<!doctype html>
<html  {$html_attrs}>
	<head>
				<meta http-equiv="X-UA-Compatible" content="IE=Edge">
	<meta name="viewport" content="width=device-width, initial-scale=1.0">
	<title>{$pagetitle}</title>
	<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
	<base href="{$projectPath}">
		<link REL="stylesheet" href="styles/default.css?{$wizardBuildKey}" type="text/css">
	{BEGIN rtlCSS}
	<link REL="stylesheet" href="styles/defaultRTL.css?{$wizardBuildKey}" type="text/css">
	{END rtlCSS}
	{BEGIN styleCSSFiles}
	<link REL="stylesheet" href="{$stylepath}" type="text/css">
	{END styleCSSFiles}
	</head>

	<body class="{$stylename} function-view" {$bodyattrs}>
	{BEGIN body}
		{$header}
		<style>
			{$containerCss}
		</style>
		{$locking}
		<div class="r-small-page" 
			data-body-align="center"
			data-body-width="standard"
		>
							{BEGIN top_block}
<div class="r-form" data-location="top" id="form_top_{$pageid}" data-makeup="small" {$form_top} data-pageid="{$pageid}"
		data-v-width="4"
	data-v-margin="1"
	
>		
	 
		<div class="row">
			 
				<div 
	data-cellId="top_c1" data-pageid="{$pageid}"	{$cell_top_c1}
	class=" r-ori-vert			col-md-12
	">
	 
		<h2 data-itemtype="view_header" data-itemid="view_header" {$item_view_header} data-pageid="{$pageid}" >{$pagetitlelabel LiveApplicationNew view}</h2>
	</div>					</div>
	</div>		
{END top_block}
									{BEGIN above-grid_block}
<div class="r-form" data-location="above-grid" id="form_above-grid_{$pageid}" data-makeup="small" {$form_above-grid} data-pageid="{$pageid}"
		data-v-width="4"
	data-v-margin="1"
	
>		
	</div>		
{END above-grid_block}
									{BEGIN grid_block}




 
	 
												<table 
	data-body-align="center"
	data-location="grid" id="form_grid_{$pageid}" data-makeup="small" {$form_grid} data-pageid="{$pageid}" 
	class="r-edit-form" cellpadding="0" cellspacing="0" 
	{$grid_hiddenattr} 
		data-form-width="1"
		
		data-v-width="4"
	>
	<tbody>
										<tr>
										

{BEGIN cellblock_grid_c3}
<td
	{$cell_grid_c3}
	class=" r-ori-vert"
	
				data-fullwidth
		
			data-cellId="grid_c3" data-pageid="{$pageid}"
		data-v-cell="4"
		
>
	<div edit-form-cell class="clearfix">
				
{BEGIN username_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_username}  r-vertical-field" data-fieldname="username" data-signal-error-for="username{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field" {$item_integrated_edit_field} data-pageid="{$pageid}" data-field="username" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_username}">
		
		{BEGIN username_label}{$label LiveApplicationNew username }{END username_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$username_value}	</div>

		
</div>


{END username_fieldblock}
											
{BEGIN sem1year5_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_sem1year5}  r-vertical-field" data-fieldname="sem1year5" data-signal-error-for="sem1year5{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field1" {$item_integrated_edit_field1} data-pageid="{$pageid}" data-field="sem1year5" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_sem1year5}">
		
		{BEGIN sem1year5_label}{$label LiveApplicationNew sem1year5 }{END sem1year5_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$sem1year5_value}	</div>

		
</div>


{END sem1year5_fieldblock}
											
{BEGIN Graduated_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Graduated}  r-vertical-field" data-fieldname="Graduated" data-signal-error-for="Graduated{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field2" {$item_integrated_edit_field2} data-pageid="{$pageid}" data-field="Graduated" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Graduated}">
		
		{BEGIN Graduated_label}{$label LiveApplicationNew Graduated }{END Graduated_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Graduated_value}	</div>

		
</div>


{END Graduated_fieldblock}
											
{BEGIN YearGraduated_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_YearGraduated}  r-vertical-field" data-fieldname="YearGraduated" data-signal-error-for="YearGraduated{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field3" {$item_integrated_edit_field3} data-pageid="{$pageid}" data-field="YearGraduated" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_YearGraduated}">
		
		{BEGIN YearGraduated_label}{$label LiveApplicationNew YearGraduated }{END YearGraduated_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$YearGraduated_value}	</div>

		
</div>


{END YearGraduated_fieldblock}
											
{BEGIN PostingtoSchool_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_PostingtoSchool}  r-vertical-field" data-fieldname="PostingtoSchool" data-signal-error-for="PostingtoSchool{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field4" {$item_integrated_edit_field4} data-pageid="{$pageid}" data-field="PostingtoSchool" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_PostingtoSchool}">
		
		{BEGIN PostingtoSchool_label}{$label LiveApplicationNew PostingtoSchool }{END PostingtoSchool_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$PostingtoSchool_value}	</div>

		
</div>


{END PostingtoSchool_fieldblock}
											
{BEGIN PostingsLLG_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_PostingsLLG}  r-vertical-field" data-fieldname="PostingsLLG" data-signal-error-for="PostingsLLG{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field5" {$item_integrated_edit_field5} data-pageid="{$pageid}" data-field="PostingsLLG" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_PostingsLLG}">
		
		{BEGIN PostingsLLG_label}{$label LiveApplicationNew PostingsLLG }{END PostingsLLG_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$PostingsLLG_value}	</div>

		
</div>


{END PostingsLLG_fieldblock}
											
{BEGIN NewApplicant_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_NewApplicant}  r-vertical-field" data-fieldname="NewApplicant" data-signal-error-for="NewApplicant{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field6" {$item_integrated_edit_field6} data-pageid="{$pageid}" data-field="NewApplicant" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_NewApplicant}">
		
		{BEGIN NewApplicant_label}{$label LiveApplicationNew NewApplicant }{END NewApplicant_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$NewApplicant_value}	</div>

		
</div>


{END NewApplicant_fieldblock}
											
{BEGIN Judge1Comment_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Judge1Comment}  r-vertical-field" data-fieldname="Judge1Comment" data-signal-error-for="Judge1Comment{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field7" {$item_integrated_edit_field7} data-pageid="{$pageid}" data-field="Judge1Comment" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Judge1Comment}">
		
		{BEGIN Judge1Comment_label}{$label LiveApplicationNew Judge1Comment }{END Judge1Comment_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Judge1Comment_value}	</div>

		
</div>


{END Judge1Comment_fieldblock}
											
{BEGIN Reapply_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Reapply}  r-vertical-field" data-fieldname="Reapply" data-signal-error-for="Reapply{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field8" {$item_integrated_edit_field8} data-pageid="{$pageid}" data-field="Reapply" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Reapply}">
		
		{BEGIN Reapply_label}{$label LiveApplicationNew Reapply }{END Reapply_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Reapply_value}	</div>

		
</div>


{END Reapply_fieldblock}
											
{BEGIN EmailAddrssAppl_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_EmailAddrssAppl}  r-vertical-field" data-fieldname="EmailAddrssAppl" data-signal-error-for="EmailAddrssAppl{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field9" {$item_integrated_edit_field9} data-pageid="{$pageid}" data-field="EmailAddrssAppl" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_EmailAddrssAppl}">
		
		{BEGIN EmailAddrssAppl_label}{$label LiveApplicationNew EmailAddrssAppl }{END EmailAddrssAppl_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$EmailAddrssAppl_value}	</div>

		
</div>


{END EmailAddrssAppl_fieldblock}
											
{BEGIN MobileNoAppl_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MobileNoAppl}  r-vertical-field" data-fieldname="MobileNoAppl" data-signal-error-for="MobileNoAppl{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field10" {$item_integrated_edit_field10} data-pageid="{$pageid}" data-field="MobileNoAppl" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MobileNoAppl}">
		
		{BEGIN MobileNoAppl_label}{$label LiveApplicationNew MobileNoAppl }{END MobileNoAppl_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MobileNoAppl_value}	</div>

		
</div>


{END MobileNoAppl_fieldblock}
											
{BEGIN approved1_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_approved1}  r-vertical-field" data-fieldname="approved1" data-signal-error-for="approved1{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field11" {$item_integrated_edit_field11} data-pageid="{$pageid}" data-field="approved1" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_approved1}">
		
		{BEGIN approved1_label}{$label LiveApplicationNew approved1 }{END approved1_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$approved1_value}	</div>

		
</div>


{END approved1_fieldblock}
											
{BEGIN approved2_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_approved2}  r-vertical-field" data-fieldname="approved2" data-signal-error-for="approved2{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field12" {$item_integrated_edit_field12} data-pageid="{$pageid}" data-field="approved2" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_approved2}">
		
		{BEGIN approved2_label}{$label LiveApplicationNew approved2 }{END approved2_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$approved2_value}	</div>

