{"id":6157,"date":"2020-04-29T18:42:12","date_gmt":"2020-04-30T01:42:12","guid":{"rendered":"https:\/\/www.telemedical.com\/wordpress\/?page_id=6157"},"modified":"2025-11-18T01:06:21","modified_gmt":"2025-11-18T09:06:21","slug":"register-2-2","status":"publish","type":"page","link":"https:\/\/www.telemedical.com\/wordpress\/register-2-2\/","title":{"rendered":"register-2"},"content":{"rendered":"\n\n<div class=\"um um-register um-10873\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_10873_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-10873\">First Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"first_name-10873\" id=\"first_name-10873\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_10873_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-10873\">Last Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"last_name-10873\" id=\"last_name-10873\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_10873_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-10873\">Email Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_email-10873\" id=\"user_email-10873\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_10873_birth_date\" class=\"um-field um-field-date  um-field-birth_date um-field-date um-field-type_date\" data-key=\"birth_date\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"far fa-calendar-days\" aria-label=\"Birth Date\"><\/i><\/div><label for=\"birth_date-10873\">Birth Date<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid um-datepicker \" type=\"text\" name=\"birth_date-10873\" id=\"birth_date-10873\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"birth_date\" data-range=\"years\" data-years=\"115\" data-years_x=\"past\" data-disabled_weekdays=\"\" data-date_min=\"1911,4,29\" data-date_max=\"2026,4,29\" data-format=\"d mmm yyyy\" data-value=\"\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_10873_gender\" class=\"um-field um-field-radio  um-field-gender um-field-radio um-field-type_radio\" data-key=\"gender\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"gender-10873\">Gender<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"gender[]\" value=\"Male\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Male<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"gender[]\" value=\"Female\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Female<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_10873_languages\" class=\"um-field um-field-multiselect  um-field-languages um-field-multiselect um-field-type_multiselect\" data-key=\"languages\"><div class=\"um-field-label\"><label for=\"languages-10873\">Languages Spoken<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select   multiple=\"multiple\" name=\"languages[]\" id=\"languages\" data-maxsize=\"0\" data-validate=\"\" data-key=\"languages\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"Select languages\"  aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Afar\" >Afar<\/option><option value=\"Abkhazian\" >Abkhazian<\/option><option value=\"Avestan\" >Avestan<\/option><option value=\"Afrikaans\" >Afrikaans<\/option><option value=\"Akan\" >Akan<\/option><option value=\"Amharic\" >Amharic<\/option><option value=\"Aragonese\" >Aragonese<\/option><option value=\"Arabic\" >Arabic<\/option><option value=\"Assamese\" >Assamese<\/option><option value=\"Avaric\" >Avaric<\/option><option value=\"Aymara\" >Aymara<\/option><option value=\"Azerbaijani\" >Azerbaijani<\/option><option value=\"Bashkir\" >Bashkir<\/option><option value=\"Belarusian\" >Belarusian<\/option><option value=\"Bulgarian\" >Bulgarian<\/option><option value=\"Bihari\" >Bihari<\/option><option value=\"Bislama\" >Bislama<\/option><option value=\"Bambara\" >Bambara<\/option><option value=\"Bengali\" >Bengali<\/option><option value=\"Tibetan\" >Tibetan<\/option><option value=\"Breton\" >Breton<\/option><option value=\"Bosnian\" >Bosnian<\/option><option value=\"Catalan\" >Catalan<\/option><option value=\"Chechen\" >Chechen<\/option><option value=\"Chamorro\" >Chamorro<\/option><option value=\"Corsican\" >Corsican<\/option><option value=\"Cree\" >Cree<\/option><option value=\"Czech\" >Czech<\/option><option value=\"Church Slavic\" >Church Slavic<\/option><option value=\"Chuvash\" >Chuvash<\/option><option value=\"Welsh\" >Welsh<\/option><option