{"id":1499,"date":"2016-02-03T14:34:18","date_gmt":"2016-02-03T09:34:18","guid":{"rendered":"http:\/\/pima.org.pk\/dev\/?p=1499"},"modified":"2017-02-03T10:11:47","modified_gmt":"2017-02-03T05:11:47","slug":"convention-2016-registraion","status":"publish","type":"post","link":"https:\/\/pima.org.pk\/dev\/convention-2016-registraion\/","title":{"rendered":"Convention 2016 registraion"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1498-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/dev\/wp-json\/wp\/v2\/posts\/1499#wpcf7-f1498-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=\"1498\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.8\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1498-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>Name (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><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=\"your-name\" \/><\/span>\n<\/p>\n<p>Designation\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Designation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Designation\" \/><\/span>\n<\/p>\n<p>Specialty\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Specialty\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Specialty\" \/><\/span>\n<\/p>\n<p>Instition\/City\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Institution-City\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Institution-City\" \/><\/span>\n<\/p>\n<p>Address (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Address\"><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=\"Address\" \/><\/span>\n<\/p>\n<p>PMDC Registration No\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"PMDCNo\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PMDCNo\" \/><\/span>\n<\/p>\n<p>Email (required)\n<\/p>\n<p><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>Phone No (Res:)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Phone-No-Res:\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"Phone-No-Res:\" \/><\/span>\n<\/p>\n<p>Mobile phone no\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Mobile-No\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"Mobile-No\" \/><\/span>\n<\/p>\n<p>PIMA Membership &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span class=\"wpcf7-form-control-wrap\" data-name=\"PIMA-Membership\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"PIMA-Membership\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"PIMA-Membership\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Accommodation required &nbsp; <span class=\"wpcf7-form-control-wrap\" data-name=\"Accomodation-required\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Accomodation-required\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"Accomodation-required\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p><b>Amount deposit details<br \/>\n<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"amount-deposit-for\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" multiple=\"multiple\" name=\"amount-deposit-for[]\"><option value=\"Foreign Delegate = 200 USD\">Foreign Delegate = 200 USD<\/option><option value=\"Consultant \/ Family Physician=Rs:4000\/-\">Consultant \/ Family Physician=Rs:4000\/-<\/option><option value=\"Resident \/ Medical Officer=Rs:2000\/-\">Resident \/ Medical Officer=Rs:2000\/-<\/option><option value=\"House Officer=Rs:1000\/-\">House Officer=Rs:1000\/-<\/option><option value=\"Associate Member=Rs:500\/-\">Associate Member=Rs:500\/-<\/option><option value=\"Additional Accompanying Person=Rs:500\/-\">Additional Accompanying Person=Rs:500\/-<\/option><option value=\"Pre-Conference Workshop = Rs:2000\/-\">Pre-Conference Workshop = Rs:2000\/-<\/option><\/select><\/span>\n<\/p>\n<p> Amount<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Amount\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"4000\/- rupees\" type=\"text\" name=\"Amount\" \/><\/span>\n<\/p>\n<p> Bank<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Bank-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Bank-name\" \/><\/span>\n<\/p>\n<p> Date of amount deposit<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-amount-deposit\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"YYYY-MM-DD\" value=\"\" type=\"date\" name=\"date-of-amount-deposit\" \/><\/span>\n<\/p>\n<p><br \/>\nDemand Draft\/ Pay Order can be made in favour of \u201cPakistan Islamic Medical Association\u201d<br \/>\nAccount No. 069301010018844, Branch Code 0693, Muslim Commercial Bank (MCB), G.T. Road Peshawar.\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-1499","post","type-post","status-publish","format-standard","hentry","category-conventions"],"_links":{"self":[{"href":"https:\/\/pima.org.pk\/dev\/wp-json\/wp\/v2\/posts\/1499","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pima.org.pk\/dev\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pima.org.pk\/dev\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pima.org.pk\/dev\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pima.org.pk\/dev\/wp-json\/wp\/v2\/comments?post=1499"}],"version-history":[{"count":1,"href":"https:\/\/pima.org.pk\/dev\/wp-json\/wp\/v2\/posts\/1499\/revisions"}],"predecessor-version":[{"id":1500,"href":"https:\/\/pima.org.pk\/dev\/wp-json\/wp\/v2\/posts\/1499\/revisions\/1500"}],"wp:attachment":[{"href":"https:\/\/pima.org.pk\/dev\/wp-json\/wp\/v2\/media?parent=1499"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pima.org.pk\/dev\/wp-json\/wp\/v2\/categories?post=1499"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pima.org.pk\/dev\/wp-json\/wp\/v2\/tags?post=1499"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}