{"id":11,"date":"2022-10-06T06:11:49","date_gmt":"2022-10-06T06:11:49","guid":{"rendered":"https:\/\/www.heromarket.com.my\/form\/?page_id=11"},"modified":"2022-10-07T08:35:06","modified_gmt":"2022-10-07T08:35:06","slug":"membership-form","status":"publish","type":"page","link":"https:\/\/www.heromarket.com.my\/form\/","title":{"rendered":"Membership Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"11\" class=\"elementor elementor-11\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-56c00741 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"56c00741\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-106112d0\" data-id=\"106112d0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c5b0d5f elementor-widget elementor-widget-image\" data-id=\"c5b0d5f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"355\" height=\"293\" src=\"https:\/\/www.heromarket.com.my\/form\/wp-content\/uploads\/2022\/10\/logo.jpeg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-06b0457 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"06b0457\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7ea8d34\" data-id=\"7ea8d34\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7caa316 elementor-widget elementor-widget-heading\" data-id=\"7caa316\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/www.heromarket.com.my\/\">Back to Website<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce9cb31 elementor-widget elementor-widget-text-editor\" data-id=\"ce9cb31\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p class=\"text-title-light text-dark  ls1 text-uppercase\"><span style=\"color: #ce1e42;\">NOT A MEMBER? REGISTER NOW.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28a8a01b elementor-widget elementor-widget-text-editor\" data-id=\"28a8a01b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<!-- wp:paragraph -->\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-6\"><form id=\"wpforms-form-6\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"6\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/form\/wp-json\/wp\/v2\/pages\/11\" data-token=\"7895c857aeea0d4be084c3cc4bdb3ae4\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-6-field_8-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"8\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6-field_8\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_1\">Name as Per NRIC\/Passport No. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6-field_1\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_2\">New I.C No.\/No. Kad Pengenalan or Passport No. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6-field_2\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][2]\" placeholder=\"e.g. 790101-08-5368\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-6-field_9-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"9\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6-field_9\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_22\">Nationality\/Warganegara <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_24\">Date of Birth\/Tarikh Lahir <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" placeholder=\"01\/01\/1980\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-6-field_17-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"17\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6-field_17\">Layout (copy)<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_20-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_20\">Gender\/Jantina <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-6-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required=\"required\"><option value=\"Male\/Lelaki\" >Male\/Lelaki<\/option><option value=\"Female\/Perempuan\" >Female\/Perempuan<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_21-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_21\">Marital Status\/Status Perkahwinan <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-6-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required=\"required\"><option value=\"Married\/Berkahwin\" >Married\/Berkahwin<\/option><option value=\"Single\/Bujang\" >Single\/Bujang<\/option><\/select><\/div><\/div><\/div><\/div><div id=\"wpforms-6-field_6-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_6\">Correspondance Address\/Alamat Surat Menyurat <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-6-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/textarea><\/div><div id=\"wpforms-6-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_30\">Town\/Bandar <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6-field_30\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][30]\" required><\/div><div id=\"wpforms-6-field_31-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"31\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6-field_31\">Layout (copy) (copy)<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-67\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-6-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_34\">Postcode\/Poskod <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-67\"><div id=\"wpforms-6-field_35-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_35\">E-mail Address\/Alamat E-Mail <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-6-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-6-field_37-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"37\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6-field_37\">Layout (copy) (copy) (copy)<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_36\">Contact No.