{"id":32906,"date":"2025-03-20T00:43:33","date_gmt":"2025-03-19T17:43:33","guid":{"rendered":"https:\/\/usahasosial.com\/?page_id=32906"},"modified":"2025-06-10T23:15:14","modified_gmt":"2025-06-10T16:15:14","slug":"social-enterprise-form","status":"publish","type":"page","link":"https:\/\/usahasosial.com\/id\/social-enterprise-form\/","title":{"rendered":"Social Enterprise Form"},"content":{"rendered":"<div class=\"container\">\n<div class=\"row justify-content-center\">\n<div class=\"col-lg-8 col-12\">    <form class=\"form__sc\" id=\"research__form__sc\" method=\"post\" novalidate>\r\n        <input type=\"hidden\" name=\"form_id\" value=\"1\">\r\n        <div class=\"form__group_sc\">                        <div class=\"form__half\">\r\n                            <label for=\"nama\">Nama Founder*<\/label>\r\n                                                        <input type=\"text\" id=\"nama\" name=\"nama\"\r\n                                placeholder=\"Masukan nama PIC anda\" required>\r\n                                                            <span class=\"error-message\" id=\"nama_error\" style=\"display: none;\">\r\n                                    <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                        <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                            <path\r\n                                                d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                fill=\"#F63C3C\" \/>\r\n                                        <\/g>\r\n                                        <defs>\r\n                                            <clipPath id=\"clip0_6821_15781\">\r\n                                                <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                            <\/clipPath>\r\n                                        <\/defs>\r\n                                    <\/svg>This\r\n                                    field is required\r\n                                <\/span>\r\n                                                <\/div>\r\n                                            <div class=\"form__half\">\r\n                        <label for=\"gender\">Gender Founder*<\/label>\r\n                                                <div class=\"custom-dropdown\" data-name=\"gender\">\r\n                            <div class=\"custom-dropdown-display\">Pilih opsi                                <svg width=\"20\" height=\"20\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                    <path d=\"M5 6l5 5 5-5 2 1-7 7-7-7 2-1z\" fill=\"#555\" \/>\r\n                                <\/svg>\r\n                            <\/div>\r\n                            <div class=\"custom-dropdown-options\">\r\n                                                                    <div data-value=\"Laki-Laki\">Laki-Laki<\/div>\r\n                                                                    <div data-value=\"Perempuan\">Perempuan<\/div>\r\n                                                            <\/div>\r\n                            <select name=\"gender\" id=\"gender\" required>\r\n                                <option value=\"\">Pilih opsi<\/option>\r\n                                                                    <option value=\"Laki-Laki\">Laki-Laki<\/option>\r\n                                                                    <option value=\"Perempuan\">Perempuan<\/option>\r\n                                                            <\/select>\r\n                        <\/div>\r\n                                                    <span class=\"error-message\" id=\"gender_error\" style=\"display: none;\"><svg width=\"24\" height=\"24\"\r\n                                    viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                    <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                        <path\r\n                                            d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                            fill=\"#F63C3C\" \/>\r\n                                    <\/g>\r\n                                    <defs>\r\n                                        <clipPath id=\"clip0_6821_15781\">\r\n                                            <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                        <\/clipPath>\r\n                                    <\/defs>\r\n                                <\/svg>This\r\n                                field is required<\/span>\r\n                                                                    <\/div>\r\n                        <\/div>                            <div class=\"form__group_sc\">\r\n                                <div class=\"form__full\">\r\n                                    <label\r\n                                        for=\"jabatan\">Jabatan PIC*<\/label>\r\n                                                                            <div class=\"rs-description\">Bisa diisi oleh tim atau perwakilan usaha sosial kamu ya, apabila bukan founder yang mengisi<\/div>\r\n                                                                                                                <input type=\"text\" id=\"jabatan\" name=\"jabatan\"\r\n                                            placeholder=\"Masukan jabatan anda\" required>\r\n                                                                                    <span class=\"error-message\" id=\"jabatan_error\" style=\"display: none;\">\r\n                                                <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                                    <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                                        <path\r\n                                                            d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                            fill=\"#F63C3C\" \/>\r\n                                                    <\/g>\r\n                                                    <defs>\r\n                                                        <clipPath id=\"clip0_6821_15781\">\r\n                                                            <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                                        <\/clipPath>\r\n                                                    <\/defs>\r\n                                                <\/svg>This field is required<\/span>\r\n                                                                    <\/div>\r\n                            <\/div>\r\n                                                                    <div class=\"form__group_sc\">\r\n                                <div class=\"form__full\">\r\n                                    <label\r\n                                        for=\"alamat\">Alamat*<\/label>\r\n                                                                            <div class=\"rs-description\">Bisa tuliskan Domisili dimana usaha sosial kamu berada ya, apabila usaha sosial kamu tidak memiliki kantor\/rumah produksi<\/div>\r\n                                                                                                                <input type=\"text\" id=\"alamat\" name=\"alamat\"\r\n                                            placeholder=\"Masukan alamat anda\" required>\r\n                                                                                    <span class=\"error-message\" id=\"alamat_error\" style=\"display: none;\">\r\n                                                <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                                    <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                                        <path\r\n                                                            d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                            fill=\"#F63C3C\" \/>\r\n                                                    <\/g>\r\n                                                    <defs>\r\n                                                        <clipPath id=\"clip0_6821_15781\">\r\n                                                            <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                                        <\/clipPath>\r\n                                                    <\/defs>\r\n                                                <\/svg>This field is required<\/span>\r\n                                                                    <\/div>\r\n                            <\/div>\r\n                                                                    <div class=\"form__group_sc\">\r\n                                <div class=\"form__full\">\r\n                                    <label\r\n                                        for=\"email\">Email*<\/label>\r\n                                                                                                                <input type=\"email\" id=\"email\" name=\"email\"\r\n                                            placeholder=\"Masukan email anda\" required>\r\n                                                                                    <span class=\"error-message\" id=\"email_error\" style=\"display: none;\">\r\n                                                <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                                    <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                                        <path\r\n                                                            d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                            fill=\"#F63C3C\" \/>\r\n                                                    <\/g>\r\n                                                    <defs>\r\n                                                        <clipPath id=\"clip0_6821_15781\">\r\n                                                            <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                                        <\/clipPath>\r\n                                                    <\/defs>\r\n                                                <\/svg>This field is required<\/span>\r\n                                                                    <\/div>\r\n                            <\/div>\r\n                                                                    <div class=\"form__group_sc\">\r\n                                <div class=\"form__full\">\r\n                                    <label\r\n                                        for=\"phone\">No.Telp*<\/label>\r\n                                                                            <div class=\"rs-description\">Pastikan terhubung dengan whatsapp ya<\/div>\r\n                                                                                                                <input type=\"tel\" id=\"phone\" name=\"phone\"\r\n                                            placeholder=\"Masukan No.Telp anda\" required>\r\n                                                                                    <span