Gesti贸n Suscriptores SLAOT

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Documento</label><input type="text" id="precolegiadopublictype_doc_identificacion_nif" name="precolegiadopublictype[doc_identificacion][nif]" class="required" size="15" /></div></div></div> <div class="form_row forms_field"><label for="precolegiadopublictype_pais" class="required forms_fieldlabel">Pa铆s</label><select id="precolegiadopublictype_pais" name="precolegiadopublictype[pais]" required="required" class="required required" ancho_input="250px"><option value="" selected="selected"> -- </option><option value="101">ALBANIA</option><option value="102">AUSTRIA</option><option value="103">BELGICA</option><option value="104">BULGARIA</option><option value="106">CHIPRE</option><option value="107">DINAMARCA</option><option value="108">ESPA脩A</option><option value="109">FINLANDIA</option><option value="110">FRANCIA</option><option value="111">GRECIA</option><option value="112">HUNGRIA</option><option value="113">IRLANDA</option><option value="114">ISLANDIA</option><option value="115">ITALIA</option><option value="116">LIECHTENSTEIN</option><option value="117">LUXEMBURGO</option><option value="118">MALTA</option><option value="119">MONACO</option><option value="120">NORUEGA</option><option value="121">PAISES BAJOS</option><option value="122">POLONIA</option><option value="123">PORTUGAL</option><option value="124">ANDORRA</option><option value="125">REINO UNIDO</option><option value="126">ALEMANIA</option><option value="128">RUMANIA</option><option value="129">SAN MARINO</option><option value="130">SANTA SEDE</option><option value="131">SUECIA</option><option value="132">SUIZA</option><option value="135">UCRANIA</option><option value="136">LETONIA</option><option value="137">MOLDAVIA</option><option value="138">BELARUS</option><option value="139">GEORGIA</option><option value="141">ESTONIA</option><option value="142">LITUANIA</option><option value="143">REPUBLICA CHECA</option><option value="144">REPUBLICA ESLOVACA</option><option value="145">BOSNIA Y HERZEGOVINA</option><option value="146">CROACIA</option><option value="147">ESLOVENIA</option><option value="148">ARMENIA</option><option value="154">RUSIA</option><option value="156">MACEDONIA </option><option value="157">SERBIA</option><option value="158">MONTENEGRO</option><option value="170">GUERNESEY</option><option value="171">SVALBARD Y JAN MAYEN</option><option value="172">ISLAS FEROE</option><option value="173">ISLA DE MAN</option><option value="174">GIBRALTAR</option><option value="175">ISLAS DEL CANAL</option><option value="176">JERSEY</option><option value="177">ISLAS ALAND</option><option value="198">OTROS PAISES O TERRITORIOS DE LA UNION EUROPEA</option><option value="199">OTROS PAISES O TERRITORIOS DEL RESTO DE EUROPA</option><option value="201">BURKINA FASO</option><option value="202">ANGOLA</option><option value="203">ARGELIA</option><option value="204">BENIN</option><option value="205">BOTSWANA</option><option value="206">BURUNDI</option><option value="207">CABO VERDE</option><option value="208">CAMERUN</option><option value="209">COMORES</option><option value="210">CONGO</option><option value="211">COSTA DE MARFIL</option><option value="212">DJIBOUTI</option><option value="213">EGIPTO</option><option value="214">ETIOPIA</option><option value="215">GABON</option><option value="216">GAMBIA</option><option value="217">GHANA</option><option value="218">GUINEA</option><option value="219">GUINEA-BISSAU</option><option value="220">GUINEA ECUATORIAL</option><option value="221">KENIA</option><option value="222">LESOTHO</option><option value="223">LIBERIA</option><option value="224">LIBIA</option><option value="225">MADAGASCAR</option><option value="226">MALAWI</option><option value="227">MALI</option><option value="228">MARRUECOS</option><option value="229">MAURICIO</option><option value="230">MAURITANIA</option><option value="231">MOZAMBIQUE</option><option value="232">NAMIBIA</option><option value="233">NIGER</option><option value="234">NIGERIA</option><option value="235">REPUBLICA CENTROAFRICANA</option><option value="236">SUDAFRICA</option><option value="237">RUANDA</option><option value="238">SANTO TOME Y PRINCIPE</option><option value="239">SENEGAL</option><option value="240">SEYCHELLES</option><option value="241">SIERRA LEONA</option><option value="242">SOMALIA</option><option