{"@context":{"ixo":"https://w3id.org/ixo/ns/protocol/","@id":"@type","type":"@type","@protected":true},"type":"ixo:entity#surveyTemplate","question":{"title":"Customer Payment Claim","pages":[{"name":"payment_details","elements":[{"type":"text","name":"credentialSubject.id","title":"Customer ID (DID)","isRequired":true},{"type":"text","name":"claim.project.id","title":"Project ID (DID)","isRequired":true,"readOnly":true},{"type":"dropdown","name":"claim.location.country","title":"Country","isRequired":true,"choices":["Zambia","Malawi"]},{"type":"text","name":"claim.product.producer","title":"Product Producer (DID)","isRequired":true},{"type":"dropdown","name":"claim.product","title":"Product","readOnly":true,"choices":["Utility","Untily-Staff","Non-Utility","Non-Utility Staff","Organisation","Retired","Unregistered","Reseller","Shop","Test"]},{"type":"text","name":"evidence.payment.identifier","title":"Payment Transaction ID","isRequired":true},{"type":"text","name":"evidence.payment.amount.value","title":"Amount Paid (ZMW)","isRequired":true,"inputType":"number","min":0,"step":1},{"type":"text","name":"payment.method","title":"Payment Method","defaultValue":"telco"},{"type":"text","name":"evidence.payment.provider","title":"Payment Provider"},{"type":"text","name":"evidence.payment.dateTime","title":"Payment Date/Time","defaultValue":"2022-08-25T16:49:00.000Z","inputType":"datetime-local"}]}]}}