{"id":1365,"date":"2025-06-09T19:33:50","date_gmt":"2025-06-10T03:33:50","guid":{"rendered":"https:\/\/mamp.org.my\/index.php\/membership-registration\/"},"modified":"2025-11-01T08:16:47","modified_gmt":"2025-11-01T16:16:47","slug":"membership-registration","status":"publish","type":"page","link":"https:\/\/mamp.org.my\/index.php\/membership-registration\/","title":{"rendered":"Membership Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1365\" class=\"elementor elementor-1365\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-386556e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"386556e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"aux-parallax-section elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-edb5f5c\" data-id=\"edb5f5c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-026ca9d elementor-widget elementor-widget-heading\" data-id=\"026ca9d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Membership Registration Form<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ee6c3bc elementor-widget elementor-widget-shortcode\" data-id=\"ee6c3bc\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Membership Join Form<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='1365' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"1deb977947\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/1365\" \/><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_membership_username' >Membership Username<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"membership_username\" class=\"ff-el-form-control\" data-name=\"membership_username\" id=\"ff_3_membership_username\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_membership_password' aria-label=\"Membership Password (Used For Membership Login Only)\">Membership Password (Used For Membership Login Only)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"membership_password\" class=\"ff-el-form-control\" data-name=\"membership_password\" id=\"ff_3_membership_password\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text' aria-label=\"Title (Prof\/Assoc.Prof\/Dr\/Mr\/Ms)\">Title (Prof\/Assoc.Prof\/Dr\/Mr\/Ms)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_3_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 61.82%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_full_name' >Fullname<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"full_name\" class=\"ff-el-form-control\" placeholder=\"Full Name\" data-name=\"full_name\" id=\"ff_3_full_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 38.18%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_call_name' >Call Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"call_name\" class=\"ff-el-form-control\" placeholder=\"Call Name\" data-name=\"call_name\" id=\"ff_3_call_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_member_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"member_email\" id=\"ff_3_member_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"member_email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_work_address' aria-label=\"Work Address (Name of Institution, Address)\">Work Address (Name of Institution, Address)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=true name=\"work_address\" id=\"ff_3_work_address\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"work_address\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_mailing_address' aria-label=\"Mailing Address\">Mailing Address<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"mailing_address\" id=\"ff_3_mailing_address\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"mailing_address\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_phone_number' aria-label=\"Phone Number (Mobile)\">Phone Number (Mobile)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"phone_number\" class=\"ff-el-form-control\" data-name=\"phone_number\" id=\"ff_3_phone_number\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"I would like to be included in MAMP WhatsApp group\">I would like to be included in MAMP WhatsApp group <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=whatsapp_pref_06c55f8ffecea998fd295b96e2214443><input  type=\"radio\" name=\"whatsapp_pref\" data-name=\"whatsapp_pref\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Yes, I am happy to be included in the WhatApp group to received periodical updates\"  id='whatsapp_pref_06c55f8ffecea998fd295b96e2214443' aria-label='Yes, I am happy to be included in the WhatApp group to received periodical updates' aria-invalid='false' aria-required=true> <span>Yes, I am happy to be included in the WhatApp group to received periodical updates<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=whatsapp_pref_a3a8e77442691287c96b350f022ac3d1><input  type=\"radio\" name=\"whatsapp_pref\" data-name=\"whatsapp_pref\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No, I prefer to be contacted individually by the secretariat\"  id='whatsapp_pref_a3a8e77442691287c96b350f022ac3d1' aria-label='No, I prefer to be contacted individually by the secretariat' aria-invalid='false' aria-required=true> <span>No, I prefer to be contacted individually by the secretariat<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=whatsapp_pref_a4d4a1409902efeb28b480c595a091b0><input  type=\"radio\" name=\"whatsapp_pref\" data-name=\"whatsapp_pref\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No, I don\u2019t have the WhatApp application\"  id='whatsapp_pref_a4d4a1409902efeb28b480c595a091b0' aria-label='No, I don\u2019t have the WhatApp application' aria-invalid='false' aria-required=true> <span>No, I don\u2019t have the WhatApp