd\">\r\n                        <svg viewbox=\"0 0 24 24\"><path d=\"M9 9h9v11H9z\"><\/path><path d=\"M6 13H5V4h9v1\"><\/path><\/svg>\r\n                        <span>Kopieer<\/span>\r\n                      <\/button>\r\n                    <\/div>\r\n                  <\/dd>\r\n                <\/div>\r\n\r\n                <div class=\"row\">\r\n                  <dt>Beneficiary name<\/dt>\r\n                  <dd>SCOM<\/dd>\r\n                <\/div>\r\n\r\n                <div class=\"row\">\r\n                  <dt>Omschrijving \/ Opmerking<\/dt>\r\n                  <dd>\r\n                    Uw aanvraagnummer + ID nummer<br \/>\r\n                    <em>Bijvoorbeeld:<\/em> <strong>1234 AB001122<\/strong><br \/>\r\n                    <span class=\"muted-small\">Uw aanvraagnummer vindt u in de e-mail die u heeft ontvangen van de bank.<\/span>\r\n                  <\/dd>\r\n                <\/div>\r\n              <\/dl>\r\n            <\/div>\r\n          <\/details>\r\n        <\/section>\r\n      <\/div>\r\n    <\/section>\r\n\r\n    <div id=\"copy-toast\" role=\"status\" aria-live=\"polite\"><\/div>\r\n\r\n  <\/div>\r\n<\/main>\r\n\r\n<!-- JS: Copy functionaliteit -->\r\n<script>\r\n(function(){\r\n  const toast=document.getElementById('copy-toast');\r\n  function showToast(msg){\r\n    toast.textContent=msg;\r\n    toast.classList.remove('is-visible');void toast.offsetWidth;\r\n    toast.classList.add('is-visible');\r\n    clearTimeout(showToast._t);\r\n    showToast._t=setTimeout(()=>toast.classList.remove('is-visible'),1600);\r\n  }\r\n  async function copy(sel,btn){\r\n    try{\r\n      const el=document.querySelector(sel);\r\n      const txt=el.textContent.trim();\r\n      await navigator.clipboard.writeText(txt);\r\n      btn.classList.add('copied');\r\n      showToast('Gekopieerd');\r\n      setTimeout(()=>btn.classList.remove('copied'),800);\r\n    }catch(e){showToast('Kopi\u00ebren mislukt');}\r\n  }\r\n  document.addEventListener('click',e=>{\r\n    const btn=e.target.closest('.copy-btn');\r\n    if(!btn)return;\r\n    copy(btn.dataset.copyTarget,btn);\r\n  });\r\n})();\r\n<\/script>\r\n\r\n<\/body>\r\n<\/html>\r\n<\/div><\/div><div id=\"wpforms-9217-field_6-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"6\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"9217\" disabled>Let's start!<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2\" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-9217-field_95-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"95\"><div id=\"wpforms-9217-field_95\" class=\"wpforms-field-large wpforms-field-row\"><p><img loading=\"lazy\" decoding=\"async\" height=\"714\" width=\"800\" alt=\"\" src=\"https:\/\/scombank.sr\/wp-content\/uploads\/2025\/12\/UPI-EUR-cards-updated-2-1024x914.png\" class=\"wp-image-10827 size-large aligncenter\" \/><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-9217-field_9-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"9\"><div id=\"wpforms-9217-field_9\"><strong>Not sure which card you want yet?<\/strong>\r\n<p>Read <a href=\"https:\/\/scombank.sr\/en\/unionpay-euro\/\" target=\"_blank\">here<\/a> for more information about the different cards.<\/p><\/div><\/div><div id=\"wpforms-9217-field_11-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"11\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_12-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_12\">Welke type kaart wilt u? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled selected='selected'>Kies hier uw type kaart<\/option><option value=\"NEWEURCL\" >Classic - EURO<\/option><option value=\"NEWEURGO\" >Gold - EURO<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_13-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_13\">Hoe wilt u de aanschafkosten betalen? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required=\"required\"><option value=\"SRD\" >SRD<\/option><option value=\"EUR\" >EUR<\/option><\/select><\/div><\/div><\/div><\/div><div id=\"wpforms-9217-field_15-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"15\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"2\" data-formid=\"9217\" disabled>Previous<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"2\" data-formid=\"9217\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3\" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-9217-field_16-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"16\"><div id=\"wpforms-9217-field_16\"><strong>Geef hieronder aan met welk identiteitsbewijs u gaat registreren<\/strong>\r\n<p>Heeft u een Surinaamse ID kaart of rijbewijs, dan kunt u daarmee registeren.<\/p>\r\n<p>Heeft u dit niet? Kunt u met uw buitenlandse ID en passport registreren<\/p><\/div><\/div><div id=\"wpforms-9217-field_17-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_17\">Gaat u registreren met uw ID kaart, rijbewijs of een buitenlands paspoort? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_17\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][17]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled selected='selected'>Kies hier uw type identificatie<\/option><option value=\"1\" >Surinaamse ID kaart<\/option><option value=\"2\" >Surinaams Rijbewijs<\/option><option value=\"3\" >Buitenlands Paspoort<\/option><\/select><div class=\"wpforms-field-description\"><b>Let wel!<\/b> U dient een Surinaams ID of rijbewijs te gebruiken. Als u dit niet bezit, kunt u ook registreren met uw buitenlands paspoort indien u een geldig verblijf heeft.<\/div><\/div><div id=\"wpforms-9217-field_18-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"18\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_19-container\" class=\"wpforms-field wpforms-field-text _capitalize wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"19\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_19\">ID Nummer <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-9217-field_19\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input wpforms-limit-characters-enabled\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"[AA][999999]\" data-form-id=\"9217\" data-field-id=\"19\" data-text-limit=\"8\" name=\"wpforms[fields][19]\" placeholder=\"AB123456\" maxlength=\"8\" required><\/div><div id=\"wpforms-9217-field_21-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"21\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_21\">Paspoortnummer <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-9217-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><div class=\"wpforms-field-description\"><b>Let op!<\/b> Surinaamse paspoorten worden niet geaccepteerd. Registreer met uw ID kaart of rijbewijs.