{"id":5460,"date":"2021-09-15T18:35:05","date_gmt":"2021-09-15T22:35:05","guid":{"rendered":"https:\/\/gulf.adept.sr\/forms\/?page_id=5460"},"modified":"2021-09-15T18:44:17","modified_gmt":"2021-09-15T22:44:17","slug":"average-agreement-form","status":"publish","type":"page","link":"https:\/\/gulf.adept.sr\/forms\/average-agreement-form\/","title":{"rendered":"Average Agreement Form"},"content":{"rendered":"<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/gulf.adept.sr\/forms\/wp-content\/uploads\/2019\/08\/Gulf-Revised-Logo-300x140.png\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/gulf.adept.sr\/forms\/wp-content\/uploads\/2019\/08\/Gulf-Revised-Logo-300x140.png 300w, https:\/\/gulf.adept.sr\/forms\/wp-content\/uploads\/2019\/08\/Gulf-Revised-Logo-768x358.png 768w, https:\/\/gulf.adept.sr\/forms\/wp-content\/uploads\/2019\/08\/Gulf-Revised-Logo-1024x477.png 1024w\" alt=\"\" width=\"300\" height=\"140\" \/><\/p>\n<h2 style=\"text-align: center;\">Average Agreement Form<\/h2>\n<p style=\"text-align: center;\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_95' style='display:none'><div id='gf_95' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_95'  action='\/forms\/wp-json\/wp\/v2\/pages\/5460#gf_95' novalidate autocomplete=\"off\">\n        <div id='gf_progressbar_wrapper_95' class='gf_progressbar_wrapper'>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>2<\/span> - CLAIMANT\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_0' style='width:0%;'><span>0%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body gform-body'><div id='gform_page_95_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_95' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_95_548\"  class=\"gfield gf_hidden gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_548\"><p><strong>By ticking I agree to the following<\/strong><\/p>\n<p>I declare that to the best of my knowledge and belief, the information to be provided by me is true and correct, and that I will not withhold any information connected with this claim being filed by me. <\/p> <p>I understand that Gulf Insurance Limited requires the information in this form as part of its review of the claim being filed by me.<\/p>  <p>I am aware that failure by me to provide information that is true and correct, or which I believe may not be true and correct, or withholding information relevant to this claim may result in Gulf Insurance Limited denying or voiding my claim, and\/or pursuing criminal actions and\/or civil proceedings against me in accordance with the relevant laws of the land.<\/p><\/li><li id=\"field_95_536\"  class=\"gfield exclude scroll-to-read gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_95_536\"><label class='gfield_label gfield_label_before_complex'  >Declaration<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_95_536'><p style=\"text-align: justify;\"><strong>GULF INSURANCE LIMITED AVERAGE NOTICE\/ADVISORY <\/strong><\/p><p style=\"text-align: justify;\">Gulf Insurance Ltd.&rsquo;s policy contract is based on Indemnity and is subject to an &ldquo;Average Provision&rdquo;.&nbsp;<\/p><p style=\"text-align: justify;\">Indemnity aims to place the insured in the same financial position (after a loss) that he or she would have enjoyed immediately prior to a loss.<\/p><p style=\"text-align: justify;\">An &ldquo;Average Provision&rdquo; is applicable if the <strong>Sum Insured<\/strong> declared on the value of the property is <strong>less than<\/strong> the Assessed Value to rebuild\/repair the property at the time of a claim\/loss. This provision is used to determine the value of the property which is deemed to not have been covered by the policy i.e., effectively self-insured by the policyholder.&nbsp;<\/p><br \/>\n<p style=\"text-align: justify;\">The statement below shows the method for assessing the Average Provision used by Gulf.<\/p><p style=\"text-align: justify;\"><strong>Step 1&nbsp; &nbsp; -&nbsp; &nbsp; <\/strong>Sum Insured \/ Assessed Value = % Covered<\/p><p style=\"text-align: justify;\"><strong>Step 2&nbsp; &nbsp; -&nbsp; &nbsp; <\/strong>% Covered &times;&nbsp; Claim = Amount Due to Policyholder<\/p><p style=\"text-align: justify;\"><strong>Practical Example<\/strong><\/p><p style=\"text-align: justify;\">If the:<\/p><ul><li><em>Declared Sum Insured on Policy = $1,000,000<\/em><\/li><li><em>Assessed Value of property at the time of loss = $1,500,000<\/em><\/li><li><em>Claim\/Loss incurred = $750,000<\/em><\/li><\/ul><p style=\"text-align: justify;\"><strong>Step 1&nbsp; &nbsp; -&nbsp; &nbsp; <\/strong>1,000,000 \/ 1,500,000 = 66.67%<\/p><p style=\"text-align: justify;\"><strong>Step 2&nbsp; &nbsp; -&nbsp; &nbsp; <\/strong>66.67% &times;&nbsp; 750,000 = 500,000<\/p><p style=\"text-align: justify;\"><strong><em>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/em><\/strong><\/p><p style=\"text-align: justify;\">Therefore, Gulf would settle $500,000 to policyholder and the policyholder be responsible for the balance of the claim\/loss of $250,000.