value=\"Danish\" >Danish<\/option><option value=\"German\" >German<\/option><option value=\"Divehi\" >Divehi<\/option><option value=\"Dzongkha\" >Dzongkha<\/option><option value=\"Ewe\" >Ewe<\/option><option value=\"Greek\" >Greek<\/option><option value=\"English\" >English<\/option><option value=\"Esperanto\" >Esperanto<\/option><option value=\"Spanish\" >Spanish<\/option><option value=\"Estonian\" >Estonian<\/option><option value=\"Basque\" >Basque<\/option><option value=\"Persian\" >Persian<\/option><option value=\"Fulah\" >Fulah<\/option><option value=\"Finnish\" >Finnish<\/option><option value=\"Fijian\" >Fijian<\/option><option value=\"Faroese\" >Faroese<\/option><option value=\"French\" >French<\/option><option value=\"Western Frisian\" >Western Frisian<\/option><option value=\"Irish\" >Irish<\/option><option value=\"Scottish Gaelic\" >Scottish Gaelic<\/option><option value=\"Galician\" >Galician<\/option><option value=\"Guarani\" >Guarani<\/option><option value=\"Gujarati\" >Gujarati<\/option><option value=\"Manx\" >Manx<\/option><option value=\"Hausa\" >Hausa<\/option><option value=\"Hebrew\" >Hebrew<\/option><option value=\"Hindi\" >Hindi<\/option><option value=\"Hiri Motu\" >Hiri Motu<\/option><option value=\"Croatian\" >Croatian<\/option><option value=\"Haitian\" >Haitian<\/option><option value=\"Hungarian\" >Hungarian<\/option><option value=\"Armenian\" >Armenian<\/option><option value=\"Herero\" >Herero<\/option><option value=\"Interlingua (International Auxiliary Language Association)\" >Interlingua (International Auxiliary Language Association)<\/option><option value=\"Indonesian\" >Indonesian<\/option><option value=\"Interlingue\" >Interlingue<\/option><option value=\"Igbo\" >Igbo<\/option><option value=\"Sichuan Yi\" >Sichuan Yi<\/option><option value=\"Inupiaq\" >Inupiaq<\/option><option value=\"Ido\" >Ido<\/option><option value=\"Icelandic\" >Icelandic<\/option><option value=\"Italian\" >Italian<\/option><option value=\"Inuktitut\" >Inuktitut<\/option><option value=\"Japanese\" >Japanese<\/option><option value=\"Javanese\" >Javanese<\/option><option value=\"Kartuli\" >Kartuli<\/option><option value=\"Kongo\" >Kongo<\/option><option value=\"Kikuyu\" >Kikuyu<\/option><option value=\"Kwanyama\" >Kwanyama<\/option><option value=\"Kazakh\" >Kazakh<\/option><option value=\"Kalaallisut\" >Kalaallisut<\/option><option value=\"Khmer\" >Khmer<\/option><option value=\"Kannada\" >Kannada<\/option><option value=\"Korean\" >Korean<\/option><option value=\"Kanuri\" >Kanuri<\/option><option value=\"Kashmiri\" >Kashmiri<\/option><option value=\"Kurdish\" >Kurdish<\/option><option value=\"Komi\" >Komi<\/option><option value=\"Cornish\" >Cornish<\/option><option value=\"Kirghiz\" >Kirghiz<\/option><option value=\"Latin\" >Latin<\/option><option value=\"Luxembourgish\" >Luxembourgish<\/option><option value=\"Ganda\" >Ganda<\/option><option value=\"Limburgish\" >Limburgish<\/option><option value=\"Lingala\" >Lingala<\/option><option value=\"Lao\" >Lao<\/option><option value=\"Lithuanian\" >Lithuanian<\/option><option value=\"Luba-Katanga\" >Luba-Katanga<\/option><option value=\"Latvian\" >Latvian<\/option><option value=\"Malagasy\" >Malagasy<\/option><option value=\"Marshallese\" >Marshallese<\/option><option value=\"Maori\" >Maori<\/option><option value=\"Macedonian\" >Macedonian<\/option><option value=\"Malayalam\" >Malayalam<\/option><option value=\"Mongolian\" >Mongolian<\/option><option value=\"Marathi\" >Marathi<\/option><option value=\"Malay\" >Malay<\/option><option value=\"Maltese\" >Maltese<\/option><option value=\"Burmese\" >Burmese<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Norwegian Bokmal\" >Norwegian Bokmal<\/option><option value=\"North Ndebele\" >North Ndebele<\/option><option value=\"Nepali\" >Nepali<\/option><option value=\"Ndonga\" >Ndonga<\/option><option value=\"Dutch\" >Dutch<\/option><option value=\"Norwegian Nynorsk\" >Norwegian Nynorsk<\/option><option value=\"Norwegian\" >Norwegian<\/option><option value=\"South Ndebele\" >South Ndebele<\/option><option value=\"Navajo\" >Navajo<\/option><option value=\"Chichewa\" >Chichewa<\/option><option value=\"Occitan\" >Occitan<\/option><option value=\"Ojibwa\" >Ojibwa<\/option><option value=\"Oromo\" >Oromo<\/option><option value=\"Oriya\" >Oriya<\/option><option