<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_20-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"20\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_20\">Vervaldatum identiteitsdocument <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-9217-field_20\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][20][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Gebruikt u een oude ID kaart, dan dient u de laatste dag van de maand als vervaldatum te gebruiken.<\/div><\/div><div id=\"wpforms-9217-field_80-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"80\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_80\">Vervaldatum paspoort <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-9217-field_80\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][80][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-9217-field_30-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"30\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_30\">Land van uitgifte? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_30\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][30]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled selected='selected'>Kies hier het land van uitgifte (van uw paspoort)<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Frans Guyana\" >Frans Guyana<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Nederland\" >Nederland<\/option><option value=\"Albani\u00eb\" >Albani\u00eb<\/option><option value=\"Algerije\" >Algerije<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Antigua en Barbuda\" >Antigua en Barbuda<\/option><option value=\"Argentini\u00eb\" >Argentini\u00eb<\/option><option value=\"Armeni\u00eb\" >Armeni\u00eb<\/option><option value=\"Australi\u00eb\" >Australi\u00eb<\/option><option value=\"Oostenrijk\" >Oostenrijk<\/option><option value=\"Azerbeidzjan\" >Azerbeidzjan<\/option><option value=\"Bahama&#039;s\" >Bahama&#039;s<\/option><option value=\"Bahrein\" >Bahrein<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Wit-Rusland\" >Wit-Rusland<\/option><option value=\"Belgi\u00eb\" >Belgi\u00eb<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Bosni\u00eb en Herzegovina\" >Bosni\u00eb en Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Brazili\u00eb\" >Brazili\u00eb<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgarije\" >Bulgarije<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Kaapverdi\u00eb\" >Kaapverdi\u00eb<\/option><option value=\"Cambodja\" >Cambodja<\/option><option value=\"Kameroen\" >Kameroen<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Centraal-Afrikaanse Republiek\" >Centraal-Afrikaanse Republiek<\/option><option value=\"Tsjaad\" >Tsjaad<\/option><option value=\"Chili\" >Chili<\/option><option value=\"China\" >China<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Comoren\" >Comoren<\/option><option value=\"Congo (Congo-Brazzaville)\" >Congo (Congo-Brazzaville)<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Kroati\u00eb\" >Kroati\u00eb<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Tsjechi\u00eb\" >Tsjechi\u00eb<\/option><option value=\"Denemarken\" >Denemarken<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominicaanse Republiek\" >Dominicaanse Republiek<\/option><option value=\"Oost-Timor (Timor-Leste)\" >Oost-Timor (Timor-Leste)<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Egypte\" >Egypte<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Equatoriaal-Guinea\" >Equatoriaal-Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Estland\" >Estland<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"Ethiopi\u00eb\" >Ethiopi\u00eb<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"Frankrijk\" >Frankrijk<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Georgi\u00eb\" >Georgi\u00eb<\/option><option value=\"Duitsland\" >Duitsland<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Griekenland\" >Griekenland<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guinee\" >Guinee<\/option><option value=\"Guinee-Bissau\" >Guinee-Bissau<\/option><option value=\"Ha\u00efti\" >Ha\u00efti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hongarije\" >Hongarije<\/option><option value=\"IJsland\" >IJsland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesi\u00eb\" >Indonesi\u00eb<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Irak\" >Irak<\/option><option value=\"Ierland\" >Ierland<\/option><option value=\"Isra\u00ebl\" >Isra\u00ebl<\/option><option value=\"Itali\u00eb\" >Itali\u00eb<\/option><option value=\"Ivoorkust\" >Ivoorkust<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordani\u00eb\" >Jordani\u00eb<\/option><option value=\"Kazachstan\" >Kazachstan<\/option><option value=\"Kenia\" >Kenia<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Koeweit\" >Koeweit<\/option><option value=\"Kirgizi\u00eb\" >Kirgizi\u00eb<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Letland\" >Letland<\/option><option value=\"Libanon\" >Libanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libi\u00eb\" >Libi\u00eb<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Litouwen\" >Litouwen<\/option><option value=\"Luxemburg\" >Luxemburg<\/option><option value=\"Madagaskar\" >Madagaskar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Maleisi\u00eb\" >Maleisi\u00eb<\/option><option value=\"Maldiven\" >Maldiven<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Marshalleilanden\" >Marshalleilanden<\/option><option value=\"Mauritani\u00eb\" >Mauritani\u00eb<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesi\u00eb\" >Micronesi\u00eb<\/option><option value=\"Moldavi\u00eb\" >Moldavi\u00eb<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongoli\u00eb\" >Mongoli\u00eb<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Marokko\" >Marokko<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar (Birma)\" >Myanmar (Birma)<\/option><option value=\"Namibi\u00eb\" >Namibi\u00eb<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Nieuw-Zeeland\" >Nieuw-Zeeland<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Noord-Korea\" >Noord-Korea<\/option><option value=\"Noord-Macedoni\u00eb\" >Noord-Macedoni\u00eb<\/option><option value=\"Noorwegen\" >Noorwegen<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Palestina\" >Palestina<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papoea-Nieuw-Guinea\" >Papoea-Nieuw-Guinea<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Filipijnen\" >Filipijnen<\/option><option value=\"Polen\" >Polen<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Roemeni\u00eb\" >Roemeni\u00eb<\/option><option value=\"Rusland\" >Rusland<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Kitts en Nevis\" >Saint Kitts en Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent en de Grenadines\" >Saint Vincent en de Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Sao Tom\u00e9 en Principe\" >Sao Tom\u00e9 en Principe<\/option><option value=\"Saoedi-Arabi\u00eb\" >Saoedi-Arabi\u00eb<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Servi\u00eb\" >Servi\u00eb<\/option><option value=\"Seychellen\" >Seychellen<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Slowakije\" >Slowakije<\/option><option value=\"Sloveni\u00eb\" >Sloveni\u00eb<\/option><option value=\"Salomonseilanden\" >Salomonseilanden<\/option><option value=\"Somali\u00eb\" >Somali\u00eb<\/option><option value=\"Zuid-Afrika\" >Zuid-Afrika<\/option><option value=\"Zuid-Korea\" >Zuid-Korea<\/option><option value=\"Zuid-Soedan\" >Zuid-Soedan<\/option><option value=\"Spanje\" >Spanje<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Soedan\" >Soedan<\/option><option value=\"Zweden\" >Zweden<\/option><option value=\"Zwitserland\" >Zwitserland<\/option><option value=\"Syri\u00eb\" >Syri\u00eb<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tadzjikistan\" >Tadzjikistan<\/option><option value=\"Tanzania\" >Tanzania<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad en Tobago\" >Trinidad en Tobago<\/option><option value=\"Tunesi\u00eb\" >Tunesi\u00eb<\/option><option value=\"Turkije\" >Turkije<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Oeganda\" >Oeganda<\/option><option value=\"Oekra\u00efne\" >Oekra\u00efne<\/option><option value=\"Verenigde Arabische Emiraten\" >Verenigde Arabische Emiraten<\/option><option value=\"Verenigd Koninkrijk\" >Verenigd Koninkrijk<\/option><option value=\"Verenigde Staten\" >Verenigde Staten<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Oezbekistan\" >Oezbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vaticaanstad\" >Vaticaanstad<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Jemen\" >Jemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><div id=\"wpforms-9217-field_84-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"84\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_79-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"79\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_79\">Buitenlands ID Nummer<\/label><input type=\"text\" id=\"wpforms-9217-field_79\" class=\"wpforms-field-medium\" name=\"wpforms[fields][79]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_82-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"82\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_82\">Vervaldatum identiteitsdocument (Buitenlandse ID)<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-9217-field_82\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][82][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-9217-field_76-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"76\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_31-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"31\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_31\">Wat is uw verblijfstatus? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" required=\"required\"><option value=\"vestiging\" >Vestiging (Permanent Verblijf)<\/option><option value=\"long\" >Langdurig verblijf (&gt;=1 jaar)<\/option><option value=\"short\" >Kort verblijf (minder dan 1 jaar)<\/option><\/select><div class=\"wpforms-field-description\">Heeft u een permanent verblijf (vestiging), langdurig verblijf (&gt;=1 jaar) of kort verblijf (&lt;1 jaar)?<\/div><\/div><div id=\"wpforms-9217-field_92-container\" class=\"wpforms-field wpforms-field-text capitalize wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"92\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_92\">Surinaams ID Nummer<\/label><input type=\"text\" id=\"wpforms-9217-field_92\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"9217\" data-field-id=\"92\" data-text-limit=\"8\" name=\"wpforms[fields][92]\" placeholder=\"AB123456\" maxlength=\"8\" ><div class=\"wpforms-field-description\">In het geval u al in bezit bent van een Surinaams ID nummer kunt u dit hier registeren.<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_78-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"78\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_78\">Vervaldatum verblijfsvergunning <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-9217-field_78\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][78][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-9217-field_90-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"90\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"3\" data-formid=\"9217\" disabled>Previous<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"3\" data-formid=\"9217\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4\" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-9217-field_91-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"91\"><div id=\"wpforms-9217-field_91\"><strong>Wij hebben wat basis informatie van u nodig<\/strong>\r\n<p>Zorg ervoor dat de informatie correct wordt ingevuld.<\/p><\/div><\/div><div id=\"wpforms-9217-field_23-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"23\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_26\">Voornaam(en) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-9217-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_27\">Last name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-9217-field_27\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][27]\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-9217-field_28-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"28\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_34-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_34\">Geboortedatum <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-9217-field_34\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][34][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-9217-field_36-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_36\">Nationaliteit <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled selected='selected'>Kies hier uw nationaliteit<\/option><option value=\"Surinaamse\" >Surinaamse<\/option><option value=\"Chinees\" >Chinees<\/option><option value=\"Nederlands\" >Nederlands<\/option><option value=\"Frans\" >Frans<\/option><option value=\"Cubaans\" >Cubaans<\/option><option value=\"Nederlands (Cura\u00e7ao)\" >Nederlands (Cura\u00e7ao)<\/option><option value=\"Amerikaans\" >Amerikaans<\/option><option value=\"Braziliaans\" >Braziliaans<\/option><option value=\"Guyanese\" >Guyanese<\/option><option value=\"Belgisch\" >Belgisch<\/option><option value=\"Afghaans\" >Afghaans<\/option><option