{"id":5064,"date":"2025-05-16T04:53:36","date_gmt":"2025-05-16T04:53:36","guid":{"rendered":"https:\/\/nurseaidaustralia.mantraideas.com.np\/?page_id=5064"},"modified":"2025-05-29T03:25:58","modified_gmt":"2025-05-29T03:25:58","slug":"referral-form","status":"publish","type":"page","link":"https:\/\/nurseaidaustralia.mantraideas.com.np\/index.php\/referral-form\/","title":{"rendered":"Referral Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5064\" class=\"elementor elementor-5064\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eaedf4e e-flex e-con-boxed e-con e-parent\" data-id=\"eaedf4e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c2a695c elementor-widget elementor-widget-heading\" data-id=\"c2a695c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Enquire Now<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d133793 elementor-widget elementor-widget-text-editor\" data-id=\"d133793\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tHave a question or need more information? <br>Fill out the form below and our team will get back to you shortly\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-afa03fc e-flex e-con-boxed e-con e-parent\" data-id=\"afa03fc\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5c563e0 elementor-widget-mobile__width-initial elementor-widget__width-initial elementor-widget elementor-widget-shortcode\" data-id=\"5c563e0\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-3983 forminator-design--basic  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-3983\" data-uid=\"69f1e456c6e0e\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-3983\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-3983 forminator-design--basic  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"3983\"\n\t\t\t\t\n\t\t\t\tdata-design=\"basic\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69f1e456c6e0e\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69f1e456c6e0e\" id=\"forminator-field-name-1_69f1e456c6e0e-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Enter your name\" id=\"forminator-field-name-1_69f1e456c6e0e\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69f1e456c6e0e\" id=\"forminator-field-email-1_69f1e456c6e0e-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Enter your Email address\" id=\"forminator-field-email-1_69f1e456c6e0e\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69f1e456c6e0e\" id=\"forminator-field-phone-1_69f1e456c6e0e-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Enter your phone number\" id=\"forminator-field-phone-1_69f1e456c6e0e\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69f1e456c6e0e\" id=\"forminator-field-textarea-1_69f1e456c6e0e-label\" class=\"forminator-label\">Enquire Details<\/label><textarea name=\"textarea-1\" placeholder=\"Fill in the details\" id=\"forminator-field-textarea-1_69f1e456c6e0e\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Enquire Now<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"41f2f26735\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/5064\" \/><input type=\"hidden\" name=\"form_id\" value=\"3983\"><input type=\"hidden\" name=\"page_id\" value=\"5064\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/nurseaidaustralia.mantraideas.com.np\/index.php\/referral-form\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Enquire Now Have a question or need more information? 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