		
</div>


{END approved2_fieldblock}
											
{BEGIN approved3_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_approved3}  r-vertical-field" data-fieldname="approved3" data-signal-error-for="approved3{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field13" {$item_integrated_edit_field13} data-pageid="{$pageid}" data-field="approved3" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_approved3}">
		
		{BEGIN approved3_label}{$label LiveApplicationNew approved3 }{END approved3_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$approved3_value}	</div>

		
</div>


{END approved3_fieldblock}
											
{BEGIN Passd3rdYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Passd3rdYear}  r-vertical-field" data-fieldname="Passd3rdYear" data-signal-error-for="Passd3rdYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field14" {$item_integrated_edit_field14} data-pageid="{$pageid}" data-field="Passd3rdYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Passd3rdYear}">
		
		{BEGIN Passd3rdYear_label}{$label LiveApplicationNew Passd3rdYear }{END Passd3rdYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Passd3rdYear_value}	</div>

		
</div>


{END Passd3rdYear_fieldblock}
											
{BEGIN Judge2Comment_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Judge2Comment}  r-vertical-field" data-fieldname="Judge2Comment" data-signal-error-for="Judge2Comment{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field15" {$item_integrated_edit_field15} data-pageid="{$pageid}" data-field="Judge2Comment" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Judge2Comment}">
		
		{BEGIN Judge2Comment_label}{$label LiveApplicationNew Judge2Comment }{END Judge2Comment_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Judge2Comment_value}	</div>

		
</div>


{END Judge2Comment_fieldblock}
											
{BEGIN Judge3Comment_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Judge3Comment}  r-vertical-field" data-fieldname="Judge3Comment" data-signal-error-for="Judge3Comment{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field16" {$item_integrated_edit_field16} data-pageid="{$pageid}" data-field="Judge3Comment" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Judge3Comment}">
		
		{BEGIN Judge3Comment_label}{$label LiveApplicationNew Judge3Comment }{END Judge3Comment_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Judge3Comment_value}	</div>

		
</div>


{END Judge3Comment_fieldblock}
											
{BEGIN JudgeComment_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_JudgeComment}  r-vertical-field" data-fieldname="JudgeComment" data-signal-error-for="JudgeComment{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field17" {$item_integrated_edit_field17} data-pageid="{$pageid}" data-field="JudgeComment" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_JudgeComment}">
		
		{BEGIN JudgeComment_label}{$label LiveApplicationNew JudgeComment }{END JudgeComment_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$JudgeComment_value}	</div>

		
</div>


{END JudgeComment_fieldblock}
											
{BEGIN Lat_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Lat}  r-vertical-field" data-fieldname="Lat" data-signal-error-for="Lat{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field18" {$item_integrated_edit_field18} data-pageid="{$pageid}" data-field="Lat" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Lat}">
		
		{BEGIN Lat_label}{$label LiveApplicationNew Lat }{END Lat_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Lat_value}	</div>

		
</div>


{END Lat_fieldblock}
											
{BEGIN Lng_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Lng}  r-vertical-field" data-fieldname="Lng" data-signal-error-for="Lng{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field19" {$item_integrated_edit_field19} data-pageid="{$pageid}" data-field="Lng" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Lng}">
		
		{BEGIN Lng_label}{$label LiveApplicationNew Lng }{END Lng_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Lng_value}	</div>

		
</div>


{END Lng_fieldblock}
											
{BEGIN judge1id_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_judge1id}  r-vertical-field" data-fieldname="judge1id" data-signal-error-for="judge1id{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field20" {$item_integrated_edit_field20} data-pageid="{$pageid}" data-field="judge1id" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_judge1id}">
		
		{BEGIN judge1id_label}{$label LiveApplicationNew judge1id }{END judge1id_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$judge1id_value}	</div>

		
</div>


{END judge1id_fieldblock}
											
{BEGIN judee2id_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_judee2id}  r-vertical-field" data-fieldname="judee2id" data-signal-error-for="judee2id{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field21" {$item_integrated_edit_field21} data-pageid="{$pageid}" data-field="judee2id" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_judee2id}">
		
		{BEGIN judee2id_label}{$label LiveApplicationNew judee2id }{END judee2id_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$judee2id_value}	</div>

		
</div>


{END judee2id_fieldblock}
											
{BEGIN judge3id_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_judge3id}  r-vertical-field" data-fieldname="judge3id" data-signal-error-for="judge3id{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field22" {$item_integrated_edit_field22} data-pageid="{$pageid}" data-field="judge3id" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_judge3id}">
		
		{BEGIN judge3id_label}{$label LiveApplicationNew judge3id }{END judge3id_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$judge3id_value}	</div>

		
</div>


{END judge3id_fieldblock}
											
{BEGIN natid_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_natid}  r-vertical-field" data-fieldname="natid" data-signal-error-for="natid{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field23" {$item_integrated_edit_field23} data-pageid="{$pageid}" data-field="natid" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_natid}">
		
		{BEGIN natid_label}{$label LiveApplicationNew natid }{END natid_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$natid_value}	</div>

		
</div>


{END natid_fieldblock}
											
{BEGIN sem2year1_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_sem2year1}  r-vertical-field" data-fieldname="sem2year1" data-signal-error-for="sem2year1{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field24" {$item_integrated_edit_field24} data-pageid="{$pageid}" data-field="sem2year1" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_sem2year1}">
		
		{BEGIN sem2year1_label}{$label LiveApplicationNew sem2year1 }{END sem2year1_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$sem2year1_value}	</div>

		
</div>


{END sem2year1_fieldblock}
											
{BEGIN sem2year2_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_sem2year2}  r-vertical-field" data-fieldname="sem2year2" data-signal-error-for="sem2year2{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field25" {$item_integrated_edit_field25} data-pageid="{$pageid}" data-field="sem2year2" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_sem2year2}">
		
		{BEGIN sem2year2_label}{$label LiveApplicationNew sem2year2 }{END sem2year2_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$sem2year2_value}	</div>

		
</div>


{END sem2year2_fieldblock}
											
{BEGIN sem2year3_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_sem2year3}  r-vertical-field" data-fieldname="sem2year3" data-signal-error-for="sem2year3{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field26" {$item_integrated_edit_field26} data-pageid="{$pageid}" data-field="sem2year3" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_sem2year3}">
		
		{BEGIN sem2year3_label}{$label LiveApplicationNew sem2year3 }{END sem2year3_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$sem2year3_value}	</div>

		
</div>


{END sem2year3_fieldblock}
											
{BEGIN sem2year4_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_sem2year4}  r-vertical-field" data-fieldname="sem2year4" data-signal-error-for="sem2year4{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field27" {$item_integrated_edit_field27} data-pageid="{$pageid}" data-field="sem2year4" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_sem2year4}">
		
		{BEGIN sem2year4_label}{$label LiveApplicationNew sem2year4 }{END sem2year4_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$sem2year4_value}	</div>

		
</div>


{END sem2year4_fieldblock}
											
{BEGIN sem2year5_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_sem2year5}  r-vertical-field" data-fieldname="sem2year5" data-signal-error-for="sem2year5{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field28" {$item_integrated_edit_field28} data-pageid="{$pageid}" data-field="sem2year5" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_sem2year5}">
		
		{BEGIN sem2year5_label}{$label LiveApplicationNew sem2year5 }{END sem2year5_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$sem2year5_value}	</div>

		
</div>


{END sem2year5_fieldblock}
											
{BEGIN y1housingtype_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_y1housingtype}  r-vertical-field" data-fieldname="y1housingtype" data-signal-error-for="y1housingtype{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field29" {$item_integrated_edit_field29} data-pageid="{$pageid}" data-field="y1housingtype" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_y1housingtype}">
		
		{BEGIN y1housingtype_label}{$label LiveApplicationNew y1housingtype }{END y1housingtype_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$y1housingtype_value}	</div>

		
</div>


{END y1housingtype_fieldblock}
											
{BEGIN y3housingtype_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_y3housingtype}  r-vertical-field" data-fieldname="y3housingtype" data-signal-error-for="y3housingtype{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field30" {$item_integrated_edit_field30} data-pageid="{$pageid}" data-field="y3housingtype" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_y3housingtype}">
		
		{BEGIN y3housingtype_label}{$label LiveApplicationNew y3housingtype }{END y3housingtype_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$y3housingtype_value}	</div>

		
</div>


{END y3housingtype_fieldblock}
											
{BEGIN y4housingtype_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_y4housingtype}  r-vertical-field" data-fieldname="y4housingtype" data-signal-error-for="y4housingtype{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field31" {$item_integrated_edit_field31} data-pageid="{$pageid}" data-field="y4housingtype" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_y4housingtype}">
		
		{BEGIN y4housingtype_label}{$label LiveApplicationNew y4housingtype }{END y4housingtype_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$y4housingtype_value}	</div>

		
</div>


{END y4housingtype_fieldblock}
											
{BEGIN y5housingtype_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_y5housingtype}  r-vertical-field" data-fieldname="y5housingtype" data-signal-error-for="y5housingtype{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field32" {$item_integrated_edit_field32} data-pageid="{$pageid}" data-field="y5housingtype" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_y5housingtype}">
		
