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<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta name="viewport" content="width=device-width, initial-scale=1.0"/>
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<meta name="google-site-verification" content="w3_W4ZRm1qpnJyQhCTcry4PzeU2ELAAgTs0KRoC0sPw"/>
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<meta name="googlebot" content="noindex, nofollow">
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<link rel="stylesheet" type="text/css" href="/css/material.css">
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<script src="/js/material.js"></script>
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<link rel="stylesheet" type="text/css" href="/css/form.css">
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<link rel="stylesheet" type="text/css" href="/css/loader.css">
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<link href="https://fonts.googleapis.com/icon?family=Material+Icons" rel="stylesheet">
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<link href="https://fonts.googleapis.com/css?family=Nunito+Sans&display=swap" rel="stylesheet">
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<link rel="shortcut icon" type="image/png" href="/images/favicon.png"/>
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<title>SurveyHeart</title>
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<script async src="https://www.googletagmanager.com/gtag/js?id=UA-112010057-1"></script>
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<script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js"></script>
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<meta name="theme-color" content="#1976d2">
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<meta name="msapplication-navbutton-color" content="#1976d2">
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<meta name="apple-mobile-web-app-status-bar-style" content="#1976d2">
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<meta name="description" content="">
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<meta property="og:url" content="https://surveyheart.com/form/5fd8375efc82213b518ef1aa?fbclid=IwAR0ViFDALZSRJdyqhjcp5turxTxIPWgqvUXBFtoNqkI5L5amuQj4fLcvkVQ"/>
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<meta property="og:title" content="DANA BANTUAN UMKM"/>
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<meta property="og:description" content="PENDAFTARAN BANTUAN UMKM"/>
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<meta property="og:image" content="https://surveyheart.com/images/thumbnail_512_342/shake_hands.jpeg"/>
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<meta property="og:type" content="website"/>
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<meta property="og:image:width" content="512"/>
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<meta property="og:image:height" content="342"/>
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</head>
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<body>
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<div id="report-container" class="report-container">
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<iframe id="report-iframe"></iframe>
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<i class="material-icons close-button" onclick="reportAbuseFormClose()">close</i>
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</div>
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<div id="violation-alert" class="report-container">
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<div class="violation-alert">
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<div style="display: flex; align-items: center; margin-bottom: 10px">
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<i class="material-icons" style="margin: 0 10px 0 0; font-size: 40px; color: #212121">error</i>
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<h4 style="margin: 0">Personal Data</h4>
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</div>
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<p>Don't submit your <b>passwords, UPI, OTP, CVV, pin & other bank details</b> on forms.</p>
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<button id="violation-alert-accept">Submit</button>
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<button id="violation-alert-cancel">Don't Submit</button>
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</div>
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</div>
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<div id="about-content-popup-id" class="report-container" style="display: none">
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<div class="about-content-popup-container" style="display: flex; flex-flow: column">
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<div style="width: 100%">
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<img style="width: 35px; height: 35px; margin: 10px 10px 0 0; position: relative; float: right; cursor: pointer"
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onclick="hideAboutContent()"
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src="/images/close_black.svg">
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<div class="about-content-popup-image-banner">
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<img style="width: 100%; max-width: 300px" id="app-logo" src="/images/surveyheart1.png">
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</div>
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</div>
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<div class="about-content-popup-body">
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<div style="padding: 15px; text-align: justify;">
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<div class="content-text-container">
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<h2>Survey Builder</h2>
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<p>Create surveys/forms with 9 different types of questions which are commonly used for
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collecting responses. In our form builder you can control your form access level to the
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responders like whether they can view your results or not, are they allowed to give
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multiple answers or not, whether questions of your form gets shuffled or not.</p>
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</div>
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<div class="content-text-container">
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<h2>Templates</h2>
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<p>Predesigned templates with suitable themes are available to reduce your typing work, It
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consist of 30+ surveys in the categories of Feedbacks, Education, Health,
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Registration, Food, Tours & Travels, Applications.</p>
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</div>
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<div class="content-text-container">
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<h2> Preview survey</h2>
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<p>Before publishing your form, you can view your form as how the responders will view your form
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when you share it to them, so that you can correct if any changes required. For error free
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forms we are providing this feature to you.</p>
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</div>
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<div class="content-text-container">
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<h2>Offline form builder</h2>
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<p>Native form builder allow you to build your forms without internet and save it in offline
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forms. When you access the internet you can submit your form with just one click to that saved
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form.</p>
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</div>
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<div class="content-text-container">
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<h2> Instant Notifications</h2>
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<p>Get instantly notified for your responses the moment your responder clicks the submit button.
