{"id":3253,"date":"2025-07-17T17:49:59","date_gmt":"2025-07-17T17:49:59","guid":{"rendered":"https:\/\/wordpress.validthemes.net\/visaco\/?page_id=3253"},"modified":"2026-08-03T08:31:35","modified_gmt":"2026-08-03T08:31:35","slug":"application-form","status":"publish","type":"page","link":"https:\/\/flytron.brightcodeapp.com\/?page_id=3253","title":{"rendered":"Application Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3253\" class=\"elementor elementor-3253\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75b9fee e-con-full e-flex e-con e-parent\" data-id=\"75b9fee\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\r\n\t\t<div class=\"elementor-element elementor-element-2c70a34 elementor-widget elementor-widget-visacocontactinfo\" data-id=\"2c70a34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"visacocontactinfo.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"appoinment-style-one-area default-padding appoinment-page\"><div class=\"container\"><div class=\"row align-center\"><div class=\"col-xl-6 offset-xl-1 order-lg-last\"><div class=\"appoinment-style-one-info\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f8-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"8\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F3253#wpcf7-f8-o1\" method=\"post\" class=\"wpcf7-form init contact-form\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"8\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f8-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"row\">\n  <div class=\"col-lg-6\">\n    <div class=\"form-group\">\n      <label for=\"name\">Full Name<\/label>\n      <div class=\"input-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Jonathom Doe\" value=\"\" type=\"text\" name=\"name\" \/><\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n  <div class=\"col-lg-6\">\n    <div class=\"form-group\">\n      <label for=\"address\">Address<\/label>\n      <div class=\"input-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"address\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Address\" value=\"\" type=\"text\" name=\"address\" \/><\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div class=\"row\">\n  <div class=\"col-lg-6\">\n    <div class=\"form-group\">\n      <label for=\"phone\">Phone<\/label>\n      <div class=\"input-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control\" id=\"phone\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone Number\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n  <div class=\"col-lg-6\">\n    <div class=\"form-group\">\n      <label for=\"email\">Your Email<\/label>\n      <div class=\"input-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" id=\"email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"info@someone.com\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div class=\"row\">\n  <div class=\"col-lg-6\">\n    <div class=\"form-group\">\n      <label for=\"income\">Income Range<\/label>\n      <div class=\"input-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"income\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"income\" aria-invalid=\"false\" placeholder=\"$500\" value=\"\" type=\"text\" name=\"income\" \/><\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n  <div class=\"col-lg-6\">\n    <div class=\"form-group\">\n      <label for=\"select_active\">Merital Status<\/label>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"merital-status\"><select class=\"wpcf7-form-control wpcf7-select form-control\" id=\"select_active\" aria-invalid=\"false\" name=\"merital-status\"><option value=\"Single\">Single<\/option><option value=\"Married\">Married<\/option><\/select><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div class=\"row\">\n  <div class=\"col-lg-6\">\n    <div class=\"form-group\">\n      <label for=\"city\">City<\/label>\n      <div class=\"input-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"city\" aria-invalid=\"false\" placeholder=\"Melbourne\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n  <div class=\"col-lg-6\">\n    <div class=\"form-group\">\n      <label for=\"type\">Types of visa<\/label>\n      <div class=\"input-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"visa-type\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"type\" aria-invalid=\"false\" placeholder=\"Student Visa\" value=\"\" type=\"text\" name=\"visa-type\" \/><\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div class=\"row\">\n  <div class=\"col-lg-6\">\n    <div class=\"form-group\">\n      <label for=\"passport\">Passport Number<\/label>\n      <div class=\"input-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"passport\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"passport\" aria-invalid=\"false\" placeholder=\"PA9988765\" value=\"\" type=\"text\" name=\"passport\" \/><\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n  <div class=\"col-lg-6\">\n    <div class=\"form-group\">\n      <label for=\"zip\">ZIP\/PIN code<\/label>\n      <div class=\"input-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"zip\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"zip\" aria-invalid=\"false\" placeholder=\"3400\" value=\"\" type=\"text\" name=\"zip\" \/><\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div class=\"row\">\n  <div class=\"col-lg-12\">\n    <div class=\"form-group\">\n      <button class=\"btn-style-one vt-btn\" type=\"submit\" name=\"submit\" id=\"submit\">\n                                        Request a quote \n                                        <span><\/span>\n                                    <\/button>\n    <\/div>\n  <\/div>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"192\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div><\/div><div class=\"col-xl-5\"><div class=\"appoinment-style-two-thumb\"><div class=\"thumb-inner\"><img decoding=\"async\" src=\"https:\/\/wordpress.validthemes.net\/visaco\/wp-content\/uploads\/2025\/07\/11-5.png\" alt=\"Image Not Found\"><\/div><div class=\"fun-fact\"><div class=\"counter\"><div class=\"timer\" data-to=\"50\" data-speed=\"1000\">50<\/div><\/div><h4>Daily Application<\/h4><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Full Name Address Phone Your Email Income Range Merital Status SingleMarried City Types of visa Passport Number ZIP\/PIN code Request a quote 50 Daily Application<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-builder.php","meta":{"footnotes":""},"class_list":["post-3253","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/flytron.brightcodeapp.com\/index.php?rest_route=\/wp\/v2\/pages\/3253","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/flytron.brightcodeapp.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/flytron.brightcodeapp.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/flytron.brightcodeapp.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/flytron.brightcodeapp.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3253"}],"version-history":[{"count":1,"href":"https:\/\/flytron.brightcodeapp.com\/index.php?rest_route=\/wp\/v2\/pages\/3253\/revisions"}],"predecessor-version":[{"id":3997,"href":"https:\/\/flytron.brightcodeapp.com\/index.php?rest_route=\/wp\/v2\/pages\/3253\/revisions\/3997"}],"wp:attachment":[{"href":"https:\/\/flytron.brightcodeapp.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3253"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}