{"@context":{"ixo":"https://w3id.org/ixo/ns/protocol/","@id":"@type","type":"@type","@protected":true},"type":"ixo:entity#surveyTemplate","question":{"title":"Contribution Claim","description":"Contribution Certificates are verifiable records of the capital contributed towards Impact-generating projects, by purchasing Impact Assets.","pages":[{"name":"page1","elements":[{"type":"text","name":"claimantName","title":"Claimant Name","isRequired":true},{"type":"text","name":"claimTitle","title":"Claim Title","isRequired":true},{"type":"text","name":"country","title":"Country ","description":"In which country would you like to register these Offsets?"},{"type":"text","name":"stateOrRegion","title":"State / Region"},{"type":"text","name":"postalCode","title":"Postal Code"}],"title":"Claimant Details"},{"name":"page2","elements":[{"type":"text","name":"claimantWallet","title":"Claimant Wallet (DID)","readOnly":true},{"type":"text","name":"startDate","title":"Start date","readOnly":true,"inputType":"date"},{"type":"text","name":"endDate","title":"End date","readOnly":true,"inputType":"date"},{"type":"text","name":"collectionBranding","title":"Collection Branding","readOnly":true},{"type":"text","name":"collectionName","title":"Collection Name","readOnly":true},{"type":"text","name":"numberOfCreditsProduced","title":"Number of Credits Produced","readOnly":true,"inputType":"number"},{"type":"text","name":"numberOfEntitiesOwned","title":"Number of Entities Owned","readOnly":true,"inputType":"number"}],"title":"Claim Information"}]}}