class=\"error-message\" id=\"phone_error\" style=\"display: none;\">\r\n                                                <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                                    <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                                        <path\r\n                                                            d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                            fill=\"#F63C3C\" \/>\r\n                                                    <\/g>\r\n                                                    <defs>\r\n                                                        <clipPath id=\"clip0_6821_15781\">\r\n                                                            <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                                        <\/clipPath>\r\n                                                    <\/defs>\r\n                                                <\/svg>This field is required<\/span>\r\n                                                                    <\/div>\r\n                            <\/div>\r\n                                                                    <div class=\"form__group_sc\">\r\n                                <div class=\"form__full\">\r\n                                    <label\r\n                                        for=\"nama-usaha-sosial\">Nama Usaha Sosial*<\/label>\r\n                                                                                                                <input type=\"text\" id=\"nama-usaha-sosial\" name=\"nama-usaha-sosial\"\r\n                                            placeholder=\"Masukan nama usaha sosial anda\" required>\r\n                                                                                    <span class=\"error-message\" id=\"nama-usaha-sosial_error\" style=\"display: none;\">\r\n                                                <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                                    <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                                        <path\r\n                                                            d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                            fill=\"#F63C3C\" \/>\r\n                                                    <\/g>\r\n                                                    <defs>\r\n                                                        <clipPath id=\"clip0_6821_15781\">\r\n                                                            <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                                        <\/clipPath>\r\n                                                    <\/defs>\r\n                                                <\/svg>This field is required<\/span>\r\n                                                                    <\/div>\r\n                            <\/div>\r\n                                                                    <div class=\"form__group_sc\">\r\n                                <div class=\"form__full\">\r\n                                    <label\r\n                                        for=\"sektor-usaha-sosial\">Sektor Usaha Sosial*<\/label>\r\n                                                                        <div class=\"custom-dropdown\" data-name=\"sektor-usaha-sosial\">\r\n                                        <div class=\"custom-dropdown-display\">Masukan sector usaha sosial anda                                            <svg width=\"20\" height=\"20\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                                <path d=\"M5 6l5 5 5-5 2 1-7 7-7-7 2-1z\" fill=\"#555\" \/>\r\n                                            <\/svg>\r\n                                        <\/div>\r\n                                        <div class=\"custom-dropdown-options\">\r\n                                                                                            <div data-value=\"Pertanian, Perhutanan, dan Perikanan\">Pertanian, Perhutanan, dan Perikanan<\/div>\r\n                                                                                            <div data-value=\"Pertambangan dan Penggalian\">Pertambangan dan Penggalian<\/div>\r\n                                                                                            <div data-value=\"Industri Pengolahan\">Industri Pengolahan<\/div>\r\n                                                                                            <div data-value=\"Pengadaan Listrik, Gas, Uap\/Air Panas dan Udara Dingin\">Pengadaan Listrik, Gas, Uap\/Air Panas dan Udara Dingin<\/div>\r\n                                                                                            <div data-value=\"Treatment Air, Treatment Air Limbah, Treatment dan Pemulihan Material Sampah, dan Aktivitas Remediasi\">Treatment Air, Treatment Air Limbah, Treatment dan Pemulihan Material Sampah, dan Aktivitas Remediasi<\/div>\r\n                                                                                            <div data-value=\"Konstruksi\">Konstruksi<\/div>\r\n                                                                                            <div data-value=\"Perdagangan Besar dan Eceran, Reparasi dan Perawatan Mobil dan Sepeda Motor\">Perdagangan Besar dan Eceran, Reparasi dan Perawatan Mobil dan Sepeda Motor<\/div>\r\n                                                                                            <div data-value=\"Pengangkutan dan