<\/p><p style=\"text-align: justify;\">To avoid the &lsquo;Average Provision&rsquo; being applied at the time of a claim\/loss, we recommend that you utilize the services of a professional valuator or assessor to confirm your sum insured regularly.&nbsp;<\/p><\/div><div class='ginput_container ginput_container_consent'><input autocomplete=\"off\"  name='input_536.1' id='input_95_536_1' type='checkbox' value='1' tabindex='49' aria-describedby=\"gfield_consent_description_95_536\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gfield_consent_label\" for='input_95_536_1' >I have read and understood<\/label><input autocomplete=\"off\"  type='hidden' name='input_536.2' value='I have read and understood' class='gform_hidden' \/><input autocomplete=\"off\"  type='hidden' name='input_536.3' value='82' class='gform_hidden' \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_95_529' class='gform_next_button button' value='Next' tabindex='50' onclick='jQuery(\"#gform_target_page_number_95\").val(\"2\");  jQuery(\"#gform_95\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_95\").val(\"2\");  jQuery(\"#gform_95\").trigger(\"submit\",[true]); } ' \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_95_2_link' class='gform_save_link' tabindex='51' onclick='if(window[\"gf_submitting_95\"]){return false;}  if( !jQuery(\"#gform_95\")[0].checkValidity || jQuery(\"#gform_95\")[0].checkValidity()){window[\"gf_submitting_95\"]=true;} jQuery(\"#gform_save_95\").val(1); jQuery(\"#gform_95\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_95\"]){return false;} if( !jQuery(\"#gform_95\")[0].checkValidity || jQuery(\"#gform_95\")[0].checkValidity()){window[\"gf_submitting_95\"]=true;} jQuery(\"#gform_save_95\").val(1); jQuery(\"#gform_95\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_95_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_95_2' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_95_21\"  class=\"gfield exclude d-none gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_21\"><div id=\"2\" style=\"display:inline-block;\"><img decoding=\"async\"  src=\"https:\/\/gulf.adept.sr\/forms\/wp-content\/uploads\/2019\/11\/gulf-winscreen-breakage-icon.png\" style=\"max-width:100px!important;height:atuo!importantdisplay:inline-block;padding-left:10px;display: inline-block; vertical-align: middle;padding-right:10px;padding-bottom:10px;\"><h3 style=\"display:inline-block;\">INSURED<\/h3><\/div><\/li><li id=\"field_95_543\"  class=\"gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_543\"><label class='gfield_label' for='input_95_543' >Are you an individual or a company?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_543' id='input_95_543' class='medium gfield_select' tabindex='52'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Individual\/Company<\/option><option value='Individual' >Individual<\/option><option value='Company' >Company<\/option><\/select><\/div><\/li><li id=\"field_95_544\"  class=\"gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_544\"><label class='gfield_label' for='input_95_544' >Company Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_544' id='input_95_544' type='text' value='' class='medium'   tabindex='53' placeholder='Company Name' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_95_545\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_545\"><\/li><li id=\"field_95_22\"  class=\"gfield salutation field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_22\"><label class='gfield_label' for='input_95_22' >Salutation<\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_95_22' class='large gfield_select' tabindex='54'    aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Title<\/option><option value='Mr.' >Mr.<\/option><option value='Miss.' >Miss.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Dr.' >Dr.<\/option><\/select><\/div><\/li><li id=\"field_95_546\"  class=\"gfield first-name gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_546\"><label class='gfield_label' for='input_95_546' >First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_546' id='input_95_546' type='text' value='' class='large'   tabindex='55' placeholder='First Name' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_95_547\"  class=\"gfield last-name gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_547\"><label class='gfield_label' for='input_95_547' >Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_547' id='input_95_547' type='text' value='' class='large'   tabindex='56' placeholder='Last Name' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_95_530\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_530\"><label class='gfield_label' for='input_95_530' >ID No.<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_530' id='input_95_530' type='text' value='' class='medium'   tabindex='57' placeholder='Policy No.'