		{BEGIN y5housingtype_label}{$label LiveApplicationNew y5housingtype }{END y5housingtype_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$y5housingtype_value}	</div>

		
</div>


{END y5housingtype_fieldblock}
											
{BEGIN comment1_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_comment1}  r-vertical-field" data-fieldname="comment1" data-signal-error-for="comment1{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field33" {$item_integrated_edit_field33} data-pageid="{$pageid}" data-field="comment1" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_comment1}">
		
		{BEGIN comment1_label}{$label LiveApplicationNew comment1 }{END comment1_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$comment1_value}	</div>

		
</div>


{END comment1_fieldblock}
											
{BEGIN comment2_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_comment2}  r-vertical-field" data-fieldname="comment2" data-signal-error-for="comment2{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field34" {$item_integrated_edit_field34} data-pageid="{$pageid}" data-field="comment2" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_comment2}">
		
		{BEGIN comment2_label}{$label LiveApplicationNew comment2 }{END comment2_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$comment2_value}	</div>

		
</div>


{END comment2_fieldblock}
											
{BEGIN comment3_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_comment3}  r-vertical-field" data-fieldname="comment3" data-signal-error-for="comment3{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field35" {$item_integrated_edit_field35} data-pageid="{$pageid}" data-field="comment3" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_comment3}">
		
		{BEGIN comment3_label}{$label LiveApplicationNew comment3 }{END comment3_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$comment3_value}	</div>

		
</div>


{END comment3_fieldblock}
											
{BEGIN comment4_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_comment4}  r-vertical-field" data-fieldname="comment4" data-signal-error-for="comment4{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field36" {$item_integrated_edit_field36} data-pageid="{$pageid}" data-field="comment4" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_comment4}">
		
		{BEGIN comment4_label}{$label LiveApplicationNew comment4 }{END comment4_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$comment4_value}	</div>

		
</div>


{END comment4_fieldblock}
											
{BEGIN comment5_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_comment5}  r-vertical-field" data-fieldname="comment5" data-signal-error-for="comment5{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field37" {$item_integrated_edit_field37} data-pageid="{$pageid}" data-field="comment5" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_comment5}">
		
		{BEGIN comment5_label}{$label LiveApplicationNew comment5 }{END comment5_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$comment5_value}	</div>

		
</div>


{END comment5_fieldblock}
											
{BEGIN assessed_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_assessed}  r-vertical-field" data-fieldname="assessed" data-signal-error-for="assessed{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field38" {$item_integrated_edit_field38} data-pageid="{$pageid}" data-field="assessed" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_assessed}">
		
		{BEGIN assessed_label}{$label LiveApplicationNew assessed }{END assessed_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$assessed_value}	</div>

		
</div>


{END assessed_fieldblock}
											
{BEGIN assessed1_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_assessed1}  r-vertical-field" data-fieldname="assessed1" data-signal-error-for="assessed1{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field39" {$item_integrated_edit_field39} data-pageid="{$pageid}" data-field="assessed1" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_assessed1}">
		
		{BEGIN assessed1_label}{$label LiveApplicationNew assessed1 }{END assessed1_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$assessed1_value}	</div>

		
</div>


{END assessed1_fieldblock}
											
{BEGIN assessed2_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_assessed2}  r-vertical-field" data-fieldname="assessed2" data-signal-error-for="assessed2{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field40" {$item_integrated_edit_field40} data-pageid="{$pageid}" data-field="assessed2" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_assessed2}">
		
		{BEGIN assessed2_label}{$label LiveApplicationNew assessed2 }{END assessed2_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$assessed2_value}	</div>

		
</div>


{END assessed2_fieldblock}
											
{BEGIN assessed3_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_assessed3}  r-vertical-field" data-fieldname="assessed3" data-signal-error-for="assessed3{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field41" {$item_integrated_edit_field41} data-pageid="{$pageid}" data-field="assessed3" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_assessed3}">
		
		{BEGIN assessed3_label}{$label LiveApplicationNew assessed3 }{END assessed3_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$assessed3_value}	</div>

		
</div>


{END assessed3_fieldblock}
											
{BEGIN assessed4_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_assessed4}  r-vertical-field" data-fieldname="assessed4" data-signal-error-for="assessed4{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field42" {$item_integrated_edit_field42} data-pageid="{$pageid}" data-field="assessed4" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_assessed4}">
		
		{BEGIN assessed4_label}{$label LiveApplicationNew assessed4 }{END assessed4_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$assessed4_value}	</div>

		
</div>


{END assessed4_fieldblock}
											
{BEGIN assessed5_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_assessed5}  r-vertical-field" data-fieldname="assessed5" data-signal-error-for="assessed5{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field43" {$item_integrated_edit_field43} data-pageid="{$pageid}" data-field="assessed5" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_assessed5}">
		
		{BEGIN assessed5_label}{$label LiveApplicationNew assessed5 }{END assessed5_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$assessed5_value}	</div>

		
</div>


{END assessed5_fieldblock}
											
{BEGIN 1styearTesas_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_1styearTesas}  r-vertical-field" data-fieldname="1styearTesas" data-signal-error-for="1styearTesas{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field44" {$item_integrated_edit_field44} data-pageid="{$pageid}" data-field="1styearTesas" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_1styearTesas}">
		
		{BEGIN 1styearTesas_label}{$label LiveApplicationNew 1styearTesas }{END 1styearTesas_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$1styearTesas_value}	</div>

		
</div>


{END 1styearTesas_fieldblock}
											
{BEGIN 1styearFee_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_1styearFee}  r-vertical-field" data-fieldname="1styearFee" data-signal-error-for="1styearFee{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field45" {$item_integrated_edit_field45} data-pageid="{$pageid}" data-field="1styearFee" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_1styearFee}">
		
		{BEGIN 1styearFee_label}{$label LiveApplicationNew 1styearFee }{END 1styearFee_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$1styearFee_value}	</div>

		
</div>


{END 1styearFee_fieldblock}
											
{BEGIN Paid1stYearFee_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Paid1stYearFee}  r-vertical-field" data-fieldname="Paid1stYearFee" data-signal-error-for="Paid1stYearFee{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field46" {$item_integrated_edit_field46} data-pageid="{$pageid}" data-field="Paid1stYearFee" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Paid1stYearFee}">
		
		{BEGIN Paid1stYearFee_label}{$label LiveApplicationNew Paid1stYearFee }{END Paid1stYearFee_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Paid1stYearFee_value}	</div>

		
</div>


{END Paid1stYearFee_fieldblock}
											
{BEGIN Passd1stYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Passd1stYear}  r-vertical-field" data-fieldname="Passd1stYear" data-signal-error-for="Passd1stYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field47" {$item_integrated_edit_field47} data-pageid="{$pageid}" data-field="Passd1stYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Passd1stYear}">
		
		{BEGIN Passd1stYear_label}{$label LiveApplicationNew Passd1stYear }{END Passd1stYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Passd1stYear_value}	</div>

		
</div>


{END Passd1stYear_fieldblock}
											
{BEGIN sem1year1_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_sem1year1}  r-vertical-field" data-fieldname="sem1year1" data-signal-error-for="sem1year1{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field48" {$item_integrated_edit_field48} data-pageid="{$pageid}" data-field="sem1year1" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_sem1year1}">
		
		{BEGIN sem1year1_label}{$label LiveApplicationNew sem1year1 }{END sem1year1_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$sem1year1_value}	</div>

		
</div>


{END sem1year1_fieldblock}
											
{BEGIN Year2nd_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Year2nd}  r-vertical-field" data-fieldname="Year2nd" data-signal-error-for="Year2nd{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field49" {$item_integrated_edit_field49} data-pageid="{$pageid}" data-field="Year2nd" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Year2nd}">
		
		{BEGIN Year2nd_label}{$label LiveApplicationNew Year2nd }{END Year2nd_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Year2nd_value}	</div>

		
</div>


{END Year2nd_fieldblock}
											
{BEGIN TESAS2ndYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_TESAS2ndYear}  r-vertical-field" data-fieldname="TESAS2ndYear" data-signal-error-for="TESAS2ndYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field50" {$item_integrated_edit_field50} data-pageid="{$pageid}" data-field="TESAS2ndYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_TESAS2ndYear}">
		
		{BEGIN TESAS2ndYear_label}{$label LiveApplicationNew TESAS2ndYear }{END TESAS2ndYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$TESAS2ndYear_value}	</div>

		
</div>


{END TESAS2ndYear_fieldblock}
											
{BEGIN Fee2ndYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Fee2ndYear}  r-vertical-field" data-fieldname="Fee2ndYear" data-signal-error-for="Fee2ndYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field51" {$item_integrated_edit_field51} data-pageid="{$pageid}" data-field="Fee2ndYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Fee2ndYear}">
		