value=\"Albanees\" >Albanees<\/option><option value=\"Algerijns\" >Algerijns<\/option><option value=\"Andorrees\" >Andorrees<\/option><option value=\"Angolees\" >Angolees<\/option><option value=\"Antiguaans\" >Antiguaans<\/option><option value=\"Argentijns\" >Argentijns<\/option><option value=\"Armeens\" >Armeens<\/option><option value=\"Nederlands (Aruba)\" >Nederlands (Aruba)<\/option><option value=\"Australisch\" >Australisch<\/option><option value=\"Oostenrijks\" >Oostenrijks<\/option><option value=\"Azerbeidzjaans\" >Azerbeidzjaans<\/option><option value=\"Bahamaans\" >Bahamaans<\/option><option value=\"Bahreins\" >Bahreins<\/option><option value=\"Bengalees\" >Bengalees<\/option><option value=\"Barbadaans\" >Barbadaans<\/option><option value=\"Wit-Russisch\" >Wit-Russisch<\/option><option value=\"Belizaans\" >Belizaans<\/option><option value=\"Benins\" >Benins<\/option><option value=\"Bhutanees\" >Bhutanees<\/option><option value=\"Boliviaans\" >Boliviaans<\/option><option value=\"Nederlands (Bonaire Sint Eustatius en Saba)\" >Nederlands (Bonaire Sint Eustatius en Saba)<\/option><option value=\"Bosnisch\" >Bosnisch<\/option><option value=\"Botswaans\" >Botswaans<\/option><option value=\"Bruneis\" >Bruneis<\/option><option value=\"Bulgaars\" >Bulgaars<\/option><option value=\"Burkinees\" >Burkinees<\/option><option value=\"Burundisch\" >Burundisch<\/option><option value=\"Kaapverdisch\" >Kaapverdisch<\/option><option value=\"Cambodjaans\" >Cambodjaans<\/option><option value=\"Kameroens\" >Kameroens<\/option><option value=\"Canadees\" >Canadees<\/option><option value=\"Centraal-Afrikaans\" >Centraal-Afrikaans<\/option><option value=\"Tsjadisch\" >Tsjadisch<\/option><option value=\"Chileens\" >Chileens<\/option><option value=\"Colombiaans\" >Colombiaans<\/option><option value=\"Comorees\" >Comorees<\/option><option value=\"Congolees\" >Congolees<\/option><option value=\"Congolees\" >Congolees<\/option><option value=\"Costa Ricaans\" >Costa Ricaans<\/option><option value=\"Ivoriaans\" >Ivoriaans<\/option><option value=\"Kroatisch\" >Kroatisch<\/option><option value=\"Cyprisch\" >Cyprisch<\/option><option value=\"Tsjechisch\" >Tsjechisch<\/option><option value=\"Deens\" >Deens<\/option><option value=\"Djiboutaans\" >Djiboutaans<\/option><option value=\"Dominicaans (Dominica)\" >Dominicaans (Dominica)<\/option><option value=\"Dominicaans (Dominicaanse Republiek)\" >Dominicaans (Dominicaanse Republiek)<\/option><option value=\"Ecuadoraans\" >Ecuadoraans<\/option><option value=\"Egyptisch\" >Egyptisch<\/option><option value=\"Salvadoraans\" >Salvadoraans<\/option><option value=\"Equatoriaal-Guinees\" >Equatoriaal-Guinees<\/option><option value=\"Eritrees\" >Eritrees<\/option><option value=\"Ests\" >Ests<\/option><option value=\"Eswatinische\" >Eswatinische<\/option><option value=\"Ethiopisch\" >Ethiopisch<\/option><option value=\"Deens (Faer\u00f6er eilanden)\" >Deens (Faer\u00f6er eilanden)<\/option><option value=\"Fijisch\" >Fijisch<\/option><option value=\"Fins\" >Fins<\/option><option value=\"Frans\" >Frans<\/option><option value=\"Gabonees\" >Gabonees<\/option><option value=\"Gambiaans\" >Gambiaans<\/option><option value=\"Georgisch\" >Georgisch<\/option><option value=\"Duits\" >Duits<\/option><option value=\"Ghanees\" >Ghanees<\/option><option value=\"Grieks\" >Grieks<\/option><option value=\"Deens (Groenland)\" >Deens (Groenland)<\/option><option value=\"Grenadaans\" >Grenadaans<\/option><option value=\"Guatemalteeks\" >Guatemalteeks<\/option><option value=\"Guinees\" >Guinees<\/option><option value=\"Guinee-Bissaus\" >Guinee-Bissaus<\/option><option value=\"Ha\u00eftiaans\" >Ha\u00eftiaans<\/option><option value=\"Hondurees\" >Hondurees<\/option><option value=\"Chinees (Hong Kong)\" >Chinees (Hong Kong)<\/option><option value=\"Hongaars\" >Hongaars<\/option><option value=\"IJslands\" >IJslands<\/option><option value=\"Indiaas\" >Indiaas<\/option><option value=\"Indonesisch\" >Indonesisch<\/option><option value=\"Iraans\" >Iraans<\/option><option value=\"Iraaks\" >Iraaks<\/option><option value=\"Iers\" >Iers<\/option><option value=\"Isra\u00eblisch\" >Isra\u00eblisch<\/option><option value=\"Italiaans\" >Italiaans<\/option><option value=\"Jamaicaans\" >Jamaicaans<\/option><option value=\"Japans\" >Japans<\/option><option value=\"Jordaans\" >Jordaans<\/option><option value=\"Kazaks\" >Kazaks<\/option><option value=\"Keniaans\" >Keniaans<\/option><option value=\"Kiribatisch\" >Kiribatisch<\/option><option value=\"Noord-Koreeans\" >Noord-Koreeans<\/option><option value=\"Zuid-Koreaans\" >Zuid-Koreaans<\/option><option value=\"Koeweits\" >Koeweits<\/option><option value=\"Kyrgizisch\" >Kyrgizisch<\/option><option value=\"Laotiaans\" >Laotiaans<\/option><option value=\"Lets\" >Lets<\/option><option value=\"Libanees\" >Libanees<\/option><option value=\"Lesothaans\" >Lesothaans<\/option><option value=\"Liberiaans\" >Liberiaans<\/option><option value=\"Libisch\" >Libisch<\/option><option value=\"Liechtensteins\" >Liechtensteins<\/option><option value=\"Litouws\" >Litouws<\/option><option value=\"Luxemburgs\" >Luxemburgs<\/option><option value=\"Madagaskisch\" >Madagaskisch<\/option><option value=\"Malawisch\" >Malawisch<\/option><option value=\"Maleisisch\" >Maleisisch<\/option><option value=\"Maledivisch\" >Maledivisch<\/option><option value=\"Malinees\" >Malinees<\/option><option value=\"Maltees\" >Maltees<\/option><option value=\"Marshallees\" >Marshallees<\/option><option value=\"Mauritaans\" >Mauritaans<\/option><option value=\"Mauritiaans\" >Mauritiaans<\/option><option value=\"Mexicaans\" >Mexicaans<\/option><option value=\"Micronesisch\" >Micronesisch<\/option><option value=\"Moldavisch\" >Moldavisch<\/option><option value=\"Monegaskisch\" >Monegaskisch<\/option><option value=\"Mongools\" >Mongools<\/option><option value=\"Montenegrijns\" >Montenegrijns<\/option><option value=\"Marokkaans\" >Marokkaans<\/option><option value=\"Mozambikaans\" >Mozambikaans<\/option><option value=\"Myanmarees\" >Myanmarees<\/option><option value=\"Namibisch\" >Namibisch<\/option><option value=\"Nauruaans\" >Nauruaans<\/option><option value=\"Nepalees\" >Nepalees<\/option><option value=\"Nieuw-Zeelands\" >Nieuw-Zeelands<\/option><option value=\"Nicaraguaans\" >Nicaraguaans<\/option><option value=\"Nigerees\" >Nigerees<\/option><option value=\"Nigeriaans\" >Nigeriaans<\/option><option value=\"Noord-Macedonisch\" >Noord-Macedonisch<\/option><option value=\"Noors\" >Noors<\/option><option value=\"Omanitisch\" >Omanitisch<\/option><option value=\"Pakistaans\" >Pakistaans<\/option><option value=\"Palaus\" >Palaus<\/option><option value=\"Palestijns\" >Palestijns<\/option><option value=\"Panamees\" >Panamees<\/option><option