value=\"Ossetian\" >Ossetian<\/option><option value=\"Panjabi\" >Panjabi<\/option><option value=\"Pali\" >Pali<\/option><option value=\"Polish\" >Polish<\/option><option value=\"Pashto\" >Pashto<\/option><option value=\"Portuguese\" >Portuguese<\/option><option value=\"Quechua\" >Quechua<\/option><option value=\"Raeto-Romance\" >Raeto-Romance<\/option><option value=\"Kirundi\" >Kirundi<\/option><option value=\"Romanian\" >Romanian<\/option><option value=\"Russian\" >Russian<\/option><option value=\"Kinyarwanda\" >Kinyarwanda<\/option><option value=\"Sanskrit\" >Sanskrit<\/option><option value=\"Sardinian\" >Sardinian<\/option><option value=\"Sindhi\" >Sindhi<\/option><option value=\"Northern Sami\" >Northern Sami<\/option><option value=\"Sango\" >Sango<\/option><option value=\"Sinhala\" >Sinhala<\/option><option value=\"Slovak\" >Slovak<\/option><option value=\"Slovenian\" >Slovenian<\/option><option value=\"Samoan\" >Samoan<\/option><option value=\"Shona\" >Shona<\/option><option value=\"Somali\" >Somali<\/option><option value=\"Albanian\" >Albanian<\/option><option value=\"Serbian\" >Serbian<\/option><option value=\"Swati\" >Swati<\/option><option value=\"Southern Sotho\" >Southern Sotho<\/option><option value=\"Sundanese\" >Sundanese<\/option><option value=\"Swedish\" >Swedish<\/option><option value=\"Swahili\" >Swahili<\/option><option value=\"Tamil\" >Tamil<\/option><option value=\"Telugu\" >Telugu<\/option><option value=\"Tajik\" >Tajik<\/option><option value=\"Thai\" >Thai<\/option><option value=\"Tigrinya\" >Tigrinya<\/option><option value=\"Turkmen\" >Turkmen<\/option><option value=\"Tagalog\" >Tagalog<\/option><option value=\"Tswana\" >Tswana<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Turkish\" >Turkish<\/option><option value=\"Tsonga\" >Tsonga<\/option><option value=\"Tatar\" >Tatar<\/option><option value=\"Twi\" >Twi<\/option><option value=\"Tahitian\" >Tahitian<\/option><option value=\"Uighur\" >Uighur<\/option><option value=\"Ukrainian\" >Ukrainian<\/option><option value=\"Urdu\" >Urdu<\/option><option value=\"Uzbek\" >Uzbek<\/option><option value=\"Venda\" >Venda<\/option><option value=\"Vietnamese\" >Vietnamese<\/option><option value=\"Volapuk\" >Volapuk<\/option><option value=\"Walloon\" >Walloon<\/option><option value=\"Wolof\" >Wolof<\/option><option value=\"Xhosa\" >Xhosa<\/option><option value=\"Yiddish\" >Yiddish<\/option><option value=\"Yoruba\" >Yoruba<\/option><option value=\"Zhuang\" >Zhuang<\/option><option value=\"Chinese\" >Chinese<\/option><option value=\"Zulu\" >Zulu<\/option><\/select><\/div><\/div><\/div><\/div>\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_10873\" value=\"10873\" \/>\n\t\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_10873\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_10873\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"e396f45b66\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wordpress\/wp-json\/wp\/v2\/pages\/6157\" \/>\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-left um-half\">\n\t\t\t\t<input type=\"submit\" value=\"Register\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"um-right um-half\">\n\t\t\t\t<a href=\"https:\/\/www.telemedical.com\/wordpress\/login\/\" class=\"um-button um-alt\">\n\t\t\t\t\tLogin\t\t\t\t<\/a>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-10873.um {\n\t\t\tmax-width: 450px;\n\t\t}\n\t\t<\/style>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6157","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.telemedical.com\/wordpress\/wp-json\/wp\/v2\/pages\/6157","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.telemedical.com\/wordpress\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.telemedical.com\/wordpress\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.telemedical.com\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.telemedical.com\/wordpress\/wp-json\/wp\/v2\/comments?post=6157"}],"version-history":[{"count":1,"href":"https:\/\/www.telemedical.com\/wordpress\/wp-json\/wp\/v2\/pages\/6157\/revisions"}],"predecessor-version":[{"id":10875,"href":"https:\/\/www.telemedical.com\/wordpress\/wp-json\/wp\/v2\/pages\/6157\/revisions\/10875"}],"wp:attachment":[{"href":"https:\/\/www.telemedical.com\/wordpress\/wp-json\/wp\/v2\/media?parent=6157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}