application<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_nationality' aria-label=\"Nationality\">Nationality<\/label><\/div><div class='ff-el-input--content'><select name=\"nationality\" id=\"ff_3_nationality\" class=\"ff-el-form-control\" data-name=\"nationality\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Select Nationality<\/option><option value=\"1\"  >Malaysian<\/option><option value=\"2\"  >Others : Please Specify<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_others_nationality' aria-label=\"Enter Your Nationality\">Enter Your Nationality<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"others_nationality\" class=\"ff-el-form-control\" placeholder=\"Enter Nationality\" data-name=\"others_nationality\" id=\"ff_3_others_nationality\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_degree_bachelor_name' >Bachelor\/First Degree (Name)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"degree_bachelor_name\" class=\"ff-el-form-control\" data-name=\"degree_bachelor_name\" id=\"ff_3_degree_bachelor_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 39.47%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_degree_bachelor_university' aria-label=\"Bachelor\/First Degree (University)\">Bachelor\/First Degree (University)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"degree_bachelor_university\" class=\"ff-el-form-control\" data-name=\"degree_bachelor_university\" id=\"ff_3_degree_bachelor_university\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 27.2%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_degree_bachelor_year' aria-label=\"Bachelor\/First Degree (Year)\">Bachelor\/First Degree (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"degree_bachelor_year\" class=\"ff-el-form-control\" data-name=\"degree_bachelor_year\" id=\"ff_3_degree_bachelor_year\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.78%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_degree_master_name' >Master Degree (Name)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"degree_master_name\" class=\"ff-el-form-control\" data-name=\"degree_master_name\" id=\"ff_3_degree_master_name\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 37.5%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_degree_master_university' aria-label=\"Master Degree (University)\">Master Degree (University)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"degree_master_university\" class=\"ff-el-form-control\" data-name=\"degree_master_university\" id=\"ff_3_degree_master_university\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 28.72%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_degree_master_year' aria-label=\"Master Degree (Year)\">Master Degree (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"degree_master_year\" class=\"ff-el-form-control\" data-name=\"degree_master_year\" id=\"ff_3_degree_master_year\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_degree_phd_name' >PhD degree (Name)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"degree_phd_name\" class=\"ff-el-form-control\" data-name=\"degree_phd_name\" id=\"ff_3_degree_phd_name\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 37.28%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_degree_phd_university' aria-label=\"PhD degree (University)\">PhD degree (University)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"degree_phd_university\" class=\"ff-el-form-control\" data-name=\"degree_phd_university\" id=\"ff_3_degree_phd_university\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 29.39%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_degree_phd_year' aria-label=\"PhD degree (Year)\">PhD degree (Year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"degree_phd_year\" class=\"ff-el-form-control\" data-name=\"degree_phd_year\" id=\"ff_3_degree_phd_year\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_other_degrees' aria-label=\"Please state any other formal degrees obtained including university and year\">Please state any other formal degrees obtained including university and year<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"other_degrees\" class=\"ff-el-form-control\" data-name=\"other_degrees\" id=\"ff_3_other_degrees\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_cert_file' aria-label=\"Please upload your academic degree certificate (Bachelor\/Master\/PhD) on a cloud drive, and provide the link below\">Please upload your academic degree certificate (Bachelor\/Master\/PhD) on a cloud drive, and provide the link below<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"cert_file\" class=\"ff-el-form-control\" placeholder=\"Enter Google Drive Links\" data-name=\"cert_file\" id=\"ff_3_cert_file\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_occupation_type' aria-label=\"Occupation Type\">Occupation Type<\/label><\/div><div class='ff-el-input--content'><select name=\"occupation_type\" id=\"ff_3_occupation_type\" class=\"ff-el-form-control\" data-name=\"occupation_type\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Select Occupation Type<\/option><option value=\"Research Officer\"  >Research Officer<\/option><option value=\"Science Officer\"  >Science Officer<\/option><option value=\"Lecturer\"  >Lecturer<\/option><option value=\"Student\"  >Student<\/option><option value=\"Other : Please Specify\"  >Other : Please Specify<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_others_occupation_type' aria-label=\"Enter Your Occupation Type\">Enter Your Occupation Type<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"others_occupation_type\" class=\"ff-el-form-control\" placeholder=\"Others Occupation