value=\"Papuaans\" >Papuaans<\/option><option value=\"Paraguayaans\" >Paraguayaans<\/option><option value=\"Peruaans\" >Peruaans<\/option><option value=\"Filippijns\" >Filippijns<\/option><option value=\"Pools\" >Pools<\/option><option value=\"Portugees\" >Portugees<\/option><option value=\"Katarees\" >Katarees<\/option><option value=\"Roemeens\" >Roemeens<\/option><option value=\"Russisch\" >Russisch<\/option><option value=\"Rwandees\" >Rwandees<\/option><option value=\"Sint Kittiaans en Nevisaans\" >Sint Kittiaans en Nevisaans<\/option><option value=\"Sint Luciaans\" >Sint Luciaans<\/option><option value=\"Sint Vincents\" >Sint Vincents<\/option><option value=\"Samoaans\" >Samoaans<\/option><option value=\"San Marinees\" >San Marinees<\/option><option value=\"Sao Tomeaans en Principaans\" >Sao Tomeaans en Principaans<\/option><option value=\"Saoedi-Arabisch\" >Saoedi-Arabisch<\/option><option value=\"Senegalees\" >Senegalees<\/option><option value=\"Servisch\" >Servisch<\/option><option value=\"Sechels\" >Sechels<\/option><option value=\"Sierra Leoons\" >Sierra Leoons<\/option><option value=\"Singaporees\" >Singaporees<\/option><option value=\"Nederlands (Sint Maarten)\" >Nederlands (Sint Maarten)<\/option><option value=\"Slowaaks\" >Slowaaks<\/option><option value=\"Sloveens\" >Sloveens<\/option><option value=\"Solomons\" >Solomons<\/option><option value=\"Somalisch\" >Somalisch<\/option><option value=\"Zuid-Afrikaans\" >Zuid-Afrikaans<\/option><option value=\"Zuidsoedanese\" >Zuidsoedanese<\/option><option value=\"Spaans\" >Spaans<\/option><option value=\"Sri Lankaans\" >Sri Lankaans<\/option><option value=\"Soedanees\" >Soedanees<\/option><option value=\"Zweeds\" >Zweeds<\/option><option value=\"Zwitsers\" >Zwitsers<\/option><option value=\"Syrisch\" >Syrisch<\/option><option value=\"Taiwanees\" >Taiwanees<\/option><option value=\"Tadzjikistaans\" >Tadzjikistaans<\/option><option value=\"Tanzaniaans\" >Tanzaniaans<\/option><option value=\"Thais\" >Thais<\/option><option value=\"Oost-Timors\" >Oost-Timors<\/option><option value=\"Togolees\" >Togolees<\/option><option value=\"Tongaans\" >Tongaans<\/option><option value=\"Trinidadiaans\" >Trinidadiaans<\/option><option value=\"Tunesisch\" >Tunesisch<\/option><option value=\"Turks\" >Turks<\/option><option value=\"Turkmeens\" >Turkmeens<\/option><option value=\"Tuvaluaans\" >Tuvaluaans<\/option><option value=\"Ugandees\" >Ugandees<\/option><option value=\"Oekra\u00efens\" >Oekra\u00efens<\/option><option value=\"Emirati\" >Emirati<\/option><option value=\"Brits\" >Brits<\/option><option value=\"Uruguayaans\" >Uruguayaans<\/option><option value=\"Oezbeeks\" >Oezbeeks<\/option><option value=\"Vanuataans\" >Vanuataans<\/option><option value=\"Venezolaans\" >Venezolaans<\/option><option value=\"Vietnamees\" >Vietnamees<\/option><option value=\"Sahrawiaans\" >Sahrawiaans<\/option><option value=\"Jemenitisch\" >Jemenitisch<\/option><option value=\"Zambiaans\" >Zambiaans<\/option><option value=\"Zimbabwaans\" >Zimbabwaans<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_35-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_35\">Geslacht <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled selected='selected'>Man \/ Vrouw<\/option><option value=\"M\" >Man<\/option><option value=\"F\" >Vrouw<\/option><\/select><\/div><div id=\"wpforms-9217-field_37-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_37\">Geboorteplaats <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" required=\"required\"><option value=\"Paramaribo\" >Paramaribo<\/option><option value=\"Wanica\" >Wanica<\/option><option value=\"Nickerie\" >Nickerie<\/option><option value=\"Marowijne\" >Marowijne<\/option><option value=\"Coronie\" >Coronie<\/option><option value=\"Saramacca\" >Saramacca<\/option><option value=\"Commewijne\" >Commewijne<\/option><option value=\"Para\" >Para<\/option><option value=\"Brokopondo\" >Brokopondo<\/option><option value=\"Sipaliwini\" >Sipaliwini<\/option><option value=\"Anders\" >Anders<\/option><\/select><\/div><div id=\"wpforms-9217-field_39-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"39\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_39\">Geboorteplaats <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-9217-field_39\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"9217\" data-field-id=\"39\" data-text-limit=\"30\" name=\"wpforms[fields][39]\" maxlength=\"30\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-9217-field_83-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"83\"><div id=\"wpforms-9217-field_83\"><strong>Geef hieronder aan waar u woonachtig bent<\/strong>\r\n<p>Geef het adres door waarop u nu woonachtig bent.<\/p>\r\n<\/div><\/div><div id=\"wpforms-9217-field_63-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"63\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_64-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_64\">District <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_64\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][64]\" required=\"required\"><option value=\"Paramaribo\" >Paramaribo<\/option><option value=\"Wanica\" >Wanica<\/option><option value=\"Nickerie\" >Nickerie<\/option><option value=\"Marowijne\" >Marowijne<\/option><option value=\"Coronie\" >Coronie<\/option><option value=\"Saramacca\" >Saramacca<\/option><option value=\"Commewijne\" >Commewijne<\/option><option value=\"Para\" >Para<\/option><option value=\"Brokopondo\" >Brokopondo<\/option><option value=\"Sipaliwini\" >Sipaliwini<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_65-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"65\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_65\">Ressort (Paramaribo) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_65\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][65]\" required=\"required\"><option value=\"Centrum\" >Centrum<\/option><option value=\"Blauwgrond\" >Blauwgrond<\/option><option value=\"Flora\" >Flora<\/option><option value=\"Latour\" >Latour<\/option><option value=\"Rainville\" >Rainville<\/option><option value=\"Pontbuiten\" >Pontbuiten<\/option><option value=\"Beekhuizen\" >Beekhuizen<\/option><option value=\"Weg naar Zee\" >Weg naar Zee<\/option><option value=\"Munder\" >Munder<\/option><option value=\"Tammenga\" >Tammenga<\/option><option value=\"Livorno\" >Livorno<\/option><option value=\"Welgelegen\" >Welgelegen<\/option><\/select><\/div><div id=\"wpforms-9217-field_66-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"66\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_66\">Ressort (Wanica) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_66\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][66]\" required=\"required\"><option