		{BEGIN Fee2ndYear_label}{$label LiveApplicationNew Fee2ndYear }{END Fee2ndYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Fee2ndYear_value}	</div>

		
</div>


{END Fee2ndYear_fieldblock}
											
{BEGIN Paid2ndYearFee_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Paid2ndYearFee}  r-vertical-field" data-fieldname="Paid2ndYearFee" data-signal-error-for="Paid2ndYearFee{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field52" {$item_integrated_edit_field52} data-pageid="{$pageid}" data-field="Paid2ndYearFee" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Paid2ndYearFee}">
		
		{BEGIN Paid2ndYearFee_label}{$label LiveApplicationNew Paid2ndYearFee }{END Paid2ndYearFee_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Paid2ndYearFee_value}	</div>

		
</div>


{END Paid2ndYearFee_fieldblock}
											
{BEGIN Passd2ndYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Passd2ndYear}  r-vertical-field" data-fieldname="Passd2ndYear" data-signal-error-for="Passd2ndYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field53" {$item_integrated_edit_field53} data-pageid="{$pageid}" data-field="Passd2ndYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Passd2ndYear}">
		
		{BEGIN Passd2ndYear_label}{$label LiveApplicationNew Passd2ndYear }{END Passd2ndYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Passd2ndYear_value}	</div>

		
</div>


{END Passd2ndYear_fieldblock}
											
{BEGIN sem1year2_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_sem1year2}  r-vertical-field" data-fieldname="sem1year2" data-signal-error-for="sem1year2{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field54" {$item_integrated_edit_field54} data-pageid="{$pageid}" data-field="sem1year2" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_sem1year2}">
		
		{BEGIN sem1year2_label}{$label LiveApplicationNew sem1year2 }{END sem1year2_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$sem1year2_value}	</div>

		
</div>


{END sem1year2_fieldblock}
											
{BEGIN Year3rd_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Year3rd}  r-vertical-field" data-fieldname="Year3rd" data-signal-error-for="Year3rd{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field55" {$item_integrated_edit_field55} data-pageid="{$pageid}" data-field="Year3rd" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Year3rd}">
		
		{BEGIN Year3rd_label}{$label LiveApplicationNew Year3rd }{END Year3rd_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Year3rd_value}	</div>

		
</div>


{END Year3rd_fieldblock}
											
{BEGIN TESAS3rdYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_TESAS3rdYear}  r-vertical-field" data-fieldname="TESAS3rdYear" data-signal-error-for="TESAS3rdYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field56" {$item_integrated_edit_field56} data-pageid="{$pageid}" data-field="TESAS3rdYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_TESAS3rdYear}">
		
		{BEGIN TESAS3rdYear_label}{$label LiveApplicationNew TESAS3rdYear }{END TESAS3rdYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$TESAS3rdYear_value}	</div>

		
</div>


{END TESAS3rdYear_fieldblock}
											
{BEGIN Fee3rdYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Fee3rdYear}  r-vertical-field" data-fieldname="Fee3rdYear" data-signal-error-for="Fee3rdYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field57" {$item_integrated_edit_field57} data-pageid="{$pageid}" data-field="Fee3rdYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Fee3rdYear}">
		
		{BEGIN Fee3rdYear_label}{$label LiveApplicationNew Fee3rdYear }{END Fee3rdYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Fee3rdYear_value}	</div>

		
</div>


{END Fee3rdYear_fieldblock}
											
{BEGIN Paid3rdYrFee_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Paid3rdYrFee}  r-vertical-field" data-fieldname="Paid3rdYrFee" data-signal-error-for="Paid3rdYrFee{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field58" {$item_integrated_edit_field58} data-pageid="{$pageid}" data-field="Paid3rdYrFee" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Paid3rdYrFee}">
		
		{BEGIN Paid3rdYrFee_label}{$label LiveApplicationNew Paid3rdYrFee }{END Paid3rdYrFee_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Paid3rdYrFee_value}	</div>

		
</div>


{END Paid3rdYrFee_fieldblock}
											
{BEGIN y2housingtype_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_y2housingtype}  r-vertical-field" data-fieldname="y2housingtype" data-signal-error-for="y2housingtype{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field59" {$item_integrated_edit_field59} data-pageid="{$pageid}" data-field="y2housingtype" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_y2housingtype}">
		
		{BEGIN y2housingtype_label}{$label LiveApplicationNew y2housingtype }{END y2housingtype_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$y2housingtype_value}	</div>

		
</div>


{END y2housingtype_fieldblock}
											
{BEGIN sem1year3_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_sem1year3}  r-vertical-field" data-fieldname="sem1year3" data-signal-error-for="sem1year3{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field60" {$item_integrated_edit_field60} data-pageid="{$pageid}" data-field="sem1year3" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_sem1year3}">
		
		{BEGIN sem1year3_label}{$label LiveApplicationNew sem1year3 }{END sem1year3_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$sem1year3_value}	</div>

		
</div>


{END sem1year3_fieldblock}
											
{BEGIN Year4th_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Year4th}  r-vertical-field" data-fieldname="Year4th" data-signal-error-for="Year4th{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field61" {$item_integrated_edit_field61} data-pageid="{$pageid}" data-field="Year4th" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Year4th}">
		
		{BEGIN Year4th_label}{$label LiveApplicationNew Year4th }{END Year4th_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Year4th_value}	</div>

		
</div>


{END Year4th_fieldblock}
											
{BEGIN TESAS4thYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_TESAS4thYear}  r-vertical-field" data-fieldname="TESAS4thYear" data-signal-error-for="TESAS4thYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field62" {$item_integrated_edit_field62} data-pageid="{$pageid}" data-field="TESAS4thYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_TESAS4thYear}">
		
		{BEGIN TESAS4thYear_label}{$label LiveApplicationNew TESAS4thYear }{END TESAS4thYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$TESAS4thYear_value}	</div>

		
</div>


{END TESAS4thYear_fieldblock}
											
{BEGIN Fee4thYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Fee4thYear}  r-vertical-field" data-fieldname="Fee4thYear" data-signal-error-for="Fee4thYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field63" {$item_integrated_edit_field63} data-pageid="{$pageid}" data-field="Fee4thYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Fee4thYear}">
		
		{BEGIN Fee4thYear_label}{$label LiveApplicationNew Fee4thYear }{END Fee4thYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Fee4thYear_value}	</div>

		
</div>


{END Fee4thYear_fieldblock}
											
{BEGIN Paid4thYearFee_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Paid4thYearFee}  r-vertical-field" data-fieldname="Paid4thYearFee" data-signal-error-for="Paid4thYearFee{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field64" {$item_integrated_edit_field64} data-pageid="{$pageid}" data-field="Paid4thYearFee" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Paid4thYearFee}">
		
		{BEGIN Paid4thYearFee_label}{$label LiveApplicationNew Paid4thYearFee }{END Paid4thYearFee_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Paid4thYearFee_value}	</div>

		
</div>


{END Paid4thYearFee_fieldblock}
											
{BEGIN Passd4thYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Passd4thYear}  r-vertical-field" data-fieldname="Passd4thYear" data-signal-error-for="Passd4thYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field65" {$item_integrated_edit_field65} data-pageid="{$pageid}" data-field="Passd4thYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Passd4thYear}">
		
		{BEGIN Passd4thYear_label}{$label LiveApplicationNew Passd4thYear }{END Passd4thYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Passd4thYear_value}	</div>

		
</div>


{END Passd4thYear_fieldblock}
											
{BEGIN sem1year4_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_sem1year4}  r-vertical-field" data-fieldname="sem1year4" data-signal-error-for="sem1year4{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field66" {$item_integrated_edit_field66} data-pageid="{$pageid}" data-field="sem1year4" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_sem1year4}">
		
		{BEGIN sem1year4_label}{$label LiveApplicationNew sem1year4 }{END sem1year4_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$sem1year4_value}	</div>

		
</div>


{END sem1year4_fieldblock}
											
{BEGIN Year5th_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Year5th}  r-vertical-field" data-fieldname="Year5th" data-signal-error-for="Year5th{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field67" {$item_integrated_edit_field67} data-pageid="{$pageid}" data-field="Year5th" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Year5th}">
		
		{BEGIN Year5th_label}{$label LiveApplicationNew Year5th }{END Year5th_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Year5th_value}	</div>

		
</div>


{END Year5th_fieldblock}
											
{BEGIN TESAS5thYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_TESAS5thYear}  r-vertical-field" data-fieldname="TESAS5thYear" data-signal-error-for="TESAS5thYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field68" {$item_integrated_edit_field68} data-pageid="{$pageid}" data-field="TESAS5thYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_TESAS5thYear}">
		
		{BEGIN TESAS5thYear_label}{$label LiveApplicationNew TESAS5thYear }{END TESAS5thYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$TESAS5thYear_value}	</div>

