<div class="chronoform-container multiplier-container" id="chronoform-container-1" data-hide_first="1" data-disable_first="1" data-replacer="__N__" data-count="0"><?php ob_start(); ?><div class="chronoform-container multiplier-contents" id="chronoform-container-2"><div class="form-group gcore-form-row" id="form-row-multi-3"><div class="gcore-subinput-container" id="fitem-file-__N__"><label for="file-__N__" class="control-label gcore-label-left">Document # __N__</label>
<div class="gcore-input pull-left gcore-sub-input gcore-display-table" id="fin-file-__N__"><input name="file[__N__]" id="file-__N__" class="form-control gcore-height-auto A" title="" style="" data-load-state="" data-tooltip="" type="file" /></div></div>
<div class="gcore-subinput-container" id="fitem"><div class="gcore-input pull-left gcore-sub-input gcore-display-table" id="fin-custom"><span class="btn btn-danger btn-xs multiplier-remove-button" style="display:none;"><i class="fa fa-times fa-lg"></i></span></div></div></div><div class="form-group gcore-form-row" id="form-row-text__N__"><label for="text__N__" class="control-label gcore-label-left">Text Label</label>
<div class="gcore-input gcore-display-table" id="fin-text__N__"><input name="text[__N__][data]" id="text__N__" value="" placeholder="" class="form-control A" title="" style="" data-inputmask="" data-load-state="" data-tooltip="" type="text" /></div></div>
					
					</div><div class="form-group gcore-form-row" id="form-row-custom1"><div class="gcore-input gcore-display-table" id="fin-custom1"><span class="btn btn-success btn-sm multiplier-add-button"><i class="fa fa-plus fa-lg"></i></span></div></div><?php $multiplier_code = ob_get_clean(); ?><?php echo $multiplier_code; ?>
					
					</div><div class="form-group gcore-form-row" id="form-row-button5"><div class="gcore-input gcore-display-table" id="fin-button5"><input name="button5" id="button5" type="submit" value="Submit" class="form-control A" style="" data-load-state="" /></div></div>