value="243">SUDAN</option><option value="244">SWAZILANDIA</option><option value="245">TANZANIA</option><option value="246">CHAD</option><option value="247">TOGO</option><option value="248">TUNEZ</option><option value="249">UGANDA</option><option value="250">REP.DEMOCRATICA DEL CONGO</option><option value="251">ZAMBIA</option><option value="252">ZIMBABWE</option><option value="253">ERITREA</option><option value="260">SANTA HELENA</option><option value="261">REUNION</option><option value="262">MAYOTTE</option><option value="263">SAHARA OCCIDENTAL</option><option value="299">OTROS PAISES O TERRITORIOS DE AFRICA</option><option value="301">CANADA</option><option value="302">ESTADOS UNIDOS DE AMERICA</option><option value="303">MEXICO</option><option value="310">ANTIGUA Y BARBUDA</option><option value="311">BAHAMAS</option><option value="312">BARBADOS</option><option value="313">BELICE</option><option value="314">COSTA RICA</option><option value="315">CUBA</option><option value="316">DOMINICA</option><option value="317">EL SALVADOR</option><option value="318">GRANADA</option><option value="319">GUATEMALA</option><option value="320">HAITI</option><option value="321">HONDURAS</option><option value="322">JAMAICA</option><option value="323">NICARAGUA</option><option value="324">PANAMA</option><option value="325">SAN VICENTE Y LAS GRANADINAS</option><option value="326">REPUBLICA DOMINICANA</option><option value="327">TRINIDAD Y TOBAGO</option><option value="328">SANTA LUCIA</option><option value="329">SAN CRISTOBAL Y NIEVES</option><option value="340">ARGENTINA</option><option value="341">BOLIVIA</option><option value="342">BRASIL</option><option value="343">COLOMBIA</option><option value="344">CHILE</option><option value="345">ECUADOR</option><option value="346">GUYANA</option><option value="347">PARAGUAY</option><option value="348">PERU</option><option value="349">SURINAM</option><option value="350">URUGUAY</option><option value="351">VENEZUELA</option><option value="370">SAN PEDRO Y MIQUELON </option><option value="371">GROENLANDIA</option><option value="380">ISLAS CAIM脕N</option><option value="381">ISLAS TURCAS Y CAICOS</option><option value="382">ISLAS V脥RGENES DE LOS ESTADOS UNIDOS</option><option value="383">GUADALUPE</option><option value="384">ANTILLAS HOLANDESAS</option><option value="385">SAN MARTIN (PARTE FRANCESA)</option><option value="386">ARUBA</option><option value="387">MONTSERRAT</option><option value="388">ANGUILLA</option><option value="389">SAN BARTOLOME</option><option value="390">MARTINICA</option><option value="391">PUERTO RICO</option><option value="392">BERMUDAS</option><option value="393">ISLAS VIRGENES BRITANICAS</option><option value="394">GUAYANA FRANCESA</option><option value="395">ISLAS MALVINAS</option><option value="396">OTROS PAISES O TERRITORIOS DE AMERICA DEL NORTE</option><option value="398">OTROS PAISES O TERRITORIOS DEL CARIBE Y AMERICA CENTRAL</option><option value="399">OTROS PAISES O TERRITORIOS DE SUDAMERICA</option><option value="401">AFGANISTAN</option><option value="402">ARABIA SAUDI</option><option value="403">BAHREIN</option><option value="404">BANGLADESH</option><option value="405">MYANMAR</option><option value="407">CHINA</option><option value="408">EMIRATOS ARABES UNIDOS</option><option value="409">FILIPINAS</option><option value="410">INDIA</option><option value="411">INDONESIA</option><option value="412">IRAQ</option><option value="413">IRAN</option><option value="414">ISRAEL</option><option value="415">JAPON</option><option value="416">JORDANIA</option><option value="417">CAMBOYA</option><option value="418">KUWAIT</option><option value="419">LAOS</option><option value="420">LIBANO</option><option value="421">MALASIA</option><option value="422">MALDIVAS</option><option value="423">MONGOLIA</option><option value="424">NEPAL</option><option value="425">OMAN</option><option value="426">PAKISTAN</option><option value="427">QATAR</option><option value="430">COREA</option><option value="431">COREA DEL NORTE </option><option value="432">SINGAPUR</option><option value="433">SIRIA</option><option value="434">SRI LANKA</option><option value="435">TAILANDIA</option><option value="436">TURQUIA</option><option value="437">VIETNAM</option><option value="439">BRUNEI</option><option value="440">ISLAS MARSHALL</option><option value="441">YEMEN</option><option