		
</div>


{END TESAS5thYear_fieldblock}
											
{BEGIN Fee5thYear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Fee5thYear}  r-vertical-field" data-fieldname="Fee5thYear" data-signal-error-for="Fee5thYear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field69" {$item_integrated_edit_field69} data-pageid="{$pageid}" data-field="Fee5thYear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Fee5thYear}">
		
		{BEGIN Fee5thYear_label}{$label LiveApplicationNew Fee5thYear }{END Fee5thYear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Fee5thYear_value}	</div>

		
</div>


{END Fee5thYear_fieldblock}
											
{BEGIN Paid5thYearFee_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Paid5thYearFee}  r-vertical-field" data-fieldname="Paid5thYearFee" data-signal-error-for="Paid5thYearFee{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field70" {$item_integrated_edit_field70} data-pageid="{$pageid}" data-field="Paid5thYearFee" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Paid5thYearFee}">
		
		{BEGIN Paid5thYearFee_label}{$label LiveApplicationNew Paid5thYearFee }{END Paid5thYearFee_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Paid5thYearFee_value}	</div>

		
</div>


{END Paid5thYearFee_fieldblock}
											
{BEGIN Passdd5thYr_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Passdd5thYr}  r-vertical-field" data-fieldname="Passdd5thYr" data-signal-error-for="Passdd5thYr{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field71" {$item_integrated_edit_field71} data-pageid="{$pageid}" data-field="Passdd5thYr" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Passdd5thYr}">
		
		{BEGIN Passdd5thYr_label}{$label LiveApplicationNew Passdd5thYr }{END Passdd5thYr_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Passdd5thYr_value}	</div>

		
</div>


{END Passdd5thYr_fieldblock}
											
{BEGIN Photo_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Photo}  r-vertical-field" data-fieldname="Photo" data-signal-error-for="Photo{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field72" {$item_integrated_edit_field72} data-pageid="{$pageid}" data-field="Photo" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Photo}">
		
		{BEGIN Photo_label}{$label LiveApplicationNew Photo }{END Photo_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Photo_value}	</div>

		
</div>


{END Photo_fieldblock}
											
{BEGIN MPGID_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MPGID}  r-vertical-field" data-fieldname="MPGID" data-signal-error-for="MPGID{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field73" {$item_integrated_edit_field73} data-pageid="{$pageid}" data-field="MPGID" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MPGID}">
		
		{BEGIN MPGID_label}{$label LiveApplicationNew MPGID }{END MPGID_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MPGID_value}	</div>

		
</div>


{END MPGID_fieldblock}
											
{BEGIN Surname_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Surname}  r-vertical-field" data-fieldname="Surname" data-signal-error-for="Surname{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field74" {$item_integrated_edit_field74} data-pageid="{$pageid}" data-field="Surname" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Surname}">
		
		{BEGIN Surname_label}{$label LiveApplicationNew Surname }{END Surname_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Surname_value}	</div>

		
</div>


{END Surname_fieldblock}
											
{BEGIN FirstName_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FirstName}  r-vertical-field" data-fieldname="FirstName" data-signal-error-for="FirstName{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field75" {$item_integrated_edit_field75} data-pageid="{$pageid}" data-field="FirstName" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FirstName}">
		
		{BEGIN FirstName_label}{$label LiveApplicationNew FirstName }{END FirstName_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FirstName_value}	</div>

		
</div>


{END FirstName_fieldblock}
											
{BEGIN StudentSchoolID_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_StudentSchoolID}  r-vertical-field" data-fieldname="StudentSchoolID" data-signal-error-for="StudentSchoolID{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field76" {$item_integrated_edit_field76} data-pageid="{$pageid}" data-field="StudentSchoolID" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_StudentSchoolID}">
		
		{BEGIN StudentSchoolID_label}{$label LiveApplicationNew StudentSchoolID }{END StudentSchoolID_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$StudentSchoolID_value}	</div>

		
</div>


{END StudentSchoolID_fieldblock}
											
{BEGIN Gender_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Gender}  r-vertical-field" data-fieldname="Gender" data-signal-error-for="Gender{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field77" {$item_integrated_edit_field77} data-pageid="{$pageid}" data-field="Gender" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Gender}">
		
		{BEGIN Gender_label}{$label LiveApplicationNew Gender }{END Gender_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Gender_value}	</div>

		
</div>


{END Gender_fieldblock}
											
{BEGIN DateofBirth_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_DateofBirth}  r-vertical-field" data-fieldname="DateofBirth" data-signal-error-for="DateofBirth{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field78" {$item_integrated_edit_field78} data-pageid="{$pageid}" data-field="DateofBirth" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_DateofBirth}">
		
		{BEGIN DateofBirth_label}{$label LiveApplicationNew DateofBirth }{END DateofBirth_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$DateofBirth_value}	</div>

		
</div>


{END DateofBirth_fieldblock}
											
{BEGIN TertiaryInstitutionAdmitted_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_TertiaryInstitutionAdmitted}  r-vertical-field" data-fieldname="TertiaryInstitutionAdmitted" data-signal-error-for="TertiaryInstitutionAdmitted{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field79" {$item_integrated_edit_field79} data-pageid="{$pageid}" data-field="TertiaryInstitutionAdmitted" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_TertiaryInstitutionAdmitted}">
		
		{BEGIN TertiaryInstitutionAdmitted_label}{$label LiveApplicationNew TertiaryInstitutionAdmitted }{END TertiaryInstitutionAdmitted_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$TertiaryInstitutionAdmitted_value}	</div>

		
</div>


{END TertiaryInstitutionAdmitted_fieldblock}
											
{BEGIN ProgramName_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_ProgramName}  r-vertical-field" data-fieldname="ProgramName" data-signal-error-for="ProgramName{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field80" {$item_integrated_edit_field80} data-pageid="{$pageid}" data-field="ProgramName" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_ProgramName}">
		
		{BEGIN ProgramName_label}{$label LiveApplicationNew ProgramName }{END ProgramName_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$ProgramName_value}	</div>

		
</div>


{END ProgramName_fieldblock}
											
{BEGIN 1styear_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_1styear}  r-vertical-field" data-fieldname="1styear" data-signal-error-for="1styear{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field81" {$item_integrated_edit_field81} data-pageid="{$pageid}" data-field="1styear" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_1styear}">
		
		{BEGIN 1styear_label}{$label LiveApplicationNew 1styear }{END 1styear_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$1styear_value}	</div>

		
</div>


{END 1styear_fieldblock}
											
{BEGIN GPA_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_GPA}  r-vertical-field" data-fieldname="GPA" data-signal-error-for="GPA{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field82" {$item_integrated_edit_field82} data-pageid="{$pageid}" data-field="GPA" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_GPA}">
		
		{BEGIN GPA_label}{$label LiveApplicationNew GPA }{END GPA_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$GPA_value}	</div>

		
</div>


{END GPA_fieldblock}
											
{BEGIN DistrictOfBirth_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_DistrictOfBirth}  r-vertical-field" data-fieldname="DistrictOfBirth" data-signal-error-for="DistrictOfBirth{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field83" {$item_integrated_edit_field83} data-pageid="{$pageid}" data-field="DistrictOfBirth" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_DistrictOfBirth}">
		
		{BEGIN DistrictOfBirth_label}{$label LiveApplicationNew DistrictOfBirth }{END DistrictOfBirth_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$DistrictOfBirth_value}	</div>

		
</div>


{END DistrictOfBirth_fieldblock}
											
{BEGIN ProgramCode_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_ProgramCode}  r-vertical-field" data-fieldname="ProgramCode" data-signal-error-for="ProgramCode{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field84" {$item_integrated_edit_field84} data-pageid="{$pageid}" data-field="ProgramCode" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_ProgramCode}">
		
		{BEGIN ProgramCode_label}{$label LiveApplicationNew ProgramCode }{END ProgramCode_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$ProgramCode_value}	</div>

		
</div>


{END ProgramCode_fieldblock}
											
{BEGIN PlaceofBirth_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_PlaceofBirth}  r-vertical-field" data-fieldname="PlaceofBirth" data-signal-error-for="PlaceofBirth{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field85" {$item_integrated_edit_field85} data-pageid="{$pageid}" data-field="PlaceofBirth" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_PlaceofBirth}">
		
		{BEGIN PlaceofBirth_label}{$label LiveApplicationNew PlaceofBirth }{END PlaceofBirth_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$PlaceofBirth_value}	</div>

		
</div>


{END PlaceofBirth_fieldblock}
											
{BEGIN ProvinceOfBirth_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_ProvinceOfBirth}  r-vertical-field" data-fieldname="ProvinceOfBirth" data-signal-error-for="ProvinceOfBirth{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field86" {$item_integrated_edit_field86} data-pageid="{$pageid}" data-field="ProvinceOfBirth" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_ProvinceOfBirth}">
		
		{BEGIN ProvinceOfBirth_label}{$label LiveApplicationNew ProvinceOfBirth }{END ProvinceOfBirth_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$ProvinceOfBirth_value}	</div>