Pergudangan\">Pengangkutan dan Pergudangan<\/div>\r\n                                                                                            <div data-value=\"Penyediaan Akomodasi dan Penyediaan Makan Minum\">Penyediaan Akomodasi dan Penyediaan Makan Minum<\/div>\r\n                                                                                            <div data-value=\"Informasi dan Komunikasi\">Informasi dan Komunikasi<\/div>\r\n                                                                                            <div data-value=\"Aktivitas Jasa Keuangan dan Asurasi\">Aktivitas Jasa Keuangan dan Asurasi<\/div>\r\n                                                                                            <div data-value=\"Real Estat\">Real Estat<\/div>\r\n                                                                                            <div data-value=\"Aktivitas Profesional, Ilmiah, dan Teknis\">Aktivitas Profesional, Ilmiah, dan Teknis<\/div>\r\n                                                                                            <div data-value=\"Aktivitas Penyewaan dan Sewa Guna Usaha Tanpa Hak Opsi, Ketenagakerjaan, Agen Perjalanan dan Penunjang Usaha Lainnya\">Aktivitas Penyewaan dan Sewa Guna Usaha Tanpa Hak Opsi, Ketenagakerjaan, Agen Perjalanan dan Penunjang Usaha Lainnya<\/div>\r\n                                                                                            <div data-value=\"Administrasi Pemerintahan, Pertahanan, dan Jaminan Sosial Wajib\">Administrasi Pemerintahan, Pertahanan, dan Jaminan Sosial Wajib<\/div>\r\n                                                                                            <div data-value=\"Pendidikan\">Pendidikan<\/div>\r\n                                                                                            <div data-value=\"Aktivitas Kesehatan Manusia dan Aktivitas Sosial\">Aktivitas Kesehatan Manusia dan Aktivitas Sosial<\/div>\r\n                                                                                            <div data-value=\"Kesenian Hiburan, dan Rekreasi\">Kesenian Hiburan, dan Rekreasi<\/div>\r\n                                                                                            <div data-value=\"Aktivitas Jasa Lainnya\">Aktivitas Jasa Lainnya<\/div>\r\n                                                                                            <div data-value=\"Aktivitas Rumah Tangga Sebagai Pemberi Kerja; Aktivitas yang Menghasilkan Barang dan Jasa Oleh Rumah Tangga yang Digunakan Untuk Memenuhi Kebutuhan Sendiri\">Aktivitas Rumah Tangga Sebagai Pemberi Kerja; Aktivitas yang Menghasilkan Barang dan Jasa Oleh Rumah Tangga yang Digunakan Untuk Memenuhi Kebutuhan Sendiri<\/div>\r\n                                                                                            <div data-value=\"Kategori U: Aktivitas Badan Internasional dan Badan Ekstra Internasional Lainnya\">Kategori U: Aktivitas Badan Internasional dan Badan Ekstra Internasional Lainnya<\/div>\r\n                                                                                    <\/div>\r\n                                        <select name=\"sektor-usaha-sosial\" id=\"sektor-usaha-sosial\" required>\r\n                                            <option value=\"\">Masukan sector usaha sosial anda<\/option>\r\n                                                                                            <option value=\"Pertanian, Perhutanan, dan Perikanan\">Pertanian, Perhutanan, dan Perikanan<\/option>\r\n                                                                                            <option value=\"Pertambangan dan Penggalian\">Pertambangan dan Penggalian<\/option>\r\n                                                                                            <option value=\"Industri Pengolahan\">Industri Pengolahan<\/option>\r\n                                                                                            <option value=\"Pengadaan Listrik, Gas, Uap\/Air Panas dan Udara Dingin\">Pengadaan Listrik, Gas, Uap\/Air Panas dan Udara Dingin<\/option>\r\n                                                                                            <option value=\"Treatment Air, Treatment Air Limbah, Treatment dan Pemulihan Material Sampah, dan Aktivitas Remediasi\">Treatment Air, Treatment Air Limbah, Treatment dan Pemulihan Material Sampah, dan Aktivitas Remediasi<\/option>\r\n                                                                                            <option value=\"Konstruksi\">Konstruksi<\/option>\r\n                                                                                            <option value=\"Perdagangan Besar dan Eceran, Reparasi dan Perawatan Mobil dan Sepeda Motor\">Perdagangan Besar dan Eceran, Reparasi dan Perawatan Mobil dan Sepeda Motor<\/option>\r\n                                                                                            <option value=\"Pengangkutan dan Pergudangan\">Pengangkutan dan Pergudangan<\/option>\r\n                                                                                            <option value=\"Penyediaan Akomodasi dan Penyediaan Makan Minum\">Penyediaan Akomodasi dan Penyediaan Makan Minum<\/option>\r\n                                                                                            <option value=\"Informasi dan Komunikasi\">Informasi dan Komunikasi<\/option>\r\n                                                                                            <option value=\"Aktivitas Jasa Keuangan dan Asurasi\">Aktivitas