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_95_568\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_568\"><label class='gfield_label' for='input_95_568' >ICN No.<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_568' id='input_95_568' type='text' value='' class='medium'   tabindex='58' placeholder='Policy No.'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_95_10\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_10\"><label class='gfield_label' for='input_95_10' >Contact No.<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_10' id='input_95_10' type='tel' value='' class='large' tabindex='59' placeholder='Contact No.'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_95_11\"  class=\"gfield gf_right_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_11\"><label class='gfield_label' for='input_95_11' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input autocomplete=\"off\"  name='input_11' id='input_95_11' type='email' value='' class='large' tabindex='60'  placeholder='Email' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_95_12\"  class=\"gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_12\"><label class='gfield_label' for='input_95_12' >Address 1<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_12' id='input_95_12' type='text' value='' class='medium'   tabindex='61' placeholder='Address 1'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_95_47\"  class=\"gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_47\"><label class='gfield_label' for='input_95_47' >Address 2<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_47' id='input_95_47' type='text' value='' class='medium'   tabindex='62' placeholder='Address 2'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_95_17\"  class=\"gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_17\"><label class='gfield_label' for='input_95_17' >Town\/City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_17' id='input_95_17' type='text' value='' class='medium'   tabindex='63' placeholder='Town\/City' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_95_18\"  class=\"gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_18\"><label class='gfield_label' for='input_95_18' >Country<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_95_18' class='medium gfield_select' tabindex='64'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Country<\/option><option value='Anguilla' >Anguilla<\/option><option value='British Virgin Islands' >British Virgin Islands<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Grenada' >Grenada<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='St. Vincent' >St. Vincent<\/option><option value='St. Maarten' >St. Maarten<\/option><option value='St. Kitts &amp; Nevis' >St. Kitts &amp; Nevis<\/option><option value='-----------------' >-----------------<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darrussalam' >Brunei Darrussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Korea' >North Korea<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena' >Saint Helena<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Korea' >South Korea<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select><\/div><\/li><li id=\"field_95_575\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_575\"><div class=\"clr\"><\/div><\/li><li id=\"field_95_569\"  class=\"gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_569\"><label class='gfield_label' for='input_95_569' >Branch<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_569' id='input_95_569' class='medium gfield_select' tabindex='65' aria-describedby=\"gfield_description_95_569\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Branch<\/option><option value='PORT OF SPAIN' >PORT OF SPAIN<\/option><option value='CHAGUANAS' >CHAGUANAS<\/option><option value='SAN FERNANDO' >SAN FERNANDO<\/option><option value='ARIMA' >ARIMA<\/option><option value='TOBAGO' >TOBAGO<\/option><option value='ST. MAARTEN' >ST. MAARTEN<\/option><option value='ST. VINCENT' >ST. VINCENT<\/option><option value='ST. KITTS AND NEVIS' >ST. KITTS AND NEVIS<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_95_569'>If this form is being completed at an Branch, please select the name of the Branch<\/div><\/li><li id=\"field_95_534\"  class=\"gfield exclude gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_534\"><label class='gfield_label'  >Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_95_534'>\n\t\t\t<li class='gchoice gchoice_95_534_0'>\n\t\t\t\t<input autocomplete=\"off\"  name='input_534' type='radio' value='Type-in Signature'  id='choice_95_534_0' tabindex='66'   \/>\n\t\t\t\t<label for='choice_95_534_0' id='label_95_534_0'>Type-in Signature<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_95_534_1'>\n\t\t\t\t<input autocomplete=\"off\"  