		
</div>


{END ProvinceOfBirth_fieldblock}
											
{BEGIN FATHERCLAN_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FATHERCLAN}  r-vertical-field" data-fieldname="FATHERCLAN" data-signal-error-for="FATHERCLAN{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field87" {$item_integrated_edit_field87} data-pageid="{$pageid}" data-field="FATHERCLAN" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FATHERCLAN}">
		
		{BEGIN FATHERCLAN_label}{$label LiveApplicationNew FATHERCLAN }{END FATHERCLAN_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FATHERCLAN_value}	</div>

		
</div>


{END FATHERCLAN_fieldblock}
											
{BEGIN FatherVillage_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FatherVillage}  r-vertical-field" data-fieldname="FatherVillage" data-signal-error-for="FatherVillage{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field88" {$item_integrated_edit_field88} data-pageid="{$pageid}" data-field="FatherVillage" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FatherVillage}">
		
		{BEGIN FatherVillage_label}{$label LiveApplicationNew FatherVillage }{END FatherVillage_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FatherVillage_value}	</div>

		
</div>


{END FatherVillage_fieldblock}
											
{BEGIN FatherLLG_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FatherLLG}  r-vertical-field" data-fieldname="FatherLLG" data-signal-error-for="FatherLLG{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field89" {$item_integrated_edit_field89} data-pageid="{$pageid}" data-field="FatherLLG" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FatherLLG}">
		
		{BEGIN FatherLLG_label}{$label LiveApplicationNew FatherLLG }{END FatherLLG_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FatherLLG_value}	</div>

		
</div>


{END FatherLLG_fieldblock}
											
{BEGIN LastInstitutuonAttended_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_LastInstitutuonAttended}  r-vertical-field" data-fieldname="LastInstitutuonAttended" data-signal-error-for="LastInstitutuonAttended{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field90" {$item_integrated_edit_field90} data-pageid="{$pageid}" data-field="LastInstitutuonAttended" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_LastInstitutuonAttended}">
		
		{BEGIN LastInstitutuonAttended_label}{$label LiveApplicationNew LastInstitutuonAttended }{END LastInstitutuonAttended_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$LastInstitutuonAttended_value}	</div>

		
</div>


{END LastInstitutuonAttended_fieldblock}
											
{BEGIN FatherDistrict_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FatherDistrict}  r-vertical-field" data-fieldname="FatherDistrict" data-signal-error-for="FatherDistrict{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field91" {$item_integrated_edit_field91} data-pageid="{$pageid}" data-field="FatherDistrict" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FatherDistrict}">
		
		{BEGIN FatherDistrict_label}{$label LiveApplicationNew FatherDistrict }{END FatherDistrict_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FatherDistrict_value}	</div>

		
</div>


{END FatherDistrict_fieldblock}
											
{BEGIN YearHighestGradeCompleted_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_YearHighestGradeCompleted}  r-vertical-field" data-fieldname="YearHighestGradeCompleted" data-signal-error-for="YearHighestGradeCompleted{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field92" {$item_integrated_edit_field92} data-pageid="{$pageid}" data-field="YearHighestGradeCompleted" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_YearHighestGradeCompleted}">
		
		{BEGIN YearHighestGradeCompleted_label}{$label LiveApplicationNew YearHighestGradeCompleted }{END YearHighestGradeCompleted_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$YearHighestGradeCompleted_value}	</div>

		
</div>


{END YearHighestGradeCompleted_fieldblock}
											
{BEGIN MOTHERCLAN_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MOTHERCLAN}  r-vertical-field" data-fieldname="MOTHERCLAN" data-signal-error-for="MOTHERCLAN{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field93" {$item_integrated_edit_field93} data-pageid="{$pageid}" data-field="MOTHERCLAN" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MOTHERCLAN}">
		
		{BEGIN MOTHERCLAN_label}{$label LiveApplicationNew MOTHERCLAN }{END MOTHERCLAN_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MOTHERCLAN_value}	</div>

		
</div>


{END MOTHERCLAN_fieldblock}
											
{BEGIN HighestGradeCompleted_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_HighestGradeCompleted}  r-vertical-field" data-fieldname="HighestGradeCompleted" data-signal-error-for="HighestGradeCompleted{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field94" {$item_integrated_edit_field94} data-pageid="{$pageid}" data-field="HighestGradeCompleted" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_HighestGradeCompleted}">
		
		{BEGIN HighestGradeCompleted_label}{$label LiveApplicationNew HighestGradeCompleted }{END HighestGradeCompleted_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$HighestGradeCompleted_value}	</div>

		
</div>


{END HighestGradeCompleted_fieldblock}
											
{BEGIN MotherVillage_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MotherVillage}  r-vertical-field" data-fieldname="MotherVillage" data-signal-error-for="MotherVillage{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field95" {$item_integrated_edit_field95} data-pageid="{$pageid}" data-field="MotherVillage" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MotherVillage}">
		
		{BEGIN MotherVillage_label}{$label LiveApplicationNew MotherVillage }{END MotherVillage_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MotherVillage_value}	</div>

		
</div>


{END MotherVillage_fieldblock}
											
{BEGIN MotherLLG_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MotherLLG}  r-vertical-field" data-fieldname="MotherLLG" data-signal-error-for="MotherLLG{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field96" {$item_integrated_edit_field96} data-pageid="{$pageid}" data-field="MotherLLG" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MotherLLG}">
		
		{BEGIN MotherLLG_label}{$label LiveApplicationNew MotherLLG }{END MotherLLG_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MotherLLG_value}	</div>

		
</div>


{END MotherLLG_fieldblock}
											
{BEGIN MotherDistrict_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MotherDistrict}  r-vertical-field" data-fieldname="MotherDistrict" data-signal-error-for="MotherDistrict{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field97" {$item_integrated_edit_field97} data-pageid="{$pageid}" data-field="MotherDistrict" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MotherDistrict}">
		
		{BEGIN MotherDistrict_label}{$label LiveApplicationNew MotherDistrict }{END MotherDistrict_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MotherDistrict_value}	</div>

		
</div>


{END MotherDistrict_fieldblock}
											
{BEGIN ScholarshipType_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_ScholarshipType}  r-vertical-field" data-fieldname="ScholarshipType" data-signal-error-for="ScholarshipType{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field98" {$item_integrated_edit_field98} data-pageid="{$pageid}" data-field="ScholarshipType" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_ScholarshipType}">
		
		{BEGIN ScholarshipType_label}{$label LiveApplicationNew ScholarshipType }{END ScholarshipType_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$ScholarshipType_value}	</div>

		
</div>


{END ScholarshipType_fieldblock}
											
{BEGIN parentsnowliving_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_parentsnowliving}  r-vertical-field" data-fieldname="parentsnowliving" data-signal-error-for="parentsnowliving{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field99" {$item_integrated_edit_field99} data-pageid="{$pageid}" data-field="parentsnowliving" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_parentsnowliving}">
		
		{BEGIN parentsnowliving_label}{$label LiveApplicationNew parentsnowliving }{END parentsnowliving_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$parentsnowliving_value}	</div>

		
</div>


{END parentsnowliving_fieldblock}
										</td>
			{END cellblock_grid_c3}
										</tr>
										</tbody></table>
				 
	<div class="panel panel-default form-section" data-itemtype="section" data-itemid="section" {$item_section} data-pageid="{$pageid}">
		<div class="panel-heading" role="tab" {$section_section1_headattrs} data-toggle="collapse"   

				href="#section1{$pageid}" aria-expanded="true" aria-controls="section1"

		>
		  <h4 class="panel-title">
			<a role="button" >
				Documents			</a>
		  </h4>
		</div>
		<div  class="panel-collapse collapse in {$section_section1_xtrclass}" role="tabpanel"  {$section_section1_attrs}

				id="section1{$pageid}" 
		>
		  <div class="panel-body">
			{BEGIN section_block}




 
	 
												<table 
	data-body-align="center"
	data-location="section" id="form_section_{$pageid}" data-makeup="small" {$form_section} data-pageid="{$pageid}" 
	class="r-edit-form" cellpadding="0" cellspacing="0" 
	{$grid_hiddenattr} 
		data-form-width="1"
		
		data-v-width="4"
	>
	<tbody>
										<tr>
										

{BEGIN cellblock_section_c3}
<td
	{$cell_section_c3}
	class=" r-ori-vert"
	
				data-fullwidth
		
			data-cellId="section_c3" data-pageid="{$pageid}"
		data-v-cell="4"
		
>
	<div edit-form-cell class="clearfix">
				
{BEGIN transcripts_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_transcripts}  r-vertical-field" data-fieldname="transcripts" data-signal-error-for="transcripts{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field100" {$item_integrated_edit_field100} data-pageid="{$pageid}" data-field="transcripts" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_transcripts}">
		
		{BEGIN transcripts_label}{$label LiveApplicationNew transcripts }{END transcripts_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$transcripts_value}	</div>