Jasa Keuangan dan Asurasi<\/option>\r\n                                                                                            <option value=\"Real Estat\">Real Estat<\/option>\r\n                                                                                            <option value=\"Aktivitas Profesional, Ilmiah, dan Teknis\">Aktivitas Profesional, Ilmiah, dan Teknis<\/option>\r\n                                                                                            <option value=\"Aktivitas Penyewaan dan Sewa Guna Usaha Tanpa Hak Opsi, Ketenagakerjaan, Agen Perjalanan dan Penunjang Usaha Lainnya\">Aktivitas Penyewaan dan Sewa Guna Usaha Tanpa Hak Opsi, Ketenagakerjaan, Agen Perjalanan dan Penunjang Usaha Lainnya<\/option>\r\n                                                                                            <option value=\"Administrasi Pemerintahan, Pertahanan, dan Jaminan Sosial Wajib\">Administrasi Pemerintahan, Pertahanan, dan Jaminan Sosial Wajib<\/option>\r\n                                                                                            <option value=\"Pendidikan\">Pendidikan<\/option>\r\n                                                                                            <option value=\"Aktivitas Kesehatan Manusia dan Aktivitas Sosial\">Aktivitas Kesehatan Manusia dan Aktivitas Sosial<\/option>\r\n                                                                                            <option value=\"Kesenian Hiburan, dan Rekreasi\">Kesenian Hiburan, dan Rekreasi<\/option>\r\n                                                                                            <option value=\"Aktivitas Jasa Lainnya\">Aktivitas Jasa Lainnya<\/option>\r\n                                                                                            <option value=\"Aktivitas Rumah Tangga Sebagai Pemberi Kerja; Aktivitas yang Menghasilkan Barang dan Jasa Oleh Rumah Tangga yang Digunakan Untuk Memenuhi Kebutuhan Sendiri\">Aktivitas Rumah Tangga Sebagai Pemberi Kerja; Aktivitas yang Menghasilkan Barang dan Jasa Oleh Rumah Tangga yang Digunakan Untuk Memenuhi Kebutuhan Sendiri<\/option>\r\n                                                                                            <option value=\"Kategori U: Aktivitas Badan Internasional dan Badan Ekstra Internasional Lainnya\">Kategori U: Aktivitas Badan Internasional dan Badan Ekstra Internasional Lainnya<\/option>\r\n                                                                                    <\/select>\r\n                                    <\/div>\r\n                                                                            <span class=\"error-message\" id=\"sektor-usaha-sosial_error\" style=\"display: none;\"><svg width=\"24\"\r\n                                                height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                                <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                                    <path\r\n                                                        d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                        fill=\"#F63C3C\" \/>\r\n                                                <\/g>\r\n                                                <defs>\r\n                                                    <clipPath id=\"clip0_6821_15781\">\r\n                                                        <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                                    <\/clipPath>\r\n                                                <\/defs>\r\n                                            <\/svg>This\r\n                                            field is required<\/span>\r\n                                                                    <\/div>\r\n                            <\/div>\r\n                                        <div class=\"form__group_sc\">                        <div class=\"form__half\">\r\n                            <label for=\"tahun\">Tahun berdiri*<\/label>\r\n                                                        <input type=\"text\" id=\"tahun\" name=\"tahun\"\r\n                                placeholder=\"Masukan Tahun Berdiri Organisasi \/ Usaha Sosial anda\" required>\r\n                                                            <span class=\"error-message\" id=\"tahun_error\" style=\"display: none;\">\r\n                                    <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                        <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                            <path\r\n                                                d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                fill=\"#F63C3C\" \/>\r\n                                        <\/g>\r\n                                        <defs>\r\n                                            <clipPath id=\"clip0_6821_15781\">\r\n                                                <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                            <\/clipPath>\r\n                                        <\/defs>\r\n                                    <\/svg>This\r\n                                    field is required\r\n                                <\/span>\r\n                                                <\/div>\r\n                                                <div class=\"form__half\">\r\n                            <label for=\"link\">Link Media Sosial\/Website*<\/label>\r\n                                                        <input