\/No. Telefon <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" placeholder=\"010-2334567\" required><div class=\"wpforms-field-description\">H\/P \/ Tel.Bimbit Ex: <\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-6-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-6-field_7\">I will collect my membership card from:  <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-6-field_7\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"HeroMarket KipMall Bangi\" >HeroMarket KipMall Bangi<\/option><option value=\"HeroMarket Selayang Mall\" >HeroMarket Selayang Mall<\/option><option value=\"HeroMarket UTC Ampangan\" >HeroMarket UTC Ampangan<\/option><option value=\"HeroMarket Bandar Puteri Puchong\" >HeroMarket Bandar Puteri Puchong<\/option><option value=\"HeroMarket Sungai Mas Plaza\" >HeroMarket Sungai Mas Plaza<\/option><option value=\"HeroMarket Bukit Jelutong\" >HeroMarket Bukit Jelutong<\/option><option value=\"HeroMarket Angsana Mall\" >HeroMarket Angsana Mall<\/option><option value=\"HeroMarket All Season Place, Penang\" >HeroMarket All Season Place, Penang<\/option><option value=\"HeroMarket Desa Tebrau\" >HeroMarket Desa Tebrau<\/option><option value=\"HeroMarket Damansara Damai, Petaling Jaya\" >HeroMarket Damansara Damai, Petaling Jaya<\/option><option value=\"HeroMarket Bandar Sri Permaisuri\" >HeroMarket Bandar Sri Permaisuri<\/option><option value=\"HeroMarket Seksyen 13, Shah Alam\" >HeroMarket Seksyen 13, Shah Alam<\/option><option value=\"HeroMarket Seksyen 27, Alam Megah\" >HeroMarket Seksyen 27, Alam Megah<\/option><option value=\"HeroMarket Kg. Baru Subang\" >HeroMarket Kg. Baru Subang<\/option><option value=\"HeroMarket Seksyen 6, Wangsa Maju\" >HeroMarket Seksyen 6, Wangsa Maju<\/option><option value=\"HeroMarket Bt.14 Kg. Baharu Puchong\" >HeroMarket Bt.14 Kg. Baharu Puchong<\/option><option value=\"HeroMarket Sg. Besi\" >HeroMarket Sg. Besi<\/option><option value=\"HeroMarket Meranti Jaya\" >HeroMarket Meranti Jaya<\/option><option value=\"HeroMarket TTDI\" >HeroMarket TTDI<\/option><option value=\"HeroMarket Kota Kemuning\" >HeroMarket Kota Kemuning<\/option><option value=\"HeroMarket Taman Dagang\" >HeroMarket Taman Dagang<\/option><option value=\"HeroMarket Kelana Jaya SS6\" >HeroMarket Kelana Jaya SS6<\/option><option value=\"HeroMarket Bandar Sri Damansara\" >HeroMarket Bandar Sri Damansara<\/option><option value=\"HeroMarket Melawati\" >HeroMarket Melawati<\/option><option value=\"HeroMarket Putrajaya\" >HeroMarket Putrajaya<\/option><option value=\"HeroMarket Puncak Jalil\" >HeroMarket Puncak Jalil<\/option><option value=\"HeroMarket Puncak Bestari\" >HeroMarket Puncak Bestari<\/option><option value=\"HeroMarket Pier 8, Klang\" >HeroMarket Pier 8, Klang<\/option><option value=\"HeroSaveMart Bukit Gasing\" >HeroSaveMart Bukit Gasing<\/option><option value=\"HeroSaveMart Bukit Jalil\" >HeroSaveMart Bukit Jalil<\/option><option value=\"HeroSaveMart Bandar Enstek\" >HeroSaveMart Bandar Enstek<\/option><option value=\"HeroSaveMart Taman Dagang Jaya\" >HeroSaveMart Taman Dagang Jaya<\/option><option value=\"HeroSaveMart Taman Rasa Sayang\" >HeroSaveMart Taman Rasa Sayang<\/option><option value=\"HeroSaveMart Taman Sri Subang\" >HeroSaveMart Taman Sri Subang<\/option><option value=\"HeroSaveMart Taman Sri Serdang\" >HeroSaveMart Taman Sri Serdang<\/option><option value=\"Hero Save Mart Pelangi Damansara\" >Hero Save Mart Pelangi Damansara<\/option><\/select><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"6\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-6\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.heromarket.com.my\/form\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<!-- \/wp:paragraph -->\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-37f6e3f elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"37f6e3f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dbd2718\" data-id=\"dbd2718\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ff716a3 elementor-widget elementor-widget-text-editor\" data-id=\"ff716a3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00a9 2021 HeroMarket. All rights reserved<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Back to Website NOT A MEMBER? REGISTER NOW. \u00a9 2021 HeroMarket. All rights reserved<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":[],"_links":{"self":[{"href":"https:\/\/www.heromarket.com.my\/form\/wp-json\/wp\/v2\/pages\/11"}],"collection":[{"href":"https:\/\/www.heromarket.com.my\/form\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heromarket.com.my\/form\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heromarket.com.my\/form\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heromarket.com.my\/form\/wp-json\/wp\/v2\/comments?post=11"}],"version-history":[{"count":29,"href":"https:\/\/www.heromarket.com.my\/form\/wp-json\/wp\/v2\/pages\/11\/revisions"}],"predecessor-version":[{"id":91,"href":"https:\/\/www.heromarket.com.my\/form\/wp-json\/wp\/v2\/pages\/11\/revisions\/91"}],"wp:attachment":[{"href":"https:\/\/www.heromarket.com.my\/form\/wp-json\/wp\/v2\/media?parent=11"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}