		
</div>


{END transcripts_fieldblock}
											
{BEGIN acceptletter_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_acceptletter}  r-vertical-field" data-fieldname="acceptletter" data-signal-error-for="acceptletter{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field101" {$item_integrated_edit_field101} data-pageid="{$pageid}" data-field="acceptletter" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_acceptletter}">
		
		{BEGIN acceptletter_label}{$label LiveApplicationNew acceptletter }{END acceptletter_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$acceptletter_value}	</div>

		
</div>


{END acceptletter_fieldblock}
											
{BEGIN gradetencert_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_gradetencert}  r-vertical-field" data-fieldname="gradetencert" data-signal-error-for="gradetencert{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field102" {$item_integrated_edit_field102} data-pageid="{$pageid}" data-field="gradetencert" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_gradetencert}">
		
		{BEGIN gradetencert_label}{$label LiveApplicationNew gradetencert }{END gradetencert_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$gradetencert_value}	</div>

		
</div>


{END gradetencert_fieldblock}
											
{BEGIN grade12cert_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_grade12cert}  r-vertical-field" data-fieldname="grade12cert" data-signal-error-for="grade12cert{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field103" {$item_integrated_edit_field103} data-pageid="{$pageid}" data-field="grade12cert" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_grade12cert}">
		
		{BEGIN grade12cert_label}{$label LiveApplicationNew grade12cert }{END grade12cert_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$grade12cert_value}	</div>

		
</div>


{END grade12cert_fieldblock}
	
								</td>
			{END cellblock_section_c3}
								</tr>
			</tbody></table>
{END section_block}
		  </div>
		</div>
	</div>
											<table 
	data-body-align="center"
	data-location="grid" id="form_grid_{$pageid}" data-makeup="small" {$form_grid} data-pageid="{$pageid}" 
	class="r-edit-form" cellpadding="0" cellspacing="0" 
	{$grid_hiddenattr} 
		data-form-width="1"
		
		data-v-width="4"
	>
	<tbody>
										<tr>
										

{BEGIN cellblock_grid_c3}
<td
	{$cell_grid_c3}
	class=" r-ori-vert"
	
				data-fullwidth
		
			data-cellId="grid_c3" data-pageid="{$pageid}"
		data-v-cell="4"
		
>
	<div edit-form-cell class="clearfix">
				
{BEGIN FATHERSNAME_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FATHERSNAME}  r-vertical-field" data-fieldname="FATHERSNAME" data-signal-error-for="FATHERSNAME{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field104" {$item_integrated_edit_field104} data-pageid="{$pageid}" data-field="FATHERSNAME" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FATHERSNAME}">
		
		{BEGIN FATHERSNAME_label}{$label LiveApplicationNew FATHERSNAME }{END FATHERSNAME_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FATHERSNAME_value}	</div>

		
</div>


{END FATHERSNAME_fieldblock}
											
{BEGIN FATHERSURNAME_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FATHERSURNAME}  r-vertical-field" data-fieldname="FATHERSURNAME" data-signal-error-for="FATHERSURNAME{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field105" {$item_integrated_edit_field105} data-pageid="{$pageid}" data-field="FATHERSURNAME" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FATHERSURNAME}">
		
		{BEGIN FATHERSURNAME_label}{$label LiveApplicationNew FATHERSURNAME }{END FATHERSURNAME_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FATHERSURNAME_value}	</div>

		
</div>


{END FATHERSURNAME_fieldblock}
											
{BEGIN FATHERJOB_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FATHERJOB}  r-vertical-field" data-fieldname="FATHERJOB" data-signal-error-for="FATHERJOB{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field106" {$item_integrated_edit_field106} data-pageid="{$pageid}" data-field="FATHERJOB" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FATHERJOB}">
		
		{BEGIN FATHERJOB_label}{$label LiveApplicationNew FATHERJOB }{END FATHERJOB_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FATHERJOB_value}	</div>

		
</div>


{END FATHERJOB_fieldblock}
											
{BEGIN FATHERRELIGION_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FATHERRELIGION}  r-vertical-field" data-fieldname="FATHERRELIGION" data-signal-error-for="FATHERRELIGION{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field107" {$item_integrated_edit_field107} data-pageid="{$pageid}" data-field="FATHERRELIGION" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FATHERRELIGION}">
		
		{BEGIN FATHERRELIGION_label}{$label LiveApplicationNew FATHERRELIGION }{END FATHERRELIGION_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FATHERRELIGION_value}	</div>

		
</div>


{END FATHERRELIGION_fieldblock}
											
{BEGIN FATHERBIRTHPLACE_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FATHERBIRTHPLACE}  r-vertical-field" data-fieldname="FATHERBIRTHPLACE" data-signal-error-for="FATHERBIRTHPLACE{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field108" {$item_integrated_edit_field108} data-pageid="{$pageid}" data-field="FATHERBIRTHPLACE" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FATHERBIRTHPLACE}">
		
		{BEGIN FATHERBIRTHPLACE_label}{$label LiveApplicationNew FATHERBIRTHPLACE }{END FATHERBIRTHPLACE_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FATHERBIRTHPLACE_value}	</div>

		
</div>


{END FATHERBIRTHPLACE_fieldblock}
										</td>
			{END cellblock_grid_c3}
										</tr>
										</tbody></table>
				 
	<div class="panel panel-default form-section" data-itemtype="section" data-itemid="section1" {$item_section1} data-pageid="{$pageid}">
		<div class="panel-heading" role="tab" {$section_section2_headattrs} data-toggle="collapse"   

				href="#section2{$pageid}" aria-expanded="true" aria-controls="section2"

		>
		  <h4 class="panel-title">
			<a role="button" >
				Witness			</a>
		  </h4>
		</div>
		<div  class="panel-collapse collapse in {$section_section2_xtrclass}" role="tabpanel"  {$section_section2_attrs}

				id="section2{$pageid}" 
		>
		  <div class="panel-body">
			{BEGIN section1_block}




 
	 
												<table 
	data-body-align="center"
	data-location="section1" id="form_section1_{$pageid}" data-makeup="small" {$form_section1} data-pageid="{$pageid}" 
	class="r-edit-form" cellpadding="0" cellspacing="0" 
	{$grid_hiddenattr} 
		data-form-width="1"
		
		data-v-width="4"
	>
	<tbody>
										<tr>
										

{BEGIN cellblock_section1_c3}
<td
	{$cell_section1_c3}
	class=" r-ori-vert"
	
				data-fullwidth
		
			data-cellId="section1_c3" data-pageid="{$pageid}"
		data-v-cell="4"
		
>
	<div edit-form-cell class="clearfix">
				
{BEGIN WitnessName_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_WitnessName}  r-vertical-field" data-fieldname="WitnessName" data-signal-error-for="WitnessName{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field109" {$item_integrated_edit_field109} data-pageid="{$pageid}" data-field="WitnessName" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_WitnessName}">
		
		{BEGIN WitnessName_label}{$label LiveApplicationNew WitnessName }{END WitnessName_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$WitnessName_value}	</div>

		
</div>


{END WitnessName_fieldblock}
											
{BEGIN WitnessOccupation_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_WitnessOccupation}  r-vertical-field" data-fieldname="WitnessOccupation" data-signal-error-for="WitnessOccupation{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field110" {$item_integrated_edit_field110} data-pageid="{$pageid}" data-field="WitnessOccupation" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_WitnessOccupation}">
		
		{BEGIN WitnessOccupation_label}{$label LiveApplicationNew WitnessOccupation }{END WitnessOccupation_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$WitnessOccupation_value}	</div>

		
</div>


{END WitnessOccupation_fieldblock}
											
{BEGIN WitnessAddress_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_WitnessAddress}  r-vertical-field" data-fieldname="WitnessAddress" data-signal-error-for="WitnessAddress{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field111" {$item_integrated_edit_field111} data-pageid="{$pageid}" data-field="WitnessAddress" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_WitnessAddress}">
		
		{BEGIN WitnessAddress_label}{$label LiveApplicationNew WitnessAddress }{END WitnessAddress_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$WitnessAddress_value}	</div>

		
</div>


{END WitnessAddress_fieldblock}
	
								</td>
			{END cellblock_section1_c3}
								</tr>
			</tbody></table>
{END section1_block}
		  </div>
		</div>
	</div>
											<table 
	data-body-align="center"
	data-location="grid" id="form_grid_{$pageid}" data-makeup="small" {$form_grid} data-pageid="{$pageid}" 
	class="r-edit-form" cellpadding="0" cellspacing="0" 
	{$grid_hiddenattr} 
		data-form-width="1"
		
		data-v-width="4"
	>
	<tbody>
										<tr>
										

{BEGIN cellblock_grid_c3}
<td
	{$cell_grid_c3}
	class=" r-ori-vert"
	
				data-fullwidth
		
			data-cellId="grid_c3" data-pageid="{$pageid}"
		data-v-cell="4"
		