Type\" data-name=\"others_occupation_type\" id=\"ff_3_others_occupation_type\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_job_title' aria-label=\"Job Title\">Job Title<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"job_title\" class=\"ff-el-form-control\" placeholder=\"Job Title\" data-name=\"job_title\" id=\"ff_3_job_title\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_specialisation' aria-label=\"Specialisation\">Specialisation<\/label><\/div><div class='ff-el-input--content'><select name=\"specialisation\" id=\"ff_3_specialisation\" class=\"ff-el-form-control\" data-name=\"specialisation\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Specialisation<\/option><option value=\"Radiotherapy\"  >Radiotherapy<\/option><option value=\"Nuclear \"  >Nuclear<\/option><option value=\"Medicine\"  >Medicine<\/option><option value=\"Diagnostic Radiology\"  >Diagnostic Radiology<\/option><option value=\"Other : Please Specify\"  >Other : Please Specify<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_others_specialisation' aria-label=\"Enter Your Specialisation\">Enter Your Specialisation<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"others_specialisation\" class=\"ff-el-form-control\" placeholder=\"Specialisation\" data-name=\"others_specialisation\" id=\"ff_3_others_specialisation\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><input type=\"hidden\" name=\"hidden\" value=\"pending\" data-name=\"hidden\" ><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ma_hpc_registered' aria-label=\"Have you registered as Medical Physicist under MAHPC ?\">Have you registered as Medical Physicist under MAHPC ?<\/label><\/div><div class='ff-el-input--content'><select name=\"ma_hpc_registered\" id=\"ff_3_ma_hpc_registered\" class=\"ff-el-form-control\" data-name=\"ma_hpc_registered\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Please Select<\/option><option value=\"YES\"  >YES<\/option><option value=\"NO\"  >NO<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_ma_hpc_number' aria-label=\"Please enter your registration number\">Please enter your registration number <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ma_hpc_number\" class=\"ff-el-form-control\" placeholder=\"Enter MAHPC Number\" data-name=\"ma_hpc_number\" id=\"ff_3_ma_hpc_number\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_membership_type' aria-label=\"Membership Type\">Membership Type<\/label><\/div><div class='ff-el-input--content'><select name=\"membership_type\" id=\"ff_3_membership_type\" class=\"ff-el-form-control\" placeholder=\"Select Membership Type\" data-name=\"membership_type\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Select Membership Type<\/option><option data-calc_value=\"30\" data-custom-properties=\"30\" value=\"Ordinary Member (RM30\/annually)\"  >Ordinary Member (RM30\/annually)<\/option><option data-calc_value=\"20\" data-custom-properties=\"20\" value=\"Associate Member (RM20\/annually)\"  >Associate Member (RM20\/annually)<\/option><option data-calc_value=\"300\" data-custom-properties=\"300\" value=\"Upgrade to Lifetime Member (RM300)\"  >Upgrade to Lifetime Member (RM300)<\/option><\/select><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_1\" ><div style=\"text-align: center;padding: 15px;background: #f9f9f9;border-radius: 12px\">\n<p style=\"font-size: 16px;font-weight: bold\">Scan &amp; Pay <b style=\"color: red\">RM 20<\/b> via DuitNow<\/p>\n<img decoding=\"async\" style=\"width: 220px;border-radius: 10px\" src=\"https:\/\/mamp.org.my\/wp-content\/uploads\/2025\/11\/mamp_qr_crop.jpeg\" alt=\"QR Payment\" \/>\n<p style=\"font-size: 14px;color: red;margin-top:5px\">Please Make Sure The Receiver Name Is : <b>Persatuan Fizik Perubatan<\/b><\/p>\n<\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_payment_ref_no' aria-label=\"Payment Reference Number\">Payment Reference Number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"payment_ref_no\" class=\"ff-el-form-control\" placeholder=\"Enter Payment Reference Number\" data-name=\"payment_ref_no\" id=\"ff_3_payment_ref_no\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group ff-text-right ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Submit My Application<\/button><\/div><\/fieldset><\/form><div id='fluentform_3_errors' class='ff-errors-in-stack ff_form_instance_3_1 ff-form-loading_errors ff_form_instance_3_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_3_1 = {\"id\":\"3\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"asteriskPlacement\":\"asterisk-right\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_3_1\",\"form_id_selector\":\"fluentform_3\",\"rules\":{\"membership_username\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"membership_password\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"input_text\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"full_name\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"call_name\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"member_email\":{\"required\":{\"value\":true,\"message\":\"Please enter a valid email address.\",\"global\":false,\"global_message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"This field must contain a valid email\",\"global\":false,\"global_message\":\"This field must contain a valid email\"}},\"work_address\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"mailing_address\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"phone_number\":{\"required\":{\"value\":true,\"message\":\"Please enter your phone number.\",\"global\":false,\"global_message\":\"This field is 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