value="442">AZERBAIYAN</option><option value="443">KAZAJSTAN</option><option value="444">KIRGUISTAN</option><option value="445">TADYIKISTAN</option><option value="446">TURKMENISTAN</option><option value="447">UZBEKISTAN</option><option value="448">ISLAS MARIANAS DEL NORTE</option><option value="449">PALESTINA</option><option value="450">HONG KONG</option><option value="453">BHUT脕N</option><option value="454">GUAM</option><option value="455">MACAO</option><option value="499">OTROS PAISES O TERRITORIOS DE ASIA</option><option value="501">AUSTRALIA</option><option value="502">FIJI</option><option value="504">NUEVA ZELANDA</option><option value="505">PAPUA NUEVA GUINEA</option><option value="506">ISLAS SALOMON</option><option value="507">SAMOA</option><option value="508">TONGA</option><option value="509">VANUATU</option><option value="511">MICRONESIA</option><option value="512">TUVALU</option><option value="513">ISLAS COOK</option><option value="515">NAURU</option><option value="516">PALAOS</option><option value="517">TIMOR ORIENTAL</option><option value="520">POLINESIA FRANCESA</option><option value="521">ISLA NORFOLK</option><option value="522">KIRIBATI</option><option value="523">NIUE</option><option value="524">ISLAS PITCAIRN</option><option value="525">TOKELAU</option><option value="526">NUEVA CALEDONIA</option><option value="527">WALLIS Y FORTUNA</option><option value="528">SAMOA AMERICANA</option><option value="599">OTROS PAISES O TERRITORIOS DE OCEANIA</option></select><style> .ui-button { margin-left: -1px; } .ui-button-icon-only .ui-button-text { padding: 0.35em; } .ui-autocomplete-input { margin: 0; padding: 0.48em 0 0.47em 0.45em; } </style><script type="text/javascript"> $(function(){ $( "#precolegiadopublictype_pais" ).autocomplete(); $( "#precolegiadopublictype_pais" ).combobox(); }); </script></div> <div class="form_row forms_field"><label for="precolegiadopublictype_nombre" class="forms_fieldlabel">Nombre</label><input type="text" id="precolegiadopublictype_nombre" name="precolegiadopublictype[nombre]" maxlength="100" maxlength="100" class="required" /></div> <div class="form_row forms_field"><label for="precolegiadopublictype_apellido1" class="forms_fieldlabel">Primer apellido</label><input type="text" id="precolegiadopublictype_apellido1" name="precolegiadopublictype[apellido1]" maxlength="100" maxlength="100" class="required" /></div> <div class="form_row forms_field"><label for="precolegiadopublictype_apellido2" class="forms_fieldlabel">Segundo apellido</label><input type="text" id="precolegiadopublictype_apellido2" name="precolegiadopublictype[apellido2]" maxlength="100" maxlength="100" /></div> <div class="form_row forms_field"><label for="precolegiadopublictype_sexo" class="forms_fieldlabel">Sexo</label><select id="precolegiadopublictype_sexo" name="precolegiadopublictype[sexo]" class="required"><option value=""> -- </option><option value="M">Hombre</option><option value="F">Mujer</option></select></div> <div class="form_row forms_field"><label for="precolegiadopublictype_fechaNacimiento" class="forms_fieldlabel">Fecha de nacimiento</label><input type="text" id="precolegiadopublictype_fechaNacimiento" name="precolegiadopublictype[fechaNacimiento]" maxlength="10" size="10" maxlength="10" class="required" /></div> <div class="form_row forms_field"><label for="precolegiadopublictype_emailPrincipal" class="forms_fieldlabel">Email</label><input type="email" id="precolegiadopublictype_emailPrincipal" name="precolegiadopublictype[emailPrincipal]" maxlength="150" maxlength="150" class="required" size="45" /></div> <div class="form_row forms_field"><label for="precolegiadopublictype_delegacionActual" class="forms_fieldlabel">Sociedad regional</label><select id="precolegiadopublictype_delegacionActual" name="precolegiadopublictype[delegacionActual]" class="required"><option value=""> -- </option><option value="1">AAOT Argentina</option><option value="2">SBOT Brasileira</option><option value="3">SBOLOT Boliviana</option><option value="4">SCHOT Chilena</option><option value="5">SCCOT Colombiana</option><option value="6">ACOT Costarricense</option><option value="7">SEOT Ecuatoriana</option><option value="8">ASOT Salvadore帽a</option><option value="9">AGOT Guatemalteca</option><option value="10">ASHOT Hondure帽a</option><option value="11">FEMECOT Mexicana</option><option value="12">ANOT