value=\"Lelydorp\" >Lelydorp<\/option><option value=\"Houttuin\" >Houttuin<\/option><option value=\"Kwatta\" >Kwatta<\/option><option value=\"Domburg\" >Domburg<\/option><option value=\"Saramacca Polder\" >Saramacca Polder<\/option><option value=\"Koewarasan\" >Koewarasan<\/option><option value=\"De Nieuwe Grond\" >De Nieuwe Grond<\/option><\/select><\/div><div id=\"wpforms-9217-field_67-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"67\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_67\">Ressort (Nickerie) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_67\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][67]\" required=\"required\"><option value=\"Wageningen\" >Wageningen<\/option><option value=\"Westelijke Polders\" >Westelijke Polders<\/option><option value=\"Nieuw-Nickerie\" >Nieuw-Nickerie<\/option><option value=\"Groot Henar\" >Groot Henar<\/option><option value=\"Oostelijke Polders\" >Oostelijke Polders<\/option><\/select><\/div><div id=\"wpforms-9217-field_68-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"68\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_68\">Resort (Marowijne) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_68\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][68]\" required=\"required\"><option value=\"Moengo\" >Moengo<\/option><option value=\"Patamacca\" >Patamacca<\/option><option value=\"Moengo Tapoe\" >Moengo Tapoe<\/option><option value=\"Wanhatti\" >Wanhatti<\/option><option value=\"Albina\" >Albina<\/option><option value=\"Galibi\" >Galibi<\/option><\/select><\/div><div id=\"wpforms-9217-field_69-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"69\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_69\">Ressort (Coronie) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_69\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][69]\" required=\"required\"><option value=\"Welgelegen\" >Welgelegen<\/option><option value=\"Totness\" >Totness<\/option><option value=\"Johanna Maria\" >Johanna Maria<\/option><\/select><\/div><div id=\"wpforms-9217-field_70-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"70\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_70\">Ressort (Saramacca) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_70\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][70]\" required=\"required\"><option value=\"Jarikaba\" >Jarikaba<\/option><option value=\"Kampong Baroe\" >Kampong Baroe<\/option><option value=\"Groningen\" >Groningen<\/option><option value=\"Tijgerkreek\" >Tijgerkreek<\/option><option value=\"Calcutta\" >Calcutta<\/option><option value=\"Wayamboweg\" >Wayamboweg<\/option><\/select><\/div><div id=\"wpforms-9217-field_71-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"71\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_71\">Ressort (Commewijne) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_71\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][71]\" required=\"required\"><option value=\"Nieuw-Amsterdam\" >Nieuw-Amsterdam<\/option><option value=\"Meerzorg\" >Meerzorg<\/option><option value=\"Tamanredjo\" >Tamanredjo<\/option><option value=\"Alkmaar\" >Alkmaar<\/option><option value=\"Bakie\" >Bakie<\/option><option value=\"Margaretha\" >Margaretha<\/option><\/select><\/div><div id=\"wpforms-9217-field_72-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"72\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_72\">Ressort (Para) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_72\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][72]\" required=\"required\"><option value=\"Oost\" >Oost<\/option><option value=\"Noord\" >Noord<\/option><option value=\"Zuid\" >Zuid<\/option><option value=\"Carolina\" >Carolina<\/option><option value=\"Bigi Poika\" >Bigi Poika<\/option><\/select><\/div><div id=\"wpforms-9217-field_73-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"73\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_73\">Ressort (Brokopondo) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_73\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][73]\" required=\"required\"><option value=\"Brownsweg\" >Brownsweg<\/option><option value=\"Centrum\" >Centrum<\/option><option value=\"Klaaskreek\" >Klaaskreek<\/option><option value=\"Marshallkreek\" >Marshallkreek<\/option><option value=\"Sarakreek\" >Sarakreek<\/option><option value=\"Kwakoegron\" >Kwakoegron<\/option><\/select><\/div><div id=\"wpforms-9217-field_74-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"74\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_74\">Ressort (Sipaliwini) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-9217-field_74\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][74]\" required=\"required\"><option value=\"Boven-Suriname\" >Boven-Suriname<\/option><option value=\"Tapanahoni\" >Tapanahoni<\/option><option value=\"Kabalebo\" >Kabalebo<\/option><option value=\"Coeroeni\" >Coeroeni<\/option><option value=\"Boven-Coppename\" >Boven-Coppename<\/option><option value=\"Boven-Saramacca\" >Boven-Saramacca<\/option><\/select><\/div><\/div><\/div><\/div><div id=\"wpforms-9217-field_75-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_75\">Residential address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-9217-field_75\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][75]\" placeholder=\"Tourtonnelaan 33\" required><\/div><div id=\"wpforms-9217-field_41-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"41\"><label class=\"wpforms-field-label\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-9217-field_41\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][41][primary]\" placeholder=\"jou@email.com\" spellcheck=\"false\" required><label for=\"wpforms-9217-field_41\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-9217-field_41-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-9217-field_41\" name=\"wpforms[fields][41][secondary]\" placeholder=\"jou@email.com\" spellcheck=\"false\" required><label for=\"wpforms-9217-field_41-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-9217-field_96-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"96\"><div id=\"wpforms-9217-field_96\" class=\"wpforms-field-large wpforms-field-row\"><p><span style=\"color:#ff0000\"><strong>Belangrijk:<\/strong> Vul hier uw actieve e-mailadres in. Via dit e-mailadres ontvangt u uw digitale overeenkomst en de belangrijke instructies van dit aanvraag proces.