name='input_534' type='radio' value='Digital Signature'  id='choice_95_534_1' tabindex='67'   \/>\n\t\t\t\t<label for='choice_95_534_1' id='label_95_534_1'>Digital Signature<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_95_287\"  class=\"gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_287\"><label class='gfield_label' for='input_95_287' >Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_287' id='input_95_287' type='text' value='' class='medium'   tabindex='68' placeholder='Type Signature' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_95_533\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_533\"><label class='gfield_label' for='input_95_533' >Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div ><div id='input_95_533_Container' class='gfield_signature_container ginput_container' style='height:180px; width:400px; ' ><input autocomplete=\"off\"  type='hidden' class='gform_hidden' name='input_95_533_valid' id='input_95_533_valid' \/><canvas id='input_95_533' width='400' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_95_567\"  class=\"gfield clr gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_567\"><\/li><li id=\"field_95_551\"  class=\"gfield sizesmall exclude gfield_contains_required field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_95_551\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_95_551' >Date of Submission<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input autocomplete=\"off\"  name='input_551' id='input_95_551' type='text' value='29\/09\/2026' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='69'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_95_551_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_95_551_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input autocomplete=\"off\"  type='hidden' id='gforms_calendar_icon_input_95_551' class='gform_hidden' value='https:\/\/gulf.adept.sr\/forms\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_95_562\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_562\"><label class='gfield_label' for='input_95_562' >CAPTCHA<\/label><div id='input_95_562' class='ginput_container ginput_recaptcha' data-sitekey='6Ldt9r0UAAAAAB8DUG6Mk8uORN4UhTvA_XWN9EU8'  data-theme='light' data-tabindex='70'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_95' class='gform_previous_button button' value='Previous' tabindex='71' onclick='if(window[\"gf_submitting_95\"]){return false;}  if( !jQuery(\"#gform_95\")[0].checkValidity || jQuery(\"#gform_95\")[0].checkValidity()){window[\"gf_submitting_95\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_95\"]){return false;} if( !jQuery(\"#gform_95\")[0].checkValidity || jQuery(\"#gform_95\")[0].checkValidity()){window[\"gf_submitting_95\"]=true;}  jQuery(\"#gform_95\").trigger(\"submit\",[true]); 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jQuery(\"#gform_95\").trigger(\"submit\",[true]); }'> Save and Continue Later<\/a>\n            <input type='hidden' class='gform_hidden' name='is_submit_95' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='95' \/>\n            <input type='hidden' class='gform_hidden' name='gform_save' id='gform_save_95' value='' \/>\n                             <input type='hidden' class='gform_hidden' name='gform_resume_token' id='gform_resume_token_95' value='' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_95' value='WyJ7XCI1MzYuMVwiOlwiMDc4OWZhZTg1YTFmMDY4OThjMjU3YTM2ZjBjOTgyOTVcIixcIjUzNi4yXCI6XCI1YTE4ZjAzYWE5MWUyYmE3ZGEwNmU5MGU1YTYxN2IwMFwiLFwiNTM2LjNcIjpcIjExYTllYjdlNDE3MTk0ZjA4NGQ0MDYzOTdiOTRjZGQzXCJ9IiwiN2Q4NDNiZGY5ZmVjOTMwNzQ0ODc3OWFhYWYzMmViMmYiXQ==' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_95' id='gform_target_page_number_95' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_95' id='gform_source_page_number_95' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/div><\/div>\n                        <\/form>\n                        <\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Average Agreement Form<\/p>\n","protected":false},"author":12,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5460","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/gulf.adept.sr\/forms\/wp-json\/wp\/v2\/pages\/5460","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gulf.adept.sr\/forms\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gulf.adept.sr\/forms\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gulf.adept.sr\/forms\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/gulf.adept.sr\/forms\/wp-json\/wp\/v2\/comments?post=5460"}],"version-history":[{"count":2,"href":"https:\/\/gulf.adept.sr\/forms\/wp-json\/wp\/v2\/pages\/5460\/revisions"}],"predecessor-version":[{"id":5462,"href":"https:\/\/gulf.adept.sr\/forms\/wp-json\/wp\/v2\/pages\/5460\/revisions\/5462"}],"wp:attachment":[{"href":"https:\/\/gulf.adept.sr\/forms\/wp-json\/wp\/v2\/media?parent=5460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}