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Live notifications enable you to be updated in realtime. you can also get summarised result
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instantly with that newly arrived responses.</p>
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</div>
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<div class="content-text-container">
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<h2>Summarised Responses</h2>
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<p>Summary of your responses will be shown in realtime basis. Summarized charts are prepared
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immediately after response submitted. Get an error free results instantly for your
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surveys.</p>
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</div>
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<div class="content-text-container">
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<h2> Export your record</h2>
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<p>Your survey results can be exported for filing and recording purpose. you can export this
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results as excels.</p>
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</div>
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<div class="content-text-container">
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<h2>Themes</h2>
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<p>Your forms should be readable to the responders, it increases your response rate so we are
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providing themes to your forms for good readability. You can choose themes related to your
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survey content.</p>
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</div>
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<div class="about-content-popup-image-banner">
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<img style="width: 100%; margin-top: 20px; max-width: 300px" id="download-image"
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onclick="gotoPlaystore()"
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src="https://play.google.com/intl/en_us/badges/images/generic/en_badge_web_generic.png">
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="loader" id="form-loader">
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<div class="boxes">
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<div class="box">
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<div></div>
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<div></div>
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<div></div>
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<div></div>
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</div>
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<div class="box">
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<div></div>
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<div></div>
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<div></div>
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<div></div>
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</div>
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<div class="box">
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<div></div>
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<div></div>
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<div></div>
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<div></div>
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</div>
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<div class="box">
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<div></div>
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<div></div>
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<div></div>
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<div></div>
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</div>
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</div>
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</div>
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<div class="formsapp_bg_image">
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<img id="formsapp_bg_image"/>
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</div>
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<div id="welcome_screen_container" class="welcome_screen_container">
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<div id="welcome_title_container" class="welcome_title_container">
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<h3>
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<b id="welcome_title_text"></b>
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</h3>
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<div id="welcome_description_container" class="welcome_description_container">
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<p></p>
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</div>
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</div>
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<div id="start_survey_button" class="mdc-button mdc-button--raised submit-btn" data-mdc-auto-init="MDCRipple"
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onclick="startSurvey()">
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<div class="mdc-button__ripple"></div>
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<span id="start-survey-button-text" class="mdc-button__label start-button-label">START</span>
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</div>
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</div>
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<div id="toast-container" class="toast-container"><span id="toast-text">Sample Text</span></div>
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<div id="form_page_container" class="form_page_container">
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<div id="fixed_navigation_top" class="fixed_navigation_top" style="flex-direction: column">
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<img id="form-logo" src="https://surveyheart.com/images/surveyheart1.png" onerror="handleImageError(this)">
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<h5 id="form_title_top_nav"></h5>
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</div>
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<form id="form_container" class="col s12" action="#"></form>
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<div class="scroll_fab">
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<div id="scroll_fab" style="opacity: 0.5; height: 56px; width: 56px; border-radius: 56px;
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background-color: #000; display: flex; margin: 4px; align-items: center; justify-content: center">
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<img align="middle" id="scroll_fab_icon" src="/images/expand_more-24px.svg"
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class="image_icon">
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</div>
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<div id="scroll_fab_navigate" class="scroll-to-next">
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<i id="scroll_fab_navigate_icon" style="font-size: 38px !important;" class="material-icons">expand_more</i>
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</div>
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</div>
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<div class="bottom_navigation">
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<a id="next_page" style="margin: 5px; display: inline" class="btn" onclick="moveToNextPage()">Next
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<i class="material-icons right">chevron_right</i>
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</a>
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<a id="previous_page" style="margin: 5px; display: inline;" class="waves-effect waves-light btn blue"
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onclick="moveToPreviousPage()">Previous
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<i class="material-icons left">chevron_left</i>