>
	<div edit-form-cell class="clearfix">
				
{BEGIN FATHERPROV_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FATHERPROV}  r-vertical-field" data-fieldname="FATHERPROV" data-signal-error-for="FATHERPROV{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field112" {$item_integrated_edit_field112} data-pageid="{$pageid}" data-field="FATHERPROV" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FATHERPROV}">
		
		{BEGIN FATHERPROV_label}{$label LiveApplicationNew FATHERPROV }{END FATHERPROV_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FATHERPROV_value}	</div>

		
</div>


{END FATHERPROV_fieldblock}
											
{BEGIN FATHERNATIONAL_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_FATHERNATIONAL}  r-vertical-field" data-fieldname="FATHERNATIONAL" data-signal-error-for="FATHERNATIONAL{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field113" {$item_integrated_edit_field113} data-pageid="{$pageid}" data-field="FATHERNATIONAL" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_FATHERNATIONAL}">
		
		{BEGIN FATHERNATIONAL_label}{$label LiveApplicationNew FATHERNATIONAL }{END FATHERNATIONAL_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$FATHERNATIONAL_value}	</div>

		
</div>


{END FATHERNATIONAL_fieldblock}
											
{BEGIN MOTHERNAME_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MOTHERNAME}  r-vertical-field" data-fieldname="MOTHERNAME" data-signal-error-for="MOTHERNAME{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field114" {$item_integrated_edit_field114} data-pageid="{$pageid}" data-field="MOTHERNAME" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MOTHERNAME}">
		
		{BEGIN MOTHERNAME_label}{$label LiveApplicationNew MOTHERNAME }{END MOTHERNAME_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MOTHERNAME_value}	</div>

		
</div>


{END MOTHERNAME_fieldblock}
											
{BEGIN MOTHERSURNAME_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MOTHERSURNAME}  r-vertical-field" data-fieldname="MOTHERSURNAME" data-signal-error-for="MOTHERSURNAME{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field115" {$item_integrated_edit_field115} data-pageid="{$pageid}" data-field="MOTHERSURNAME" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MOTHERSURNAME}">
		
		{BEGIN MOTHERSURNAME_label}{$label LiveApplicationNew MOTHERSURNAME }{END MOTHERSURNAME_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MOTHERSURNAME_value}	</div>

		
</div>


{END MOTHERSURNAME_fieldblock}
											
{BEGIN MOTHERJOB_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MOTHERJOB}  r-vertical-field" data-fieldname="MOTHERJOB" data-signal-error-for="MOTHERJOB{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field116" {$item_integrated_edit_field116} data-pageid="{$pageid}" data-field="MOTHERJOB" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MOTHERJOB}">
		
		{BEGIN MOTHERJOB_label}{$label LiveApplicationNew MOTHERJOB }{END MOTHERJOB_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MOTHERJOB_value}	</div>

		
</div>


{END MOTHERJOB_fieldblock}
											
{BEGIN MOTHERRELIGION_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MOTHERRELIGION}  r-vertical-field" data-fieldname="MOTHERRELIGION" data-signal-error-for="MOTHERRELIGION{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field117" {$item_integrated_edit_field117} data-pageid="{$pageid}" data-field="MOTHERRELIGION" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MOTHERRELIGION}">
		
		{BEGIN MOTHERRELIGION_label}{$label LiveApplicationNew MOTHERRELIGION }{END MOTHERRELIGION_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MOTHERRELIGION_value}	</div>

		
</div>


{END MOTHERRELIGION_fieldblock}
											
{BEGIN MOTHERBIRTHPLACE_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MOTHERBIRTHPLACE}  r-vertical-field" data-fieldname="MOTHERBIRTHPLACE" data-signal-error-for="MOTHERBIRTHPLACE{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field118" {$item_integrated_edit_field118} data-pageid="{$pageid}" data-field="MOTHERBIRTHPLACE" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MOTHERBIRTHPLACE}">
		
		{BEGIN MOTHERBIRTHPLACE_label}{$label LiveApplicationNew MOTHERBIRTHPLACE }{END MOTHERBIRTHPLACE_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MOTHERBIRTHPLACE_value}	</div>

		
</div>


{END MOTHERBIRTHPLACE_fieldblock}
											
{BEGIN MOTHERPROV_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MOTHERPROV}  r-vertical-field" data-fieldname="MOTHERPROV" data-signal-error-for="MOTHERPROV{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field119" {$item_integrated_edit_field119} data-pageid="{$pageid}" data-field="MOTHERPROV" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MOTHERPROV}">
		
		{BEGIN MOTHERPROV_label}{$label LiveApplicationNew MOTHERPROV }{END MOTHERPROV_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MOTHERPROV_value}	</div>

		
</div>


{END MOTHERPROV_fieldblock}
											
{BEGIN MOTHERNATIONAL_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_MOTHERNATIONAL}  r-vertical-field" data-fieldname="MOTHERNATIONAL" data-signal-error-for="MOTHERNATIONAL{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field120" {$item_integrated_edit_field120} data-pageid="{$pageid}" data-field="MOTHERNATIONAL" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_MOTHERNATIONAL}">
		
		{BEGIN MOTHERNATIONAL_label}{$label LiveApplicationNew MOTHERNATIONAL }{END MOTHERNATIONAL_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$MOTHERNATIONAL_value}	</div>

		
</div>


{END MOTHERNATIONAL_fieldblock}
											
{BEGIN Documents_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Documents}  r-vertical-field" data-fieldname="Documents" data-signal-error-for="Documents{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field121" {$item_integrated_edit_field121} data-pageid="{$pageid}" data-field="Documents" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Documents}">
		
		{BEGIN Documents_label}{$label LiveApplicationNew Documents }{END Documents_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Documents_value}	</div>

		
</div>


{END Documents_fieldblock}
											
{BEGIN Comments_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_Comments}  r-vertical-field" data-fieldname="Comments" data-signal-error-for="Comments{$id}" data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field122" {$item_integrated_edit_field122} data-pageid="{$pageid}" data-field="Comments" >

	
	<label class="col-md-offset-3 col-md-6" for="{$labelfor_Comments}">
		
		{BEGIN Comments_label}{$label LiveApplicationNew Comments }{END Comments_label}
	</label>
	<div class="col-md-offset-3 col-md-6" >
		{$Comments_value}	</div>

		
</div>


{END Comments_fieldblock}
	
								</td>
			{END cellblock_grid_c3}
								</tr>
			</tbody></table>
{END grid_block}
									{BEGIN below-grid_block}
<div class="r-form" data-location="below-grid" id="form_below-grid_{$pageid}" data-makeup="small" {$form_below-grid} data-pageid="{$pageid}"
		data-v-width="4"
	data-v-margin="1"
	
>		
	 
		<div class="row">
			 
				<div 
	data-cellId="below-grid_c1" data-pageid="{$pageid}"	{$cell_below-grid_c1}
	class="			col-md-6
	">
	 
		{BEGIN back_button}
<span data-itemtype="view_back_list" data-itemid="view_back_list" {$item_view_back_list} data-pageid="{$pageid}" data-small data-button-item>
	<a type="button" title="" class="btn btn-default   
	" {$backbutton_attrs} >
							Back to list			</a>
</span>
{END back_button}
	 
		{BEGIN close_button}
<span data-itemtype="view_close" data-itemid="view_close" {$item_view_close} data-pageid="{$pageid}" data-small data-button-item>
	<a type="button" title="" class="btn btn-default   
	" href="#" {$closebutton_attrs} >
							Close window			</a>
</span>
{END close_button}
	</div>			 
				<div 
	data-cellId="below-grid_c2" data-pageid="{$pageid}"	{$cell_below-grid_c2}
	class="r-align-right r-ori-vert			col-md-6
	">
	 
		<span data-itemtype="hamburger" data-itemid="hamburger" {$item_hamburger} data-pageid="{$pageid}" data-small data-button-item>
	<span class="dropdown dropup">
		<button type="button" title="" class="btn btn-default   dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">		
							<span class="glyphicon glyphicon-menu-hamburger"></span>
									<span class="caret"></span>
		</button>
		<ul class="dropdown-menu">
							{BEGIN edit_page_button}
	<li data-itemtype="view_edit" data-itemid="view_edit" {$item_view_edit} data-pageid="{$pageid}" data-small >
				<a  href="#" {$edit_page_button_attrs}  title="" >
				
		Edit		
		</a>
	</li>
{END edit_page_button}
								<li data-itemtype="view_pdf" data-itemid="view_pdf" {$item_view_pdf} data-pageid="{$pageid}" data-small >
				<a class="pdflink" data-pdfpage="view" 
data-scope="0" 
data-split="0" 
data-records="10" 
data-orientation="portrait" 
data-scale="100" 
data-filename="Live Application New.pdf" 
data-pagetype="view" 
{$pdflink_attrs}  title="" >
				
		PDF View		
		</a>
	</li>
					</ul>
	</span>
</span>
	</div>					</div>
	</div>		
{END below-grid_block}
			</div>
		{$footer}
	{END body}
	</body>
</html>