<\/span><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-9217-field_42-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_42\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-9217-field_42\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][42]\" placeholder=\"8123456\" aria-label=\"Phone\" required><\/div><div id=\"wpforms-9217-field_43-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"43\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"4\" data-formid=\"9217\" disabled>Previous<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"4\" data-formid=\"9217\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5\" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-9217-field_47-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-type=\"checkbox\" data-field-id=\"47\"><label class=\"wpforms-field-label\">Wat verwacht u te doen met de kaart? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-9217-field_47\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-9217-field_47_1\" name=\"wpforms[fields][47][]\" value=\"Online Aankopen\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9217-field_47_1\">Online Aankopen<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-9217-field_47_2\" name=\"wpforms[fields][47][]\" value=\"ATM Gebruik\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9217-field_47_2\">ATM Gebruik<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-9217-field_47_3\" name=\"wpforms[fields][47][]\" value=\"Reizen\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9217-field_47_3\">Reizen<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-9217-field_47_4\" name=\"wpforms[fields][47][]\" value=\"Bedrijfsaankopen\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9217-field_47_4\">Bedrijfsaankopen<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-9217-field_47_5\" name=\"wpforms[fields][47][]\" value=\"Boeken van vluchten\/autos\/hotels\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9217-field_47_5\">Boeken van vluchten\/autos\/hotels<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-9217-field_47_6\" name=\"wpforms[fields][47][]\" value=\"Netflix\/Disney+\/Spotify\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9217-field_47_6\">Netflix\/Disney+\/Spotify<\/label><\/li><\/ul><\/div><div id=\"wpforms-9217-field_46-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns\" data-field-type=\"radio\" data-field-id=\"46\"><label class=\"wpforms-field-label\">Hoe verwacht u geld te storten op de kaart? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-9217-field_46\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-9217-field_46_1\" name=\"wpforms[fields][46]\" value=\"C\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9217-field_46_1\">Middels cash stortingen<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-9217-field_46_2\" name=\"wpforms[fields][46]\" value=\"G\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9217-field_46_2\">Middels bank overmakingen<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-9217-field_46_3\" name=\"wpforms[fields][46]\" value=\"B\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-9217-field_46_3\">Een combinatie van beide<\/label><\/li><\/ul><\/div><div id=\"wpforms-9217-field_49-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"49\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"5\" data-formid=\"9217\" disabled>Previous<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"5\" data-formid=\"9217\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-6\" data-page=\"6\" style=\"display:none;\"><div id=\"wpforms-9217-field_51-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"51\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_54-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"54\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_54\">Voorkant - ID kaart <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"54\"\n\t\tdata-form-id=\"9217\"\n\t\tdata-input-name=\"wpforms_9217_54\"\n\t\tdata-extensions=\"png,jpg,pdf,jpeg\"\n\t\tdata-max-size=\"5242880\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"41943040\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewbox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<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>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\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\t\tid=\"wpforms-9217-field_54\"\n\t\tname=\"wpforms_9217_54\" required\t\tvalue=\"\">\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_55-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"55\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_55\">Achterkant - ID kaart <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"55\"\n\t\tdata-form-id=\"9217\"\n\t\tdata-input-name=\"wpforms_9217_55\"\n\t\tdata-extensions=\"png,jpg,pdf,jpeg\"\n\t\tdata-max-size=\"5242880\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"41943040\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewbox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<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>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\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\t\tid=\"wpforms-9217-field_55\"\n\t\tname=\"wpforms_9217_55\" required\t\tvalue=\"\">\n<\/div><\/div><\/div><\/div><div id=\"wpforms-9217-field_52-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"52\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-9217-field_56-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"56\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_56\">Informatie pagina paspoort <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"56\"\n\t\tdata-form-id=\"9217\"\n\t\tdata-input-name=\"wpforms_9217_56\"\n\t\tdata-extensions=\"png,jpg,pdf,jpeg\"\n\t\tdata-max-size=\"5242880\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"41943040\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewbox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<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>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\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\t\tid=\"wpforms-9217-field_56\"\n\t\tname=\"wpforms_9217_56\" required\t\tvalue=\"\">\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-9217-field_93-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"93\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_93\">Paspoort stempel pagina <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"93\"\n\t\tdata-form-id=\"9217\"\n\t\tdata-input-name=\"wpforms_9217_93\"\n\t\tdata-extensions=\"png,jpg,pdf,jpeg\"\n\t\tdata-max-size=\"5242880\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"41943040\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewbox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<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>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\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\t\tid=\"wpforms-9217-field_93\"\n\t\tname=\"wpforms_9217_93\" required\t\tvalue=\"\">\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-9217-field_57-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"57\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_57\">Verblijfstempel\/Vestiging\/Verklaring<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"57\"\n\t\tdata-form-id=\"9217\"\n\t\tdata-input-name=\"wpforms_9217_57\"\n\t\tdata-extensions=\"png,jpg,pdf,jpeg\"\n\t\tdata-max-size=\"5242880\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"41943040\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewbox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<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>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\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\t\tid=\"wpforms-9217-field_57\"\n\t\tname=\"wpforms_9217_57\" \t\tvalue=\"\">\n<\/div><div id=\"wpforms-9217-field_94-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"94\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_94\">Verblijfstempel\/Vestiging\/Verklaring <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"94\"\n\t\tdata-form-id=\"9217\"\n\t\tdata-input-name=\"wpforms_9217_94\"\n\t\tdata-extensions=\"png,jpg,pdf,jpeg\"\n\t\tdata-max-size=\"5242880\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"41943040\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewbox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<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>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\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\t\tid=\"wpforms-9217-field_94\"\n\t\tname=\"wpforms_9217_94\" required\t\tvalue=\"\">\n<\/div><\/div><\/div><\/div><div id=\"wpforms-9217-field_53-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"53\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_58-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"58\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_58\">Voorkant - Buitenlandse ID Kaart<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"58\"\n\t\tdata-form-id=\"9217\"\n\t\tdata-input-name=\"wpforms_9217_58\"\n\t\tdata-extensions=\"png,jpg,pdf,jpeg\"\n\t\tdata-max-size=\"5242880\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"41943040\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewbox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<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>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\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\t\tid=\"wpforms-9217-field_58\"\n\t\tname=\"wpforms_9217_58\" \t\tvalue=\"\">\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-9217-field_59-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"59\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-9217-field_59\">Achterkant - Buitenlandse ID 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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>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\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\t\tid=\"wpforms-9217-field_59\"\n\t\tname=\"wpforms_9217_59\" \t\tvalue=\"\">\n<\/div><\/div><\/div><\/div><div id=\"wpforms-9217-field_61-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"61\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"6\" data-formid=\"9217\" disabled>Previous<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"6\" data-formid=\"9217\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-7 last\" data-page=\"7\" style=\"display:none;\"><div id=\"wpforms-9217-field_62-container\" class=\"wpforms-field wpforms-field-entry-preview\" data-field-type=\"entry-preview\" data-field-id=\"62\"><div class=\"wpforms-entry-preview-updating-message\">Updating preview\u2026<\/div><div class=\"wpforms-entry-preview-notice\" style=\"display: none;\"><strong>Dit is een overzicht van de informatie dat u heeft ingevuld. Uw aanvraag is nog niet ingediend!<\/strong><br \/>\nNeem even de tijd om uw gegevens te verifi\u00ebren. U kunt ook teruggaan om wijzigingen aan te brengen. Indien de informatie correct is kunt u klikken op 'Aanvraag indienen'.<\/div><div class=\"wpforms-entry-preview-wrapper\" style=\"display: none;\"><\/div><\/div><div id=\"wpforms-9217-field_8-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"8\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"7\" data-formid=\"9217\" disabled>Previous<\/button><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" style=\"display:none;\"><div class=\"g-recaptcha\" data-sitekey=\"6Ldtl-kfAAAAAIdU_XjmywfmQndbDkxnl3iRFbHG\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"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;\" data-rule-recaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"9217\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/scombank.sr\/en\/wp-json\/wp\/v2\/pages\/9226\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-9217\" class=\"wpforms-submit\" data-alt-text=\"Indienen...\" data-submit-text=\"Aanvraag Indienen\" aria-live=\"assertive\" value=\"wpforms-submit\">Aanvraag Indienen<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/scombank.sr\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div>  <!-- .wpforms-container -->            <\/div>\n\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Digital Intake &#8211; UnionPay Euro (NL) (TEST)Please enable JavaScript in your browser to complete this form. &#8211; Step 1 of 7 Hoe vraag ik een kaart aan? UnionPay Voor de aanvraag heeft u het volgende nodig: Een foto van uw geldige Surinaamse ID-kaart of rijbewijs. Let op: voor buitenlanders is een foto van uw paspoort [&hellip;]<\/p>","protected":false},"author":13,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-9226","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/scombank.sr\/en\/wp-json\/wp\/v2\/pages\/9226","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scombank.sr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/scombank.sr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/scombank.sr\/en\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/scombank.sr\/en\/wp-json\/wp\/v2\/comments?post=9226"}],"version-history":[{"count":7,"href":"https:\/\/scombank.sr\/en\/wp-json\/wp\/v2\/pages\/9226\/revisions"}],"predecessor-version":[{"id":9233,"href":"https:\/\/scombank.sr\/en\/wp-json\/wp\/v2\/pages\/9226\/revisions\/9233"}],"wp:attachment":[{"href":"https:\/\/scombank.sr\/en\/wp-json\/wp\/v2\/media?parent=9226"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}