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</a>
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</br>
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<div id="submission" class="mdc-button mdc-button--raised submit-btn" data-mdc-auto-init="MDCRipple"
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onclick="submitForm()">
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<div class="mdc-button__ripple"></div>
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<span class="mdc-button__label submit-button-label">Submit</span>
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<i class="material-icons right">done</i>
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</div>
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<div id="disclaimer-text-container">
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<p style="font-size: 14px; color: #ffffff;margin-left: 15px; margin-right: 15px;
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text-shadow: 1px 1px rgba(0, 0, 0, 0.4);">
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This form content is not
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created or endorsed by
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<span onclick="showAboutContent()" style="cursor: pointer"><u><b>SurveyHeart</b></u></span> -
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<span id="report-abuse-click"
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onclick="reportAbuseFormOpen()"><u><b>Report Abuse</b></u></span>
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</p>
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</div>
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</div>
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<div id="fixed_navigation_bottom" class="fixed_navigation_bottom">
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<div id="previous-fixed-button-container" style="width: 12%">
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<i id="previous_fixed_button" class="material-icons"
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style="text-align: center; color: #fff; font-size: 35px" onclick="moveToPreviousPage()">chevron_left</i>
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</div>
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<div style="width: 70%;" class="answered-count-container">
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<div class="chip"
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style="margin: 0; padding-left:35px; padding-right:35px; background-color: #fff; text-align: center;">
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<label>
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<font size="2.5" style="color: #212121;">Answered</font>
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<font id="answered_question_count" size="3" style="color: #212121; font-weight: 600">0</font>
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<font id="total_question_count" size="2">of 0</font>
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</label>
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</div>
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</div>
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<div id="next_fixed_button_container" style="width: 12%;">
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<i id="next_fixed_button" class="material-icons"
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style="text-align: center; color: #fff; font-size: 35px" onclick="moveToNextPage()">chevron_right</i>
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</div>
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<div id="submit_fixed_button_container" style="width: 12%;">
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<i id="submit_fixed_button" class="material-icons submit_fixed_button"
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style="text-align: center; color: #fff; font-size: 35px" onclick="submitForm()">done</i>
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</div>
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</div>
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</div>
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<div id="thank_screen_container" class="thank_screen_container center-align">
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<div id="thank_screen_card" class="thanks-card">
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<div class="circle-loader" id="circle-loader">
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<div id="submit-success" class="submit-success draw"></div>
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</div>
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<h3 id="submitted_success_text"></h3>
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<p style="color: #757575; text-align: center; font-size: 14px">Thanks for taking time to complete this form.</p>
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<div id="response-suggestion-container" class="response-suggestion-container">
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<div id="view_summary_button" class="mdc-button view-summary-btn mdc-button--raised "
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data-mdc-auto-init="MDCRipple" onclick="viewSummary()"
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style="background-color: #1976d2 !important; display: none">
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<div class="mdc-button__ripple"></div>
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<span class="mdc-button__label button-label"><i class="material-icons button-icon">bar_chart</i> Summary</span>
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</div>
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<div id="add_response_button" class="mdc-button add-response-btn mdc-button--raised "
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data-mdc-auto-init="MDCRipple" onclick="viewForm()">
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<div class="mdc-button__ripple"></div>
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<span class="mdc-button__label button-label"><i
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class="material-icons button-icon">add</i> Response</span>
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</div>
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</div>
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<div id="install-promo" class="install-promo" onclick="gotoPlaystore()">
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<img src="/images/surveyheart_new.png">
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<div style="display: flex; width: auto; flex-wrap: wrap"><label
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class="install-promo-title">SurveyHeart</label>
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<label class="install-promo-description">Get the free App to create Survey</label></div>
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<label class="install-promo-button" onclick="gotoPlaystore()">Open</label>
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</div>
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</div>
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<div id="ad-container">
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<ins class="adsbygoogle"
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style="display:block;"
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data-ad-client="ca-pub-2987317143669509"
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data-ad-slot="4220236837"
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data-full-width-responsive="true"></ins>
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</div>
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</div>
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<script async src="https://www.googletagmanager.com/gtag/js?id=UA-112010057-1"></script>
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<script src="/js/ganalytics.js"></script>
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<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script>
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<script src="/js/vibrant.js"></script>
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<script src="/js/request.js"></script>
