{"id":105,"date":"2022-11-25T21:08:01","date_gmt":"2022-11-25T20:08:01","guid":{"rendered":"https:\/\/simpozij13.hdzz.hr\/?page_id=105"},"modified":"2023-02-16T18:12:11","modified_gmt":"2023-02-16T17:12:11","slug":"registracijska-kartica","status":"publish","type":"page","link":"https:\/\/simpozij13.hdzz.hr\/en\/general\/registration-card\/","title":{"rendered":"Registration card"},"content":{"rendered":"I apply for participation in the work of the Thirteenth Symposium of the Croatian Society for Radiation Protection, which will be held in Pore\u010d from 18 to 21 April 2023.<\/p>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' ><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/en\/wp-json\/wp\/v2\/pages\/105' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_1\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >First and last name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_1'>\n                            \n                            <span id='input_5_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_5_1_3' value=''   aria-required='true'   placeholder='First name*'  \/>\n                                                    <label for='input_5_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_5_1_6' value=''   aria-required='true'   placeholder='Last name*'  \/>\n                                                    <label for='input_5_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_3\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_3\" ><label class='gfield_label gform-field-label' for='input_5_3'>Institution<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_5_3' type='text' value='' class='large'    placeholder='Your Institution*'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_4\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_4\" ><label class='gfield_label gform-field-label' for='input_5_4'>Department<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_5_4' type='text' value='' class='large'    placeholder='Your Department'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_5\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_5\" ><label class='gfield_label gform-field-label' for='input_5_5'>Full address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_5_5' type='text' value='' class='large'    placeholder='Address of Institution*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_6\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_6\" ><label class='gfield_label gform-field-label' for='input_5_6'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_5_6' type='email' value='' class='large'   placeholder='Your Email*' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_7\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_7\" ><label class='gfield_label gform-field-label' for='input_5_7'>Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_5_7' type='text' value='' class='large'    placeholder='Your phone number'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_8\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_8\" ><label class='gfield_label gform-field-label' for='input_5_8'>Telefax<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_5_8' type='text' value='' class='large'    placeholder='Your telefax number'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_9\" ><legend class='gfield_label gform-field-label' >Type of contribution<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_9'>\n\t\t\t<div class='gchoice gchoice_5_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Oral'  id='choice_5_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_9_0' id='label_5_9_0' class='gform-field-label gform-field-label--type-inline'>Oral<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Poster'  id='choice_5_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_9_1' id='label_5_9_1' class='gform-field-label gform-field-label--type-inline'>Poster<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Either'  id='choice_5_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_9_2' id='label_5_9_2' class='gform-field-label gform-field-label--type-inline'>Either<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_9_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Without contribution'  id='choice_5_9_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_9_3' id='label_5_9_3' class='gform-field-label gform-field-label--type-inline'>Without contribution<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_10\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Topic(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_10'><div class='gchoice gchoice_5_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='General topics in radiation science'  id='choice_5_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_10_1' id='label_5_10_1' class='gform-field-label gform-field-label--type-inline'>General topics in radiation science<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Nuclear threats - challenges'  id='choice_5_10_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_10_2' id='label_5_10_2' class='gform-field-label gform-field-label--type-inline'>Nuclear threats - challenges<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='Radiation dosimetry'  id='choice_5_10_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_10_3' id='label_5_10_3' class='gform-field-label gform-field-label--type-inline'>Radiation dosimetry<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_10_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.4' type='checkbox'  value='Biological effects of radiation'  id='choice_5_10_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_10_4' id='label_5_10_4' class='gform-field-label gform-field-label--type-inline'>Biological effects of radiation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_10_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.5' type='checkbox'  value='Radiation protection of the public'  id='choice_5_10_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_10_5' id='label_5_10_5' class='gform-field-label gform-field-label--type-inline'>Radiation protection of the public<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_10_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.6' type='checkbox'  value='Radiation protection in medicine'  id='choice_5_10_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_10_6' id='label_5_10_6' class='gform-field-label gform-field-label--type-inline'>Radiation protection in medicine<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_10_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.7' type='checkbox'  value='Radioecology'  id='choice_5_10_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_10_7' id='label_5_10_7' class='gform-field-label gform-field-label--type-inline'>Radioecology<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_10_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.8' type='checkbox'  value='Radon'  id='choice_5_10_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_10_8' id='label_5_10_8' class='gform-field-label gform-field-label--type-inline'>Radon<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_10_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.9' type='checkbox'  value='Instrumentation and measuring techniques'  id='choice_5_10_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_10_9' id='label_5_10_9' class='gform-field-label gform-field-label--type-inline'>Instrumentation and measuring techniques<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_10_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.11' type='checkbox'  value='Non-ionizing radiation'  id='choice_5_10_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_10_11' id='label_5_10_11' class='gform-field-label gform-field-label--type-inline'>Non-ionizing radiation<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_11\" ><legend class='gfield_label gform-field-label' >Would you like to participate in the youth competition for the best poster or the best lecture:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_11'>\n\t\t\t<div class='gchoice gchoice_5_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Yes'  id='choice_5_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_11_0' id='label_5_11_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='No'  id='choice_5_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_11_1' id='label_5_11_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_12\" class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_12\" ><label class='gfield_label gform-field-label' for='gform_browse_button_5_12'>Abstract(s)<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_5_12' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_5_12&quot;,&quot;container&quot;:&quot;gform_multifile_upload_5_12&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_5_12&quot;,&quot;filelist&quot;:&quot;gform_preview_5_12&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/simpozij13.hdzz.hr\\\/?gf_page=51a6800e5ff86d5&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/simpozij13.hdzz.hr\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/simpozij13.hdzz.hr\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;doc,docx,pdf&quot;}],&quot;max_file_size&quot;:&quot;10485760b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:5,&quot;field_id&quot;:12},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;3&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_5_12&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_5_12' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_5_12' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_5_12 gfield_description_5_12\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_12'>Accepted file types: doc, docx, pdf, Max. file size: 10 MB, Max. files: 3.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_5_12'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_5_12' class='ginput_preview_list'><\/div><div class='gfield_description' id='gfield_description_5_12'>Please upload file(s) with short abstract(s) not exceeding 200 words. Abstract example may be downloaded <a href=\"https:\/\/simpozij13.hdzz.hr\/wp-content\/uploads\/2022\/12\/CRPA13-abstract-template.docx\">here<\/a> [DOCX format].<\/div><\/div><fieldset id=\"field_5_13\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_13\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Acceptance of Data Collection (GDPR)<\/legend><div class='ginput_container ginput_container_consent'><input name='input_13.1' id='input_5_13_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_5_13\"  aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_5_13_1' >I accept<\/label><input type='hidden' name='input_13.2' value='I accept' class='gform_hidden' \/><input type='hidden' 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