type=\"url\" id=\"link\" name=\"link\"\r\n                                placeholder=\"https:\/\/example.com\" required>\r\n                                                            <span class=\"error-message\" id=\"link_error\" style=\"display: none;\">\r\n                                    <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                        <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                            <path\r\n                                                d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                fill=\"#F63C3C\" \/>\r\n                                        <\/g>\r\n                                        <defs>\r\n                                            <clipPath id=\"clip0_6821_15781\">\r\n                                                <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                            <\/clipPath>\r\n                                        <\/defs>\r\n                                    <\/svg>This\r\n                                    field is required\r\n                                <\/span>\r\n                                                <\/div>\r\n                        <\/div>                            <div class=\"form__group_sc\">\r\n                                <div class=\"form__full\">\r\n                                    <label\r\n                                        for=\"deskripsi\">Deskripsi Singkat Mengenai Usaha Sosial*<\/label>\r\n                                                                        <textarea id=\"deskripsi\" name=\"deskripsi\" rows=\"5\"\r\n                                        placeholder=\"Masukan deskripsi singkat\" required><\/textarea>\r\n                                                                            <span class=\"error-message\" id=\"deskripsi_error\" style=\"display: none;\"><svg width=\"24\"\r\n                                                height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                                <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                                    <path\r\n                                                        d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                        fill=\"#F63C3C\" \/>\r\n                                                <\/g>\r\n                                                <defs>\r\n                                                    <clipPath id=\"clip0_6821_15781\">\r\n                                                        <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                                    <\/clipPath>\r\n                                                <\/defs>\r\n                                            <\/svg>This\r\n                                            field is required<\/span>\r\n                                                                    <\/div>\r\n                            <\/div>\r\n                                                                    <div class=\"form__group_sc\">\r\n                                <div class=\"form__full\">\r\n                                    <label\r\n                                        for=\"product\">Produk atau Jasa yang Ditawarkan:*<\/label>\r\n                                                                                                                <input type=\"text\" id=\"product\" name=\"product\"\r\n                                            placeholder=\"Masukan product anda\" required>\r\n                                                                                    <span class=\"error-message\" id=\"product_error\" style=\"display: none;\">\r\n                                                <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                                    <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                                        <path\r\n                                                            d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                            fill=\"#F63C3C\" \/>\r\n                                                    <\/g>\r\n                                                    <defs>\r\n                                                        <clipPath id=\"clip0_6821_15781\">\r\n                                                            <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                                        <\/clipPath>\r\n                                                    <\/defs>\r\n                                                <\/svg>This field is required<\/span>\r\n                                                                    <\/div>\r\n                            <\/div>\r\n                                                                    <div class=\"form__group_sc\">\r\n                                <div class=\"form__full\">\r\n                                    <label\r\n                                        for=\"upload\">Upload foto produk\/usaha sosial<\/label>\r\n                                                                                                                <input type=\"file\" id=\"upload\" name=\"upload\"\r\n                                            placeholder=\"\" >\r\n                                        <span class=\"error-message\" id=\"upload_error\" style=\"display: none;\"\r\n                                            data-id=\"file-upload_error\">\r\n                                            <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                                <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                                    <path\r\n                                                        d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 15 12.5196 15.1054 12.7071 15.2929C12.8946 15.4804 13 15.7348 13 16C13 16.2652 12.8946 16.5196 12.7071 16.7071C12.5196 16.8946 12.2652 17 12 17C11.7348 17 11.4804 16.8946 11.2929 16.7071C11.1054 16.5196 11 16.2652 11 16C11 15.7348 11.1054 15.4804 11.2929 15.2929C11.4804 15.1054 11.7348 15 12 15ZM12 6C12.2652 6 12.5196 6.10536 12.7071 6.29289C12.8946 6.48043 13 6.73478 13 7V13C13 13.2652 12.8946 13.5196 12.7071 13.7071C12.5196 13.8946 12.2652 14 12 14C11.7348 14 11.4804 13.8946 11.2929 13.7071C11.1054 13.5196 11 13.2652 11 13V7C11 6.73478 11.1054 6.48043 11.2929 6.29289C11.4804 6.10536 11.7348 6 12 6Z\"\r\n                                                        fill=\"#F63C3C\" \/>\r\n                                                <\/g>\r\n                                                <defs>\r\n                                                    <clipPath id=\"clip0_6821_15781\">\r\n                                                        <rect width=\"24\" height=\"24\" fill=\"white\" \/>\r\n                                                    <\/clipPath>\r\n                                                <\/defs>\r\n                                            <\/svg>Harap unggah JPG, PNG, PDF, atau DOC.<\/span>\r\n                                                                                                            <\/div>\r\n                            <\/div>\r\n                                                                    <div class=\"form__group_sc\">\r\n                                <div class=\"form__full\">\r\n                                    <label\r\n                                        for=\"info\">Informasi lain yang ingin anda tambahkan (capaian, fokus SDGs, penghargaan dll)<\/label>\r\n                                                                            <div class=\"rs-description\">Silakan tulis informasi pendukung lainnya yang ingin kamu bagikan kepada kami, seperti: Fokus SDGs, Pencapaian yang pernah diraih dan sejenisnya<\/div>\r\n                                                                        <textarea id=\"info\" name=\"info\" rows=\"5\"\r\n                                        placeholder=\"Masukan informasi lain\" ><\/textarea>\r\n                                                                    <\/div>\r\n                            <\/div>\r\n                                                                            <div class=\"form__group_sc\">\r\n                        <div class=\"terms-section\">\r\n                            <div class=\"terms-label\"><\/div>\r\n                            <div class=\"terms-desc-label\"><\/div>\r\n                            <div class=\"wrapper-term-label\">\r\n                                                                    <div class=\"term-item\">\r\n                                        <div class=\"term-checkbox\">\r\n                                            <input type=\"checkbox\" id=\"term_0\" name=\"terms[]\" value=\"&#9989;\" required>\r\n                                            <span class=\"term-checkmark\">\r\n                                                                                            <\/span>\r\n                                        <\/div>\r\n                                        <div class=\"term-desc\">\r\n                                            <label for=\"term_0\">Bersedia dihubungi oleh PLUS untuk keperluan program<\/label>\r\n                                        <\/div>\r\n                                    <\/div>\r\n                                                                    <div class=\"term-item\">\r\n                                        <div class=\"term-checkbox\">\r\n                                            <input type=\"checkbox\" id=\"term_1\" name=\"terms[]\" value=\"&#9989;\" required>\r\n                                            <span class=\"term-checkmark\">\r\n                                                                                            <\/span>\r\n                                        <\/div>\r\n                                        <div class=\"term-desc\">\r\n                                            <label for=\"term_1\">Bersedia berlangganan newsletter PLUS untuk mendapatkan pembaruan informasi<\/label>\r\n                                        <\/div>\r\n                                    <\/div>\r\n                                                            <\/div>\r\n                            <span class=\"error-message\" id=\"terms_error\" style=\"display: none;\">\r\n                                <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\r\n                                    <g clip-path=\"url(#clip0_6821_15781)\">\r\n                                        <path\r\n                                            d=\"M12 2C17.523 2 22 6.477 22 12C22 17.523 17.523 22 12 22C6.477 22 2 17.523 2 12C2 6.477 6.477 2 12 2ZM12 4C9.87827 4 7.84344 4.84285 6.34315 6.34315C4.84285 7.84344 4 9.87827 4 12C4 14.1217 4.84285 16.1566 6.34315 17.6569C7.84344 19.1571 9.87827 20 12 20C14.1217 20 16.1566 19.1571 17.6569 17.6569C19.1571 16.1566 20 14.1217 20 12C20 9.87827 19.1571 7.84344 17.6569 6.34315C16.1566 4.84285 14.1217 4 12 4ZM12 15C12.2652 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