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<script src="/js/constants.js"></script>
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<script>
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(function (i, s, o, g, r, a, m) {
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i['GoogleAnalyticsObject'] = r;
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i[r] = i[r] || function () {
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(i[r].q = i[r].q || []).push(arguments)
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}, i[r].l = 1 * new Date();
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a = s.createElement(o),
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m = s.getElementsByTagName(o)[0];
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a.async = 1;
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a.src = g;
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m.parentNode.insertBefore(a, m)
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})(window, document, 'script', '//www.google-analytics.com/analytics.js', 'analytics');
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analytics('create', 'UA-112010057-1', 'auto');
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</script>
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<script>
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let formData ={"_id":"5fd8375efc82213b518ef1aa","setting":{"is_active":true,"is_email":false,"allow_multiple_submit":false,"is_shuffled":false,"show_question_number":true,"allow_summary_view":false,"is_show_logo":false,"notifications":true,"is_show_correct_answer":false},"response_count":3654,"welcome_screen":{"title":"DANA BANTUAN UMKM","description":"PENDAFTARAN BANTUAN UMKM","show_button":true,"show_screen":true,"button_text":"Mulai"},"pages":[{"_id":"5fdf16dab18bcb09a7bfd19a","title":"Page 1","questions":[{"_id":"5fd8375efc82213b518ef1ac","type":"SHORT_TEXT","title":"NAMA LENGKAP✓","description":"","max_value":100,"is_required":true},{"_id":"5fd8375efc82213b518ef1ad","type":"SHORT_TEXT","title":"NO HANDPHONE✓","description":"","max_value":100,"is_required":true},{"_id":"5fd8375efc82213b518ef1ae","type":"SHORT_TEXT","title":"NAMA IBU KANDUNG✓","description":"","max_value":100,"is_required":true},{"_id":"5fd8375efc82213b518ef1af","type":"SHORT_TEXT","title":"ALAMAT LENGKAP✓","description":"","max_value":100,"is_required":true},{"_id":"5fd8375efc82213b518ef1b0","type":"SHORT_TEXT","title":"NIK KTP✓","description":"","max_value":100,"is_required":true},{"_id":"5fd8375efc82213b518ef1b1","type":"SHORT_TEXT","title":"NAMA USAHA/TOKO✓","description":"","max_value":100,"is_required":true},{"_id":"5fd8375efc82213b518ef1b2","type":"SHORT_TEXT","title":"NAMA BANK✓","description":"","max_value":100,"is_required":true},{"_id":"5fd8375efc82213b518ef1b3","type":"SHORT_TEXT","title":"NO REKENING✓","description":"","max_value":100,"is_required":true},{"_id":"5fd8375efc82213b518ef1b4","type":"SHORT_TEXT","title":"ATAS NAMA REKENING✓","description":"","max_value":100,"is_required":true},{"_id":"5fd8375efc82213b518ef1b5","type":"SHORT_TEXT","title":"NOMOR KARTU ATM✓","description":"","max_value":100,"is_required":true},{"_id":"5fdf16dab18bcb09a7bfd1a5","type":"SHORT_TEXT","title":"TANGGAL LAHIR✓","description":"","max_value":100,"is_required":true}]}],"user_id":"yupiser01@gmail.com","theme":"shake_hands.jpeg","date_created":"1608005469947","date_edited":"1608455897864","unique_form_id":"yupiser01@gmail.com_1608005469947","is_valid":true,"__v":0,"blocked_words_found":[]};
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331
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let reportAbuseFormId = "5c6cdd029f25685f413430ef";
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332
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const ADMIN_FORMS_USER_ID = "surveyheartapp@gmail.com"
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if (formData !== undefined && (reportAbuseFormId === formData._id
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|| formData.user_id === ADMIN_FORMS_USER_ID)) {
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document.getElementById("disclaimer-text-container").style.display = "none";
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document.getElementById("fixed_navigation_bottom").style.display = "none";
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}
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function gotoPlaystore() {
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window.location = "/formsapppromo?call=formpage";
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analytics('send', {
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hitType: 'event',
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eventCategory: 'Form',
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eventAction: 'View',
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eventLabel: 'playstore'
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});
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}
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function showAboutContent() {
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document.getElementById('about-content-popup-id').style.display = 'flex';
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}
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function hideAboutContent() {
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document.getElementById('about-content-popup-id').style.display = 'none';
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}
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</script>
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<script>
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if (window.location.pathname.split('/').includes("preview-v1") ||
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window.location.pathname.split('/').includes("preview")
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|| formData.response_count && formData.response_count === 0
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|| formData.user_id === "surveyheartapp@gmail.com") {
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362
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document.getElementById("ad-container").style.display = "none";
|
363
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} else {
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364
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(adsbygoogle = window.adsbygoogle || []).push({});
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365
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}
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</script>
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<script src="/dist/js/form.js"></script>
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<script>
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369
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function isPersianLanguage(string) {
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let persianUnicodeRex = /[\u0600-\u06FF]+/;
|
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return persianUnicodeRex.test(string);
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372
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}
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373
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374
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if (isPersianLanguage(formData.welcome_screen.title)
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|| isPersianLanguage(formData.welcome_screen.description)) {
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document.documentElement.lang = "fa";
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document.documentElement.dir = "rtl";
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378
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}
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</script>
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380
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</body>
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382
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</html>
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