Nicaraguense</option><option value="13">SPOT Paname帽a</option><option value="14">SPOT Paraguaya</option><option value="15">SPOT Peruana</option><option value="16">SPOT Puertorrique帽a</option><option value="17">SDOT Dominicana</option><option value="18">SOTU Uruguay</option><option value="19">SVCOT Venezolana</option><option value="20">SECOT Espa帽ola</option><option value="21">SPOT Portugal</option><option value="22">CMO Mexico</option><option value="23">Otras Sociedades</option></select></div> <div class="form_row forms_field"><label for="precolegiadopublictype_puesto" class="forms_fieldlabel">Puesto</label><select id="precolegiadopublictype_puesto" name="precolegiadopublictype[puesto]"><option value=""> -- </option><option value="1">EN FORMACI脫N</option><option value="2">JEFE DE SERVICIO</option><option value="3">JEFE ADJUNTO</option><option value="4">M脡DICO ADJUNTO/FEA</option><option value="5">JEFE SECCION/JEFE UNIDAD</option><option value="6">CONSULTOR/DIRECTOR M脡DICO</option><option value="7">OTROS</option><option value="8">REHABILITADOR</option><option value="9">INSTRUMENTACI脫N QUIR脫FANO</option></select></div> </div> </li> </ul> </div> </div> <div class="div_columna div_columna_derecha"> <div class="div_contenido_columna_derecha"> <ul id="columna_ordenable_1" class="paneles_ordenables"> <li id="panel_datosContacto" class="panel_ordenable li_panel_ordenable"> <h2>Informaci贸n</h2> <div class="div_panel"> <br /> La <b>SLAOT</b> es la Federaci贸n Cient铆fica de Ortopedia y Traumatolog铆a, con el m谩s alto nivel de calidad acad茅mica en toda Latinoam茅rica. <br /> <br /> Registrese como suscriptor y forme parte de la comunidad con los mejores especialistas de esta rama y ciencias afines. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> </div> </li> </ul> </div> </div> <div class="clear"></div> </div> <input type="hidden" id="precolegiadopublictype__token" name="precolegiadopublictype[_token]" value="GIDQMPmtls6jyoBVVIhfis4r3u5UxigF8nkaR5A2MJc" /> </form> <div class="div_botonera"> <button type="button" class="boton_ok" onclick="javascript: $('#create_form').submit();">Guardar</button> </div> <div style="margin: 3px 15px; font-size: 11px;"> Para poder ofrecer los servicios de la web y poder administrar la p谩gina, SLAOT SOCIEDAD LATINOAMERICANA DE ORTOPEDIA Y TRAUMATOLOG脥A y, en su caso, otras empresas relacionadas con la prestaci贸n de los servicios contenidos en dicha web, guardaremos cierta informaci贸n en su ordenador mediante el uso de las cookies. <br /><br /> Si quiere saber qu茅 son las cookies, cu谩les utiliza esta p谩gina web y c贸mo eliminarlas, consulte la <b><a href="/es/public/cookiespolicy" target="_blank">pol铆tica de cookies de la web de SLAOT SOCIEDAD LATINOAMERICANA DE ORTOPEDIA Y TRAUMATOLOG脥A</a></b>. </div> </div> </div> <img id="footer_imgManoCFC" src="/bundles/criticintranet/images/logos/slaot_arbol3.png" /> <div id="div_blockContenedorFooter"> <div id="div_contenidoFooter"> <div style="float:left"> <div id="div_blockLogoUnitia"> <a href="http://www.critic.es" target="_blank"><img id='img_logoUnitia' src="/bundles/criticintranet/images/logos/unitia.png" alt="Powered by 庐Unitia (漏criTIC S.L.)" title="Powered by 庐Unitia (漏criTIC S.L.)" onmouseover="javascript: this.src='/bundles/criticintranet/images/logos/unitia_groc.png';" onmouseout="javascript: this.src='/bundles/criticintranet/images/logos/unitia.png';" /></a> </div> </div> <div style="float:left; font-size: 11px; margin-left: 100px;"> <a style="color:#ffffff;" href="/es/public/legal" target="_blank">Aviso Legal</a>  | <a style="color:#ffffff;" href="/es/public/privacypolicy" target="_blank">Pol铆tica privacidad</a>  | <a style="color:#ffffff;" href="/es/public/cookiespolicy" target="_blank">Pol铆tica cookies</a>  | <a style="color:#ffffff;" href="/es/public/intranetpolicy" target="_blank">Condiciones Intranet</a> </div> <div style="float:right"> <div id="div_blockDatosContacto"> <span> Avenida Corrientes 545, 10 piso CP (1043AAF). Ciudad Aut贸noma de Buenos Aires - Argentina <a href="mailto:info@slaot.lat">info@slaot.lat</a> </span> </div> </div> <div class="clear"></div> </div> </div> <script type="text/javascript"> jQuery('body').on('focus',"input.paraDatepicker", function(){ $field = jQuery(this); eval(jQuery('#'+jQuery(this).prop('id')+'_jsproto').val()); }); </script> </div>  </body> </html>

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