{"id":5272,"date":"2017-06-06T16:04:24","date_gmt":"2017-06-06T16:04:24","guid":{"rendered":"http:\/\/www4.uma.pt\/cierl\/?page_id=5272"},"modified":"2017-07-24T14:10:51","modified_gmt":"2017-07-24T14:10:51","slug":"icua-registration-form","status":"publish","type":"page","link":"https:\/\/cierl.uma.pt\/?page_id=5272","title":{"rendered":"ICUA &#8211; Registration form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4678-o1\" lang=\"pt-PT\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5272#wpcf7-f4678-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"4678\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.8\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pt_PT\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4678-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p>* First Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nome\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Nome\" \/><\/span>\n<\/p>\n<p>* Last Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Apelido\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Apelido\" \/><\/span>\n<\/p>\n<p>* Postal address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Morada\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Morada\" \/><\/span>\n<\/p>\n<p>* Tax Identification Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"NIF\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"NIF\" \/><\/span>\n<\/p>\n<p>* Academic Degree<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"GrauAcademico\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"GrauAcademico\"><option value=\"Bachelor\">Bachelor<\/option><option value=\"Graduate\">Graduate<\/option><option value=\"Master\">Master<\/option><option value=\"PhD\">PhD<\/option><\/select><\/span>\n<\/p>\n<p>* Institution<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Instituicao\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Instituicao\" \/><\/span>\n<\/p>\n<p>* Phone number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Telefone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"Telefone\" \/><\/span>\n<\/p>\n<p>* Email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"Email\" \/><\/span>\n<\/p>\n<p>* Category<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Categoria\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"Categoria\"><option value=\"Participant who will be giving a presentation\">Participant who will be giving a presentation<\/option><option value=\"Attendees who will not be giving a presentation\">Attendees who will not be giving a presentation<\/option><option value=\"Student who will be giving a presentation\">Student who will be giving a presentation<\/option><option value=\"Student who will not be giving a presentation\">Student who will not be giving a presentation<\/option><\/select><\/span>\n<\/p>\n<p>Research area<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"AreaCientifica\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"AreaCientifica\" \/><\/span>\n<\/p>\n<p><input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha-528\" value=\"3046355307\" \/><img loading=\"lazy\" decoding=\"async\" class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha-528\" width=\"60\" height=\"20\" alt=\"captcha\" src=\"https:\/\/cierl.uma.pt\/wp-content\/uploads\/wpcf7_captcha\/3046355307.png\" \/><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"captcha-528\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-captchar\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"captcha-528\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"38\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<h3><strong><span style=\"color: #800000;\">Fees Payment by:<\/span><\/strong><\/h3>\n<ul>\n<li>\u00a0Bank transfer to:<\/li>\n<\/ul>\n<p><b>IBAN: <\/b> <b>PT50 &#8211; 0033 &#8211; 0000 &#8211; 00008562288 &#8211; 05 \u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Bank Name: <\/span> <span style=\"font-weight: 400;\">Millenium BCP<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Swift code:<\/span> <span style=\"font-weight: 400;\">BCOMPTPL<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Beneficiary: <\/span> <span style=\"font-weight: 400;\">Universidade da Madeira <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Address:<\/span> <span style=\"font-weight: 400;\">Colegio dos Jesuitas, Pra\u00e7a do Munic\u00edpio \u00a0Funchal, Portugal<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong><a href=\"https:\/\/pagamentos.uma.pt\/events\/insula2017\/\">Paypal<\/a><\/strong> payment.<\/li>\n<\/ul>\n<div>\n<h3><span style=\"color: #800000;\"><strong>Note:<\/strong><\/span><\/h3>\n<\/div>\n<div class=\"m_-5659351666098033466io-ox-signature\">\n<ul>\n<li>In the field \u00a0Tax Identification Number, you can introduce VAT number or if not applicable, introduce &#8220;0&#8221;<\/li>\n<li>Proof of payment should be send to\u00a0<a href=\"http:\/\/insula3@mail.uma.pt\/\">insula3@mail.uma.pt<\/a><\/li>\n<li>Any bank charges incurred are the responsibility of the participant.<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Fees Payment by: \u00a0Bank transfer to: IBAN: PT50 &#8211; 0033 &#8211; 0000 &#8211; 00008562288 &#8211; 05 \u00a0 Bank Name: Millenium BCP Swift code: BCOMPTPL Beneficiary: Universidade da Madeira Address: Colegio dos Jesuitas, Pra\u00e7a do Munic\u00edpio \u00a0Funchal, Portugal &nbsp; Paypal payment. Note: In the field \u00a0Tax Identification Number, you can introduce VAT number or if not &#8230; <a title=\"ICUA &#8211; Registration form\" class=\"read-more\" href=\"https:\/\/cierl.uma.pt\/?page_id=5272\" aria-label=\"More on ICUA &#8211; Registration form\">Read more<\/a><\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"language":[5],"class_list":{"0":"post-5272","1":"page","2":"type-page","3":"status-publish","5":"language-en_us"},"_links":{"self":[{"href":"https:\/\/cierl.uma.pt\/index.php?rest_route=\/wp\/v2\/pages\/5272","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cierl.uma.pt\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cierl.uma.pt\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cierl.uma.pt\/index.php?rest_route=\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/cierl.uma.pt\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5272"}],"version-history":[{"count":11,"href":"https:\/\/cierl.uma.pt\/index.php?rest_route=\/wp\/v2\/pages\/5272\/revisions"}],"predecessor-version":[{"id":5425,"href":"https:\/\/cierl.uma.pt\/index.php?rest_route=\/wp\/v2\/pages\/5272\/revisions\/5425"}],"wp:attachment":[{"href":"https:\/\/cierl.uma.pt\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5272"}],"wp:term":[{"taxonomy":"language","embeddable":true,"href":"https:\/\/cierl.uma.pt\/index.php?rest_route=%2Fwp%2Fv2%2Flanguage&post=5272"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}